|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,072.16 |
$2,072.16 |
$2,072.16 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$4,444.80 |
$4,444.80 |
$4,444.80 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$4,423.68 |
$4,423.68 |
$4,423.68 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$4,044.96 |
$4,044.96 |
$4,044.96 |
$5,959.65
|
|
Rsv assay w/optic
|
$159.36 |
$159.36 |
$159.36 |
$73.80
|
|
Rtm 1st set-up&pt educaj eqp
|
$231.84 |
$231.84 |
$231.84 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$72.96 |
$72.96 |
$72.96 |
$96.85
|
|
Rtm dev sply resp sys 16-30d
|
$72.96 |
$72.96 |
$72.96 |
$58.80
|
|
Rubella antibody igg
|
$256.32 |
$256.32 |
$256.32 |
$73.10
|
|
Rubeola antibody igg
|
$233.28 |
$233.28 |
$233.28 |
$79.68
|
|
Russell viper venom diluted
|
$21.60 |
$21.60 |
$21.60 |
$70.16
|
|
Salmonella antibody
|
$4.80 |
$4.80 |
$4.80 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$40.32 |
$40.32 |
$40.32 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,466.24 |
$2,466.24 |
$2,466.24 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,750.56 |
$1,750.56 |
$1,750.56 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,114.88 |
$2,114.88 |
$2,114.88 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$142.08 |
$142.08 |
$142.08 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$161.76 |
$161.76 |
$161.76 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,673.76 |
$1,673.76 |
$1,673.76 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,337.92 |
$3,337.92 |
$3,337.92 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,753.92 |
$1,753.92 |
$1,753.92 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,486.56 |
$1,486.56 |
$1,486.56 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,202.72 |
$2,202.72 |
$2,202.72 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$9,361.01 |
$9,361.01 |
$9,361.01 |
$4,079.62
|
|
Screening Mammogram
|
$576.00 |
$576.00 |
$576.00 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$90,474.70 |
$90,474.70 |
$90,474.70 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$76.32 |
$76.32 |
$76.32 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$964.80 |
$964.80 |
$964.80 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,832.64 |
$4,832.64 |
$4,832.64 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$38.40 |
$38.40 |
$38.40 |
$44.20
|
|
Serpina1 gene
|
$43.20 |
$43.20 |
$43.20 |
$191.73
|
|
Set radiation therapy field
|
$1,318.56 |
$1,318.56 |
$1,318.56 |
$731.50
|
|
Set radiation therapy field
|
$1,786.56 |
$1,786.56 |
$1,786.56 |
$1,102.40
|
|
Set radiation therapy field
|
$1,985.28 |
$1,985.28 |
$1,985.28 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$331.68 |
$331.68 |
$331.68 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$331.68 |
$331.68 |
$331.68 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$396.00 |
$396.00 |
$396.00 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$16,216.20 |
$16,216.20 |
$16,216.20 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$8,343.22 |
$8,343.22 |
$8,343.22 |
$6,331.24
|
|
Shoe post-op mens m
|
$22.20 |
$22.20 |
$22.20 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$9,370.56 |
$9,370.56 |
$9,370.56 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,782.56 |
$5,782.56 |
$5,782.56 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,974.72 |
$4,974.72 |
$4,974.72 |
$2,051.28
|
|
Shoulder X-ray
|
$517.44 |
$517.44 |
$517.44 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$277.44 |
$277.44 |
$277.44 |
$345.00
|
|
Sialolithotomy 42330
|
$4,121.76 |
$4,121.76 |
$4,121.76 |
$3,837.72
|
|
Sickling rbc
|
$18.72 |
$18.72 |
$18.72 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$1,993.08
|
|
Sincalide 5 mcg solution for injection
|
$409.96 |
$409.96 |
$409.96 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$1,131.36 |
$1,131.36 |
$1,131.36 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$759.84 |
$759.84 |
$759.84 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$658.08 |
$658.08 |
$658.08 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$4,510.56 |
$4,510.56 |
$4,510.56 |
$2,489.25
|
|
Sirolimus, oral
|
$27.64 |
$27.64 |
$27.64 |
$42.11
|
|
Skin Biopsy
|
$331.68 |
$331.68 |
$331.68 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$3,936.80
|
|
Sleep study unattended
|
$925.44 |
$925.44 |
$925.44 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$15.98 |
$15.98 |
$15.98 |
$25.55
|
|
Sling pelv split sam med
|
$106.56 |
$106.56 |
$106.56 |
$115.20
|
|
Sling suprapubic suburetheral
|
$17,820.81 |
$17,820.81 |
$17,820.81 |
$10,328.15
|
|
Slitting of prepuce
|
$2,423.52 |
$2,423.52 |
$2,423.52 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$78.24 |
$78.24 |
$78.24 |
$64.20
|
|
Smear gram stain
|
$94.08 |
$94.08 |
$94.08 |
$57.85
|
|
Smear nasal eosinophil
|
$36.00 |
$36.00 |
$36.00 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$187.20 |
$187.20 |
$187.20 |
$64.35
|
|
Smear wet mount
|
$70.56 |
$70.56 |
$70.56 |
$68.63
|
|
Sodium 24 hour urine
|
$100.80 |
$100.80 |
$100.80 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$61.49 |
$61.49 |
$61.49 |
$48.11
|
|
Sodium serum/plasma/whole blood
|
$31.68 |
$31.68 |
$31.68 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$276.02 |
$276.02 |
$276.02 |
$195.48
|
|
Special physics consult
|
$1,940.64 |
$1,940.64 |
$1,940.64 |
$700.74
|
|
Special radiation dosimetry
|
$870.72 |
$870.72 |
$870.72 |
$445.50
|
|
Special radiation treatment
|
$2,467.68 |
$2,467.68 |
$2,467.68 |
$1,934.03
|
|
Special teletx port plan
|
$441.12 |
$441.12 |
$441.12 |
$1,046.65
|
|
Specific gravity body fluid
|
$19.68 |
$19.68 |
$19.68 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,131.36 |
$1,131.36 |
$1,131.36 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$200.64 |
$200.64 |
$200.64 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$68.98 |
$68.98 |
$68.98 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$6,019.20 |
$6,019.20 |
$6,019.20 |
$4,560.66
|
|
Split blood or products
|
$108.00 |
$108.00 |
$108.00 |
$148.98
|
|
Srs linear based
|
$8,881.44 |
$8,881.44 |
$8,881.44 |
$14,124.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,269.12 |
$13,269.12 |
$13,269.12 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$81,312.00 |
$81,312.00 |
$81,312.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$43,543.18 |
$43,543.18 |
$43,543.18 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$40,632.88 |
$40,632.88 |
$40,632.88 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$9,263.12 |
$9,263.12 |
$9,263.12 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,268.80 |
$9,268.80 |
$9,268.80 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,978.40 |
$2,978.40 |
$2,978.40 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,644.80 |
$11,644.80 |
$11,644.80 |
$19,765.20
|
|
St evaluate speech sound production
|
$315.36 |
$315.36 |
$315.36 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$315.36 |
$315.36 |
$315.36 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$596.64 |
$596.64 |
$596.64 |
$406.40
|
|
St evaluation swallow function
|
$335.52 |
$335.52 |
$335.52 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$168.00 |
$168.00 |
$168.00 |
$248.05
|
|
Strapping of chest
|
$236.16 |
$236.16 |
$236.16 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$196.32 |
$196.32 |
$196.32 |
$171.00
|
