|
Set radiation therapy field
|
$3,970.40 |
$3,970.40 |
$3,970.40 |
$1,636.36
|
|
Set-up cardiovert-defibrill
|
$789.60 |
$789.60 |
$789.60 |
$373.29
|
|
Set up port xray equipment
|
$152.32 |
$152.32 |
$152.32 |
$152.32
|
|
Sever cranial nerve
|
$6,188.00 |
$6,188.00 |
$6,188.00 |
$3,141.46
|
|
Sewhfo airplane without jnts cf
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$1,685.60
|
|
Sewhfo airplane w/jnt(s) cf
|
$1,990.80 |
$1,990.80 |
$1,990.80 |
$1,990.80
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$1,990.80 |
$1,990.80 |
$1,990.80 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$1,990.80 |
$1,990.80 |
$1,990.80 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,890.00
|
|
Sewho erbs palsey design abd
|
$988.40 |
$988.40 |
$988.40 |
$988.40
|
|
Sex chromatin identification
|
$152.88 |
$152.88 |
$152.88 |
$45.60
|
|
Sex chromatin identification
|
$80.64 |
$80.64 |
$80.64 |
$20.80
|
|
Sex transformation f to m
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,846.99
|
|
Sex transformation m to f
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$5,841.60
|
|
Sf3b1 gene common variants
|
$324.80 |
$324.80 |
$324.80 |
$248.10
|
|
Sgmdsc w/band ligation
|
$3,847.20 |
$3,847.20 |
$3,847.20 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$565.60 |
$565.60 |
$565.60 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$789.60 |
$789.60 |
$789.60 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$190.40 |
$190.40 |
$190.40 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$170.24 |
$170.24 |
$170.24 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$565.60 |
$565.60 |
$565.60 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$375.20 |
$375.20 |
$375.20 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$560.00 |
$560.00 |
$560.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$464.80 |
$464.80 |
$464.80 |
$289.30
|
|
Sheath above knee
|
$30.80 |
$30.80 |
$30.80 |
$30.80
|
|
Sheath below knee
|
$25.20 |
$25.20 |
$25.20 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$44.80 |
$44.80 |
$44.80 |
$7,625.52
|
|
Sheath upper limb
|
$28.00 |
$28.00 |
$28.00 |
$28.00
|
|
Shigella antibody
|
$75.60 |
$75.60 |
$75.60 |
$49.60
|
|
Shlder disart int lock elbow
|
$5,586.00 |
$5,586.00 |
$5,586.00 |
$5,586.00
|
|
Shldr disar prosth tiss shap
|
$5,717.60 |
$5,717.60 |
$5,717.60 |
$5,717.60
|
|
Shldr disartic myoelectronic
|
$16,682.40 |
$16,682.40 |
$16,682.40 |
$16,682.40
|
|
Sho arthrs dx +- synovial bx
|
$8,943.20 |
$8,943.20 |
$8,943.20 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$4,950.40 |
$4,950.40 |
$4,950.40 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$11,071.20 |
$11,071.20 |
$11,071.20 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$8,232.00 |
$8,232.00 |
$8,232.00 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$6,143.20 |
$6,143.20 |
$6,143.20 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$7,823.20 |
$7,823.20 |
$7,823.20 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$11,037.60 |
$11,037.60 |
$11,037.60 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$8,153.60 |
$8,153.60 |
$8,153.60 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$15,405.60 |
$15,405.60 |
$15,405.60 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$7,134.40 |
$7,134.40 |
$7,134.40 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$56.00 |
$56.00 |
$56.00 |
$111.56
|
|
Shoe dennis browne splint bo
|
$50.40 |
$50.40 |
$50.40 |
$93.52
|
|
Shoe heel new leather standa
|
$47.60 |
$47.60 |
$47.60 |
$88.03
|
|
Shoe heel new rubber standar
|
$39.20 |
$39.20 |
$39.20 |
$63.70
|
|
Shoe heel pad & depress for
|
$70.00 |
$70.00 |
$70.00 |
$149.60
|
|
Shoe heel sach cushion type
|
$117.60 |
$117.60 |
$117.60 |
$228.09
|
|
Shoe heel thomas extend to b
|
$70.00 |
$70.00 |
$70.00 |
$134.68
|
|
Shoe heel thomas with wedge
|
$67.20 |
$67.20 |
$67.20 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$92.40 |
$92.40 |
$92.40 |
$175.04
|
|
Shoe metatarsal bar between
|
$103.60 |
$103.60 |
$103.60 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$47.60 |
$47.60 |
$47.60 |
$69.03
|
|
Shoe outflare wedge
|
$56.00 |
$56.00 |
$56.00 |
$107.24
|
|
Shoe post-op mens m
|
$53.20 |
$53.20 |
$53.20 |
$52.20
|
|
Shoe sole wedge between sole
|
$56.00 |
$56.00 |
$56.00 |
$107.24
|
|
Shoe sole wedge outside sole
|
$42.00 |
$42.00 |
$42.00 |
$77.00
|
|
Shoe wedge sach
|
$95.20 |
$95.20 |
$95.20 |
$171.44
|
|
Sho heel count plast reinfor
|
$179.20 |
$179.20 |
$179.20 |
$346.47
|
|
Sho insert w arch toe filler
|
$677.60 |
$677.60 |
$677.60 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$58.80 |
$58.80 |
$58.80 |
$111.14
|
|
Shortening of hand tendon
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$3,821.05
|
|
Shorten radius or ulna
|
$16,531.20 |
$16,531.20 |
$16,531.20 |
$6,609.96
|
|
Shorten radius & ulna
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$8,412.89
|
|
Shoulder abduction joint pai
|
$316.40 |
$316.40 |
$316.40 |
$316.40
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$7,807.24
|
|
Shoulder flexion-abduction j
|
$478.80 |
$478.80 |
$478.80 |
$478.80
|
|
Shoulder harness
|
$280.00 |
$280.00 |
$280.00 |
$280.00
|
|
Shoulder lock actuator
|
$574.00 |
$574.00 |
$574.00 |
$574.00
|
|
Shoulder MRI (with and without contrast)
|
$7,582.40 |
$7,582.40 |
$7,582.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,304.00 |
$3,304.00 |
$3,304.00 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$7,162.40 |
$7,162.40 |
$7,162.40 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$4,832.80 |
$4,832.80 |
$4,832.80 |
$4,832.80
|
|
Shoulder universal joint
|
$509.60 |
$509.60 |
$509.60 |
$509.60
|
|
Shoulder X-ray
|
$655.20 |
$655.20 |
$655.20 |
$339.50
|
|
Shrinker prosth above knee
|
$100.80 |
$100.80 |
$100.80 |
$168.89
|
|
Shrinker prosth below knee
|
$64.40 |
$64.40 |
$64.40 |
$105.12
|
|
Shrinker upper limb
|
$56.00 |
$56.00 |
$56.00 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$4,174.80 |
$4,174.80 |
$4,174.80 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$349.20
|
|
Sialidase enzyme assay
|
$62.72 |
$62.72 |
$62.72 |
$54.60
|
|
Sialography s&i
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$499.20
|
|
Sialolithotomy 42330
|
$8,965.60 |
$8,965.60 |
$8,965.60 |
$3,837.72
|
|
Sickling rbc
|
$21.84 |
$21.84 |
$21.84 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$7,879.20 |
$7,879.20 |
$7,879.20 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$4,216.80 |
$4,216.80 |
$4,216.80 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$3,287.20 |
$3,287.20 |
$3,287.20 |
$2,564.40
|
