|
Simple cystometrogram 51725
|
$1,668.80 |
$1,668.80 |
$1,668.80 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$230.75 |
$230.75 |
$230.75 |
$307.58
|
|
Single energy x-ray study
|
$610.40 |
$610.40 |
$610.40 |
$125.84
|
|
Single pivot hinge pair
|
$280.00 |
$280.00 |
$280.00 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$1,360.20 |
$1,360.20 |
$3,572.80 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,254.30 |
$1,254.30 |
$3,281.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$941.10 |
$941.10 |
$2,934.40 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,177.60
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,465.11
|
|
Sio flex pelvisacral custom
|
$364.00 |
$364.00 |
$364.00 |
$561.79
|
|
Sipuleucel-t - su
|
$100,990.51 |
$100,990.51 |
$100,990.51 |
$100,990.51
|
|
Sirolimus, oral
|
$3,433.06 |
$3,433.06 |
$3,433.06 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$14,361.10 |
$14,361.10 |
$14,361.10 |
$14,361.10
|
|
Six volt bat otto bock/eq ea
|
$274.40 |
$274.40 |
$274.40 |
$274.40
|
|
Skeletal muscle relaxant 1/2
|
$26.70 |
$26.70 |
$80.08 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$0.90 |
$0.90 |
$16.24 |
$16.12
|
|
Skin and muscle repair face
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Skin Biopsy
|
$576.80 |
$576.80 |
$576.80 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$5,751.20 |
$5,751.20 |
$5,751.20 |
$2,371.50
|
|
Skin full graft add-on 15241
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$675.58
|
|
Skin pedicle flap arms/legs
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$1,793.40
|
|
Skin test unlisted antigen ea
|
$63.84 |
$63.84 |
$63.84 |
$48.57
|
|
Skyla, 13.5 mg
|
$1,769.89 |
$1,769.89 |
$1,769.89 |
$1,643.47
|
|
Slco1b1 gene com variants
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$241.24
|
|
Sleep study attended
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,343.10 |
$1,343.10 |
$4,888.80 |
$3,607.50
|
|
Sleep study unattended
|
$364.50 |
$364.50 |
$823.20 |
$580.87
|
|
Sleeve fing rolyan med
|
$215.60 |
$215.60 |
$215.60 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$3.04 |
$3.04 |
$16.24 |
$30.35
|
|
Sling pelv split sam med
|
$131.60 |
$131.60 |
$131.60 |
$150.00
|
|
Sling suprapubic suburetheral
|
$1,935.90 |
$1,935.90 |
$7,488.18 |
$9,679.96
|
|
Slitting of prepuce
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,061.71
|
|
Slitting of prepuce
|
$81.60 |
$81.60 |
$8,215.20 |
$3,365.50
|
|
Slp eval non-spch gen comm dev
|
$336.00 |
$336.00 |
$336.00 |
$285.09
|
|
Slp pure tone screening
|
$13.50 |
$13.50 |
$60.48 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$504.00 |
$504.00 |
$504.00 |
$296.34
|
|
Slp ther svc non-spch gen
|
$42.45 |
$42.45 |
$276.08 |
$188.50
|
|
Sm-153 lexidron ther
|
$6,866.16 |
$6,866.16 |
$6,866.16 |
$7,320.12
|
|
Small animal inoculation
|
$171.36 |
$171.36 |
$171.36 |
$23.24
|
|
Small bowel endoscopy
|
$79.95 |
$79.95 |
$5,045.60 |
$2,463.36
|
|
Small bowel endoscopy
|
$6,714.40 |
$6,714.40 |
$6,714.40 |
$2,244.82
|
|
Small bowel endoscopy
|
$132.45 |
$132.45 |
$4,827.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$135.60 |
$135.60 |
$6,714.40 |
$2,389.40
|
|
Small bowel endoscopy
|
$6,714.40 |
$6,714.40 |
$6,714.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,334.40 |
$4,334.40 |
$4,334.40 |
$2,842.50
|
|
Small bowel endoscopy
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$1,620.78
|
|
Small bowel endoscopy
|
$6,736.80 |
$6,736.80 |
$6,736.80 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$5,454.40 |
