|
Sigmoidoscopy w/us guide bx
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$421.20 |
$421.20 |
$421.20 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$655.72 |
$655.72 |
$655.72 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$214.27 |
$214.27 |
$214.27 |
$307.58
|
|
Single energy x-ray study
|
$270.40 |
$270.40 |
$270.40 |
$125.84
|
|
Sinus CT scan (with and without contrast)
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$2,489.25
|
|
Sipuleucel-t - su
|
$93,776.90 |
$93,776.90 |
$93,776.90 |
$100,990.51
|
|
Sirolimus, oral
|
$3,187.84 |
$3,187.84 |
$3,187.84 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$13,335.31 |
$13,335.31 |
$13,335.31 |
$14,361.10
|
|
Skel musc relaxant 3 or more
|
$146.12 |
$146.12 |
$146.12 |
$16.12
|
|
Skin Biopsy
|
$587.60 |
$587.60 |
$587.60 |
$360.34
|
|
Skin test unlisted antigen ea
|
$58.76 |
$58.76 |
$58.76 |
$48.57
|
|
Skyla, 13.5 mg
|
$1,643.47 |
$1,643.47 |
$1,643.47 |
$1,643.47
|
|
Sleep study unattended
|
$634.40 |
$634.40 |
$634.40 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$141.44 |
$141.44 |
$141.44 |
$30.35
|
|
Sling suprapubic suburetheral
|
$6,953.31 |
$6,953.31 |
$6,953.31 |
$9,679.96
|
|
Slitting of prepuce
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
$4,061.71
|
|
Slitting of prepuce
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$3,365.50
|
|
Sm-153 lexidron ther
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$7,320.12
|
|
Small bowel endoscopy
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$2,463.36
|
|
Small bowel endoscopy
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$3,848.00 |
$3,848.00 |
$3,848.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,848.00 |
$3,848.00 |
$3,848.00 |
$2,389.40
|
|
Small bowel endoscopy
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$2,842.50
|
|
Small bowel endoscopy
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$1,620.78
|
|
Small bowel endoscopy
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$4,992.00 |
$4,992.00 |
$4,992.00 |
$4,925.70
|
|
Smallpox&monkeypox vac 0.5ml
|
$440.65 |
$440.65 |
$440.65 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$66.04 |
$66.04 |
$66.04 |
$64.20
|
|
Smear gram stain
|
$67.08 |
$67.08 |
$67.08 |
$55.25
|
|
Smear nasal eosinophil
|
$55.12 |
$55.12 |
$55.12 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$82.16 |
$82.16 |
$82.16 |
$73.15
|
|
Smear wet mount
|
$81.64 |
$81.64 |
$81.64 |
$67.49
|
|
Snrpn/ube3a gene
|
$166.92 |
$166.92 |
$166.92 |
$231.85
|
|
Sodium 24 hour urine
|
$70.20 |
$70.20 |
$70.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$67.03 |
$67.03 |
$67.03 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$16.64 |
$16.64 |
$16.64 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$18.94 |
$18.94 |
$18.94 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$22.93 |
$22.93 |
$22.93 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$70.06 |
$70.06 |
$70.06 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$387.92 |
$387.92 |
$387.92 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$65.52 |
$65.52 |
$65.52 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$164.84 |
$164.84 |
$164.84 |
$177.52
|
|
Somatosensory testing
|
$1,130.48 |
$1,130.48 |
$1,130.48 |
$816.00
|
|
Somatropin injection
|
$8,234.98 |
$8,234.98 |
$8,234.98 |
$2,381.48
|
|
Sotalol hydrochloride IV
|
$5,350.03 |
$5,350.03 |
$5,350.03 |
$5,761.57
|
|
Specific gravity body fluid
|
$22.36 |
$22.36 |
$22.36 |
$22.00
|
|
Specimen fat stain
|
$47.84 |
$47.84 |
$47.84 |
$35.10
|
|
Speech audiometry complete
|
$109.20 |
$109.20 |
$109.20 |
$109.20
|
|
Speech evaluation complex
|
$899.60 |
$899.60 |
$899.60 |
$527.06
|
|
Speech recep thresh
|
$109.20 |
$109.20 |
$109.20 |
$82.88
|
|
Sperm isolation complex
|
$176.28 |
$176.28 |
$176.28 |
$176.28
|
|
Sperm washing 58323
|
$358.80 |
$358.80 |
$358.80 |
$238.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,439.40
|
|
Spine device implant surgery
|
$6,411.60 |
$6,411.60 |
$6,411.60 |
$9,878.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$456.56 |
$456.56 |
$456.56 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$800.28 |
$800.28 |
$800.28 |
$543.26
|
|
Spirometry up to 2 yrs old
|
$359.84 |
$359.84 |
$359.84 |
$326.04
|
|
Splint extn xsm w sof-stretch rolyan
|
$91.52 |
$91.52 |
$91.52 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$1,120.91 |
$1,120.91 |
$1,120.91 |
$34.00
|
|
Splint fing stax assort 1-7in
|
$5.20 |
$5.20 |
$5.20 |
$5.60
|
|
Splint func pos polyflex ii med
|
$26.44 |
$26.44 |
$26.44 |
$58.65
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$7,321.60 |
$7,321.60 |
$7,321.60 |
$4,619.65
|
|
Spontaneous nystagmus study
|
$325.52 |
$325.52 |
$325.52 |
$130.65
|
|
Sputum specimen collection
|
$333.32 |
$333.32 |
$333.32 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$504.92 |
$504.92 |
$504.92 |
$2,667.94
|
|
Staggered spondaic word test
|
$332.80 |
$332.80 |
$332.80 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$342.16 |
$342.16 |
$342.16 |
$297.60
|
|
Staph a dna amp probe
|
$174.72 |
$174.72 |
$174.72 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$304.20 |
$304.20 |
$304.20 |
$286.00
|
|
Stem cells total count
|
$317.20 |
$317.20 |
$317.20 |
$179.64
|
|
Stenger test pure tone
|
$109.20 |
$109.20 |
$109.20 |
$77.84
|
|
Stent axios caut enh 15x10mm electrocaut
|
$30,108.00 |
$30,108.00 |
$30,108.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,368.00 |
$4,368.00 |
$4,368.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$13,224.67 |
$13,224.67 |
$13,224.67 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,939.20
|
|
Stent placemt retro carotid
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$5,328.00
|
|
Sterile water/saline, 500 ml
|
$45.03 |
$45.03 |
$45.03 |
$28.11
|
|
St evaluate speech sound production
|
$333.32 |
$333.32 |
$333.32 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$457.08 |
$457.08 |
$457.08 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$635.44 |
$635.44 |
$635.44 |
$399.60
|
|
St evaluation swallow function
|
$404.56 |
$404.56 |
$404.56 |
$314.40
|
|
Stimulants synthetic
|
$86.32 |
$86.32 |
$86.32 |
$80.08
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$9.36 |
$9.36 |
$9.36 |
$5.04
|
|
Strapping of ankle and/or ft 29540
|
$296.40 |
$296.40 |
$296.40 |
$223.45
|
|
Strapping of chest
|
$447.20 |
$447.20 |
$447.20 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$114.40 |
$114.40 |
$114.40 |
$154.70
|
|
Strapping of hand or finger
|
$114.40 |
$114.40 |
$114.40 |
$174.82
|
