|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$49.20 |
$49.20 |
$49.20 |
$284.00
|
|
Shoulder MRI (with and without contrast)
|
$704.40 |
$704.40 |
$704.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$643.80 |
$643.80 |
$643.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$561.60 |
$561.60 |
$561.60 |
$2,065.05
|
|
Shoulder X-ray
|
$68.70 |
$68.70 |
$68.70 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$194.10 |
$194.10 |
$194.10 |
$349.20
|
|
Sialolithotomy 42330
|
$61.05 |
$61.05 |
$61.05 |
$3,837.72
|
|
Sickling rbc
|
$33.75 |
$33.75 |
$33.75 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$142.95 |
$142.95 |
$142.95 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$86.38 |
$86.38 |
$86.38 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$714.75 |
$714.75 |
$714.75 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$601.50 |
$601.50 |
$601.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$568.50 |
$568.50 |
$568.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$889.35 |
$889.35 |
$889.35 |
$2,489.25
|
|
Sirolimus, oral
|
$182.59 |
$182.59 |
$182.59 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$48.15 |
$48.15 |
$48.15 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$55.65 |
$55.65 |
$55.65 |
$16.12
|
|
Skin Biopsy
|
$88.80 |
$88.80 |
$88.80 |
$360.34
|
|
Skin test unlisted antigen ea
|
$24.45 |
$24.45 |
$24.45 |
$48.57
|
|
Sleep study attended
|
$326.25 |
$326.25 |
$326.25 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$953.10 |
$953.10 |
$953.10 |
$3,607.50
|
|
Sleep study unattended
|
$76.65 |
$76.65 |
$76.65 |
$580.87
|
|
Slitting of prepuce
|
$414.75 |
$414.75 |
$414.75 |
$3,365.50
|
|
Slp pure tone screening
|
$7.50 |
$7.50 |
$7.50 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$80.25 |
$80.25 |
$80.25 |
$296.34
|
|
Sm-153 lexidron ther
|
$2,731.35 |
$2,731.35 |
$2,731.35 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$39.75 |
$39.75 |
$39.75 |
$64.20
|
|
Smear gram stain
|
$32.70 |
$32.70 |
$32.70 |
$55.25
|
|
Smear nasal eosinophil
|
$17.70 |
$17.70 |
$17.70 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$23.70 |
$23.70 |
$23.70 |
$73.15
|
|
Smear wet mount
|
$18.15 |
$18.15 |
$18.15 |
$67.49
|
|
Snrpn/ube3a gene
|
$27.90 |
$27.90 |
$27.90 |
$231.85
|
|
Sodium 24 hour urine
|
$30.30 |
$30.30 |
$30.30 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$89.70 |
$89.70 |
$89.70 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$82.80 |
$82.80 |
$82.80 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$31.05 |
$31.05 |
$31.05 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$6.19 |
$6.19 |
$6.19 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$9.05 |
$9.05 |
$9.05 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$28.05 |
$28.05 |
$28.05 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$111.38 |
$111.38 |
$111.38 |
$177.52
|
|
Special physics consult
|
$198.90 |
$198.90 |
$198.90 |
$725.00
|
|
Special radiation dosimetry
|
$62.10 |
$62.10 |
$62.10 |
$392.50
|
|
Special radiation treatment
|
$618.00 |
$618.00 |
$618.00 |
$1,986.00
|
|
Special teletx port plan
|
$192.30 |
$192.30 |
$192.30 |
$1,086.99
|
|
Specific gravity body fluid
|
$13.50 |
$13.50 |
$13.50 |
$22.00
|
|
Speech audiometry complete
|
$22.65 |
$22.65 |
$22.65 |
$109.20
|
|
Speech evaluation complex
|
$77.55 |
$77.55 |
$77.55 |
$527.06
|
|
Speech recep thresh
|
$26.55 |
$26.55 |
$26.55 |
$82.88
|
|
Sperm antibody test
|
$28.80 |
$28.80 |
$28.80 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$315.00 |
$315.00 |
$315.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$185.85 |
