|
Srs linear based
|
$2,391.56 |
$2,391.56 |
$2,391.56 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$106.93 |
$106.93 |
$106.93 |
$297.60
|
|
Staph a dna amp probe
|
$91.80 |
$91.80 |
$91.80 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$110.33 |
$110.33 |
$110.33 |
$286.00
|
|
Stenger test speech
|
$13.26 |
$13.26 |
$13.26 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$312.46 |
$312.46 |
$312.46 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$20,962.50
|
|
Stereotactic radiation trmt
|
$288.49 |
$288.49 |
$288.49 |
$845.60
|
|
Sterile water/saline, 10 ml
|
$15.30 |
$15.30 |
$15.30 |
$13.32
|
|
Sternal debridement
|
$322.32 |
$322.32 |
$322.32 |
$1,318.40
|
|
St evaluate speech sound production
|
$140.08 |
$140.08 |
$140.08 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$301.07 |
$301.07 |
$301.07 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$189.21 |
$189.21 |
$189.21 |
$399.60
|
|
St evaluation swallow function
|
$143.65 |
$143.65 |
$143.65 |
$314.40
|
|
Stimulants synthetic
|
$25.50 |
$25.50 |
$25.50 |
$80.08
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$263.67 |
$263.67 |
$263.67 |
$2,607.60
|
|
Strapping of ankle and/or ft 29540
|
$48.45 |
$48.45 |
$48.45 |
$223.45
|
|
Strapping of chest
|
$40.97 |
$40.97 |
$40.97 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$36.04 |
$36.04 |
$36.04 |
$154.70
|
|
Strapping of hand or finger
|
$36.04 |
$36.04 |
$36.04 |
$174.82
|
|
Strapping of hip
|
$30.43 |
$30.43 |
$30.43 |
$164.70
|
|
Strapping of knee
|
$39.27 |
$39.27 |
$39.27 |
$205.20
|
|
Strapping of toes 29550
|
$23.46 |
$23.46 |
$23.46 |
$164.70
|
|
Strep b dna amp probe
|
$43.86 |
$43.86 |
$43.86 |
$120.90
|
|
Stress test pulmonary
|
$132.09 |
$132.09 |
$132.09 |
$322.85
|
|
Stress tte complete
|
$335.92 |
$335.92 |
$335.92 |
$1,870.50
|
|
Str markers specimen anal
|
$51.00 |
$51.00 |
$51.00 |
$751.50
|
|
St treatment speech individual
|
$85.51 |
$85.51 |
$85.51 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$53.38 |
$53.38 |
$53.38 |
$240.31
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$158.78 |
$158.78 |
$158.78 |
$717.60
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$49.64 |
$49.64 |
$49.64 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$47.77 |
$47.77 |
$47.77 |
$216.00
|
|
Subtalar arthro w/fb rmvl
|
$383.01 |
$383.01 |
$383.01 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$520.54 |
$520.54 |
$520.54 |
$14,241.77
|
|
Sugars single quant
|
$9.21 |
$9.21 |
$9.21 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$21.35 |
$21.35 |
$21.35 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$62.22 |
$62.22 |
$62.22 |
$114.88
|
|
Sup of prep of antigen # of vials 95144
|
$7.31 |
$7.31 |
$7.31 |
$54.60
|
|
Support clav 29.6-40.5in med
|
$37.06 |
$37.06 |
$37.06 |
$94.19
|
|
Suprv interfacilty transport
|
$24.31 |
$24.31 |
$24.31 |
$139.20
|
|
Suprv interfac trnsport addl
|
$21.25 |
$21.25 |
$21.25 |
$120.80
|
|
Surg dx exam anorectal
|
$61.20 |
$61.20 |
$61.20 |
$3,245.23
|
|
Surg ect salp-oophorectomy 59120
|
$460.53 |
$460.53 |
$460.53 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$460.36 |
$460.36 |
$460.36 |
$1,634.40
|
|
Surgical opening of stomach 43500
|
$450.16 |
$450.16 |
$450.16 |
$1,477.80
|
|
Surgical pathology level 1 gross examination only
|
$9.18 |
$9.18 |
$9.18 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$7.82 |
$7.82 |
$7.82 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$12.75 |
$12.75 |
$12.75 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$16.83 |
$16.83 |
$16.83 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$81.77 |
