|
Rpl tun cvc wo subq port
|
$1,556.30 |
$1,556.30 |
$1,556.30 |
$3,724.63
|
|
Rsv assay w/optic
|
$5.80 |
$5.80 |
$5.80 |
$76.32
|
|
Rubella antibody igg
|
$10.36 |
$10.36 |
$10.36 |
$77.40
|
|
Rubeola antibody igg
|
$11.10 |
$11.10 |
$11.10 |
$80.00
|
|
Russell viper venom diluted
|
$6.12 |
$6.12 |
$6.12 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$382.53 |
$382.53 |
$382.53 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$95.34 |
$95.34 |
$95.34 |
$314.26
|
|
Salmonella antibody
|
$13.50 |
$13.50 |
$13.50 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$307.33 |
$307.33 |
$307.33 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$375.93 |
$375.93 |
$375.93 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$323.45 |
$323.45 |
$323.45 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$240.44 |
$240.44 |
$240.44 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$199.63 |
$199.63 |
$199.63 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,211.94 |
$1,211.94 |
$1,211.94 |
$2,144.48
|
|
Screening Mammogram
|
$231.49 |
$231.49 |
$231.49 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$52,955.81 |
$52,955.81 |
$52,955.81 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$260.48 |
$260.48 |
$260.48 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$0.92 |
$0.92 |
$0.92 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$40.26 |
$40.26 |
$40.26 |
$96.00
|
|
Semen analysis presence/motility
|
$14.28 |
$14.28 |
$14.28 |
$70.40
|
|
Semen analysis w/count
|
$10.04 |
$10.04 |
$10.04 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$80.06 |
$80.06 |
$80.06 |
$316.68
|
|
Sf3b1 gene common variants
|
$80.62 |
$80.62 |
$80.62 |
$248.10
|
|
Sheath gldlight lasr 12fx50cm
|
$3,237.54 |
$3,237.54 |
$3,237.54 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$69.01 |
$69.01 |
$69.01 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$129.21 |
$129.21 |
$129.21 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$97.95 |
$97.95 |
$97.95 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$605.18 |
$605.18 |
$605.18 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$504.25 |
$504.25 |
$504.25 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$403.33 |
$403.33 |
$403.33 |
$2,096.84
|
|
Shoulder X-ray
|
$85.44 |
$85.44 |
$85.44 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$77.63 |
$77.63 |
$77.63 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$3,733.80 |
$3,733.80 |
$3,733.80 |
$4,538.82
|
|
Sialography s&i
|
$303.74 |
$303.74 |
$303.74 |
$499.20
|
|
Sickling rbc
|
$5.71 |
$5.71 |
$5.71 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$458.92 |
$458.92 |
$458.92 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$382.43 |
$382.43 |
$382.43 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$305.94 |
$305.94 |
$305.94 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$93.26 |
$93.26 |
$93.26 |
$346.45
|
|
Sinus X-ray (limited)
|
$69.29 |
$69.29 |
$69.29 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$34.96 |
$34.96 |
$34.96 |
$83.85
|
|
Skull X-ray (1 to 3 views)
|
$97.95 |
$97.95 |
$97.95 |
$294.45
|
|
Skull X-ray (complete)
|
$112.54 |
$112.54 |
$112.54 |
$417.50
|
|
Slco1b1 gene com variants
|
$72.98 |
$72.98 |
$72.98 |
$241.24
|
|
Sling suprapubic suburetheral
|
$10,592.45 |
$10,592.45 |
$10,592.45 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$166.63 |
$166.63 |
$166.63 |
$285.09
|
|
Slp ther svc non-spch gen
|
$63.40 |
$63.40 |
$63.40 |
$188.50
|
|
Sm-153 lexidron ther
|
$8,483.97 |
$8,483.97 |
$8,483.97 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$188.60 |
$188.60 |
$188.60 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$9.86 |
$9.86 |
$9.86 |
$64.35
|
|
Smear gram stain
|
$1.88 |
$1.88 |
