|
Scan duplex abd/pelvis/retroperitoneal complete
|
$622.05 |
$622.05 |
$622.05 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$534.30 |
$534.30 |
$534.30 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$829.40 |
$829.40 |
$829.40 |
$788.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$404.95 |
$404.95 |
$404.95 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$689.00 |
$689.00 |
$689.00 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$570.05 |
$570.05 |
$570.05 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$460.85 |
$460.85 |
$460.85 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$432.25 |
$432.25 |
$432.25 |
$527.80
|
|
Scan proc cranial extra
|
$7,828.25 |
$7,828.25 |
$7,828.25 |
$909.35
|
|
Scope plantar fasciotomy
|
$4,684.93 |
$4,684.93 |
$4,684.93 |
$3,185.60
|
|
Scr c/v cyto,thinlayer,rescr
|
$70.85 |
$70.85 |
$70.85 |
$76.70
|
|
Screening Mammogram
|
$156.65 |
$156.65 |
$156.65 |
$287.12
|
|
Screening prostate cancer PSA
|
$68.90 |
$68.90 |
$68.90 |
$96.00
|
|
Sc ther infusion reset pump
|
$149.50 |
$149.50 |
$149.50 |
$125.46
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$11,614.24 |
$11,614.24 |
$11,614.24 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$44,075.42 |
$44,075.42 |
$44,075.42 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$154.05 |
$154.05 |
$154.05 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$12.35 |
$12.35 |
$12.35 |
$37.80
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$38.35 |
$38.35 |
$38.35 |
$59.89
|
|
Semen analysis presence/motility
|
$116.35 |
$116.35 |
$116.35 |
$79.92
|
|
Serial casting application 97139app
|
$54.60 |
$54.60 |
$54.60 |
$67.42
|
|
Sertraline (zoloft) - sendout
|
$209.95 |
$209.95 |
$209.95 |
$178.33
|
|
Set radiation therapy field
|
$29,071.90 |
$29,071.90 |
$29,071.90 |
$709.00
|
|
Set radiation therapy field
|
$1,025.70 |
$1,025.70 |
$1,025.70 |
$1,029.00
|
|
Set radiation therapy field
|
$29,764.80 |
$29,764.80 |
$29,764.80 |
$1,601.60
|
|
Sho arthrs srg compl synvct
|
$4,527.40 |
$4,527.40 |
$4,527.40 |
$3,594.44
|
|
Sho arthrs srg lmtd dbrdmt
|
$6,663.31 |
$6,663.31 |
$6,663.31 |
$3,594.44
|
|
Sho arthrs srg lss&rescj ads
|
$4,626.11 |
$4,626.11 |
$4,626.11 |
$3,594.44
|
|
Sho arthrs srg prtl synvct
|
$6,267.14 |
$6,267.14 |
$6,267.14 |
$4,485.13
|
|
Sho arthrs srg xtnsv dbrdmt
|
$6,928.94 |
$6,928.94 |
$6,928.94 |
$3,705.22
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$7,863.07 |
$7,863.07 |
$7,863.07 |
$5,272.00
|
|
Shoulder MRI (with and without contrast)
|
$1,519.70 |
$1,519.70 |
$1,519.70 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$1,404.65 |
$1,404.65 |
$1,404.65 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,145.65 |
$2,145.65 |
$2,145.65 |
$1,938.28
|
|
Shoulder X-ray
|
$348.40 |
$348.40 |
$348.40 |
$307.20
|
|
Shrinker prosth above knee
|
$77.35 |
$77.35 |
$77.35 |
$157.49
|
|
Shrinker prosth below knee
|
$116.35 |
$116.35 |
$116.35 |
$90.54
|
|
Shuntogram nonvascular supervision & interpretation
|
$408.85 |
$408.85 |
$408.85 |
$342.54
|
|
Sialography s&i
|
$532.35 |
$532.35 |
$532.35 |
$403.70
|
|
Sickling rbc
|
$39.65 |
$39.65 |
$39.65 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$2,610.45 |
$2,610.45 |
$2,610.45 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,848.36 |
$3,848.36 |
$3,848.36 |
$1,278.72
|
|
Sigmoidoscopy w/tumr remove
|
$2,579.33 |
$2,579.33 |
$2,579.33 |
$1,350.83
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$402.80 |
$402.80 |
$402.80 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,179.10 |
$1,179.10 |
$1,179.10 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,015.30 |
$1,015.30 |
$1,015.30 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$807.95 |
$807.95 |
