|
Sec art mech thrmbc non-intracranial add-on
|
$6,453.98 |
$6,453.98 |
$6,453.98 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$850.78 |
$850.78 |
$850.78 |
$293.40
|
|
Sedimentation rate erythrocyte automated
|
$148.84 |
$148.84 |
$148.84 |
$44.20
|
|
Set radiation therapy field
|
$845.63 |
$845.63 |
$845.63 |
$731.50
|
|
Set radiation therapy field
|
$2,285.57 |
$2,285.57 |
$2,285.57 |
$1,102.40
|
|
Set radiation therapy field
|
$2,285.57 |
$2,285.57 |
$2,285.57 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$18.03 |
$18.03 |
$18.03 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$39.14 |
$39.14 |
$39.14 |
$21.42
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$270.38 |
$270.38 |
$270.38 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$270.38 |
$270.38 |
$270.38 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$270.38 |
$270.38 |
$270.38 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$270.38 |
$270.38 |
$270.38 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$245.66 |
$245.66 |
$245.66 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$245.66 |
$245.66 |
$245.66 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$245.66 |
$245.66 |
$245.66 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$245.66 |
$245.66 |
$245.66 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$297.67 |
$297.67 |
$297.67 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$297.67 |
$297.67 |
$297.67 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$341.96 |
$341.96 |
$341.96 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$3,215.66 |
$3,215.66 |
$3,215.66 |
$7,076.25
|
|
Shoe post-op mens m
|
$105.06 |
$105.06 |
$105.06 |
$42.87
|
|
Shrinker prosth above knee
|
$120.51 |
$120.51 |
$120.51 |
$157.49
|
|
Shrinker prosth below knee
|
$136.99 |
$136.99 |
$136.99 |
$153.13
|
|
Shunt glaucoma baerveldt 350mm
|
$3,215.66 |
$3,215.66 |
$3,215.66 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$193.64 |
$193.64 |
$193.64 |
$345.00
|
|
Sickling rbc
|
$109.18 |
$109.18 |
$109.18 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$329.60 |
$329.60 |
$329.60 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$6,010.57 |
$6,010.57 |
$6,010.57 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$5,015.59 |
$5,015.59 |
$5,015.59 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,145.24 |
$4,145.24 |
$4,145.24 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,196.48 |
$2,196.48 |
$2,196.48 |
$2,489.25
|
|
Sipuleucel-t - su
|
$48,412.58 |
$48,412.58 |
$48,412.58 |
$95,750.46
|
|
Sirolimus, oral
|
$77.77 |
$77.77 |
$77.77 |
$42.11
|
|
Skin Biopsy
|
$355.87 |
$355.87 |
$355.87 |
$382.80
|
|
Sling arm deluxe w/pad xs
|
$105.06 |
$105.06 |
$105.06 |
$25.55
|
|
Sling pelv split sam med
|
$120.51 |
$120.51 |
$120.51 |
$115.20
|
|
Sling suprapubic suburetheral
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$10,328.15
|
|
Slp pure tone screening
|
$72.62 |
$72.62 |
$72.62 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$60.98 |
$60.98 |
$60.98 |
$64.20
|
|
Smear gram stain
|
$125.66 |
$125.66 |
$125.66 |
$57.85
|
|
Smear nasal eosinophil
|
$61.29 |
$61.29 |
$61.29 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$47.90 |
$47.90 |
$47.90 |
$64.35
|
|
Smear wet mount
|
$123.60 |
$123.60 |
$123.60 |
$68.63
|
|
Snrpn/ube3a gene
|
$172.53 |
$172.53 |
$172.53 |
$228.80
|
|
Sodium 24 hour urine
|
$152.96 |
$152.96 |
$152.96 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$40.17 |
$40.17 |
$40.17 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$27.81 |
$27.81 |
$27.81 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$79.31 |
$79.31 |
$79.31 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$120.51 |
$120.51 |
$120.51 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$76.74 |
