|
Somatropin injection
|
$8,868.44 |
$8,868.44 |
$8,868.44 |
$2,381.48
|
|
So neo gsap dna/dna&rna
|
$2,981.44 |
$2,981.44 |
$2,981.44 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$895.44 |
$895.44 |
$895.44 |
$2,296.00
|
|
Sotalol hydrochloride IV
|
$5,761.57 |
$5,761.57 |
$5,761.57 |
$5,761.57
|
|
So vest canvas/web pre ots
|
$176.40 |
$176.40 |
$176.40 |
$256.54
|
|
Sp bone agrft morsel add-on
|
$638.40 |
$638.40 |
$638.40 |
$406.40
|
|
Sp bone agrft struct add-on
|
$459.20 |
$459.20 |
$459.20 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$7,504.00 |
$7,504.00 |
$7,504.00 |
$498.55
|
|
Special physics consult
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$725.00
|
|
Special pump services
|
$901.60 |
$901.60 |
$901.60 |
$901.60
|
|
Special pump services
|
$548.80 |
$548.80 |
$548.80 |
$548.80
|
|
Special pump services
|
$392.00 |
$392.00 |
$392.00 |
$392.00
|
|
Special radiation dosimetry
|
$616.00 |
$616.00 |
$616.00 |
$392.50
|
|
Special radiation treatment
|
$3,270.40 |
$3,270.40 |
$3,270.40 |
$1,986.00
|
|
Special supplies phys/qhp
|
$0.56 |
$0.56 |
$0.56 |
$60.00
|
|
Special teletx port plan
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$1,086.99
|
|
Specific gravity body fluid
|
$8.96 |
$8.96 |
$8.96 |
$22.00
|
|
Specimen fat stain
|
$80.08 |
$80.08 |
$80.08 |
$35.10
|
|
Speech audiometry complete
|
$199.92 |
$199.92 |
$199.92 |
$109.20
|
|
Speech evaluation complex
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$527.06
|
|
Speech recep thresh
|
$82.88 |
$82.88 |
$82.88 |
$82.88
|
|
Sperm antibody test
|
$108.64 |
$108.64 |
$108.64 |
$57.85
|
|
Sperm evaluation test
|
$213.92 |
$213.92 |
$213.92 |
$27.03
|
|
Sperm identification
|
$272.16 |
$272.16 |
$272.16 |
$101.55
|
|
Sperm isolation complex
|
$296.80 |
$296.80 |
$296.80 |
$176.28
|
|
Sperm isolation simple
|
$296.80 |
$296.80 |
$296.80 |
$126.05
|
|
Sperm washing 58323
|
$952.00 |
$952.00 |
$952.00 |
$238.06
|
|
Sphenoid sinus surgery
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$276.64 |
$276.64 |
$276.64 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$543.20 |
$543.20 |
$543.20 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,186.40 |
$3,186.40 |
$3,186.40 |
$1,439.40
|
|
Spine device implant surgery
|
$9,878.40 |
$9,878.40 |
$9,878.40 |
$9,878.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$498.40 |
$498.40 |
$498.40 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$543.26
|
|
Spirometry up to 2 yrs old
|
$448.00 |
$448.00 |
$448.00 |
$326.04
|
|
Spleen imaging
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$546.00 |
$546.00 |
$546.00 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$67.76 |
$67.76 |
$67.76 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$29.01 |
$29.01 |
$29.01 |
$34.00
|
|
Splint finger frog med
|
$38.08 |
$38.08 |
$38.08 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$45.92 |
$45.92 |
$45.92 |
$5.60
|
|
Splint rstrc wrst/cmc right med
|
$96.88 |
$96.88 |
$96.88 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$4,619.65
|
|
Split blood or products
|
$364.00 |
$364.00 |
$364.00 |
$127.48
|
|
Split flat caliper stirr & p
|
$109.20 |
$109.20 |
$109.20 |
$109.20
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$4,418.40 |
$4,418.40 |
$4,418.40 |
$1,612.78
|
|
Spontaneous nystagmus study
|
$28.56 |
$28.56 |
$28.56 |
$130.65
|
|
Sprchoroidal spc njx rx agt
|
$896.00 |