$5,454.40 |
$5,454.40 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$4,177.60 |
$4,177.60 |
$4,177.60 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$4,412.80 |
$4,412.80 |
$4,412.80 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$3,046.40 |
$3,046.40 |
$3,046.40 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$6,182.40 |
$6,182.40 |
$6,182.40 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$4,082.40 |
$4,082.40 |
$4,082.40 |
$4,925.70
|
|
Smallpox&monkeypox vac 0.5ml
|
$474.54 |
$474.54 |
$474.54 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$21.30 |
$21.30 |
$71.12 |
$64.20
|
|
Smear gram stain
|
$47.55 |
$47.55 |
$86.80 |
$55.25
|
|
Smear nasal eosinophil
|
$29.68 |
$29.68 |
$39.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$30.60 |
$30.60 |
$110.88 |
$73.15
|
|
Smear wet mount
|
$66.30 |
$66.30 |
$110.88 |
$67.49
|
|
Smn1 gene full gene sequence
|
$688.80 |
$688.80 |
$688.80 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$425.60 |
$425.60 |
$425.60 |
$276.42
|
|
Smpd1 gene common variants
|
$7.05 |
$7.05 |
$133.84 |
$133.84
|
|
Snrpn/ube3a gene
|
$50.25 |
$50.25 |
$151.76 |
$231.85
|
|
So airplane w/wo joint cf
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$1,276.80
|
|
So cap design without jnts cf
|
$904.40 |
$904.40 |
$904.40 |
$606.35
|
|
Socket insert above knee
|
$425.60 |
$425.60 |
$425.60 |
$425.60
|
|
Socket insert below knee
|
$397.60 |
$397.60 |
$397.60 |
$397.60
|
|
Socket insert knee articulat
|
$557.20 |
$557.20 |
$557.20 |
$557.20
|
|
Socket insert symes
|
$459.20 |
$459.20 |
$459.20 |
$459.20
|
|
Socket insert without lock mech
|
$736.40 |
$736.40 |
$736.40 |
$1,192.50
|
|
Socket insert w lock mech
|
$882.00 |
$882.00 |
$882.00 |
$1,544.50
|
|
Sock fracture or equal each
|
$42.00 |
$42.00 |
$42.00 |
$74.51
|
|
Sock wool above knee
|
$33.60 |
$33.60 |
$33.60 |
$51.18
|
|
Sodium 24 hour urine
|
$37.20 |
$37.20 |
$89.60 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$16.20 |
$16.20 |
$72.18 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$8.95 |
$8.95 |
$17.92 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$8.92 |
$8.92 |
$20.40 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$9.93 |
$9.93 |
$24.70 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$36.35 |
$36.35 |
$75.45 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$40.50 |
$40.50 |
$417.76 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$26.25 |
$26.25 |
$95.20 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$177.52 |
$177.52 |
$177.52 |
$177.52
|
|
Soft interface below knee se
|
$123.20 |
$123.20 |
$123.20 |
$179.08
|
|
So gsap cl fr cpy nmbr&mcrst
|
$1,343.44 |
$1,343.44 |
$1,343.44 |
$1,345.31
|
|
So gsap cll fr dna/dna&rna
|
$1,193.92 |
$1,193.92 |
$1,193.92 |
$1,195.83
|
|
So gsap cll fr mcrstl ins
|
$3,279.92 |
$3,279.92 |
$3,279.92 |
$3,279.92
|
|
So gsap dna cpy nmbr&mcrstl
|
$1,044.96 |
$1,044.96 |
$1,044.96 |
$1,046.35
|
|
Somatosensory testing
|
$868.00 |
$868.00 |
$868.00 |
$816.00
|
|
Somatropin injection
|
$8,868.44 |
$8,868.44 |
$8,868.44 |
$2,381.48
|
|
So neo gsap dna/dna&rna
|
$2,981.44 |
$2,981.44 |
$2,981.44 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$895.44 |
$895.44 |
$895.44 |
$2,296.00
|
|
Sotalol hydrochloride IV
|
$5,761.57 |
$5,761.57 |
$5,761.57 |
$5,761.57
|
|
So vest canvas/web pre ots
|
$176.40 |
$176.40 |
$176.40 |
$256.54
|
|
Sp bone agrft morsel add-on
|
$88.95 |
$88.95 |
$638.40 |
$406.40
|
|
Sp bone agrft struct add-on
|
$459.20 |
$459.20 |
$459.20 |
$442.40
|