$185.85 |
$185.85 |
$543.26
|
|
Split blood or products
|
$31.20 |
$31.20 |
$31.20 |
$127.48
|
|
Sputum specimen collection
|
$42.90 |
$42.90 |
$42.90 |
$180.00
|
|
Srs linear based
|
$2,690.40 |
$2,690.40 |
$2,690.40 |
$13,585.00
|
|
Staggered spondaic word test
|
$50.25 |
$50.25 |
$50.25 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$45.00 |
$45.00 |
$45.00 |
$297.60
|
|
Staph a dna amp probe
|
$24.60 |
$24.60 |
$24.60 |
$125.00
|
|
Static or dynami afo pre ots
|
$57.30 |
$57.30 |
$57.30 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$50.10 |
$50.10 |
$50.10 |
$286.00
|
|
Stenger test pure tone
|
$22.05 |
$22.05 |
$22.05 |
$77.84
|
|
Stenger test speech
|
$131.40 |
$131.40 |
$131.40 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,533.65 |
$11,533.65 |
$11,533.65 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,414.65 |
$1,414.65 |
$1,414.65 |
$32,403.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$959.25 |
$959.25 |
$959.25 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$7,600.20 |
$7,600.20 |
$7,600.20 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,226.65 |
$6,226.65 |
$6,226.65 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$7,636.65 |
$7,636.65 |
$7,636.65 |
$17,271.50
|
|
St evaluate speech sound production
|
$43.80 |
$43.80 |
$43.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$90.15 |
$90.15 |
$90.15 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$117.90 |
$117.90 |
$117.90 |
$399.60
|
|
St evaluation swallow function
|
$81.90 |
$81.90 |
$81.90 |
$314.40
|
|
Stimulants synthetic
|
$11.40 |
$11.40 |
$11.40 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$44.55 |
$44.55 |
$44.55 |
$223.45
|
|
Strapping of chest
|
$35.70 |
$35.70 |
$35.70 |
$195.33
|
|
Strapping of hand or finger
|
$22.05 |
$22.05 |
$22.05 |
$174.82
|
|
Strapping of knee
|
$24.90 |
$24.90 |
$24.90 |
$205.20
|
|
Strapping of toes 29550
|
$22.05 |
$22.05 |
$22.05 |
$164.70
|
|
Strep b dna amp probe
|
$20.40 |
$20.40 |
$20.40 |
$120.90
|
|
Streptomycin injection
|
$43.64 |
$43.64 |
$43.64 |
$138.30
|
|
Stress test pulmonary
|
$33.60 |
$33.60 |
$33.60 |
$322.85
|
|
Stress tte complete
|
$293.70 |
$293.70 |
$293.70 |
$1,870.50
|
|
Str markers spec anal addl
|
$117.60 |
$117.60 |
$117.60 |
$479.17
|
|
Str markers specimen anal
|
$399.00 |
$399.00 |
$399.00 |
$751.50
|
|
St treatment speech individual
|
$123.60 |
$123.60 |
$123.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$123.60 |
$123.60 |
$123.60 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$31.39 |
$31.39 |
$31.39 |
$52.31
|
|
Sugars single quant
|
$5.70 |
$5.70 |
$5.70 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$46.35 |
$46.35 |
$46.35 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$26.02 |
$26.02 |
$26.02 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$11.85 |
$11.85 |
$11.85 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$9.45 |
$9.45 |
$9.45 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$20.85 |
$20.85 |
$20.85 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$20.85 |
$20.85 |
$20.85 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$82.35 |
$82.35 |
$82.35 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$173.40 |
$173.40 |
$173.40 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$5.10 |
$5.10 |
$5.10 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$8.85 |
$8.85 |
$8.85 |
$35.70
|
|
Susceptibility mic per plate
|
$93.15 |
$93.15 |
$93.15 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$3.15 |
$3.15 |
$3.15 |
$59.28
|
|
Svc venogram s&i
|
$435.15 |
$435.15 |
$435.15 |
$1,934.62
|
