|
Scan proc spinal
|
$354.68 |
$354.68 |
$354.68 |
|
|
Sclerotherapy fluid collection pq w/img
|
$671.92 |
$832.35 |
$2,054.60 |
|
|
Scope uretscp lithovue dig disp
|
$1,436.08 |
$2,191.54 |
$4,285.86 |
|
|
Screening Colonoscopy (average risk)
|
$227.96 |
$227.96 |
$227.96 |
|
|
Screening Colonoscopy (high risk)
|
$227.02 |
$227.02 |
$227.02 |
|
|
Screening hepatitis b non-obstetric high risk
|
$46.23 |
$46.23 |
$46.23 |
|
|
Screening Mammogram
|
$156.48 |
$189.73 |
$268.95 |
|
|
Screening prostate cancer PSA
|
$20.67 |
$58.17 |
$98.94 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$20.04 |
$20.04 |
$20.04 |
|
|
Screw cortex 2.0 x 10mm
|
$7,557.00 |
$34,559.25 |
$72,272.20 |
|
|
Scrotal (Testicle) Ultrasound
|
$99.96 |
$284.17 |
$1,039.55 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,194.62 |
$1,194.62 |
$1,446.87 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,821.10 |
$2,277.99 |
$5,479.03 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$62.33 |
$62.33 |
$62.33 |
|
|
Sedimentation rate erythrocyte automated
|
$0.58 |
$2.03 |
$89.04 |
|
|
Segmentectomy 32484
|
$2,178.52 |
$2,178.52 |
$2,178.52 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$16.73 |
$35.51 |
$118.72 |
|
|
Semen analysis presence/motility
|
$16.95 |
$16.95 |
$16.95 |
|
|
Semen analysis w/count
|
$4.29 |
$5.43 |
$15.83 |
|
|
Sensorineural acuity lvl tst
|
$45.15 |
$45.15 |
$45.15 |
|
|
Sequestrectomy olecrn proces
|
$1,113.75 |
$1,113.75 |
$1,113.75 |
|
|
Serpina1 gene
|
$23.18 |
$75.08 |
$401.01 |
|
|
Sertraline (zoloft) - sendout
|
$31.20 |
$33.28 |
$33.70 |
|
|
Set radiation therapy field
|
$195.11 |
$485.30 |
$554.96 |
|
|
Set radiation therapy field
|
$351.24 |
$777.48 |
$889.08 |
|
|
Set radiation therapy field
|
$554.44 |
$955.65 |
$1,273.97 |
|
|
Sevelamer carbonate 800 mg tablet
|
$6.68 |
$9.11 |
$9.92 |
|
|
Sevelamer carbonate pdr 20mg
|
$19.49 |
$27.31 |
$29.75 |
|
|
Sex chromatin identification
|
$112.79 |
$112.79 |
$112.79 |
|
|
Sex chromatin identification
|
$63.82 |
$63.82 |
$63.82 |
|
|
Sgmdsc w/band ligation
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$171.41 |
$171.41 |
$171.41 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$230.77 |
$230.77 |
$230.77 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$277.51 |
$277.51 |
$277.51 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$163.24 |
$163.24 |
$163.24 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$181.05 |
$181.05 |
$181.05 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$217.41 |
$217.41 |
$217.41 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$155.82 |
$155.82 |
$155.82 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$179.57 |
$179.57 |
$179.57 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$204.80 |
$204.80 |
$302.55 |
|
|
Sheath gldlight lasr 12fx50cm
|
$2,153.72 |
$2,931.84 |
$9,087.33 |
|
|
Sheath laser cavaclear 14f
|
$2,981.51 |
$2,981.51 |
$2,981.51 |
|
|
Sho arthrs dx +- synovial bx
|
$678.19 |
$678.19 |
$678.19 |
|
|
Sho arthrs srg bicp tenodsis
|
$1,423.16 |
$1,423.16 |
$1,423.16 |
|
|
Sho arthrs srg capsulorraphy
|
$1,641.31 |
$1,641.31 |
$1,641.31 |
|
|
Sho arthrs srg compl synvct
|
$854.05 |
$854.05 |
$854.05 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$880.76 |
$880.76 |
$880.76 |
|
|
Sho arthrs srg lss&rescj ads
|
$917.86 |
$917.86 |
$917.86 |
|
|
Sho arthrs srg prtl synvct
|
$839.21 |
$839.21 |
$839.21 |
|
