|
Rmvl perm pm pulse gen
|
$1,439.51 |
$1,439.51 |
$1,439.51 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,632.61 |
$5,632.61 |
$5,632.61 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,101.14 |
$5,101.14 |
$5,101.14 |
$10,542.00
|
|
Rmvl pq iabp
|
$915.55 |
$915.55 |
$915.55 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$405.76 |
$405.76 |
$405.76 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$1,492.68 |
$1,492.68 |
$1,492.68 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$758.05 |
$758.05 |
$758.05 |
$1,736.70
|
|
Rmvl tv pm lead dual
|
$2,159.12 |
$2,159.12 |
$2,159.12 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$1,727.35 |
$1,727.35 |
$1,727.35 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$815.85 |
$815.85 |
$815.85 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$254.61 |
$254.61 |
$254.61 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$540.81 |
$540.81 |
$540.81 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$1,036.26 |
$1,036.26 |
$1,036.26 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$914.68 |
$914.68 |
$914.68 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$1,332.58 |
$1,332.58 |
$1,332.58 |
$4,760.85
|
|
Rpl tun cvc wo subq port
|
$1,138.08 |
$1,138.08 |
$1,138.08 |
$3,724.63
|
|
Rsv assay w/optic
|
$7.28 |
$7.28 |
$7.28 |
$75.96
|
|
Rubella antibody igg
|
$10.25 |
$10.25 |
$10.25 |
$77.50
|
|
Rubeola antibody igg
|
$10.98 |
$10.98 |
$10.98 |
$80.00
|
|
Russell viper venom diluted
|
$11.10 |
$11.10 |
$11.10 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$624.70 |
$624.70 |
$624.70 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$88.33 |
$88.33 |
$88.33 |
$314.79
|
|
Salmonella antibody
|
$13.36 |
$13.36 |
$13.36 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$235.16 |
$235.16 |
$235.16 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$115.84 |
$115.84 |
$115.84 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$191.42 |
$191.42 |
$191.42 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$236.07 |
$236.07 |
$236.07 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$269.38 |
$269.38 |
$269.38 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$233.87 |
$233.87 |
$233.87 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$671.92 |
$671.92 |
$671.92 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$2,167.62 |
$2,167.62 |
$2,167.62 |
$4,246.72
|
|
Screw cortex 2.0 x 10mm
|
$32,325.38 |
$32,325.38 |
$32,325.38 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$105.67 |
$105.67 |
$105.67 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,859.71 |
$1,859.71 |
$1,859.71 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$1.67 |
$1.67 |
$1.67 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$28.48 |
$28.48 |
$28.48 |
$96.60
|
|
Serpina1 gene
|
$78.54 |
$78.54 |
$78.54 |
$197.00
|
|
Set radiation therapy field
|
$433.05 |
$433.05 |
$433.05 |
$782.61
|
|
Set radiation therapy field
|
$693.78 |
$693.78 |
$693.78 |
$1,159.03
|
|
Set radiation therapy field
|
$773.23 |
$773.23 |
$773.23 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$2,167.62 |
$2,167.62 |
$2,167.62 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$47.52 |
$47.52 |
$47.52 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$73.44 |
$73.44 |
$73.44 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$88.57 |
$88.57 |
$88.57 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$537.14 |
$537.14 |
$537.14 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$447.61 |
$447.61 |
$447.61 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$358.09 |
$358.09 |
$358.09 |
$2,088.20
|
|
Shoulder X-ray
|
$94.67 |
$94.67 |
$94.67 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$68.08 |
$68.08 |
$68.08 |
$264.00
|
