|
Sarscov coronavirus ag ia
|
$51.41 |
$51.41 |
$51.41 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$102.34 |
$102.34 |
$102.34 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$455.42 |
$455.42 |
$455.42 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$318.65 |
$318.65 |
$318.65 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$318.65 |
$318.65 |
$318.65 |
$815.66
|
|
Scan duplex lower extremity arteries complete bilateral
|
$912.29 |
$912.29 |
$912.29 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$1,188.74 |
$1,188.74 |
$1,188.74 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$3,892.13 |
$3,892.13 |
$3,892.13 |
$4,079.62
|
|
Screening Mammogram
|
$198.85 |
$198.85 |
$198.85 |
$303.55
|
|
Screening prostate cancer PSA
|
$241.53 |
$241.53 |
$241.53 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$24,448.85 |
$24,448.85 |
$24,448.85 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,673.46 |
$4,673.46 |
$4,673.46 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$225.04 |
$225.04 |
$225.04 |
$293.40
|
|
Semen analysis w/count
|
$84.88 |
$84.88 |
$84.88 |
$56.44
|
|
Sevelamer carbonate pdr 20mg
|
$57.23 |
$57.23 |
$57.23 |
$21.42
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$346.29 |
$346.29 |
$346.29 |
$302.55
|
|
Shoe post-op mens m
|
$21.83 |
$21.83 |
$21.83 |
$42.87
|
|
Shunt glaucoma baerveldt 350mm
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$216.80 |
$216.80 |
$216.80 |
$345.00
|
|
Sickling rbc
|
$65.48 |
$65.48 |
$65.48 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$3,259.69 |
$3,259.69 |
$3,259.69 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,720.37 |
$2,720.37 |
$2,720.37 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,247.98 |
$2,247.98 |
$2,247.98 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,895.38 |
$1,895.38 |
$1,895.38 |
$2,489.25
|
|
Sirolimus, oral
|
$91.18 |
$91.18 |
$91.18 |
$42.11
|
|
Skin Biopsy
|
$161.99 |
$161.99 |
$161.99 |
$382.80
|
|
Sling arm deluxe w/pad xs
|
$21.83 |
$21.83 |
$21.83 |
$25.55
|
|
Sling suprapubic suburetheral
|
$5,060.98 |
$5,060.98 |
$5,060.98 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$76.63 |
$76.63 |
$76.63 |
$64.20
|
|
Smear gram stain
|
$91.18 |
$91.18 |
$91.18 |
$57.85
|
|
Smear nasal eosinophil
|
$41.23 |
$41.23 |
$41.23 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$61.60 |
$61.60 |
$61.60 |
$64.35
|
|
Smear wet mount
|
$89.24 |
$89.24 |
$89.24 |
$68.63
|
|
Sodium 24 hour urine
|
$125.13 |
$125.13 |
$125.13 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$37.83 |
$37.83 |
$37.83 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$37.83 |
$37.83 |
$37.83 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$37.83 |
$37.83 |
$37.83 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$26.19 |
$26.19 |
$26.19 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$114.46 |
$114.46 |
$114.46 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$94.09 |
$94.09 |
$94.09 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$284.70 |
$284.70 |
$284.70 |
$195.48
|
|
Specific gravity body fluid
|
$37.83 |
$37.83 |
$37.83 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$936.54 |
$936.54 |
$936.54 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$663.48 |
$663.48 |
$663.48 |
$559.96
|
|
Split blood or products
|
$41.71 |
$41.71 |
$41.71 |
$148.98
|
|
Sputum specimen collection
|
$113.01 |
$113.01 |
$113.01 |
$180.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$16,222.77 |
$16,222.77 |
$16,222.77 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$52,406.68 |
$52,406.68 |
$52,406.68 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,301.33 |
$2,301.33 |
$2,301.33 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$8,557.83 |
$8,557.83 |
$8,557.83 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,210.78 |
$11,210.78 |
$11,210.78 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,472.81 |
$6,472.81 |
$6,472.81 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$16,222.77 |
$16,222.77 |
$16,222.77 |
$19,765.20
|
|
Stress test pulmonary
|
$393.82 |
$393.82 |
$393.82 |
$327.20
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$25.71 |
$25.71 |
$25.71 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$30.07 |
$30.07 |
$30.07 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$226.01 |
$226.01 |
$226.01 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$72.75 |
$72.75 |
$72.75 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$64.99 |
$64.99 |
$64.99 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$86.82 |
$86.82 |
$86.82 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$102.82 |
$102.82 |
$102.82 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$135.32 |
$135.32 |
$135.32 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$411.28 |
$411.28 |
$411.28 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$600.43 |
$600.43 |
$600.43 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$70.33 |
$70.33 |
$70.33 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$35.89 |
$35.89 |
$35.89 |
$34.48
|
|
Susceptibility mic per plate
|
$220.19 |
$220.19 |
$220.19 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$28.13 |
$28.13 |
$28.13 |
$48.30
|
|
Svc venogram s&i
|
$1,787.71 |
$1,787.71 |
$1,787.71 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$89.73 |
$89.73 |
$89.73 |
$44.85
|
|
System pacing micra av
|
$32,541.08 |
$32,541.08 |
$32,541.08 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$18,805.88 |
$18,805.88 |
$18,805.88 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$33.95 |
$33.95 |
$33.95 |
$89.82
|
|
T3 (triiodothyronine) total
|
$115.43 |
$115.43 |
$115.43 |
$94.90
|
|
T4 (thyroxine) free
|
$138.23 |
$138.23 |
$138.23 |
$81.60
|
|
T4 (thyroxine) total
|
$81.48 |
$81.48 |
$81.48 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6.79 |
$6.79 |
$6.79 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$21.83 |
$21.83 |
$21.83 |
$122.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$145.50 |
$145.50 |
$145.50 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$14.55 |
$14.55 |
$14.55 |
$166.46
|
|
Tc-99m bicisate
|
$397.70 |
$397.70 |
$397.70 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$800.74 |
$800.74 |
$800.74 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$711.98 |
$711.98 |
$711.98 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$54.32 |
$54.32 |
$54.32 |
$323.01
|
|
Tc-99m maa
|
$54.32 |
$54.32 |
$54.32 |
$312.06
|
|
Tc-99m mebrofenin
|
$54.32 |
$54.32 |
$54.32 |
$169.53
|
|
Tc-99m medronate
|
$43.65 |
$43.65 |
$43.65 |
$122.46
|
|
Tc-99m mertiatide
|
$168.30 |
$168.30 |
$168.30 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$168.30 |
$168.30 |
$168.30 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$76.63 |
$76.63 |
$76.63 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$11.16 |
$11.16 |
$11.16 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$54.32 |
$54.32 |
$54.32 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$190.61 |
$190.61 |
$190.61 |
$221.60
|
|
Tc-99m sulfur colloid
|
$146.96 |
$146.96 |
$146.96 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$16.49 |
$16.49 |
$16.49 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$321.07 |
$321.07 |
$321.07 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$9.21 |
$9.21 |
$9.21 |
$186.00
|
|
T cells absolute cd 4 count
|
$13.58 |
$13.58 |
$13.58 |
$120.25
|
|
T cells total count
|
$9.19 |
$9.19 |
$9.19 |
$124.11
|
|
Telehealth original site facility fee
|
$38.32 |
$38.32 |
$38.32 |
$60.80
|