$76.74 |
$76.74 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$49.96 |
$49.96 |
$49.96 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$215.27 |
$215.27 |
$215.27 |
$195.48
|
|
Somatosensory testing
|
$2,159.91 |
$2,159.91 |
$2,159.91 |
$583.80
|
|
Somatropin injection
|
$1,100.04 |
$1,100.04 |
$1,100.04 |
$2,381.48
|
|
Special physics consult
|
$565.99 |
$565.99 |
$565.99 |
$700.74
|
|
Special radiation dosimetry
|
$218.36 |
$218.36 |
$218.36 |
$445.50
|
|
Special radiation treatment
|
$1,481.14 |
$1,481.14 |
$1,481.14 |
$1,934.03
|
|
Special teletx port plan
|
$1,164.93 |
$1,164.93 |
$1,164.93 |
$1,046.65
|
|
Specific gravity body fluid
|
$46.87 |
$46.87 |
$46.87 |
$23.63
|
|
Speech evaluation complex
|
$364.62 |
$364.62 |
$364.62 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,085.11 |
$1,085.11 |
$1,085.11 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$662.29 |
$662.29 |
$662.29 |
$559.96
|
|
Splint extn xsm w sof-stretch rolyan
|
$41.72 |
$41.72 |
$41.72 |
$52.65
|
|
Splint finger frog med
|
$10.30 |
$10.30 |
$10.30 |
$27.95
|
|
Splint func pos polyflex ii med
|
$91.16 |
$91.16 |
$91.16 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$41.20 |
$41.20 |
$41.20 |
$101.18
|
|
Split blood or products
|
$101.97 |
$101.97 |
$101.97 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$1,814.86 |
$1,814.86 |
$1,814.86 |
$4,588.65
|
|
Srs linear based
|
$16,550.04 |
$16,550.04 |
$16,550.04 |
$14,124.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$18,143.45 |
$18,143.45 |
$18,143.45 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$28,280.71 |
$28,280.71 |
$28,280.71 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,124.76 |
$1,124.76 |
$1,124.76 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$14,512.70 |
$14,512.70 |
$14,512.70 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$13,171.64 |
$13,171.64 |
$13,171.64 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,880.01 |
$3,880.01 |
$3,880.01 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$20,940.42 |
$20,940.42 |
$20,940.42 |
$19,765.20
|
|
Strep b dna amp probe
|
$72.10 |
$72.10 |
$72.10 |
$139.20
|
|
Streptomycin injection
|
$45.32 |
$45.32 |
$45.32 |
$138.30
|
|
Stress test pulmonary
|
$208.06 |
$208.06 |
$208.06 |
$327.20
|
|
Stress tte complete
|
$830.70 |
$830.70 |
$830.70 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$120.51 |
$120.51 |
$120.51 |
$49.13
|
|
Sugars single quant
|
$19.57 |
$19.57 |
$19.57 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$91.67 |
$91.67 |
$91.67 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$252.87 |
$252.87 |
$252.87 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$54.08 |
$54.08 |
$54.08 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$8.66 |
$8.66 |
$8.66 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$19.37 |
$19.37 |
$19.37 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$23.27 |
$23.27 |
$23.27 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$138.02 |
$138.02 |
$138.02 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$149.77 |
$149.77 |
$149.77 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$210.40 |
$210.40 |
$210.40 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$32.75 |
$32.75 |
$32.75 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$20.40 |
$20.40 |
$20.40 |
$34.48
|
|
Susceptibility mic per plate
|
$309.52 |
$309.52 |
$309.52 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$23.12 |
$23.12 |
$23.12 |
$48.30
|
|
Svc venogram s&i
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$232.78 |
$232.78 |
$232.78 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$13.71 |
$13.71 |
$13.71 |
$44.85
|
|
System cardiomems hosp electronics
|
$23,372.76 |
$23,372.76 |
$23,372.76 |
$41,639.82
|