|
Sialography s&i
|
$167.87 |
$167.87 |
$167.87 |
$499.20
|
|
Sickling rbc
|
$16.84 |
$16.84 |
$16.84 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$184.70 |
$184.70 |
$184.70 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$402.16 |
$402.16 |
$402.16 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$335.10 |
$335.10 |
$335.10 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$268.05 |
$268.05 |
$268.05 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$82.72 |
$82.72 |
$82.72 |
$347.10
|
|
Sinus X-ray (limited)
|
$69.54 |
$69.54 |
$69.54 |
$215.75
|
|
Skeletal muscle relaxant 1/2
|
$23.25 |
$23.25 |
$23.25 |
$83.85
|
|
Skin Biopsy
|
$95.50 |
$95.50 |
$95.50 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$82.47 |
$82.47 |
$82.47 |
$294.66
|
|
Skull X-ray (complete)
|
$104.92 |
$104.92 |
$104.92 |
$423.15
|
|
Slco1b1 gene com variants
|
$119.17 |
$119.17 |
$119.17 |
$235.20
|
|
Sling suprapubic suburetheral
|
$7,543.34 |
$7,543.34 |
$7,543.34 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$3,929.46 |
$3,929.46 |
$3,929.46 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$133.96 |
$133.96 |
$133.96 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$12.38 |
$12.38 |
$12.38 |
$64.20
|
|
Smear gram stain
|
$23.11 |
$23.11 |
$23.11 |
$55.42
|
|
Smear special stain inclusion bodies/parasites
|
$13.10 |
$13.10 |
$13.10 |
$73.15
|
|
Smear wet mount
|
$9.65 |
$9.65 |
$9.65 |
$67.49
|
|
Snrpn/ube3a gene
|
$66.28 |
$66.28 |
$66.28 |
$228.80
|
|
Sodium 24 hour urine
|
$10.87 |
$10.87 |
$10.87 |
$48.75
|
|
Sodium serum/plasma/whole blood
|
$15.40 |
$15.40 |
$15.40 |
$46.26
|
|
Somatosensory testing
|
$248.15 |
$248.15 |
$248.15 |
$816.00
|
|
Special physics consult
|
$439.02 |
$439.02 |
$439.02 |
$725.00
|
|
Special radiation dosimetry
|
$223.80 |
$223.80 |
$223.80 |
$392.50
|
|
Special radiation treatment
|
$1,255.14 |
$1,255.14 |
$1,255.14 |
$2,052.00
|
|
Special teletx port plan
|
$687.81 |
$687.81 |
$687.81 |
$1,095.05
|
|
Specific gravity body fluid
|
$1.51 |
$1.51 |
$1.51 |
$22.00
|
|
Specimen fat stain
|
$2.90 |
$2.90 |
$2.90 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$102.35 |
$102.35 |
$102.35 |
$385.00
|
|
Speech Therapy Session (one-on-one)
|
$69.60 |
$69.60 |
$69.60 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$529.45 |
$529.45 |
$529.45 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$59.29 |
$59.29 |
$59.29 |
$251.00
|
|
Split blood or products
|
$58.76 |
$58.76 |
$58.76 |
$129.50
|
|
Sputum specimen collection
|
$58.76 |
$58.76 |
$58.76 |
$180.00
|
|
Srs linear based
|
$6,479.01 |
$6,479.01 |
$6,479.01 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$100.75 |
$100.75 |
$100.75 |
$297.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$10,568.73 |
$10,568.73 |
$10,568.73 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$21,011.84 |
$21,011.84 |
$21,011.84 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,279.19 |
$2,279.19 |
$2,279.19 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$8,620.82 |
$8,620.82 |
$8,620.82 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$2,279.19 |
$2,279.19 |
$2,279.19 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,746.99 |
$6,746.99 |
$6,746.99 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,329.86 |
$3,329.86 |
$3,329.86 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$9,223.15 |
$9,223.15 |
$9,223.15 |
$16,875.93
|
|
St evaluate speech sound production
|
$84.02 |
$84.02 |
$84.02 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$150.48 |
$150.48 |
$150.48 |
$400.00
|
|
Stimulants synthetic
|
$24.16 |
$24.16 |
$24.16 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$396.02 |
$396.02 |
$396.02 |
$1,342.00
|
|
Strep b dna amp probe
|
$19.29 |
$19.29 |
$19.29 |
$122.43
|
