|
Russell viper venom diluted
|
$20.10 |
$20.10 |
$20.10 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$847.62 |
$847.62 |
$847.62 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$236.70 |
$236.70 |
$236.70 |
$314.26
|
|
Salmonella antibody
|
$29.71 |
$29.71 |
$29.71 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$283.50 |
$283.50 |
$283.50 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$296.73 |
$296.73 |
$296.73 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$492.16 |
$492.16 |
$492.16 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$365.15 |
$365.15 |
$365.15 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$406.35 |
$406.35 |
$406.35 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,002.38 |
$1,002.38 |
$1,002.38 |
$2,144.48
|
|
Screening Mammogram
|
$259.16 |
$259.16 |
$259.16 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$61,234.26 |
$61,234.26 |
$61,234.26 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$546.42 |
$546.42 |
$546.42 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$3.02 |
$3.02 |
$3.02 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$66.54 |
$66.54 |
$66.54 |
$96.00
|
|
Semen analysis presence/motility
|
$19.54 |
$19.54 |
$19.54 |
$70.40
|
|
Semen analysis w/count
|
$13.73 |
$13.73 |
$13.73 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$177.41 |
$177.41 |
$177.41 |
$316.68
|
|
Set radiation therapy field
|
$482.20 |
$482.20 |
$482.20 |
$782.61
|
|
Set radiation therapy field
|
$821.96 |
$821.96 |
$821.96 |
$1,159.03
|
|
Set radiation therapy field
|
$915.20 |
$915.20 |
$915.20 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$6,905.81 |
$6,905.81 |
$6,905.81 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$90.09 |
$90.09 |
$90.09 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$169.65 |
$169.65 |
$169.65 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$120.60 |
$120.60 |
$120.60 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$1,313.39 |
$1,313.39 |
$1,313.39 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,094.41 |
$1,094.41 |
$1,094.41 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$875.44 |
$875.44 |
$875.44 |
$2,096.84
|
|
Shoulder X-ray
|
$199.80 |
$199.80 |
$199.80 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$144.90 |
$144.90 |
$144.90 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$228.60 |
$228.60 |
$228.60 |
$355.80
|
|
Sialography s&i
|
$278.10 |
$278.10 |
$278.10 |
$499.20
|
|
Sickling rbc
|
$18.76 |
$18.76 |
$18.76 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$994.68 |
$994.68 |
$994.68 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$828.90 |
$828.90 |
$828.90 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$663.12 |
$663.12 |
$663.12 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$195.75 |
$195.75 |
$195.75 |
$346.45
|
|
Sinus X-ray (limited)
|
$124.65 |
$124.65 |
$124.65 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$50.82 |
$50.82 |
$50.82 |
$83.85
|
|
Skull X-ray (1 to 3 views)
|
$184.95 |
$184.95 |
$184.95 |
$294.45
|
|
Skull X-ray (complete)
|
$212.40 |
$212.40 |
$212.40 |
$417.50
|
|
Slco1b1 gene com variants
|
$161.70 |
$161.70 |
$161.70 |
$241.24
|
|
Sleep Study (Polysomnography)
|
$2,510.35 |
$2,510.35 |
$2,510.35 |
$3,734.50
|
|
Sleep study unattended
|
$433.43 |
$433.43 |
$433.43 |
$594.00
|
|
Sling suprapubic suburetheral
|
$8,370.29 |
$8,370.29 |
$8,370.29 |
$9,679.96
|
|
Slp ther svc non-spch gen
|
$92.01 |
$92.01 |
$92.01 |
$188.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$271.35 |
$271.35 |
$271.35 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$29.24 |
$29.24 |
$29.24 |
$64.35
|
|
Smear gram stain
|
$5.59 |
$5.59 |
$5.59 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$27.52 |
$27.52 |
$27.52 |
$73.50
|
|
Smear wet mount
|
$22.79 |
$22.79 |
$22.79 |
$67.55
|
|
Sodium 24 hour urine
|
$23.76 |
$23.76 |
$23.76 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$10.23 |
$10.23 |
$10.23 |
$46.26
|
|
Special physics consult
|
$518.23 |
$518.23 |
$518.23 |
$725.00
|
|
Special radiation dosimetry
|
$191.62 |
$191.62 |
$191.62 |
$392.50
|
|
Special radiation treatment
|
$566.28 |
$566.28 |
$566.28 |
$2,052.00
|
|
Special teletx port plan
|
$318.03 |
$318.03 |
$318.03 |
$1,095.05
|
|
Specific gravity body fluid
|
$3.30 |
$3.30 |
$3.30 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$347.20 |
$347.20 |
$347.20 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$167.52 |
$167.52 |
$167.52 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$466.47 |
$466.47 |
$466.47 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$148.50 |
$148.50 |
$148.50 |
$251.00
|
|
Sputum specimen collection
|
$181.63 |
$181.63 |
$181.63 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$329.84 |
$329.84 |
$329.84 |
$297.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$20,412.66 |
$20,412.66 |
$20,412.66 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$16,330.50 |
$16,330.50 |
$16,330.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$4,631.82
|
|
St evaluate speech sound production
|
$242.17 |
$242.17 |
$242.17 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$148.36 |
$148.36 |
$148.36 |
$400.00
|
|
Stimulants synthetic
|
$52.80 |
$52.80 |
$52.80 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$854.90 |
$854.90 |
$854.90 |
$1,345.40
|
|
Strep a ag ia
|
$21.93 |
$21.93 |
$21.93 |
$75.40
|
|
Strep b dna amp probe
|
$45.58 |
$45.58 |
$45.58 |
$124.15
|
|
Stress test pulmonary
|
$249.70 |
$249.70 |
$249.70 |
$324.00
|
|
Stress tte complete
|
$672.67 |
$672.67 |
$672.67 |
$1,900.96
|
|
Str markers specimen anal
|
$439.52 |
$439.52 |
$439.52 |
$756.60
|
|
Sulfonylurea screen qn-sendout
|
$58.74 |
$58.74 |
$58.74 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$24.65 |
$24.65 |
$24.65 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$38.95 |
$38.95 |
$38.95 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$53.24 |
$53.24 |
$53.24 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$53.24 |
$53.24 |
$53.24 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$353.97 |
$353.97 |
$353.97 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$795.70 |
$795.70 |
$795.70 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$109.65 |
$109.65 |
$109.65 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$24.08 |
$24.08 |
$24.08 |
$35.89
|
|
Susceptibility mic per plate
|
$105.60 |
$105.60 |
$105.60 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$24.94 |
$24.94 |
$24.94 |
$59.28
|
|
Swallowing Evaluation (Bedside)
|
$109.74 |
$109.74 |
$109.74 |
$316.80
|
|
Swallowing Therapy Session
|
$184.88 |
$184.88 |
$184.88 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.16 |
$21.16 |
$21.16 |
$42.24
|
|
System pacing micra av
|
$17,971.96 |
$17,971.96 |
$17,971.96 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$56,158.03 |
$56,158.03 |
$56,158.03 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$23.43 |
$23.43 |
$23.43 |
$100.32
|
|
T3 (triiodothyronine) total
|
$14.19 |
$14.19 |
$14.19 |
$93.52
|
|
T4 (thyroxine) free
|
$21.78 |
$21.78 |
$21.78 |
$89.60
|
|
T4 (thyroxine) total
|
$18.48 |
$18.48 |
$18.48 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$21.12 |
$21.12 |
$21.12 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$143.10 |
$143.10 |
$143.10 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$737.66 |
$737.66 |
$737.66 |
$2,246.30
|