|
Set radiation therapy field
|
$320.95 |
$320.95 |
$320.95 |
$731.50
|
|
Set radiation therapy field
|
$343.70 |
$343.70 |
$343.70 |
$1,102.40
|
|
Set radiation therapy field
|
$478.80 |
$478.80 |
$478.80 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$164.50 |
$164.50 |
$164.50 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$164.50 |
$164.50 |
$164.50 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$334.25 |
$334.25 |
$334.25 |
$311.25
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$334.25 |
$334.25 |
$334.25 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$9,459.45 |
$9,459.45 |
$9,459.45 |
$6,108.01
|
|
Sheath laser cavaclear 14f
|
$4,666.27 |
$4,666.27 |
$4,666.27 |
$6,331.24
|
|
Shoe post-op mens m
|
$11.05 |
$11.05 |
$11.05 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$3,769.85 |
$3,769.85 |
$3,769.85 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,473.05 |
$3,473.05 |
$3,473.05 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,280.25 |
$2,280.25 |
$2,280.25 |
$2,051.28
|
|
Shoulder X-ray
|
$471.80 |
$471.80 |
$471.80 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,501.75 |
$3,501.75 |
$3,501.75 |
$4,709.25
|
|
Sialography s&i
|
$930.65 |
$930.65 |
$930.65 |
$462.40
|
|
Sialolithotomy 42330
|
$1,731.10 |
$1,731.10 |
$1,731.10 |
$3,837.72
|
|
Sickling rbc
|
$13.12 |
$13.12 |
$13.12 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$798.00 |
$798.00 |
$798.00 |
$1,993.08
|
|
Sincalide 5 mcg solution for injection
|
$340.62 |
$340.62 |
$340.62 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$3,452.05 |
$3,452.05 |
$3,452.05 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,987.95 |
$2,987.95 |
$2,987.95 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,249.80 |
$2,249.80 |
$2,249.80 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,909.25 |
$1,909.25 |
$1,909.25 |
$2,489.25
|
|
Sirolimus, oral
|
$2.66 |
$2.66 |
$2.66 |
$42.11
|
|
Skin Biopsy
|
$233.80 |
$233.80 |
$233.80 |
$382.80
|
|
Sleep study attended
|
$747.25 |
$747.25 |
$747.25 |
$1,237.08
|
|
Sleeve fing rolyan med
|
$6.30 |
$6.30 |
$6.30 |
$191.10
|
|
Sling arm deluxe w/pad xs
|
$7.95 |
$7.95 |
$7.95 |
$25.55
|
|
Sling pelv split sam med
|
$53.03 |
$53.03 |
$53.03 |
$115.20
|
|
Sling suprapubic suburetheral
|
$10,395.47 |
$10,395.47 |
$10,395.47 |
$10,328.15
|
|
Slitting of prepuce
|
$1,990.45 |
$1,990.45 |
$1,990.45 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$93.10 |
$93.10 |
$93.10 |
$64.20
|
|
Smear gram stain
|
$95.90 |
$95.90 |
$95.90 |
$57.85
|
|
Smear nasal eosinophil
|
$135.10 |
$135.10 |
$135.10 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$100.80 |
$100.80 |
$100.80 |
$64.35
|
|
Smear wet mount
|
$93.10 |
$93.10 |
$93.10 |
$68.63
|
|
Sodium 24 hour urine
|
$237.65 |
$237.65 |
$237.65 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$68.93 |
$68.93 |
$68.93 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$35.37 |
$35.37 |
$35.37 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$64.75 |
$64.75 |
$64.75 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$33.55 |
$33.55 |
$33.55 |
$195.48
|
|
Special physics consult
|
$271.60 |
$271.60 |
$271.60 |
$700.74
|
|
Special radiation dosimetry
|
$243.95 |
$243.95 |
$243.95 |
$445.50
|
|
Special radiation treatment
|
$821.10 |
$821.10 |
$821.10 |
$1,934.03
|
|
Special teletx port plan
|
$245.35 |
$245.35 |
$245.35 |
$1,046.65
|
|
Specific gravity body fluid
|
$153.65 |
$153.65 |
$153.65 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$761.60 |
$761.60 |
$761.60 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$585.20 |
$585.20 |
$585.20 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$36.75 |
$36.75 |
$36.75 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$43.05 |
$43.05 |
$43.05 |
$52.65
|
|
Splint finger frog med
|
$18.55 |
$18.55 |
$18.55 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$46.59 |
$46.59 |
$46.59 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,738.35 |
$3,738.35 |
$3,738.35 |
$4,560.66
|
|
Split blood or products
|
$144.20 |
$144.20 |
$144.20 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$241.85 |
$241.85 |
$241.85 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$262.50 |
$262.50 |
$262.50 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$6,487.25 |
$6,487.25 |
$6,487.25 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$50,225.00 |
$50,225.00 |
$50,225.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$26,143.55 |
$26,143.55 |
$26,143.55 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$24,396.19 |
$24,396.19 |
$24,396.19 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$5,247.90 |
$5,247.90 |
$5,247.90 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$5,450.20 |
$5,450.20 |
$5,450.20 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$1,537.90 |
$1,537.90 |
$1,537.90 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,129.10 |
$8,129.10 |
$8,129.10 |
$19,765.20
|
|
St evaluate speech sound production
|
$241.85 |
$241.85 |
$241.85 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$362.95 |
$362.95 |
$362.95 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$430.85 |
$430.85 |
$430.85 |
$406.40
|
|
St evaluation swallow function
|
$274.75 |
$274.75 |
$274.75 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$189.00 |
$189.00 |
$189.00 |
$248.05
|
|
Strapping of chest
|
$164.50 |
$164.50 |
$164.50 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$88.20 |
$88.20 |
$88.20 |
$171.00
|
|
Strapping of hand or finger
|
$61.95 |
$61.95 |
$61.95 |
$194.40
|
|
Strapping of hip
|
$164.50 |
$164.50 |
$164.50 |
$170.08
|
|
Strapping of knee
|
$189.00 |
$189.00 |
$189.00 |
$224.80
|
|
Strapping of toes 29550
|
$189.00 |
$189.00 |
$189.00 |
$185.36
|
|
Stress test pulmonary
|
$519.05 |
$519.05 |
$519.05 |
$327.20
|
|
St treatment speech individual
|
$187.60 |
$187.60 |
$187.60 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$170.10 |
$170.10 |
$170.10 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$34.15 |
$34.15 |
$34.15 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$34.02 |
$34.02 |
$34.02 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$246.83 |
$246.83 |
$246.83 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$23.75 |
$23.75 |
$23.75 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$39.55 |
$39.55 |
$39.55 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$66.15 |
$66.15 |
$66.15 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$97.65 |
$97.65 |
$97.65 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$134.75 |
$134.75 |
$134.75 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$284.90 |
$284.90 |
$284.90 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$330.05 |
$330.05 |
$330.05 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$56.00 |
$56.00 |
$56.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$69.30 |
$69.30 |
$69.30 |
$34.48
|
|
Susceptibility mic per plate
|
$56.00 |
$56.00 |
$56.00 |
$94.38
|
|
Svc venogram s&i
|
$991.55 |
$991.55 |
$991.55 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$78.05 |
$78.05 |
$78.05 |
$44.85
|
|
System cardiomems hosp electronics
|
$33,334.88 |
$33,334.88 |
$33,334.88 |
$41,518.75
|
|
System pacing micra av
|
$20,408.85 |
$20,408.85 |
$20,408.85 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,593.33 |
$6,593.33 |
$6,593.33 |
$10,980.00
|
