|
Sigmoidoscopy for bleeding
|
$75.81 |
$75.81 |
$75.81 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$43.89 |
$43.89 |
$43.89 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$102.98 |
$102.98 |
$102.98 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$68.02 |
$68.02 |
$68.02 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$98.80 |
$98.80 |
$98.80 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$140.98 |
$140.98 |
$140.98 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$77.52 |
$77.52 |
$77.52 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$79.99 |
$79.99 |
$79.99 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$108.87 |
$108.87 |
$108.87 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$60.80 |
$60.80 |
$60.80 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$70.11 |
$70.11 |
$70.11 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$50.54 |
$50.54 |
$50.54 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$48.26 |
$48.26 |
$48.26 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$135.85 |
$135.85 |
$135.85 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$988.19 |
$988.19 |
$988.19 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$834.67 |
$834.67 |
$834.67 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$601.16 |
$601.16 |
$601.16 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$911.62 |
$911.62 |
$911.62 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$352.45 |
$352.45 |
$352.45 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$400.52 |
$400.52 |
$400.52 |
$6,177.60
|
|
Skeletal muscle relaxant 1/2
|
$88.35 |
$88.35 |
$88.35 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$1.14 |
$1.14 |
$1.14 |
$16.12
|
|
Skin Biopsy
|
$134.71 |
$134.71 |
$134.71 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$445.55 |
$445.55 |
$445.55 |
$2,371.50
|
|
Skin full graft add-on 15241
|
$68.59 |
$68.59 |
$68.59 |
$675.58
|
|
Skin pedicle flap trunk
|
$478.42 |
$478.42 |
$478.42 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$70.49 |
$70.49 |
$70.49 |
$1,793.40
|
|
Slco1b1 gene com variants
|
$31.11 |
$31.11 |
$31.11 |
$241.24
|
|
Sleep study attended
|
$27.17 |
$27.17 |
$27.17 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,316.70 |
$1,316.70 |
$1,316.70 |
$3,607.50
|
|
Sleep study unattended
|
$128.25 |
$128.25 |
$128.25 |
$580.87
|
|
Sleeve fing rolyan med
|
$219.83 |
$219.83 |
$219.83 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$20.14 |
$20.14 |
$20.14 |
$30.35
|
|
Sling suprapubic suburetheral
|
$9,409.75 |
$9,409.75 |
$9,409.75 |
$9,679.96
|
|
Slitting of prepuce
|
$93.29 |
$93.29 |
$93.29 |
$3,365.50
|
|
Slp stdy unatnd w/anal
|
$18.81 |
$18.81 |
$18.81 |
$296.34
|
|
Slp ther svc non-spch gen
|
$73.34 |
$73.34 |
$73.34 |
$188.50
|
|
Small bowel endoscopy
|
$92.34 |
$92.34 |
$92.34 |
$2,463.36
|
|
Small bowel endoscopy
|
$130.91 |
$130.91 |
$130.91 |
$2,244.82
|
|
Small bowel endoscopy
|
$153.33 |
$153.33 |
$153.33 |
$2,638.57
|
|
Small bowel endoscopy
|
$157.13 |
$157.13 |
$157.13 |
$2,389.40
|
|
Small bowel endoscopy
|
$181.64 |
$181.64 |
$181.64 |
$2,638.57
|
|
Small bowel endoscopy
|
$245.10 |
$245.10 |
$245.10 |
$2,842.50
|
|
Small bowel endoscopy
|
$48.26 |
$48.26 |
$48.26 |
$1,620.78
|
|
Small bowel endoscopy
|
$97.85 |
$97.85 |
$97.85 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$122.74 |
$122.74 |
$122.74 |
$2,389.40
|
|
Small bowel endoscopy/biopsy
|
$102.03 |
$102.03 |
$102.03 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$190.38 |
$190.38 |
$190.38 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$37.81 |
$37.81 |
$37.81 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$54.72 |
$54.72 |
$54.72 |
$2,381.60
|
|
