|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,081.84 |
$1,081.84 |
$1,081.84 |
$601.70
|
|
Scan proc cranial extra
|
$267.12 |
$267.12 |
$267.12 |
$909.35
|
|
Scan proc cranial intra 61781
|
$361.36 |
$361.36 |
$361.36 |
$552.80
|
|
Scan proc spinal
|
$354.68 |
$354.68 |
$354.68 |
$975.00
|
|
Sclerotherapy fluid collection pq w/img
|
$2,054.60 |
$2,054.60 |
$2,054.60 |
$2,114.45
|
|
Screening Mammogram
|
$254.51 |
$254.51 |
$254.51 |
$303.55
|
|
Screen/visual acuity/bilat/quant 99173
|
$20.04 |
$20.04 |
$20.04 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$8,347.50 |
$8,347.50 |
$8,347.50 |
$28,563.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,194.62 |
$1,194.62 |
$1,194.62 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,790.14 |
$3,790.14 |
$3,790.14 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$62.33 |
$62.33 |
$62.33 |
$273.00
|
|
Sedimentation rate erythrocyte automated
|
$89.04 |
$89.04 |
$89.04 |
$44.20
|
|
Segmentectomy 32484
|
$2,178.52 |
$2,178.52 |
$2,178.52 |
$3,491.20
|
|
Sequestrectomy olecrn proces
|
$1,113.75 |
$1,113.75 |
$1,113.75 |
$5,855.00
|
|
Sevelamer carbonate 800 mg tablet
|
$6.68 |
$6.68 |
$6.68 |
$7.14
|
|
Sex chromatin identification
|
$112.79 |
$112.79 |
$112.79 |
$25.35
|
|
Sex chromatin identification
|
$63.82 |
$63.82 |
$63.82 |
$8.79
|
|
Sgmdsc w/band ligation
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
$1,645.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$171.41 |
$171.41 |
$171.41 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$230.77 |
$230.77 |
$230.77 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$277.51 |
$277.51 |
$277.51 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$163.24 |
$163.24 |
$163.24 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$181.05 |
$181.05 |
$181.05 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$217.41 |
$217.41 |
$217.41 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$155.82 |
$155.82 |
$155.82 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$179.57 |
$179.57 |
$179.57 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$204.80 |
$204.80 |
$204.80 |
$302.55
|
|
Sho arthrs dx +- synovial bx
|
$678.19 |
$678.19 |
$678.19 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$1,423.16 |
$1,423.16 |
$1,423.16 |
$5,419.00
|
|
Sho arthrs srg capsulorraphy
|
$1,641.31 |
$1,641.31 |
$1,641.31 |
$5,419.00
|
|
Sho arthrs srg compl synvct
|
$854.05 |
$854.05 |
$854.05 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$880.76 |
$880.76 |
$880.76 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$917.86 |
$917.86 |
$917.86 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$839.21 |
$839.21 |
$839.21 |
$5,741.00
|
|
Sho arthrs srg rpr slap les
|
$1,678.41 |
$1,678.41 |
$1,678.41 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$926.76 |
$926.76 |
$926.76 |
$3,839.54
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,673.21 |
$1,673.21 |
$1,673.21 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$8,389.06 |
$8,389.06 |
$8,389.06 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$8,812.00 |
$8,812.00 |
$8,812.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$6,035.43 |
$6,035.43 |
$6,035.43 |
$2,051.28
|
|
Shoulder X-ray
|
$1,194.62 |
$1,194.62 |
$1,194.62 |
$367.02
|
|
Sickling rbc
|
$406.62 |
$406.62 |
$406.62 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$1,909.91 |
$1,909.91 |
$1,909.91 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$1,703.64 |
$1,703.64 |
$1,703.64 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,198.33 |
$1,198.33 |
$1,198.33 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$1,607.18 |
$1,607.18 |
$1,607.18 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$7,952.76 |
$7,952.76 |
$7,952.76 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$3,898.47 |
$3,898.47 |
$3,898.47 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$1,607.18 |
$1,607.18 |
$1,607.18 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
$1,740.57
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
$1,813.80
|
|
Sinus CT scan (with and without contrast)
|
$3,290.03 |
$3,290.03 |
$3,290.03 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,644.49 |
$2,644.49 |
$2,644.49 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,018.24 |
$2,018.24 |
$2,018.24 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$4,019.42 |
$4,019.42 |
$4,019.42 |
$2,489.25
|
|
Skin Biopsy
|
$341.32 |
$341.32 |
$341.32 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$2,976.91 |
$2,976.91 |
$2,976.91 |
$2,190.24
|
|
Sleep study attended
|
$594.35 |
$594.35 |
$594.35 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$182.54 |
$182.54 |
$182.54 |
$3,936.80
|
|
Sleep study unattended
|
$147.66 |
$147.66 |
$147.66 |
$595.50
|
|
Slitting of prepuce
|
$201.09 |
$201.09 |
$201.09 |
$2,983.40
|
|
Slp pure tone screening
|
$16.33 |
$16.33 |
$16.33 |
$67.60
|
|
Small bowel endoscopy
|
$2,687.53 |
$2,687.53 |
$2,687.53 |
$2,466.10
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,244.82
|
|
Small bowel endoscopy
|
$394.75 |
$394.75 |
$394.75 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,734.20
|
|
Small bowel endoscopy
|
$1,307.41 |
$1,307.41 |
$1,307.41 |
$1,294.80
|
|
Small bowel endoscopy
|
$4,988.47 |
$4,988.47 |
$4,988.47 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,442.70
|
|
Small bowel endoscopy br/wa
|
$1,307.41 |
$1,307.41 |
$1,307.41 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$2,381.60
|
|
Smear fluorescent and/or acid fast stain
|
$116.50 |
$116.50 |
$116.50 |
$64.20
|
|
Smear gram stain
|
$94.24 |
$94.24 |
$94.24 |
$57.85
|
|
Smear nasal eosinophil
|
$56.40 |
$56.40 |
$56.40 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$204.05 |
$204.05 |
$204.05 |
$64.35
|
|
Smear wet mount
|
$106.11 |
$106.11 |
$106.11 |
$68.63
|
|
Sodium 24 hour urine
|
$79.40 |
$79.40 |
$79.40 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$23.01 |
$23.01 |
$23.01 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$23.01 |
$23.01 |
$23.01 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$25.23 |
$25.23 |
$25.23 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$23.75 |
$23.75 |
$23.75 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$73.46 |
$73.46 |
$73.46 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$40.07 |
$40.07 |
$40.07 |
$42.70
|
|
Sp bone agrft morsel add-on
|
$238.19 |
$238.19 |
$238.19 |
$406.40
|
|
Sp bone algrft morsel add-on
|
$408.10 |
$408.10 |
$408.10 |
$342.40
|
|
Special supplies phys/qhp
|
$5.20 |
$5.20 |
$5.20 |
$60.00
|
|
Specific gravity body fluid
|
$20.04 |
$20.04 |
$20.04 |
$23.63
|
|
Sperm antibody test
|
$91.27 |
$91.27 |
$91.27 |
$56.44
|
|
Spinal bone allograftstructural 20931
|
$169.18 |
$169.18 |
$169.18 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$489.72 |
$489.72 |
$489.72 |
$309.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,653.40 |
$2,653.40 |
$2,653.40 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$681.90 |
$681.90 |
$681.90 |
$559.96
|
|
Splenectomy total open 38100
|
$1,599.76 |
$1,599.76 |
$1,599.76 |
$2,828.80
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,274.02 |
$1,274.02 |
$1,274.02 |
$4,560.66
|