|
Sho arthrs srg rpr slap les
|
$1,678.41 |
$1,678.41 |
$1,678.41 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$926.76 |
$926.76 |
$926.76 |
|
|
Shoe heel new rubber standar
|
$82.52 |
$82.52 |
$82.52 |
|
|
Shoe lift elev heel/sole neo
|
$157.77 |
$157.77 |
$157.77 |
|
|
Shoe outflare wedge
|
$106.96 |
$106.96 |
$106.96 |
|
|
Shoe post-op mens m
|
$4.36 |
$25.59 |
$61.12 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$38.70 |
$65.10 |
$217.41 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$57.19 |
$93.31 |
$418.49 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,673.21 |
$1,673.21 |
$1,673.21 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$68.97 |
$104.54 |
$954.96 |
|
|
Shoulder MRI (with and without contrast)
|
$537.14 |
$767.88 |
$8,389.06 |
|
|
Shoulder MRI (with contrast)
|
$447.61 |
$639.90 |
$8,812.00 |
|
|
Shoulder MRI (without contrast)
|
$358.09 |
$511.92 |
$6,035.43 |
|
|
Shoulder X-ray
|
$73.72 |
$115.24 |
$1,194.62 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$53.01 |
$82.86 |
$968.31 |
|
|
Shrinker prosth below knee
|
$304.84 |
$304.84 |
$304.84 |
|
|
Shunt glaucoma baerveldt 350mm
|
$1,296.51 |
$1,436.19 |
$5,224.05 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$61.94 |
$101.06 |
$251.70 |
|
|
Sialography s&i
|
$130.72 |
$192.30 |
$285.52 |
|
|
Sickling rbc
|
$3.58 |
$17.38 |
$406.62 |
|
|
Sigmoidoscopy and biopsy
|
$87.61 |
$1,390.87 |
$1,909.91 |
|
|
Sigmoidoscopy flex decompression 45337
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
|
|
Sigmoidoscopy for bleeding
|
$1,703.64 |
$1,703.64 |
$1,703.64 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$81.48 |
$81.48 |
$1,198.33 |
|
|
Sigmoidoscopy w/ablation
|
$1,607.18 |
$1,607.18 |
$1,607.18 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
|
|
Sigmoidoscopy w/plcmt stent
|
$7,952.76 |
$7,952.76 |
$7,952.76 |
|
|
Sigmoidoscopy w/resection
|
$3,898.47 |
$3,898.47 |
$3,898.47 |
|
|
Sigmoidoscopy w/tumr remove
|
$147.89 |
$147.89 |
$1,607.18 |
|
|
Sigmoidoscopy w/ultrasound
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
|
|
Signal avg ecg w or without ecg 93278
|
$62.65 |
$190.11 |
$208.13 |
|
|
Sig w/tndsc balloon dilation
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
|
|
Sincalide 5 mcg solution for injection
|
$153.19 |
$210.20 |
$787.12 |
|
|
Sinus CT scan (with and without contrast)
|
$265.06 |
$404.44 |
$3,290.03 |
|
|
Sinus CT scan (with contrast)
|
$220.86 |
$337.01 |
$2,644.49 |
|
|
Sinus CT scan (without contrast)
|
$176.67 |
$269.57 |
$2,018.24 |
|
|
Sinus/juglr venogram s&i
|
$772.20 |
$1,155.92 |
$4,019.42 |
|
|
Sinus X-ray (complete)
|
$64.41 |
$105.09 |
$966.09 |
|
|
Sinus X-ray (limited)
|
$54.15 |
$85.65 |
$409.59 |
|
|
Sipuleucel-t - su
|
$71,819.82 |
$71,819.82 |
$71,819.82 |
|
|
Sirolimus, oral
|
$18.21 |
$19.84 |
$56.92 |
|
|
Skeletal muscle relaxant 1/2
|
$12.94 |
$24.33 |
$86.39 |
|
|
Skin Biopsy
|
$95.50 |
$178.20 |
$341.32 |
|
|
Skin full graft 20sq cm less 15200
|
$2,976.91 |
$2,976.91 |
$2,976.91 |
|
|
Skin split graft addl 100sq cm 15101
|
$1,460.70 |
$1,460.70 |
$1,681.43 |
|
|
Skull X-ray (1 to 3 views)
|
$64.22 |
$104.78 |
$410.33 |
|
|
Skull X-ray (complete)
|
$81.70 |
$123.84 |
$1,147.14 |
|
|
Slco1b1 gene com variants
|
$35.18 |
$114.45 |
$608.48 |
|
|
Sleep study attended
|
$594.35 |
$1,182.43 |
$1,884.84 |
|
|
Sleep Study (Polysomnography)
|
$182.54 |
$2,588.34 |
$4,252.70 |
|