|
Rsv assay w/optic
|
$67.68 |
$67.68 |
$67.68 |
$79.38
|
|
Rubella antibody igg
|
$59.76 |
$59.76 |
$59.76 |
$77.03
|
|
Rubeola antibody igg
|
$53.28 |
$53.28 |
$53.28 |
$80.00
|
|
Russell viper venom diluted
|
$6.30 |
$6.30 |
$6.30 |
$72.54
|
|
Salmonella antibody
|
$2.11 |
$2.11 |
$2.11 |
$37.58
|
|
Saquinavir, 200 mg
|
$8.62 |
$8.62 |
$8.62 |
$14.00
|
|
Sargramostim injection
|
$30.30 |
$30.30 |
$30.30 |
$609.00
|
|
Sbrt management
|
$488.34 |
$488.34 |
$488.34 |
$1,189.60
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$72.18 |
$72.18 |
$72.18 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$35.10 |
$35.10 |
$35.10 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$50.76 |
$50.76 |
$50.76 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$18.90 |
$18.90 |
$18.90 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$673.74 |
$673.74 |
$673.74 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$266.76 |
$266.76 |
$266.76 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$562.86 |
$562.86 |
$562.86 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$340.38 |
$340.38 |
$340.38 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$462.06 |
$462.06 |
$462.06 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$593.82 |
$593.82 |
$593.82 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$761.04 |
$761.04 |
$761.04 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$445.68 |
$445.68 |
$445.68 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$437.58 |
$437.58 |
$437.58 |
$595.35
|
|
Scan proc spinal
|
$144.18 |
$144.18 |
$144.18 |
$2,544.58
|
|
Scope uretscp lithovue dig disp
|
$2,430.00 |
$2,430.00 |
$2,430.00 |
$4,490.64
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$58.50 |
$58.50 |
$58.50 |
$57.60
|
|
Screening Mammogram
|
$282.78 |
$282.78 |
$282.78 |
$312.55
|
|
Screening prostate cancer PSA
|
$79.92 |
$79.92 |
$79.92 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$63.72 |
$63.72 |
$63.72 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$32,047.20 |
$32,047.20 |
$32,047.20 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$41.76 |
$41.76 |
$41.76 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,875.76 |
$3,875.76 |
$3,875.76 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$44.82 |
$44.82 |
$44.82 |
$42.00
|
|
Semen analysis presence/motility
|
$66.96 |
$66.96 |
$66.96 |
$71.05
|
|
Serial casting application 97139app
|
$71.28 |
$71.28 |
$71.28 |
$78.39
|
|
Serpina1 gene
|
$7.86 |
$7.86 |
$7.86 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$36.00 |
$36.00 |
$36.00 |
$126.43
|
|
Set radiation therapy field
|
$204.66 |
$204.66 |
$204.66 |
$762.40
|
|
Set radiation therapy field
|
$114.66 |
$114.66 |
$114.66 |
$1,157.38
|
|
Set radiation therapy field
|
$384.66 |
$384.66 |
$384.66 |
$1,636.36
|
|
Sevelamer carbonate pdr 20mg
|
$17.69 |
$17.69 |
$17.69 |
$21.96
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$91.62 |
$91.62 |
$91.62 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$106.74 |
$106.74 |
$106.74 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$117.00 |
$117.00 |
$117.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$135.00 |
$135.00 |
$135.00 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$51.48 |
$51.48 |
$51.48 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$63.18 |
$63.18 |
$63.18 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$70.92 |
$70.92 |
$70.92 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$95.94 |
$95.94 |
$95.94 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$95.94 |
$95.94 |
$95.94 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$64.26 |
$64.26 |
$64.26 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$96.84 |