$1.88 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$2.61 |
$2.61 |
$2.61 |
$73.50
|
|
Smear wet mount
|
$7.68 |
$7.68 |
$7.68 |
$67.55
|
|
Sodium 24 hour urine
|
$16.34 |
$16.34 |
$16.34 |
$48.98
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$0.01 |
$0.01 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$3.41 |
$3.41 |
$3.41 |
$46.26
|
|
Specific gravity body fluid
|
$2.27 |
$2.27 |
$2.27 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$173.08 |
$173.08 |
$173.08 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$90.98 |
$90.98 |
$90.98 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$608.73 |
$608.73 |
$608.73 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$78.15 |
$78.15 |
$78.15 |
$251.00
|
|
Split blood or products
|
$132.78 |
$132.78 |
$132.78 |
$127.80
|
|
Sprchoroidal spc njx rx agt
|
$261.62 |
$261.62 |
$261.62 |
$454.19
|
|
Sputum specimen collection
|
$132.78 |
$132.78 |
$132.78 |
$180.00
|
|
Srsf2 gene common variants
|
$73.25 |
$73.25 |
$73.25 |
$192.94
|
|
St analysis behavior qualitative voice/resonance
|
$119.83 |
$119.83 |
$119.83 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$141.70 |
$141.70 |
$141.70 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,255.79 |
$11,255.79 |
$11,255.79 |
$21,249.26
|
|
Stent axios caut enh 15x10mm electrocaut
|
$22,948.43 |
$22,948.43 |
$22,948.43 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,733.80 |
$3,733.80 |
$3,733.80 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$14,122.73 |
$14,122.73 |
$14,122.73 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$3,733.80 |
$3,733.80 |
$3,733.80 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,384.60 |
$12,384.60 |
$12,384.60 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,817.41 |
$5,817.41 |
$5,817.41 |
$8,925.76
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$12,677.74 |
$12,677.74 |
$12,677.74 |
$16,098.16
|
|
St evaluate speech sound production
|
$121.73 |
$121.73 |
$121.73 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$245.07 |
$245.07 |
$245.07 |
$400.00
|
|
Stimulants synthetic
|
$36.32 |
$36.32 |
$36.32 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,369.59 |
$1,369.59 |
$1,369.59 |
$1,345.40
|
|
Strep a ag ia
|
$7.39 |
$7.39 |
$7.39 |
$75.40
|
|
Strep b dna amp probe
|
$15.37 |
$15.37 |
$15.37 |
$124.15
|
|
Stress test pulmonary
|
$315.30 |
$315.30 |
$315.30 |
$324.00
|
|
Stress tte complete
|
$591.23 |
$591.23 |
$591.23 |
$1,900.96
|
|
Str markers specimen anal
|
$198.35 |
$198.35 |
$198.35 |
$756.60
|
|
Sulfonylurea screen qn-sendout
|
$40.41 |
$40.41 |
$40.41 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$33.53 |
$33.53 |
$33.53 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$74.84 |
$74.84 |
$74.84 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$89.91 |
$89.91 |
$89.91 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$100.12 |
$100.12 |
$100.12 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$587.09 |
$587.09 |
$587.09 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$823.77 |
$823.77 |
$823.77 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$36.97 |
$36.97 |
$36.97 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$8.12 |
$8.12 |
$8.12 |
$35.89
|
|
Susceptibility mic per plate
|
$77.20 |
$77.20 |
$77.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$16.67 |
$16.67 |
$16.67 |
$59.28
|
|
Svc venogram s&i
|
$2,181.95 |
$2,181.95 |
$2,181.95 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$186.65 |
$186.65 |
$186.65 |
$316.80
|
|
Swallowing Therapy Session
|
$92.88 |
$92.88 |
$92.88 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.62 |
$9.62 |
$9.62 |
$42.24
|
|
System pacing micra av
|
$15,147.10 |
$15,147.10 |
$15,147.10 |
$24,316.50
|