|
Skyla, 13.5 mg
|
$5,974.00 |
$5,974.00 |
$7,190.75 |
$1,801.20
|
|
Sleep study attended
|
$6,213.00 |
$6,213.00 |
$6,213.00 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$8,039.75 |
$9,188.00 |
$10,019.81 |
$3,936.80
|
|
Sleep study unattended
|
$576.54 |
$576.54 |
$1,405.00 |
$595.50
|
|
Sleeve fing rolyan med
|
$334.26 |
$334.26 |
$334.26 |
$191.10
|
|
Sling arm deluxe w/pad xs
|
$69.52 |
$69.52 |
$69.52 |
$25.55
|
|
Slp pure tone screening
|
$177.00 |
$177.00 |
$177.00 |
$67.60
|
|
Slp stdy unatnd w/anal
|
$781.36 |
$781.36 |
$781.36 |
$307.50
|
|
Slp ther svc non-spch gen
|
$270.28 |
$270.28 |
$270.28 |
$186.40
|
|
Small bowel endoscopy
|
$5,076.04 |
$5,076.04 |
$5,076.04 |
$2,466.10
|
|
Small bowel endoscopy 44365
|
$5,076.04 |
$5,076.04 |
$5,076.04 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$5,076.04 |
$5,076.04 |
$5,076.04 |
$2,442.70
|
|
Smear fluorescent and/or acid fast stain
|
$125.26 |
$125.26 |
$408.20 |
$64.20
|
|
Smear gram stain
|
$130.54 |
$130.54 |
$130.54 |
$57.85
|
|
Smear nasal eosinophil
|
$145.90 |
$467.00 |
$662.00 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$336.01 |
$336.01 |
$336.01 |
$64.35
|
|
Smear wet mount
|
$101.43 |
$101.43 |
$312.77 |
$68.63
|
|
Snrpn/ube3a gene
|
$1,911.00 |
$1,911.00 |
$7,561.00 |
$228.80
|
|
Socket insert w lock mech
|
$18,447.00 |
$18,447.00 |
$18,447.00 |
$1,252.98
|
|
Sock fracture or equal each
|
$618.00 |
$618.00 |
$1,171.00 |
$72.80
|
|
Sock wool above knee
|
$552.00 |
$552.00 |
$1,083.00 |
$158.68
|
|
Sodium 24 hour urine
|
$194.25 |
$262.47 |
$725.25 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$12.75 |
$66.00 |
$713.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$12.25 |
$12.25 |
$609.00 |
$47.27
|
|
Sodium chloride 3 % ivpb
|
$134.95 |
$263.09 |
$505.75 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$228.00 |
$539.62 |
$822.78 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$795.87 |
$795.87 |
$795.87 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$105.95 |
$137.23 |
$277.00 |
$42.70
|
|
Soft interface below knee se
|
$294.56 |
$294.56 |
$1,986.00 |
$209.99
|
|
Somatosensory testing
|
$426.97 |
$426.97 |
$426.97 |
$583.80
|
|
Special physics consult
|
$3,809.10 |
$6,536.25 |
$6,550.00 |
$700.74
|
|
Special radiation dosimetry
|
$3,113.59 |
$5,646.00 |
$5,728.75 |
$445.50
|
|
Special radiation treatment
|
$11,315.00 |
$16,973.22 |
$24,050.00 |
$1,934.03
|
|
Special teletx port plan
|
$5,771.28 |
$10,725.00 |
$10,752.00 |
$1,046.65
|
|
Specific gravity body fluid
|
$37.95 |
$141.26 |
$393.00 |
$23.63
|
|
Specimen fat stain
|
$146.15 |
$657.00 |
$2,173.75 |
$32.76
|
|
Speech audiometry complete
|
$303.00 |
$303.00 |
$316.91 |
$104.25
|
|
Speech evaluation complex
|
$825.50 |
$825.50 |
$2,106.93 |
$527.06
|
|
Speech recep thresh
|
$128.00 |
$158.43 |
$172.00 |
$90.60
|
|
Sperm antibody test
|
$1,688.25 |
$1,688.25 |
$1,688.25 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,447.89 |
$3,447.89 |
$5,542.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$759.30 |
$3,140.00 |
$3,210.52 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,106.83 |
$1,106.83 |
$1,106.83 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$85.85 |
$85.85 |
$85.85 |
$52.65
|
|
Splint finger frog med
|
$84.38 |
$84.38 |
$84.38 |
$27.95
|
|
Splint func pos polyflex ii med
|
$149.03 |
$149.03 |
$149.03 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$111.62 |
$111.62 |
$111.62 |
$101.18
|
|
Split blood or products
|
$173.00 |
$220.00 |
$1,180.41 |
$148.98
|
|
Srsf2 gene common variants
|
$1,253.25 |
$1,253.25 |
$1,253.25 |
$192.94
|
|
Srs linear based
|
$35,628.60 |
$35,628.60 |
$59,861.00 |
$14,124.25
|
|
Srs multisource
|
$19,147.12 |
$19,147.12 |
$19,147.12 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$224.03 |
