|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,434.63 |
$1,434.63 |
$1,434.63 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,434.63 |
$1,434.63 |
$1,434.63 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$4,056.54 |
$4,056.54 |
$4,056.54 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$10,944.24 |
$10,944.24 |
$10,944.24 |
$4,079.62
|
|
Screening Mammogram
|
$684.42 |
$684.42 |
$684.42 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$119,168.64 |
$119,168.64 |
$119,168.64 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$142.80 |
$142.80 |
$142.80 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$6,114.39 |
$6,114.39 |
$6,114.39 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,367.13 |
$4,367.13 |
$4,367.13 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$140.25 |
$140.25 |
$140.25 |
$44.20
|
|
Semen analysis presence/motility
|
$332.01 |
$332.01 |
$332.01 |
$70.85
|
|
Serial tonometry
|
$118.32 |
$118.32 |
$118.32 |
$144.33
|
|
Serpina1 gene
|
$45.90 |
$45.90 |
$45.90 |
$191.73
|
|
Set radiation therapy field
|
$1,751.34 |
$1,751.34 |
$1,751.34 |
$731.50
|
|
Set radiation therapy field
|
$2,258.28 |
$2,258.28 |
$2,258.28 |
$1,102.40
|
|
Set radiation therapy field
|
$5,005.14 |
$5,005.14 |
$5,005.14 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$494.19 |
$494.19 |
$494.19 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$494.19 |
$494.19 |
$494.19 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$494.19 |
$494.19 |
$494.19 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$808.35 |
$808.35 |
$808.35 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$19,953.65 |
$19,953.65 |
$19,953.65 |
$6,108.01
|
|
Sheath laser cavaclear 14f
|
$9,754.31 |
$9,754.31 |
$9,754.31 |
$6,331.24
|
|
Shoe post-op mens m
|
$31.88 |
$31.88 |
$31.88 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$9,694.59 |
$9,694.59 |
$9,694.59 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,237.70 |
$5,237.70 |
$5,237.70 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,281.45 |
$4,281.45 |
$4,281.45 |
$2,051.28
|
|
Shoulder X-ray
|
$1,143.42 |
$1,143.42 |
$1,143.42 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$7,249.14 |
$7,249.14 |
$7,249.14 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$359.55 |
$359.55 |
$359.55 |
$345.00
|
|
Sialolithotomy 42330
|
$6,161.82 |
$6,161.82 |
$6,161.82 |
$3,837.72
|
|
Sickling rbc
|
$104.04 |
$104.04 |
$104.04 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$2,101.71 |
$2,101.71 |
$2,101.71 |
$1,993.08
|
|
Sinus CT scan (with and without contrast)
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,612.73 |
$2,612.73 |
$2,612.73 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,375.58 |
$2,375.58 |
$2,375.58 |
$1,279.50
|
|
Sirolimus, oral
|
$25.21 |
$25.21 |
$25.21 |
$42.11
|
|
Skel musc relaxant 3 or more
|
$5.56 |
$5.56 |
$5.56 |
$13.60
|
|
Skin Biopsy
|
$391.68 |
$391.68 |
$391.68 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$2,083.35 |
$2,083.35 |
$2,083.35 |
$3,936.80
|
|
Sleep study unattended
|
$1,663.62 |
$1,663.62 |
$1,663.62 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$22.95 |
$22.95 |
$22.95 |
$25.55
|
|
Sling pelv split sam med
|
$153.00 |
$153.00 |
$153.00 |
$115.20
|
|
Sling suprapubic suburetheral
|
$21,928.08 |
$21,928.08 |
$21,928.08 |
$10,328.15
|
|
Slitting of prepuce
|
$4,017.78 |
$4,017.78 |
$4,017.78 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$287.64 |
$287.64 |
$287.64 |
$64.20
|
|
Smear gram stain
|
$163.20 |
$163.20 |
$163.20 |
$57.85
|
|
Smear nasal eosinophil
|
$147.39 |
$147.39 |
$147.39 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$57.63 |
$57.63 |
$57.63 |
$64.35
|
|
Smear wet mount
|
$185.64 |
$185.64 |
$185.64 |
$68.63
|
|
Sodium 24 hour urine
|
$143.31 |
$143.31 |
$143.31 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$65.33 |
$65.33 |
$65.33 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$157.05 |
$157.05 |
$157.05 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$143.31 |
$143.31 |
$143.31 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$84.15 |
$84.15 |
$84.15 |
$195.48
|
|
Soft interface below knee se
|
$339.26 |
$339.26 |
$339.26 |
$209.99
|
|
Special physics consult
|
$1,371.39 |
$1,371.39 |
$1,371.39 |
$700.74
|
|
Special radiation dosimetry
|
$253.47 |
$253.47 |
$253.47 |
$445.50
|
|
Special radiation treatment
|
$2,272.56 |
$2,272.56 |
$2,272.56 |
$1,934.03
|
|
Special teletx port plan
|
$1,077.12 |
$1,077.12 |
$1,077.12 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,788.68 |
$2,788.68 |
$2,788.68 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,187.28 |
$1,187.28 |
$1,187.28 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$99.04 |
$99.04 |
$99.04 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$7,088.49 |
$7,088.49 |
$7,088.49 |
$4,560.66
|
|
Split blood or products
|
$166.26 |
$166.26 |
$166.26 |
$148.98
|
|
Srs linear based
|
$31,663.86 |
$31,663.86 |
$31,663.86 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$348.84 |
$348.84 |
$348.84 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$293.76 |
$293.76 |
$293.76 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$30,182.82 |
$30,182.82 |
$30,182.82 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$107,100.00 |
$107,100.00 |
$107,100.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$55,444.12 |
$55,444.12 |
$55,444.12 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$51,738.40 |
$51,738.40 |
$51,738.40 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$11,011.59 |
$11,011.59 |
$11,011.59 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,362.40 |
$12,362.40 |
$12,362.40 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,242.62 |
$8,242.62 |
$8,242.62 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$17,905.08 |
$17,905.08 |
$17,905.08 |
$19,765.20
|
|
St evaluate speech sound production
|
$348.84 |
$348.84 |
$348.84 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$348.84 |
$348.84 |
$348.84 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$152.49 |
$152.49 |
$152.49 |
$406.40
|
|
St evaluation swallow function
|
$848.64 |
$848.64 |
$848.64 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$315.69 |
$315.69 |
$315.69 |
$248.05
|
|
Strapping of chest
|
$315.69 |
$315.69 |
$315.69 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$124.95 |
$124.95 |
$124.95 |
$171.00
|
|
Strapping of hand or finger
|
$141.27 |
$141.27 |
$141.27 |
$194.40
|
|
Strapping of hip
|
$251.94 |
$251.94 |
$251.94 |
$170.08
|
|
Strapping of knee
|
$251.94 |
$251.94 |
$251.94 |
$224.80
|
|
Strapping of toes 29550
|
$288.15 |
$288.15 |
$288.15 |
$185.36
|
|
Stress test pulmonary
|
$245.82 |
$245.82 |
$245.82 |
$327.20
|
|
Stress tte complete
|
$1,820.70 |
$1,820.70 |
$1,820.70 |
$1,964.95
|
|
St treatment speech individual
|
$215.22 |
$215.22 |
$215.22 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$520.20 |
$520.20 |
$520.20 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$139.29 |
$139.29 |
$139.29 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$5.56 |
$5.56 |
$5.56 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$84.15 |
$84.15 |
$84.15 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$68.54 |
$68.54 |
$68.54 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$90.27 |
$90.27 |
$90.27 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$128.52 |
$128.52 |
$128.52 |
$149.76
|