|
Scope uretscp lithovue dig disp
|
$8,555.76 |
$8,555.76 |
$8,555.76 |
$4,079.62
|
|
Screening Mammogram
|
$579.84 |
$579.84 |
$579.84 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$68,901.12 |
$68,901.12 |
$68,901.12 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$121.92 |
$121.92 |
$121.92 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$840.48 |
$840.48 |
$840.48 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,730.56 |
$3,730.56 |
$3,730.56 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$42.72 |
$42.72 |
$42.72 |
$44.20
|
|
Serial tonometry
|
$180.00 |
$180.00 |
$180.00 |
$144.33
|
|
Serpina1 gene
|
$43.20 |
$43.20 |
$43.20 |
$191.73
|
|
Set radiation therapy field
|
$1,801.44 |
$1,801.44 |
$1,801.44 |
$731.50
|
|
Set radiation therapy field
|
$1,871.04 |
$1,871.04 |
$1,871.04 |
$1,102.40
|
|
Set radiation therapy field
|
$2,021.28 |
$2,021.28 |
$2,021.28 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$918.72 |
$918.72 |
$918.72 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$918.72 |
$918.72 |
$918.72 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$1,195.68 |
$1,195.68 |
$1,195.68 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$15,289.56 |
$15,289.56 |
$15,289.56 |
$6,108.01
|
|
Sheath laser cavaclear 14f
|
$7,625.52 |
$7,625.52 |
$7,625.52 |
$6,331.24
|
|
Shoe post-op mens m
|
$19.50 |
$19.50 |
$19.50 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$5,361.60 |
$5,361.60 |
$5,361.60 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,054.72 |
$3,054.72 |
$3,054.72 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,841.12 |
$2,841.12 |
$2,841.12 |
$2,051.28
|
|
Shoulder X-ray
|
$474.72 |
$474.72 |
$474.72 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$5,751.84 |
$5,751.84 |
$5,751.84 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$180.96 |
$180.96 |
$180.96 |
$345.00
|
|
Sialolithotomy 42330
|
$4,803.84 |
$4,803.84 |
$4,803.84 |
$3,837.72
|
|
Sickling rbc
|
$30.24 |
$30.24 |
$30.24 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$2,591.52 |
$2,591.52 |
$2,591.52 |
$1,993.08
|
|
Signal avg ecg w or without ecg 93278
|
$515.52 |
$515.52 |
$515.52 |
$309.52
|
|
Sinus CT scan (with and without contrast)
|
$2,414.40 |
$2,414.40 |
$2,414.40 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,705.44 |
$1,705.44 |
$1,705.44 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,565.12 |
$2,565.12 |
$2,565.12 |
$2,489.25
|
|
Sirolimus, oral
|
$93.01 |
$93.01 |
$93.01 |
$42.11
|
|
Skel musc relaxant 3 or more
|
$5.24 |
$5.24 |
$5.24 |
$13.60
|
|
Skin Biopsy
|
$918.72 |
$918.72 |
$918.72 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$1,382.88 |
$1,382.88 |
$1,382.88 |
$3,936.80
|
|
Sleep study unattended
|
$691.20 |
$691.20 |
$691.20 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$14.04 |
$14.04 |
$14.04 |
$25.55
|
|
Sling pelv split sam med
|
$93.60 |
$93.60 |
$93.60 |
$115.20
|
|
Sling suprapubic suburetheral
|
$16,802.48 |
$16,802.48 |
$16,802.48 |
$10,328.15
|
|
Slitting of prepuce
|
$4,371.84 |
$4,371.84 |
$4,371.84 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$83.52 |
$83.52 |
$83.52 |
$64.20
|
|
Smear gram stain
|
$68.64 |
$68.64 |
$68.64 |
$57.85
|
|
Smear nasal eosinophil
|
$50.40 |
$50.40 |
$50.40 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$71.04 |
$71.04 |
$71.04 |
$64.35
|
|
Smear wet mount
|
$68.64 |
$68.64 |
$68.64 |
$68.63
|
|
Sodium 24 hour urine
|
$59.04 |
$59.04 |
$59.04 |
$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 ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$120.79 |
$120.79 |
$120.79 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$59.04 |
$59.04 |
$59.04 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$44.76 |
$44.76 |
$44.76 |
$195.48
|
|
Soft interface below knee se
|
$239.28 |
$239.28 |
$239.28 |
$209.99
|
|
Special physics consult
|
$844.32 |
$844.32 |
$844.32 |
$700.74
|
|
Special radiation dosimetry
|
$312.00 |
$312.00 |
$312.00 |
$445.50
|
|
Special radiation treatment
|
$1,932.96 |
$1,932.96 |
$1,932.96 |
$1,934.03
|
|
Special teletx port plan
|
$1,922.88 |
$1,922.88 |
$1,922.88 |
$1,046.65
|
|
Specific gravity body fluid
|
$46.08 |
$46.08 |
$46.08 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,651.68 |
$1,651.68 |
$1,651.68 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$323.52 |
$323.52 |
$323.52 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$60.59 |
$60.59 |
$60.59 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$5,243.04 |
$5,243.04 |
$5,243.04 |
$4,560.66
|
|
Split blood or products
|
$102.72 |
$102.72 |
$102.72 |
$148.98
|
|
Srs linear based
|
$17,183.52 |
$17,183.52 |
$17,183.52 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$342.72 |
$342.72 |
$342.72 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$256.32 |
$256.32 |
$256.32 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$22,244.64 |
$22,244.64 |
$22,244.64 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$40,320.00 |
$40,320.00 |
$40,320.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$41,901.67 |
$41,901.67 |
$41,901.67 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$39,101.09 |
$39,101.09 |
$39,101.09 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$8,551.87 |
$8,551.87 |
$8,551.87 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,050.88 |
$6,050.88 |
$6,050.88 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,050.88 |
$6,050.88 |
$6,050.88 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$12,844.80 |
$12,844.80 |
$12,844.80 |
$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
|
$378.72 |
$378.72 |
$378.72 |
$406.40
|
|
St evaluation swallow function
|
$263.04 |
$263.04 |
$263.04 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$372.96 |
$372.96 |
$372.96 |
$248.05
|
|
Strapping of chest
|
$324.48 |
$324.48 |
$324.48 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$192.48 |
$192.48 |
$192.48 |
$171.00
|
|
Strapping of hand or finger
|
$372.96 |
$372.96 |
$372.96 |
$194.40
|
|
Strapping of hip
|
$411.84 |
$411.84 |
$411.84 |
$170.08
|
|
Strapping of knee
|
$294.72 |
$294.72 |
$294.72 |
$224.80
|
|
Strapping of toes 29550
|
$338.88 |
$338.88 |
$338.88 |
$185.36
|
|
Strep b assay w/optic
|
$25.44 |
$25.44 |
$25.44 |
$32.00
|
|
Stress test pulmonary
|
$266.40 |
$266.40 |
$266.40 |
$327.20
|
|
Stress tte complete
|
$1,220.64 |
$1,220.64 |
$1,220.64 |
$1,964.95
|
|
St treatment speech individual
|
$258.72 |
$258.72 |
$258.72 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$272.16 |
$272.16 |
$272.16 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$80.58 |
$80.58 |
$80.58 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$52.10 |
$52.10 |
$52.10 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$5.24 |
$5.24 |
$5.24 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$44.76 |
$44.76 |
$44.76 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$41.93 |
$41.93 |
$41.93 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$36.96 |
$36.96 |
$36.96 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$98.40 |
$98.40 |
$98.40 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$126.72 |
$126.72 |
$126.72 |
$192.00
|