$224.03 |
$1,924.57 |
$300.00
|
|
Staph a dna amp probe
|
$562.15 |
$562.15 |
$562.15 |
$116.39
|
|
Static or dynami afo pre ots
|
$371.71 |
$371.71 |
$3,734.00 |
$217.65
|
|
St cognitve performance testing healthcare professional each hour
|
$552.00 |
$552.00 |
$766.45 |
$313.96
|
|
Stem cells total count
|
$172.10 |
$172.10 |
$2,178.25 |
$130.90
|
|
Stenger test pure tone
|
$149.50 |
$149.50 |
$149.50 |
$70.29
|
|
Stenger test speech
|
$135.25 |
$135.25 |
$135.25 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$35,103.79 |
$35,103.79 |
$35,103.79 |
$23,387.00
|
|
Stent bili rx wallflx 10x80 uncvr
|
$10,556.97 |
$10,556.97 |
$10,556.97 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$21,155.24 |
$21,155.24 |
$21,155.24 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,032.29 |
$14,032.29 |
$14,032.29 |
$9,276.80
|
|
Stent placemt retro carotid
|
$19,150.92 |
$19,150.92 |
$19,150.92 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$22,323.73 |
$22,323.73 |
$22,323.73 |
$19,765.20
|
|
St evaluate speech sound production
|
$221.49 |
$221.49 |
$1,924.57 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$376.84 |
$376.84 |
$376.84 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,123.32 |
$1,123.32 |
$2,944.25 |
$406.40
|
|
St evaluation swallow function
|
$936.08 |
$936.08 |
$1,571.09 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$399.42 |
$399.42 |
$399.42 |
$248.05
|
|
Strapping of chest
|
$207.42 |
$207.42 |
$207.42 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$157.46 |
$157.46 |
$157.46 |
$171.00
|
|
Strapping of hand or finger
|
$156.75 |
$156.75 |
$156.75 |
$194.40
|
|
Strapping of hip
|
$316.74 |
$316.74 |
$316.74 |
$170.08
|
|
Strapping of knee
|
$316.74 |
$316.74 |
$316.74 |
$224.80
|
|
Strapping of toes 29550
|
$738.89 |
$738.89 |
$738.89 |
$185.36
|
|
Strep a ag ia
|
$134.24 |
$194.59 |
$875.50 |
$75.40
|
|
Strep a dna quant
|
$297.82 |
$297.82 |
$297.82 |
$104.80
|
|
Strep b assay w/optic
|
$632.00 |
$736.00 |
$879.75 |
$32.00
|
|
Strep b dna amp probe
|
$558.28 |
$999.00 |
$1,062.75 |
$139.20
|
|
Streptomycin injection
|
$501.00 |
$501.00 |
$501.00 |
$138.30
|
|
Streptozocin injection
|
$1,227.40 |
$1,227.40 |
$1,227.40 |
$943.23
|
|
Stress test pulmonary
|
$734.00 |
$734.00 |
$3,007.42 |
$327.20
|
|
Stress tte complete
|
$4,257.61 |
$4,257.61 |
$5,914.25 |
$1,964.95
|
|
Str markers specimen anal
|
$502.35 |
$502.35 |
$502.35 |
$835.28
|
|
St treatment speech individual
|
$541.62 |
$541.62 |
$959.38 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$653.86 |
$653.86 |
$780.19 |
$261.60
|
|
Subq njx filling matrl 1cc/<
|
$526.32 |
$526.32 |
$526.32 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
$748.14
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$179.20 |
$219.00 |
$396.45 |
$49.13
|
|
Sugars multiple quant
|
$1,813.00 |
$1,813.00 |
$1,813.00 |
$26.95
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$7,345.98 |
$7,345.98 |
$7,345.98 |
$15,277.82
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$236.50 |
$236.50 |
$236.50 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$293.78 |
$293.78 |
$293.78 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$230.37 |
$385.87 |
$1,602.50 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$155.99 |
$155.99 |
$1,120.00 |
$94.19
|
|
Supprelin la implant
|
$198,828.50 |
$198,828.50 |
$198,828.50 |
$72,648.14
|
|
Surgical pathology level 1 gross examination only
|
$205.80 |
$283.00 |
$894.25 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$274.43 |
$411.00 |
$1,192.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$519.01 |
$599.00 |
$1,624.75 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$612.19 |
$729.00 |
$4,312.50 |
$253.75
|