|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$708.00 |
$708.00 |
$708.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$287.09 |
$287.09 |
$287.09 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$354.00 |
$354.00 |
$354.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$708.00 |
$708.00 |
$708.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$472.00 |
$472.00 |
$472.00 |
$302.55
|
|
Shoe post-op mens m
|
$40.57 |
$40.57 |
$40.57 |
$42.87
|
|
Shorten radius or ulna
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,609.96
|
|
Shoulder MRI (with and without contrast)
|
$6,950.63 |
$6,950.63 |
$6,950.63 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$6,305.42 |
$6,305.42 |
$6,305.42 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$5,285.27 |
$5,285.27 |
$5,285.27 |
$2,051.28
|
|
Shoulder X-ray
|
$1,268.06 |
$1,268.06 |
$1,268.06 |
$367.02
|
|
Shrinker prosth above knee
|
$113.07 |
$113.07 |
$113.07 |
$157.49
|
|
Shrinker prosth below knee
|
$70.94 |
$70.94 |
$70.94 |
$153.13
|
|
Shuntogram nonvascular supervision & interpretation
|
$869.61 |
$869.61 |
$869.61 |
$345.00
|
|
Sialidase enzyme assay
|
$75.63 |
$75.63 |
$75.63 |
$49.44
|
|
Sialolithotomy 42330
|
$7,686.78 |
$7,686.78 |
$7,686.78 |
$3,837.72
|
|
Sickling rbc
|
$182.79 |
$182.79 |
$182.79 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$7,209.29 |
$7,209.29 |
$7,209.29 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$6,007.76 |
$6,007.76 |
$6,007.76 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,595.21 |
$4,595.21 |
$4,595.21 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$31,959.13 |
$31,959.13 |
$31,959.13 |
$2,489.25
|
|
Skin Biopsy
|
$730.08 |
$730.08 |
$730.08 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$10,019.81 |
$10,019.81 |
$10,019.81 |
$3,936.80
|
|
Sleep study unattended
|
$576.54 |
$576.54 |
$576.54 |
$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
|
$408.20 |
$408.20 |
$408.20 |
$64.20
|
|
Smear gram stain
|
$130.54 |
$130.54 |
$130.54 |
$57.85
|
|
Smear nasal eosinophil
|
$145.90 |
$145.90 |
$145.90 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$336.01 |
$336.01 |
$336.01 |
$64.35
|
|
Smear wet mount
|
$312.77 |
$312.77 |
$312.77 |
$68.63
|
|
Sodium 24 hour urine
|
$194.25 |
$194.25 |
$194.25 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$66.00 |
$66.00 |
$66.00 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$134.95 |
$134.95 |
$134.95 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$822.78 |
$822.78 |
$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 |
$105.95 |
$105.95 |
$42.70
|
|
Somatosensory testing
|
$426.97 |
$426.97 |
$426.97 |
$583.80
|
|
Special physics consult
|
$3,809.10 |
$3,809.10 |
$3,809.10 |
$700.74
|
|
Special radiation dosimetry
|
$3,113.59 |
$3,113.59 |
$3,113.59 |
$445.50
|
|
Special radiation treatment
|
$16,973.22 |
$16,973.22 |
$16,973.22 |
$1,934.03
|
|
Special teletx port plan
|
$5,771.28 |
$5,771.28 |
$5,771.28 |
$1,046.65
|
|
Specific gravity body fluid
|
$141.26 |
$141.26 |
$141.26 |
$23.63
|
|
Speech evaluation complex
|
$2,106.93 |
$2,106.93 |
$2,106.93 |
$527.06
|
|
Speech recep thresh
|
$165.14 |
$165.14 |
$165.14 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,447.89 |
$3,447.89 |
$3,447.89 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,210.52 |
$3,210.52 |
$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
|
$1,180.41 |
$1,180.41 |
$1,180.41 |
$148.98
|
|
Srs linear based
|
$35,628.60 |
$35,628.60 |
$35,628.60 |
$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 |
$224.03 |
$300.00
|
|
Staph a dna amp probe
|
$562.15 |
$562.15 |
$562.15 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$766.45 |
$766.45 |
$766.45 |
$313.96
|
|
Stem cells total count
|
$172.10 |
$172.10 |
$172.10 |
$130.90
|
|
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 |
$221.49 |
$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 |
$1,123.32 |
$406.40
|
|
St evaluation swallow function
|
$936.08 |
$936.08 |
$936.08 |
$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
|
$194.59 |
$194.59 |
$194.59 |
$75.40
|
|
Strep b assay w/optic
|
$632.00 |
$632.00 |
$632.00 |
$32.00
|
|
Strep b dna amp probe
|
$558.28 |
$558.28 |
$558.28 |
$139.20
|
|
Stress test pulmonary
|
$3,007.42 |
$3,007.42 |
$3,007.42 |
$327.20
|
|
Stress tte complete
|
$4,257.61 |
$4,257.61 |
$4,257.61 |
$1,964.95
|
|
Str markers specimen anal
|
$502.35 |
$502.35 |
$502.35 |
$835.28
|
|
St treatment speech individual
|
$541.62 |
$541.62 |
$541.62 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$653.86 |
$653.86 |
$653.86 |
$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)
|
$396.45 |
$396.45 |
$396.45 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$293.78 |
$293.78 |
$293.78 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$230.37 |
$230.37 |
$230.37 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$155.99 |
$155.99 |
$155.99 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$332.69 |
$332.69 |
$332.69 |
$92.59
|