$81.77 |
$81.77 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$106.42 |
$106.42 |
$106.42 |
$718.00
|
|
Surgical repair stomach bleedin ulcer 43501
|
$762.79 |
$762.79 |
$762.79 |
$2,536.20
|
|
Surgical repair stomach gastric lac 43502
|
$861.56 |
$861.56 |
$861.56 |
$2,864.40
|
|
Surgical revision intestine
|
$609.62 |
$609.62 |
$609.62 |
$2,607.20
|
|
Surg tx anal fistula 2nd stage 46285
|
$254.83 |
$254.83 |
$254.83 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$0.81 |
$0.81 |
$0.81 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$8.84 |
$8.84 |
$8.84 |
$35.70
|
|
Susceptibility mic per plate
|
$91.80 |
$91.80 |
$91.80 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$1.00 |
$1.00 |
$1.00 |
$59.28
|
|
Suspension of testis
|
$174.76 |
$174.76 |
$174.76 |
$4,061.71
|
|
Suspension of uterus 58400
|
$36.89 |
$36.89 |
$36.89 |
$1,136.00
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$595.85 |
$595.85 |
$595.85 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$782.17 |
$782.17 |
$782.17 |
$3,036.66
|
|
Svc venogram s&i
|
$924.80 |
$924.80 |
$924.80 |
$1,934.62
|
|
Sympathectomy digital artery
|
$455.43 |
$455.43 |
$455.43 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$470.22 |
$470.22 |
$470.22 |
$3,880.00
|
|
Synvisc or synvisc-one
|
$187.51 |
$187.51 |
$187.51 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$1.67 |
$1.67 |
$1.67 |
$41.60
|
|
System pacing micra av
|
$10,710.68 |
$10,710.68 |
$10,710.68 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$10,710.68 |
$10,710.68 |
$10,710.68 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$169.66 |
$169.66 |
$169.66 |
$99.20
|
|
T3 (triiodothyronine) total
|
$173.91 |
$173.91 |
$173.91 |
$93.52
|
|
T4 (thyroxine) free
|
$172.89 |
$172.89 |
$172.89 |
$85.20
|
|
T4 (thyroxine) total
|
$85.51 |
$85.51 |
$85.51 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.79 |
$2.79 |
$2.79 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$2.08 |
$2.08 |
$2.08 |
$122.40
|
|
Tah w/mmk 58152
|
$711.62 |
$711.62 |
$711.62 |
$2,428.80
|
|
Tap block uni by cont infusion 64487
|
$34.00 |
$34.00 |
$34.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$515.10 |
$515.10 |
$515.10 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$419.05 |
$419.05 |
$419.05 |
$3,746.70
|
|
Tbs dxa cal w/i&r fx risk
|
$28.22 |
$28.22 |
$28.22 |
$127.12
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$161.16 |
$161.16 |
$161.16 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$50.32 |
$50.32 |
$50.32 |
$177.65
|
|
Tc-99m diag per dose
|
$33.15 |
$33.15 |
$33.15 |
$470.40
|
|
Tc-99m disofenin
|
$319.43 |
$319.43 |
$319.43 |
$124.32
|
|
Tc-99m exametazime diag
|
$336.43 |
$336.43 |
$336.43 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$42.50 |
$42.50 |
$42.50 |
$302.40
|
|
Tc-99m maa
|
$81.60 |
$81.60 |
$81.60 |
$292.80
|
|
Tc-99m mebrofenin
|
$28.90 |
$28.90 |
$28.90 |
$157.65
|
|
Tc-99m medronate
|
$48.11 |
$48.11 |
$48.11 |
$111.01
|
|
Tc-99m mertiatide
|
$147.05 |
$147.05 |
$147.05 |
$756.00
|
|
Tc-99m oxidronate
|
$33.49 |
$33.49 |
$33.49 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$36.89 |
$36.89 |
$36.89 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$36.89 |
$36.89 |
$36.89 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$18.53 |
$18.53 |
$18.53 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$36.89 |
$36.89 |
$36.89 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$173.57 |
$173.57 |
$173.57 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$120.36 |
$120.36 |
$120.36 |
$1,128.40
|