$96.84 |
$96.84 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$32.58 |
$32.58 |
$32.58 |
$6,570.70
|
|
Sho arthrs dx +- synovial bx
|
$321.84 |
$321.84 |
$321.84 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$611.82 |
$611.82 |
$611.82 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$706.32 |
$706.32 |
$706.32 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$369.36 |
$369.36 |
$369.36 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$398.34 |
$398.34 |
$398.34 |
$3,839.54
|
|
Sho arthrs srg rmvl loose/fb
|
$397.98 |
$397.98 |
$397.98 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$690.66 |
$690.66 |
$690.66 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$401.40 |
$401.40 |
$401.40 |
$5,148.00
|
|
Shoe post-op mens m
|
$109.80 |
$109.80 |
$109.80 |
$52.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$710.64 |
$710.64 |
$710.64 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,020.32 |
$2,020.32 |
$2,020.32 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,448.46 |
$1,448.46 |
$1,448.46 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,871.64 |
$1,871.64 |
$1,871.64 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$708.30 |
$708.30 |
$708.30 |
$3,870.38
|
|
Shoulder X-ray
|
$335.34 |
$335.34 |
$335.34 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,324.16 |
$2,324.16 |
$2,324.16 |
$4,636.80
|
|
Sialography s&i
|
$435.96 |
$435.96 |
$435.96 |
$499.20
|
|
Sickling rbc
|
$43.92 |
$43.92 |
$43.92 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$40.86 |
$40.86 |
$40.86 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$56.52 |
$56.52 |
$56.52 |
$1,078.88
|
|
Sigmoidoscopy/submucosal injection 45335
|
$37.98 |
$37.98 |
$37.98 |
$1,444.83
|
|
Sigmoidoscopy w/tumr remove
|
$660.24 |
$660.24 |
$660.24 |
$1,558.80
|
|
Signal avg ecg w or without ecg 93278
|
$180.00 |
$180.00 |
$180.00 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$1,633.68 |
$1,633.68 |
$1,633.68 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,188.18 |
$1,188.18 |
$1,188.18 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,753.02 |
$1,753.02 |
$1,753.02 |
$2,489.25
|
|
Sirolimus, oral
|
$17.89 |
$17.89 |
$17.89 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$32.04 |
$32.04 |
$32.04 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$1.08 |
$1.08 |
$1.08 |
$16.12
|
|
Skin Biopsy
|
$107.28 |
$107.28 |
$107.28 |
$360.34
|
|
Skin full graft add-on 15241
|
$58.68 |
$58.68 |
$58.68 |
$675.58
|
|
Skin split graft addl 100sq cm 15101
|
$61.02 |
$61.02 |
$61.02 |
$1,793.40
|
|
Sleep study attended
|
$770.94 |
$770.94 |
$770.94 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,597.32 |
$1,597.32 |
$1,597.32 |
$3,607.50
|
|
Sling arm deluxe w/pad xs
|
$9.90 |
$9.90 |
$9.90 |
$30.35
|
|
Sling suprapubic suburetheral
|
$1,784.34 |
$1,784.34 |
$1,784.34 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$70.20 |
$70.20 |
$70.20 |
$64.20
|
|
Smear gram stain
|
$47.88 |
$47.88 |
$47.88 |
$55.25
|
|
Smear nasal eosinophil
|
$65.52 |
$65.52 |
$65.52 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$71.82 |
$71.82 |
$71.82 |
$73.15
|
|
Smear wet mount
|
$58.86 |
$58.86 |
$58.86 |
$67.49
|
|
Smpd1 gene common variants
|
$8.46 |
$8.46 |
$8.46 |
$133.84
|
|
Snrpn/ube3a gene
|
$60.30 |
$60.30 |
$60.30 |
$231.85
|
|
Sodium 24 hour urine
|
$76.86 |
$76.86 |
$76.86 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$14.83 |
$14.83 |
$14.83 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$14.83 |
$14.83 |
$14.83 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$14.83 |
$14.83 |
$14.83 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$13.84 |
$13.84 |
$13.84 |
$40.61
|