|
Sarscov & inf vir a&b ag ia
|
$47.71 |
$47.71 |
$47.71 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$846.21 |
$846.21 |
$846.21 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$762.23 |
$762.23 |
$762.23 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$922.38 |
$922.38 |
$922.38 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$838.68 |
$838.68 |
$838.68 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$892.25 |
$892.25 |
$892.25 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$1,420.95 |
$1,420.95 |
$1,420.95 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,507.66 |
$2,507.66 |
$2,507.66 |
$4,079.62
|
|
Screen cerv/vag thin layer
|
$8.10 |
$8.10 |
$8.10 |
$61.20
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$37.95 |
$37.95 |
$37.95 |
$54.26
|
|
Screening Mammogram
|
$154.57 |
$154.57 |
$154.57 |
$303.55
|
|
Screening prostate cancer PSA
|
$150.11 |
$150.11 |
$150.11 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$27,906.14 |
$27,906.14 |
$27,906.14 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,380.71 |
$2,380.71 |
$2,380.71 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$136.16 |
$136.16 |
$136.16 |
$273.00
|
|
Sedimentation rate erythrocyte automated
|
$83.70 |
$83.70 |
$83.70 |
$44.20
|
|
Semen analysis
|
$103.23 |
$103.23 |
$103.23 |
$7.15
|
|
Set radiation therapy field
|
$692.48 |
$692.48 |
$692.48 |
$731.50
|
|
Set radiation therapy field
|
$844.82 |
$844.82 |
$844.82 |
$1,102.40
|
|
Set radiation therapy field
|
$1,384.96 |
$1,384.96 |
$1,384.96 |
$1,636.36
|
|
Sevelamer carbonate pdr 20mg
|
$23.16 |
$23.16 |
$23.16 |
$21.42
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$201.16 |
$201.16 |
$201.16 |
$302.55
|
|
Shoe post-op mens m
|
$15.63 |
$15.63 |
$15.63 |
$42.87
|
|
Shunt glaucoma baerveldt 350mm
|
$1,482.89 |
$1,482.89 |
$1,482.89 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$115.51 |
$115.51 |
$115.51 |
$345.00
|
|
Sickling rbc
|
$44.37 |
$44.37 |
$44.37 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$188.61 |
$188.61 |
$188.61 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$107.98 |
$107.98 |
$107.98 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$3,168.89 |
$3,168.89 |
$3,168.89 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,644.37 |
$2,644.37 |
$2,644.37 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,185.41 |
$2,185.41 |
$2,185.41 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,386.63 |
$1,386.63 |
$1,386.63 |
$2,489.25
|
|
Sirolimus, oral
|
$18.42 |
$18.42 |
$18.42 |
$42.11
|
|
Skin Biopsy
|
$380.84 |
$380.84 |
$380.84 |
$382.80
|
|
Skyla, 13.5 mg
|
$840.63 |
$840.63 |
$840.63 |
$1,801.20
|
|
Sling suprapubic suburetheral
|
$12,116.42 |
$12,116.42 |
$12,116.42 |
$10,328.15
|
|
Slp pure tone screening
|
$106.02 |
$106.02 |
$106.02 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$78.96 |
$78.96 |
$78.96 |
$64.20
|
|
Smear gram stain
|
$120.53 |
$120.53 |
$120.53 |
$57.85
|
|
Smear nasal eosinophil
|
$36.27 |
$36.27 |
$36.27 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$184.14 |
$184.14 |
$184.14 |
$64.35
|
|
Smear wet mount
|
$103.51 |
$103.51 |
$103.51 |
$68.63
|
|
Sodium 24 hour urine
|
$106.30 |
$106.30 |
$106.30 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$15.07 |
$15.07 |
$15.07 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$15.07 |
$15.07 |
$15.07 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$15.07 |
$15.07 |
$15.07 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$17.30 |
$17.30 |
$17.30 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$46.32 |
$46.32 |
$46.32 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$50.22 |
$50.22 |
$50.22 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$115.51 |
$115.51 |
$115.51 |
$195.48
|
|
Somatosensory testing
|
$451.98 |
