|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$48.45 |
$48.45 |
$48.45 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$62.32 |
$62.32 |
$62.32 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$24.13 |
$24.13 |
$24.13 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$31.54 |
$31.54 |
$31.54 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$39.90 |
$39.90 |
$39.90 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$44.46 |
$44.46 |
$44.46 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$22.04 |
$22.04 |
$22.04 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$33.44 |
$33.44 |
$33.44 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$38.95 |
$38.95 |
$38.95 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$316.92 |
$316.92 |
$316.92 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$604.20 |
$604.20 |
$604.20 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$697.49 |
$697.49 |
$697.49 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$397.48 |
$397.48 |
$397.48 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$363.85 |
$363.85 |
$363.85 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$392.73 |
$392.73 |
$392.73 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$358.15 |
$358.15 |
$358.15 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$392.35 |
$392.35 |
$392.35 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$681.91 |
$681.91 |
$681.91 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$395.77 |
$395.77 |
$395.77 |
$5,148.00
|
|
Shoe post-op mens m
|
$115.90 |
$115.90 |
$115.90 |
$52.20
|
|
Shortening of hand tendon
|
$457.33 |
$457.33 |
$457.33 |
$3,821.05
|
|
Shorten radius or ulna
|
$513.57 |
$513.57 |
$513.57 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$702.24 |
$702.24 |
$702.24 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,645.75 |
$2,645.75 |
$2,645.75 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,226.45 |
$1,226.45 |
$1,226.45 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,712.28 |
$1,712.28 |
$1,712.28 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$699.77 |
$699.77 |
$699.77 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$828.40 |
$828.40 |
$828.40 |
$4,832.80
|
|
Shoulder X-ray
|
$186.20 |
$186.20 |
$186.20 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$125.02 |
$125.02 |
$125.02 |
$349.20
|
|
Sialography s&i
|
$286.33 |
$286.33 |
$286.33 |
$499.20
|
|
Sialolithotomy 42330
|
$110.77 |
$110.77 |
$110.77 |
$3,837.72
|
|
Sickling rbc
|
$26.60 |
$26.60 |
$26.60 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$47.31 |
$47.31 |
$47.31 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$72.96 |
$72.96 |
$72.96 |
$1,078.88
|
|
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
|
|
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
|
$33.82 |
$33.82 |
$33.82 |
$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
|
|
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
|
|
Sm-153 lexidron ther
|
$2,664.56 |
$2,664.56 |
$2,664.56 |
$7,320.12
|
|
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
|
$35.72 |
$35.72 |
$35.72 |
$64.20
|
|
Smear gram stain
|
$39.33 |
$39.33 |
$39.33 |
$55.25
|
|
Smear nasal eosinophil
|
$37.43 |
$37.43 |
$37.43 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$50.35 |
$50.35 |
$50.35 |
$73.15
|
|
Smear wet mount
|
$36.10 |
$36.10 |
$36.10 |
$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
|
$47.50 |
$47.50 |
$47.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$18.14 |
$18.14 |
$18.14 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$10.29 |
$10.29 |
$10.29 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$10.43 |
$10.43 |
$10.43 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$10.47 |
$10.47 |
$10.47 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$40.28 |
$40.28 |
$40.28 |
$45.60
|
|
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
|