|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$5,959.65
|
|
Rsv assay w/optic
|
$261.45 |
$261.45 |
$261.45 |
$73.80
|
|
Rtm 1st set-up&pt educaj eqp
|
$66.50 |
$66.50 |
$66.50 |
$183.07
|
|
Rubella antibody igg
|
$73.15 |
$73.15 |
$73.15 |
$73.10
|
|
Rubeola antibody igg
|
$73.15 |
$73.15 |
$73.15 |
$79.68
|
|
Russell viper venom diluted
|
$17.55 |
$17.55 |
$17.55 |
$70.16
|
|
Salivary glnd img serial img
|
$1,061.90 |
$1,061.90 |
$1,061.90 |
$585.00
|
|
Sarscov coronavirus ag ia
|
$128.80 |
$128.80 |
$128.80 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$509.60 |
$509.60 |
$509.60 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$404.25 |
$404.25 |
$404.25 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$477.40 |
$477.40 |
$477.40 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$453.95 |
$453.95 |
$453.95 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$497.00 |
$497.00 |
$497.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$889.70 |
$889.70 |
$889.70 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$370.30 |
$370.30 |
$370.30 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$370.30 |
$370.30 |
$370.30 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$1,963.50 |
$1,963.50 |
$1,963.50 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,235.51 |
$5,235.51 |
$5,235.51 |
$4,079.62
|
|
Screening Mammogram
|
$203.00 |
$203.00 |
$203.00 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$55,884.64 |
$55,884.64 |
$55,884.64 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$154.35 |
$154.35 |
$154.35 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$11,081.35 |
$11,081.35 |
$11,081.35 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$115.85 |
$115.85 |
$115.85 |
$293.40
|
|
Sedimentation rate erythrocyte automated
|
$63.35 |
$63.35 |
$63.35 |
$44.20
|
|
Serial casting application 97139app
|
$32.90 |
$32.90 |
$32.90 |
$67.42
|
|
Set radiation therapy field
|
$441.00 |
$441.00 |
$441.00 |
$731.50
|
|
Set radiation therapy field
|
$701.05 |
$701.05 |
$701.05 |
$1,102.40
|
|
Set radiation therapy field
|
$868.00 |
$868.00 |
$868.00 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$242.20 |
$242.20 |
$242.20 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$242.20 |
$242.20 |
$242.20 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$242.20 |
$242.20 |
$242.20 |
$311.25
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$275.80 |
$275.80 |
$275.80 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$9,459.45 |
$9,459.45 |
$9,459.45 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$4,666.27 |
$4,666.27 |
$4,666.27 |
$6,331.24
|
|
Shoe post-op mens m
|
$11.05 |
$11.05 |
$11.05 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$2,165.10 |
$2,165.10 |
$2,165.10 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,874.95 |
$1,874.95 |
$1,874.95 |
$2,051.28
|
|
Shoulder X-ray
|
$248.85 |
$248.85 |
$248.85 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,501.75 |
$3,501.75 |
$3,501.75 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$368.20 |
$368.20 |
$368.20 |
$345.00
|
|
Sialography s&i
|
$384.30 |
$384.30 |
$384.30 |
$462.40
|
|
Sialolithotomy 42330
|
$1,699.95 |
$1,699.95 |
$1,699.95 |
$3,837.72
|
|
Sickling rbc
|
$13.12 |
$13.12 |
$13.12 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$651.00 |
$651.00 |
$651.00 |
$1,993.08
|
|
Signal avg ecg w or without ecg 93278
|
$361.90 |
$361.90 |
$361.90 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$478.29 |
$478.29 |
$478.29 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$2,291.45 |
$2,291.45 |
$2,291.45 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,794.10 |
$1,794.10 |
$1,794.10 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,449.70 |
$1,449.70 |
$1,449.70 |
$2,489.25
|
|
Sirolimus, oral
|
$4.58 |
$4.58 |
$4.58 |
$42.11
|
|
Skin Biopsy
|
$242.20 |
$242.20 |
$242.20 |
$382.80
|
|
Sleeve fing rolyan med
|
$8.75 |
$8.75 |
$8.75 |
$167.31
|
|
Sling arm deluxe w/pad xs
|
$7.95 |
$7.95 |
$7.95 |
$25.55
|
|
Sling pelv split sam med
|
$53.03 |
$53.03 |
$53.03 |
$115.20
|
|
Sling suprapubic suburetheral
|
$10,395.47 |
$10,395.47 |
$10,395.47 |
$10,328.15
|
|
Slitting of prepuce
|
$1,547.35 |
$1,547.35 |
$1,547.35 |
$2,983.40
|
|
Sm-153 lexidron ther
|
$21,233.80 |
$21,233.80 |
$21,233.80 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$140.35 |
$140.35 |
$140.35 |
$64.20
|
|
Smear gram stain
|
$170.45 |
$170.45 |
$170.45 |
$57.85
|
|
Smear nasal eosinophil
|
$84.70 |
$84.70 |
$84.70 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$372.40 |
$372.40 |
$372.40 |
$64.35
|
|
Smear wet mount
|
$245.35 |
$245.35 |
$245.35 |
$68.63
|
|
Sodium 24 hour urine
|
$107.10 |
$107.10 |
$107.10 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$68.93 |
$68.93 |
$68.93 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$35.37 |
$35.37 |
$35.37 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$89.60 |
$89.60 |
$89.60 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$33.55 |
$33.55 |
$33.55 |
$195.48
|
|
Somatosensory testing
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$583.80
|
|
Special physics consult
|
$286.30 |
$286.30 |
$286.30 |
$700.74
|
|
Special radiation dosimetry
|
$371.70 |
$371.70 |
$371.70 |
$445.50
|
|
Special radiation treatment
|
$1,625.75 |
$1,625.75 |
$1,625.75 |
$1,934.03
|
|
Specific gravity body fluid
|
$30.80 |
$30.80 |
$30.80 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,196.30 |
$1,196.30 |
$1,196.30 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$322.00 |
$322.00 |
$322.00 |
$559.96
|
|
Spleen imaging
|
$944.65 |
$944.65 |
$944.65 |
$539.70
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$131.25 |
$131.25 |
$131.25 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$35.00 |
$35.00 |
$35.00 |
$52.65
|
|
Splint finger frog med
|
$19.25 |
$19.25 |
$19.25 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$54.25 |
$54.25 |
$54.25 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,619.65 |
$4,619.65 |
$4,619.65 |
$4,560.66
|
|
Split blood or products
|
$103.60 |
$103.60 |
$103.60 |
$148.98
|
|
Srs linear based
|
$6,347.95 |
$6,347.95 |
$6,347.95 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$292.95 |
$292.95 |
$292.95 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$365.05 |
$365.05 |
$365.05 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$19,966.80 |
$19,966.80 |
$19,966.80 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$50,225.00 |
$50,225.00 |
$50,225.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$26,143.55 |
$26,143.55 |
$26,143.55 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$24,396.19 |
$24,396.19 |
$24,396.19 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$5,247.90 |
$5,247.90 |
$5,247.90 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$5,201.70 |
$5,201.70 |
$5,201.70 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,903.55 |
$3,903.55 |
$3,903.55 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$12,412.05 |
$12,412.05 |
$12,412.05 |
$19,765.20
|
|
St evaluate speech sound production
|
$292.95 |
$292.95 |
$292.95 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$416.85 |
$416.85 |
$416.85 |
$393.00
|