$451.98 |
$451.98 |
$583.80
|
|
Special physics consult
|
$463.14 |
$463.14 |
$463.14 |
$700.74
|
|
Special pump services
|
$979.29 |
$979.29 |
$979.29 |
$928.00
|
|
Special radiation dosimetry
|
$291.56 |
$291.56 |
$291.56 |
$445.50
|
|
Special radiation treatment
|
$1,934.03 |
$1,934.03 |
$1,934.03 |
$1,934.03
|
|
Special teletx port plan
|
$1,100.38 |
$1,100.38 |
$1,100.38 |
$1,046.65
|
|
Specific gravity body fluid
|
$20.09 |
$20.09 |
$20.09 |
$23.63
|
|
Specimen fat stain
|
$24.00 |
$24.00 |
$24.00 |
$32.76
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$686.62 |
$686.62 |
$686.62 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$619.94 |
$619.94 |
$619.94 |
$559.96
|
|
Splint func pos polyflex ii med
|
$46.88 |
$46.88 |
$46.88 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$36.00 |
$36.00 |
$36.00 |
$101.18
|
|
Split blood or products
|
$100.72 |
$100.72 |
$100.72 |
$148.98
|
|
Srs linear based
|
$5,498.26 |
$5,498.26 |
$5,498.26 |
$14,124.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$9,821.36 |
$9,821.36 |
$9,821.36 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$33,765.14 |
$33,765.14 |
$33,765.14 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$673.51 |
$673.51 |
$673.51 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$25,368.92 |
$25,368.92 |
$25,368.92 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,823.10 |
$8,823.10 |
$8,823.10 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,705.68 |
$3,705.68 |
$3,705.68 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$9,821.36 |
$9,821.36 |
$9,821.36 |
$19,765.20
|
|
Strep a ag ia
|
$44.09 |
$44.09 |
$44.09 |
$75.40
|
|
Streptomycin injection
|
$24.28 |
$24.28 |
$24.28 |
$138.30
|
|
Stress tte complete
|
$1,324.42 |
$1,324.42 |
$1,324.42 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$18.42 |
$18.42 |
$18.42 |
$49.13
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$1,347.57 |
$1,347.57 |
$1,347.57 |
$5,446.00
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$32.65 |
$32.65 |
$32.65 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$91.80 |
$91.80 |
$91.80 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$15.63 |
$15.63 |
$15.63 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$75.33 |
$75.33 |
$75.33 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$100.44 |
$100.44 |
$100.44 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$119.14 |
$119.14 |
$119.14 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$156.80 |
$156.80 |
$156.80 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$474.86 |
$474.86 |
$474.86 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$693.04 |
$693.04 |
$693.04 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$127.23 |
$127.23 |
$127.23 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$13.68 |
$13.68 |
$13.68 |
$34.48
|
|
Susceptibility mic per plate
|
$140.90 |
$140.90 |
$140.90 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$94.31 |
$94.31 |
$94.31 |
$48.30
|
|
Svc venogram s&i
|
$784.83 |
$784.83 |
$784.83 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$258.36 |
$258.36 |
$258.36 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$77.01 |
$77.01 |
$77.01 |
$44.85
|
|
System cardiomems hosp electronics
|
$37,141.60 |
$37,141.60 |
$37,141.60 |
$41,518.75
|
|
System pacing micra av
|
$20,966.02 |
$20,966.02 |
$20,966.02 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$9,319.72 |
$9,319.72 |
$9,319.72 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$102.68 |
$102.68 |
$102.68 |
$89.82
|
|
T3 (triiodothyronine) total
|
$110.77 |
$110.77 |
$110.77 |
$94.90
|
|
T4 (thyroxine) free
|
$118.58 |
$118.58 |
$118.58 |
$81.60
|
|
T4 (thyroxine) total
|
$104.07 |
$104.07 |
$104.07 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.79 |
$2.79 |
$2.79 |
$12.25
|