$807.95 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$2,327.65 |
$2,327.65 |
$2,327.65 |
$2,052.67
|
|
Sirolimus, oral
|
$11.54 |
$11.54 |
$11.54 |
$19.16
|
|
Skin Biopsy
|
$273.65 |
$273.65 |
$273.65 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$3,377.40 |
$3,377.40 |
$3,377.40 |
$4,043.20
|
|
Sleep study unattended
|
$512.20 |
$512.20 |
$512.20 |
$631.55
|
|
Sling pelv split sam med
|
$195.00 |
$195.00 |
$195.00 |
$134.09
|
|
Slp stdy unatnd w/anal
|
$570.05 |
$570.05 |
$570.05 |
$402.15
|
|
Small bowel endoscopy
|
$2,463.36 |
$2,463.36 |
$2,463.36 |
$2,200.46
|
|
Small bowel endoscopy
|
$3,024.66 |
$3,024.66 |
$3,024.66 |
$2,455.20
|
|
Small bowel endoscopy
|
$4,696.82 |
$4,696.82 |
$4,696.82 |
$2,101.52
|
|
Small bowel endoscopy
|
$2,912.99 |
$2,912.99 |
$2,912.99 |
$1,104.13
|
|
Smear fluorescent and/or acid fast stain
|
$61.75 |
$61.75 |
$61.75 |
$50.70
|
|
Smear gram stain
|
$79.95 |
$79.95 |
$79.95 |
$48.00
|
|
Smear nasal eosinophil
|
$28.60 |
$28.60 |
$28.60 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$142.35 |
$142.35 |
$142.35 |
$60.00
|
|
Smear wet mount
|
$90.35 |
$90.35 |
$90.35 |
$56.13
|
|
Snrpn/ube3a gene
|
$397.80 |
$397.80 |
$397.80 |
$228.80
|
|
Sodium 24 hour urine
|
$48.75 |
$48.75 |
$48.75 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$37.50 |
$37.50 |
$37.50 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$37.50 |
$37.50 |
$37.50 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$37.50 |
$37.50 |
$37.50 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$98.18 |
$98.18 |
$98.18 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$54.60 |
$54.60 |
$54.60 |
$42.43
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.89 |
$8.89 |
$8.89 |
$8.89
|
|
Special physics consult
|
$35,338.55 |
$35,338.55 |
$35,338.55 |
$688.05
|
|
Special radiation dosimetry
|
$15,778.75 |
$15,778.75 |
$15,778.75 |
$482.08
|
|
Special radiation treatment
|
$29,123.90 |
$29,123.90 |
$29,123.90 |
$1,945.00
|
|
Special teletx port plan
|
$19,228.30 |
$19,228.30 |
$19,228.30 |
$975.60
|
|
Specific gravity body fluid
|
$9.75 |
$9.75 |
$9.75 |
$21.55
|
|
Specimen fat stain
|
$38.35 |
$38.35 |
$38.35 |
$40.00
|
|
Sperm antibody test
|
$57.20 |
$57.20 |
$57.20 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,139.83 |
$2,139.83 |
$2,139.83 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$621.40 |
$621.40 |
$621.40 |
$526.80
|
|
Spleen imaging
|
$614.25 |
$614.25 |
$614.25 |
$529.65
|
|
Splint extn xsm w sof-stretch rolyan
|
$33.15 |
$33.15 |
$33.15 |
$93.00
|
|
Splint rstrc wrst/cmc right med
|
$41.60 |
$41.60 |
$41.60 |
$74.97
|
|
Split blood or products
|
$121.55 |
$121.55 |
$121.55 |
$143.64
|
|
Sputum specimen collection
|
$104.65 |
$104.65 |
$104.65 |
$180.00
|
|
Srs linear based
|
$30,236.70 |
$30,236.70 |
$30,236.70 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$401.70 |
$401.70 |
$401.70 |
$295.10
|
|
Staph a dna amp probe
|
$113.10 |
$113.10 |
$113.10 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$303.55 |
$303.55 |
$303.55 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$36,293.56 |
$36,293.56 |
$36,293.56 |
$28,126.65
|
|
Stent iliac/open or perc/uni/init 37221
|
$37,885.61 |
$37,885.61 |
$37,885.61 |
$19,385.83
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$25,009.61 |
$25,009.61 |
$25,009.61 |
$24,161.40
|
|
St evaluate speech sound production
|
$401.70 |
$401.70 |
$401.70 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$503.10 |
$503.10 |
$503.10 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$795.60 |
$795.60 |
$795.60 |
$336.00
|
|
St evaluation swallow function
|
$433.55 |
$433.55 |
$433.55 |
$323.72
|
|
Strep a ag ia
|
$111.15 |
$111.15 |
$111.15 |
$75.40
|
|
Strep b dna amp probe
|
$78.65 |
$78.65 |
$78.65 |
$124.20
|
