|
Scan duplex extremity veins unilateral/limited study
|
$337.98 |
$337.98 |
$337.98 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$385.66 |
$385.66 |
$385.66 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$334.84 |
$334.84 |
$513.49 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$1,982.71 |
$1,982.71 |
$4,285.86 |
$4,246.72
|
|
Screening Mammogram
|
$182.24 |
$182.24 |
$182.24 |
$310.20
|
|
Screening prostate cancer PSA
|
$22.52 |
$22.52 |
$22.52 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$32,710.48 |
$32,710.48 |
$37,187.33 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$279.89 |
$279.89 |
$379.49 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,902.18 |
$2,902.18 |
$3,843.93 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$2.49 |
$2.49 |
$57.89 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$42.19 |
$42.19 |
$42.19 |
$96.60
|
|
Semen analysis w/count
|
$8.76 |
$8.76 |
$8.76 |
$56.44
|
|
Serpina1 gene
|
$46.80 |
$46.80 |
$105.53 |
$197.00
|
|
Sevelamer carbonate 800 mg tablet
|
$9.92 |
$9.92 |
$9.92 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$29.75 |
$29.75 |
$29.75 |
$21.42
|
|
Sheath gldlight lasr 12fx50cm
|
$2,973.53 |
$2,973.53 |
$6,968.27 |
$6,570.70
|
|
Shoe post-op mens m
|
$27.88 |
$27.88 |
$27.88 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$70.31 |
$70.31 |
$213.06 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$93.31 |
$93.31 |
$174.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$112.53 |
$112.53 |
$112.53 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$796.57 |
$796.57 |
$796.57 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$663.81 |
$663.81 |
$663.81 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$531.05 |
$531.05 |
$531.05 |
$2,088.20
|
|
Shoulder X-ray
|
$120.28 |
$120.28 |
$120.28 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$86.49 |
$86.49 |
$86.49 |
$264.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$101.06 |
$101.06 |
$116.58 |
$355.80
|
|
Sickling rbc
|
$15.51 |
$15.51 |
$24.89 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$787.12 |
$787.12 |
$787.12 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$441.00 |
$441.00 |
$1,132.84 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$367.47 |
$367.47 |
$965.34 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$293.94 |
$293.94 |
$797.57 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,270.69 |
$1,270.69 |
$2,473.38 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$105.09 |
$105.09 |
$235.04 |
$347.10
|
|
Sinus X-ray (limited)
|
$88.35 |
$88.35 |
$235.04 |
$215.75
|
|
Sirolimus, oral
|
$19.84 |
$19.84 |
$19.84 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$30.18 |
$30.18 |
$30.18 |
$83.85
|
|
Skin Biopsy
|
$211.72 |
$211.72 |
$211.72 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$104.78 |
$104.78 |
$146.06 |
$294.66
|
|
Skull X-ray (complete)
|
$133.30 |
$133.30 |
$133.30 |
$423.15
|
|
Slco1b1 gene com variants
|
$160.12 |
$160.12 |
$160.12 |
$235.20
|
|
Sleep Study (Polysomnography)
|
$1,330.09 |
$1,330.09 |
$1,330.09 |
$3,734.50
|
|
Sleep study unattended
|
$408.70 |
$408.70 |
$408.70 |
$594.00
|
|
Sling suprapubic suburetheral
|
$7,438.37 |
$7,438.37 |
$15,925.64 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$154.72 |
$154.72 |
$154.72 |
$285.09
|
|
Slp ther svc non-spch gen
|
$90.77 |
$90.77 |
$90.77 |
$188.00
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$170.19 |
$170.19 |
$468.20 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$22.85 |
$22.85 |
$84.42 |
$64.20
|
|
Smear gram stain
|
$42.67 |
$42.67 |
$78.26 |
$55.42
|
|
Smear nasal eosinophil
|
$45.56 |
$45.56 |
$45.56 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$24.19 |
$24.19 |
$78.53 |
$73.15
|
|
Smear wet mount
|
$6.17 |
$6.17 |
$17.81 |
$67.49
|
|
Smpd1 gene common variants
|
$50.39 |
$50.39 |
$50.39 |
$133.84
|
|
Snrpn/ube3a gene
|
$89.06 |
$89.06 |
$359.12 |
$228.80
|
|
Sodium 24 hour urine
|
$14.11 |
$14.11 |
$60.04 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$93.80 |
$93.80 |
$93.80 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$93.80 |
$93.80 |
$93.80 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$0.06 |
$0.06 |
$93.80 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$86.84 |
$86.84 |
$86.84 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$18.82 |
$18.82 |
$48.24 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$243.88 |
$243.88 |
$243.88 |
$177.52
|
|
Special pump services
|
$1,959.62 |
$1,959.62 |
$1,959.62 |
$901.60
|
|
Specific gravity body fluid
|
$1.96 |
$1.96 |
$7.51 |
$22.00
|
|
Specimen fat stain
|
$6.07 |
$6.07 |
$6.07 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$136.28 |
$136.28 |
$136.28 |
$385.00
|
|
Speech evaluation complex
|
$231.57 |
$231.57 |
$231.57 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$92.67 |
$92.67 |
$92.67 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$716.90 |
$716.90 |
$826.23 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$75.33 |
$75.33 |
$141.24 |
$251.00
|
|
Spleen imaging
|
$326.08 |
$326.08 |
$326.08 |
$679.00
|
|
Splint func pos polyflex ii med
|
$61.64 |
$61.64 |
$61.64 |
$61.64
|
|
Split blood or products
|
$123.01 |
$123.01 |
$123.01 |
$129.50
|
|
Sputum specimen collection
|
$123.01 |
$123.01 |
$123.01 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$134.14 |
$134.14 |
$134.14 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$134.14 |
$134.14 |
$134.14 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$9,120.04 |
$9,120.04 |
$16,493.07 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$22,932.62 |
$22,932.62 |
$67,418.35 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,622.00 |
$2,622.00 |
$5,573.06 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$9,917.45 |
$9,917.45 |
$39,580.12 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$2,622.00 |
$2,622.00 |
$2,622.00 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,478.64 |
$6,478.64 |
$10,529.05 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,966.67 |
$3,966.67 |
$5,196.42 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$7,464.07 |
$7,464.07 |
$14,393.21 |
$16,875.93
|
|
St evaluate speech sound production
|
$111.86 |
$111.86 |
$111.86 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$231.12 |
$231.12 |
$231.12 |
$400.00
|
|
Stimulants synthetic
|
$31.36 |
$31.36 |
$31.36 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$597.76 |
$597.76 |
$990.53 |
$1,342.00
|
|
Strep a ag ia
|
$17.14 |
$17.14 |
$17.14 |
$75.40
|
|
Strep b dna amp probe
|
$35.62 |
$35.62 |
$35.62 |
$122.43
|
|
Stress test pulmonary
|
$28.18 |
$28.18 |
$147.40 |
$324.00
|
|
Stress tte complete
|
$597.53 |
$597.53 |
$900.22 |
$1,894.20
|
|
Str markers specimen anal
|
$249.86 |
$249.86 |
$435.24 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$45.03 |
$45.03 |
$45.03 |
$54.80
|
|
Sugars single quant
|
$12.37 |
$12.37 |
$12.37 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$4,783.80 |
$4,783.80 |
$4,783.80 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$22.78 |
$22.78 |
$22.78 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$34.89 |
$34.89 |
$34.89 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$34.31 |
$34.31 |
$34.31 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$27.88 |
$27.88 |
$27.88 |
$94.08
|