Smear fluorescent and/or acid fast stain
|
$15.20 |
$15.20 |
$15.20 |
$64.20
|
|
Smear gram stain
|
$27.55 |
$27.55 |
$27.55 |
$55.25
|
|
Smear nasal eosinophil
|
$22.61 |
$22.61 |
$22.61 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$23.37 |
$23.37 |
$23.37 |
$73.15
|
|
Smear wet mount
|
$23.75 |
$23.75 |
$23.75 |
$67.49
|
|
Smpd1 gene common variants
|
$8.93 |
$8.93 |
$8.93 |
$133.84
|
|
Snrpn/ube3a gene
|
$63.65 |
$63.65 |
$63.65 |
$231.85
|
|
Sodium 24 hour urine
|
$34.96 |
$34.96 |
$34.96 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$18.71 |
$18.71 |
$18.71 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$10.29 |
$10.29 |
$10.29 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$10.38 |
$10.38 |
$10.38 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$14.49 |
$14.49 |
$14.49 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$52.93 |
$52.93 |
$52.93 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$31.54 |
$31.54 |
$31.54 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$97.58 |
$97.58 |
$97.58 |
$177.52
|
|
So vest canvas/web pre ots
|
$214.51 |
$214.51 |
$214.51 |
$256.54
|
|
Sp bone agrft morsel add-on
|
$104.12 |
$104.12 |
$104.12 |
$406.40
|
|
Sp bone agrft struct add-on
|
$113.24 |
$113.24 |
$113.24 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$139.65 |
$139.65 |
$139.65 |
$498.55
|
|
Special radiation dosimetry
|
$35.15 |
$35.15 |
$35.15 |
$392.50
|
|
Special radiation treatment
|
$81.89 |
$81.89 |
$81.89 |
$1,986.00
|
|
Special supplies phys/qhp
|
$640.49 |
$640.49 |
$640.49 |
$60.00
|
|
Special teletx port plan
|
$38.19 |
$38.19 |
$38.19 |
$1,086.99
|
|
Specific gravity body fluid
|
$6.27 |
$6.27 |
$6.27 |
$22.00
|
|
Speech evaluation complex
|
$214.70 |
$214.70 |
$214.70 |
$527.06
|
|
Sperm antibody test
|
$9.17 |
$9.17 |
$9.17 |
$57.85
|
|
Sphenoid sinus surgery
|
$696.54 |
$696.54 |
$696.54 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$486.78 |
$486.78 |
$486.78 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$68.40 |
$68.40 |
$68.40 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$153.33 |
$153.33 |
$153.33 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$583.49 |
$583.49 |
$583.49 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$189.24 |
$189.24 |
$189.24 |
$543.26
|
|
Splenectomy total open 38100
|
$727.70 |
$727.70 |
$727.70 |
$2,166.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$559.17 |
$559.17 |
$559.17 |
$392.09
|
|
Splint finger 4 prong foam sm
|
$14.06 |
$14.06 |
$14.06 |
$34.00
|
|
Splint func pos polyflex ii med
|
$13.68 |
$13.68 |
$13.68 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$24.32 |
$24.32 |
$24.32 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$454.86 |
$454.86 |
$454.86 |
$4,619.65
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$84.17 |
$84.17 |
$84.17 |
$1,612.78
|
|
St analysis behavior qualitative voice/resonance
|
$136.42 |
$136.42 |
$136.42 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$158.65 |
$158.65 |
$158.65 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$5,730.21 |
$5,730.21 |
$5,730.21 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,763.87 |
$4,763.87 |
$4,763.87 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,592.90 |
$3,592.90 |
$3,592.90 |
$20,962.50
|
|
Stereotactic radiation trmt
|
$322.43 |
$322.43 |
$322.43 |
$845.60
|
|
Sterile water/saline, 10 ml
|
$7.96 |
$7.96 |
$7.96 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$15.20 |
$15.20 |
$15.20 |
$28.11
|
|
Sternal debridement
|
$360.24 |
$360.24 |
$360.24 |
$1,318.40
|
|
St evaluate speech sound production
|
$127.49 |
$127.49 |
$127.49 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$155.04 |
$155.04 |
$155.04 |
$377.00
|