|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$171.60 |
$171.60 |
$171.60 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$206.05 |
$206.05 |
$206.05 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$122.20 |
$122.20 |
$122.20 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$98.80 |
$98.80 |
$114.40 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$177.45 |
$177.45 |
$177.45 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$182.00 |
$182.00 |
$182.00 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$128.70 |
$128.70 |
$183.30 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$157.30 |
$157.30 |
$157.30 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$170.30 |
$170.30 |
$170.30 |
|
|
Sho arthrs srg compl synvct
|
$4,527.40 |
$4,527.40 |
$4,527.40 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$6,663.31 |
$6,663.31 |
$6,663.31 |
|
|
Sho arthrs srg lss&rescj ads
|
$4,626.11 |
$4,626.11 |
$4,626.11 |
|
|
Sho arthrs srg prtl synvct
|
$6,267.14 |
$6,267.14 |
$6,267.14 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$6,928.94 |
$6,928.94 |
$6,928.94 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$7,863.07 |
$7,863.07 |
$7,863.07 |
|
|
Shoulder MRI (with and without contrast)
|
$1,519.70 |
$1,519.70 |
$2,574.65 |
|
|
Shoulder MRI (with contrast)
|
$1,404.65 |
$1,404.65 |
$2,210.65 |
|
|
Shoulder MRI (without contrast)
|
$1,903.85 |
$1,903.85 |
$2,145.65 |
|
|
Shoulder X-ray
|
$348.40 |
$497.90 |
$499.85 |
|
|
Shrinker prosth above knee
|
$77.35 |
$77.35 |
$77.35 |
|
|
Shrinker prosth below knee
|
$116.35 |
$116.35 |
$116.35 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$408.85 |
$408.85 |
$408.85 |
|
|
Sialography s&i
|
$442.00 |
$442.00 |
$532.35 |
|
|
Sickling rbc
|
$37.05 |
$37.05 |
$44.20 |
|
|
Sigmoidoscopy and biopsy
|
$364.00 |
$364.00 |
$2,700.33 |
|
|
Sigmoidoscopy for bleeding
|
$435.50 |
$435.50 |
$435.50 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,848.36 |
$3,848.36 |
$3,848.36 |
|
|
Sigmoidoscopy w/tumr remove
|
$611.65 |
$611.65 |
$2,579.33 |
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$184.70 |
$184.70 |
|
|
Sincalide 5 mcg solution for injection
|
$402.80 |
$402.80 |
$412.96 |
|
|
Sinus CT scan (with and without contrast)
|
$1,179.10 |
$1,485.90 |
$1,840.15 |
|
|
Sinus CT scan (with contrast)
|
$1,015.30 |
$1,279.85 |
$1,567.80 |
|
|
Sinus CT scan (without contrast)
|
$807.95 |
$1,017.90 |
$1,318.20 |
|
|
Sinus/juglr venogram s&i
|
$2,327.65 |
$2,327.65 |
$2,327.65 |
|
|
Sirolimus, oral
|
$11.54 |
$11.54 |
$11.54 |
|
|
Skin Biopsy
|
$232.05 |
$232.05 |
$457.60 |
|
|
Sleep Study (Polysomnography)
|
$2,759.90 |
$3,063.45 |
$3,377.40 |
|
|
Sleep study unattended
|
$512.20 |
$512.20 |
$625.30 |
|
|
Sling pelv split sam med
|
$195.00 |
$195.00 |
$195.00 |
|
|
Slp stdy unatnd w/anal
|
$570.05 |
$570.05 |
$570.05 |
|
|
Slp ther svc non-spch gen
|
$178.75 |
$178.75 |
$178.75 |
|
|
Small bowel endoscopy
|
$2,463.36 |
$2,463.36 |
$2,463.36 |
|
|
Small bowel endoscopy
|
$3,024.66 |
$3,024.66 |
$3,024.66 |
|
|
Small bowel endoscopy
|
$4,696.82 |
$4,696.82 |
$4,696.82 |
|
|
Small bowel endoscopy
|
$2,912.99 |
$2,912.99 |
$2,912.99 |
|
|
Small bowel endoscopy br/wa
|
$556.40 |
$556.40 |
$556.40 |
|
|
Smear fluorescent and/or acid fast stain
|
$52.65 |
$52.65 |
$78.65 |
|
|
Smear gram stain
|
$57.85 |
$82.55 |
$82.55 |
|
|
Smear nasal eosinophil
|
$27.30 |
$27.30 |
$42.25 |
|
|
