|
Sleep study unattended
|
$147.66 |
$445.65 |
$580.87 |
|
|
Sling suprapubic suburetheral
|
$1,462.86 |
$7,972.64 |
$15,925.64 |
|
|
Slitting of prepuce
|
$201.09 |
$201.09 |
$201.09 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$46.99 |
$46.99 |
$55.77 |
|
|
Slp eval non-spch gen comm dev
|
$67.96 |
$106.52 |
$164.26 |
|
|
Slp pure tone screening
|
$16.33 |
$16.33 |
$60.90 |
|
|
Slp ther svc non-spch gen
|
$35.92 |
$72.00 |
$962.64 |
|
|
Sm-153 lexidron ther
|
$3,929.46 |
$5,589.81 |
$16,611.85 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$104.31 |
$154.82 |
$859.98 |
|
|
Small bowel endoscopy
|
$2,687.53 |
$2,687.53 |
$2,687.53 |
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Small bowel endoscopy
|
$394.75 |
$394.75 |
$394.75 |
|
|
Small bowel endoscopy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Small bowel endoscopy
|
$1,307.41 |
$1,307.41 |
$1,307.41 |
|
|
Small bowel endoscopy
|
$4,988.47 |
$4,988.47 |
$4,988.47 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Small bowel endoscopy/biopsy
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Small bowel endoscopy br/wa
|
$1,307.41 |
$1,307.41 |
$1,307.41 |
|
|
Small bowel endoscopy br/wa
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Smear fluorescent and/or acid fast stain
|
$11.08 |
$17.20 |
$116.50 |
|
|
Smear gram stain
|
$16.11 |
$34.04 |
$94.24 |
|
|
Smear nasal eosinophil
|
$22.90 |
$37.44 |
$56.40 |
|
|
Smear special stain inclusion bodies/parasites
|
$10.69 |
$18.22 |
$204.05 |
|
|
Smear wet mount
|
$5.66 |
$13.41 |
$106.11 |
|
|
Smpd1 gene common variants
|
$34.26 |
$46.25 |
$427.08 |
|
|
Snrpn/ube3a gene
|
$19.56 |
$71.54 |
$442.36 |
|
|
Socket insert without lock mech
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
|
|
Sock fracture or equal each
|
$233.79 |
$233.79 |
$233.79 |
|
|
Sock wool above knee
|
$61.12 |
$61.12 |
$61.12 |
|
|
Sodium 24 hour urine
|
$6.05 |
$11.66 |
$79.40 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$22.54 |
$80.15 |
$93.80 |
|
|
Sodium chloride 0.9 % IV bolus
|
$22.54 |
$80.15 |
$93.80 |
|
|
Sodium chloride 0.9 % IV bolus
|
$22.54 |
$80.15 |
$93.80 |
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$23.75 |
$93.80 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$58.45 |
$74.20 |
$86.84 |
|
|
Sodium serum/plasma/whole blood
|
$8.57 |
$16.32 |
$56.24 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$163.50 |
$223.86 |
$243.88 |
|
|
Soft interface below knee se
|
$515.70 |
$515.70 |
$515.70 |
|
|
So gsap cll fr dna/dna&rna
|
$871.88 |
$871.88 |
$871.88 |
|
|
Somatosensory testing
|
$248.15 |
$248.15 |
$356.07 |
|
|
Somatropin injection
|
$836.97 |
$836.97 |
$836.97 |
|
|
So neo gsap dna mcrstl ins
|
$1,053.75 |
$1,053.75 |
$1,180.01 |
|
|
Sp bone agrft morsel add-on
|
$238.19 |
$238.19 |
$238.19 |
|
|
Sp bone algrft morsel add-on
|
$408.10 |
$408.10 |
$408.10 |
|
|
Special physics consult
|
$254.11 |
$542.60 |
$731.15 |
|
|
Special pump services
|
$1,798.76 |
$1,798.76 |
$1,959.62 |
|
|
Special radiation dosimetry
|
$129.72 |
$250.80 |
$286.80 |
|
|
Special radiation treatment
|
$817.71 |
$1,406.57 |
$2,936.44 |
|
|
Special supplies phys/qhp
|
$5.20 |
$5.20 |
$5.20 |
|
|
Special teletx port plan
|
$329.72 |
$850.08 |
$1,093.67 |
|
|
Specific gravity body fluid
|
$0.84 |
$1.66 |
$27.51 |
|
|
Specimen fat stain