$896.00 |
$896.00 |
$454.19
|
|
Spring-ass rot wrst with latch
|
$722.40 |
$722.40 |
$722.40 |
$722.40
|
|
Sputum specimen collection
|
$599.20 |
$599.20 |
$599.20 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$733.60 |
$733.60 |
$733.60 |
$2,667.94
|
|
Srsf2 gene common variants
|
$296.80 |
$296.80 |
$296.80 |
$227.66
|
|
Srs linear based
|
$30,144.80 |
$30,144.80 |
$30,144.80 |
$13,585.00
|
|
Srs multisource
|
$36,601.60 |
$36,601.60 |
$36,601.60 |
$34,165.20
|
|
Staggered spondaic word test
|
$442.40 |
$442.40 |
$442.40 |
$253.00
|
|
Stainless steel any wrist
|
$243.60 |
$243.60 |
$243.60 |
$243.60
|
|
St analysis behavior qualitative voice/resonance
|
$722.40 |
$722.40 |
$722.40 |
$297.60
|
|
Stance phase only
|
$20,512.80 |
$20,512.80 |
$20,512.80 |
$20,512.80
|
|
Standard control cable extra
|
$114.80 |
$114.80 |
$114.80 |
$114.80
|
|
Staph a dna amp probe
|
$167.44 |
$167.44 |
$167.44 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$560.00 |
$560.00 |
$560.00 |
$286.00
|
|
Stem cells total count
|
$526.40 |
$526.40 |
$526.40 |
$179.64
|
|
Stenger test pure tone
|
$77.84 |
$77.84 |
$77.84 |
$77.84
|
|
Stenger test speech
|
$823.20 |
$823.20 |
$823.20 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$4,939.20
|
|
Stent placemt retro carotid
|
$5,308.80 |
$5,308.80 |
$5,308.80 |
$5,328.00
|
|
Sterile needle
|
$69.44 |
$69.44 |
$69.44 |
$190.13
|
|
Sternal pad
|
$117.60 |
$117.60 |
$117.60 |
$216.89
|
|
St evaluate speech sound production
|
$940.80 |
$940.80 |
$940.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$666.40 |
$666.40 |
$666.40 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$800.80 |
$800.80 |
$800.80 |
$399.60
|
|
St evaluation swallow function
|
$649.60 |
$649.60 |
$649.60 |
$314.40
|
|
Stimulants synthetic
|
$80.08 |
$80.08 |
$80.08 |
$80.08
|
|
Stimulation of spinal cord
|
$5,924.80 |
$5,924.80 |
$5,924.80 |
$2,685.07
|
|
Stocking sup grips 4 pre ots
|
$19.60 |
$19.60 |
$19.60 |
$31.58
|
|
Storage/year embryo(s)
|
$604.80 |
$604.80 |
$604.80 |
$236.00
|
|
Storage/year oocyte(s)
|
$767.20 |
$767.20 |
$767.20 |
$236.00
|
|
Storage/year reprod tissue
|
$604.80 |
$604.80 |
$604.80 |
$220.00
|
|
Storage/year sperm/semen
|
$397.60 |
$397.60 |
$397.60 |
$207.35
|
|
Straight knee joint heavy du
|
$190.40 |
$190.40 |
$190.40 |
$317.69
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$5.04 |
$5.04 |
$5.04 |
$5.04
|
|
Strapping of ankle and/or ft 29540
|
$688.80 |
$688.80 |
$688.80 |
$223.45
|
|
Strapping of chest
|
$616.00 |
$616.00 |
$616.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$347.20 |
$347.20 |
$347.20 |
$154.70
|
|
Strapping of hand or finger
|
$302.40 |
$302.40 |
$302.40 |
$174.82
|
|
Strapping of hip
|
$464.80 |
$464.80 |
$464.80 |
$164.70
|
|
Strapping of knee
|
$352.80 |
$352.80 |
$352.80 |
$205.20
|
|
Strapping of toes 29550
|
$324.80 |
$324.80 |
$324.80 |
$164.70
|
|
Strep a ag ia
|
$112.56 |
$112.56 |
$112.56 |
$75.40
|
|
Strep a dna dir probe
|
$245.28 |
$245.28 |
$245.28 |
$96.72
|
|
Strep a dna quant
|
$420.00 |
$420.00 |
$420.00 |
$75.60
|
|
Strep b assay w/optic
|
$113.12 |
$113.12 |
$113.12 |
$80.16
|
|
Strep b dna amp probe
|
$296.80 |
$296.80 |
$296.80 |
$120.90
|
|
Streptokinase antibody
|
$112.00 |
$112.00 |
$112.00 |
$25.60
|
|
Streptomycin injection
|
$154.00 |
$154.00 |
$154.00 |
$138.30
|
|
Streptozocin injection
|
$635.36 |
$635.36 |
$635.36 |
$785.95
|