Smear special stain inclusion bodies/parasites
|
$61.10 |
$68.25 |
$142.35 |
|
|
Smear wet mount
|
$45.50 |
$76.70 |
$90.35 |
|
|
Snrpn/ube3a gene
|
$337.35 |
$337.35 |
$397.80 |
|
|
Sodium 24 hour urine
|
$40.95 |
$40.95 |
$60.45 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$37.50 |
$37.50 |
$68.25 |
|
|
Sodium chloride 0.9 % IV bolus
|
$37.50 |
$37.50 |
$37.50 |
|
|
Sodium chloride 0.9 % IV bolus
|
$37.50 |
$37.50 |
$37.50 |
|
|
Sodium chloride 3 % ivpb
|
$33.80 |
$37.50 |
$37.50 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$98.18 |
$98.18 |
$98.18 |
|
|
Sodium serum/plasma/whole blood
|
$45.50 |
$45.50 |
$54.60 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.71 |
$8.71 |
$8.89 |
|
|
Special physics consult
|
$35,338.55 |
$35,338.55 |
$35,338.55 |
|
|
Special radiation dosimetry
|
$15,778.75 |
$15,778.75 |
$15,778.75 |
|
|
Special radiation treatment
|
$29,123.90 |
$29,123.90 |
$29,123.90 |
|
|
Special teletx port plan
|
$19,228.30 |
$19,228.30 |
$19,228.30 |
|
|
Specific gravity body fluid
|
$9.10 |
$9.10 |
$22.10 |
|
|
Specimen fat stain
|
$37.70 |
$37.70 |
$38.35 |
|
|
Sperm antibody test
|
$57.20 |
$57.20 |
$89.05 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,139.83 |
$2,139.83 |
$2,139.83 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$486.20 |
$525.20 |
$621.40 |
|
|
Spleen imaging
|
$614.25 |
$614.25 |
$614.25 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$33.15 |
$33.15 |
$33.15 |
|
|
Splint rstrc wrst/cmc right med
|
$41.60 |
$41.60 |
$41.60 |
|
|
Split blood or products
|
$102.70 |
$102.70 |
$121.55 |
|
|
Sputum specimen collection
|
$96.85 |
$101.40 |
$104.65 |
|
|
Srs linear based
|
$30,236.70 |
$30,236.70 |
$30,236.70 |
|
|
St analysis behavior qualitative voice/resonance
|
$401.70 |
$416.00 |
$416.00 |
|
|
Staph a dna amp probe
|
$93.60 |
$95.55 |
$113.10 |
|
|
St cognitve performance testing healthcare professional each hour
|
$303.55 |
$303.55 |
$303.55 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$36,293.56 |
$36,293.56 |
$36,293.56 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$37,885.61 |
$37,885.61 |
$37,885.61 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$25,009.61 |
$25,009.61 |
$25,009.61 |
|
|
St evaluate speech sound production
|
$401.70 |
$416.00 |
$416.00 |
|
|
St evaluate speech sound production comprehensive/expressive
|
$410.80 |
$425.75 |
$503.10 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$400.40 |
$822.90 |
$822.90 |
|
|
St evaluation swallow function
|
$366.60 |
$366.60 |
$433.55 |
|
|
Strapping of elbow or wrist 29260
|
$80.60 |
$80.60 |
$80.60 |
|
|
Strep a ag ia
|
$94.25 |
$94.25 |
$111.15 |
|
|
Strep b dna amp probe
|
$78.65 |
$120.90 |
$120.90 |
|
|
Streptomycin injection
|
$231.56 |
$231.56 |
$231.56 |
|
|
Stress test pulmonary
|
$293.80 |
$293.80 |
$293.80 |
|
|
Stress tte complete
|
$396.50 |
$396.50 |
$1,452.75 |
|
|
Str markers specimen anal
|
$679.25 |
$703.30 |
$703.30 |
|
|
St treatment speech individual
|
$205.40 |
$220.35 |
$267.15 |
|
|
St treatment swallow dysfunction/oral
|
$198.25 |
$199.55 |
$292.50 |
|
|
Subtalar arthro w/fb rmvl
|
$8,068.61 |
$8,068.61 |
$8,068.61 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$37.54 |
$37.91 |
$38.72 |
|
|
Sulfonylurea screen qn-sendout
|
$67.60 |
$67.60 |
$67.60 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$148.10 |
$151.29 |
$151.29 |
|
|
Support clav 29.6-40.5in med
|
$5.85 |
$5.85 |
$5.85 |
|