|
$1.40 |
$3.69 |
$10.96 |
|
|
Speech and Language Evaluation (comprehensive)
|
$44.27 |
$122.58 |
$563.18 |
|
|
Speech audiometry complete
|
$50.05 |
$50.05 |
$117.34 |
|
|
Speech evaluation complex
|
$141.93 |
$194.97 |
$328.60 |
|
|
Speech recep thresh
|
$31.85 |
$31.85 |
$73.80 |
|
|
Speech Therapy Session (one-on-one)
|
$30.11 |
$83.35 |
$292.35 |
|
|
Sperm antibody test
|
$13.42 |
$13.42 |
$91.27 |
|
|
Spinal bone allograftstructural 20931
|
$169.18 |
$169.18 |
$169.18 |
|
|
Spinal bone autograftlocal 20936
|
$489.72 |
$489.72 |
$489.72 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$348.08 |
$626.54 |
$2,653.40 |
|
|
Spine X-ray (single view, one level)
|
$46.17 |
$75.33 |
$247.94 |
|
|
Spleen imaging
|
$136.55 |
$285.32 |
$404.54 |
|
|
Splenectomy total open 38100
|
$1,599.76 |
$1,599.76 |
$2,046.41 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$36.68 |
$36.68 |
$36.68 |
|
|
Splint func pos polyflex ii med
|
$56.58 |
$61.64 |
$208.58 |
|
|
Splint rstrc wrst/cmc right med
|
$106.96 |
$106.96 |
$106.96 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,274.02 |
$1,274.02 |
$2,731.41 |
|
|
Split blood or products
|
$28.47 |
$76.28 |
$266.26 |
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$1,794.87 |
$1,794.87 |
$1,794.87 |
|
|
Sputum specimen collection
|
$28.47 |
$74.82 |
$222.28 |
|
|
Srs linear based
|
$3,213.10 |
$8,007.57 |
$10,377.80 |
|
|
Srs multisource
|
$30,508.82 |
$30,508.82 |
$30,508.82 |
|
|
Staggered spondaic word test
|
$171.22 |
$171.22 |
$171.22 |
|
|
St analysis behavior qualitative voice/resonance
|
$43.58 |
$119.76 |
$337.61 |
|
|
Staph a dna amp probe
|
$175.12 |
$175.12 |
$175.12 |
|
|
Static or dynami afo pre ots
|
$351.18 |
$351.18 |
$351.18 |
|
|
St cognitve performance testing healthcare professional each hour
|
$43.58 |
$130.99 |
$346.52 |
|
|
Stem cells total count
|
$34.40 |
$50.31 |
$123.39 |
|
|
Stenger test pure tone
|
$56.35 |
$56.35 |
$56.35 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$8,371.38 |
$12,506.94 |
$26,119.15 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,762.06 |
$19,853.33 |
$67,418.35 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,975.11 |
$2,538.61 |
$5,573.06 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,969.40 |
$9,602.06 |
$39,580.12 |
|
|
Stent bronch dumon sil 10x40mm
|
$1,975.11 |
$2,612.73 |
$11,590.66 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$5,946.81 |
$7,984.33 |
$22,801.66 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,191.59 |
$3,966.67 |
$21,433.42 |
|
|
Stent placemt retro carotid
|
$16,985.13 |
$16,985.13 |
$16,985.13 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$6,851.35 |
$9,829.51 |
$25,377.15 |
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$2,177.77 |
$2,177.77 |
$2,177.77 |
|
|
Sternal debridement
|
$843.66 |
$843.66 |
$843.66 |
|
|
St evaluate speech sound production
|
$36.34 |
$93.46 |
$342.07 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$89.83 |
$150.48 |
$418.49 |
|
|
Stimulants synthetic
|
$13.44 |
$25.28 |
$89.76 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$67.52 |
$539.85 |
$2,617.04 |
|
|
Strapping of ankle and/or ft 29540
|
$49.48 |
$74.78 |
$178.20 |
|
|
Strapping of chest
|
$12.73 |
$41.65 |
$113.49 |
|
|
Strapping of elbow or wrist 29260
|
$17.50 |
$87.96 |
$260.71 |
|