|
Slco1b1 gene com variants
|
$72.98 |
$161.70 |
$331.80 |
|
|
Sleep study attended
|
$1,223.11 |
$1,223.11 |
$6,213.00 |
|
|
Sleep Study (Polysomnography)
|
$2,510.35 |
$10,019.81 |
$24,070.20 |
|
|
Sleep study unattended
|
$433.43 |
$576.54 |
$3,771.39 |
|
|
Sleeve fing rolyan med
|
$334.26 |
$334.26 |
$334.26 |
|
|
Sling arm deluxe w/pad xs
|
$69.52 |
$69.52 |
$69.52 |
|
|
Sling suprapubic suburetheral
|
$8,370.29 |
$9,609.67 |
$10,592.45 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$127.28 |
$127.28 |
$127.28 |
|
|
Slp eval non-spch gen comm dev
|
$142.60 |
$142.60 |
$166.63 |
|
|
Slp pure tone screening
|
$177.00 |
$177.00 |
$177.00 |
|
|
Slp stdy unatnd w/anal
|
$781.36 |
$781.36 |
$1,807.34 |
|
|
Slp ther svc non-spch gen
|
$62.75 |
$270.28 |
$270.28 |
|
|
Sm-153 lexidron ther
|
$8,483.97 |
$8,483.97 |
$8,659.14 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$127.42 |
$1,898.37 |
$4,062.85 |
|
|
Small bowel endoscopy
|
$5,076.04 |
$5,076.04 |
$5,076.04 |
|
|
Small bowel endoscopy 44365
|
$5,076.04 |
$5,076.04 |
$5,076.04 |
|
|
Small bowel endoscopy/biopsy
|
$5,076.04 |
$5,076.04 |
$5,076.04 |
|
|
Smear fluorescent and/or acid fast stain
|
$9.86 |
$125.26 |
$408.20 |
|
|
Smear gram stain
|
$1.88 |
$130.54 |
$130.54 |
|
|
Smear nasal eosinophil
|
$145.90 |
$455.16 |
$662.00 |
|
|
Smear special stain inclusion bodies/parasites
|
$2.61 |
$134.00 |
$336.01 |
|
|
Smear wet mount
|
$7.68 |
$101.43 |
$312.77 |
|
|
Smn1 gen nown famil seq vrnt
|
$135.00 |
$135.00 |
$135.00 |
|
|
Snrpn/ube3a gene
|
$126.14 |
$2,812.86 |
$7,561.00 |
|
|
Socket insert without lock mech
|
$19,562.00 |
$19,562.00 |
$19,562.00 |
|
|
Socket insert w lock mech
|
$8,443.00 |
$8,443.00 |
$8,443.00 |
|
|
Sock fracture or equal each
|
$308.00 |
$550.00 |
$1,127.00 |
|
|
Sock wool above knee
|
$197.00 |
$382.00 |
$1,083.00 |
|
|
Sodium 24 hour urine
|
$16.34 |
$194.25 |
$865.00 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$12.75 |
$66.00 |
$1,042.57 |
|
|
Sodium chloride 0.9 % IV bolus
|
$12.25 |
$609.00 |
$913.95 |
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$134.95 |
$623.28 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$38.91 |
$803.00 |
$2,333.00 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$795.87 |
$795.87 |
$795.87 |
|
|
Sodium serum/plasma/whole blood
|
$3.41 |
$105.95 |
$662.00 |
|
|
Soft interface below knee se
|
$294.56 |
$294.56 |
$294.56 |
|
|
Somatosensory testing
|
$426.97 |
$426.97 |
$426.97 |
|
|
Somatropin injection
|
$1,070.64 |
$1,070.64 |
$1,070.64 |
|
|
Sotalol hydrochloride IV
|
$10,636.15 |
$10,636.15 |
$10,636.15 |
|
|
Special physics consult
|
$518.23 |
$3,809.10 |
$6,550.00 |
|
|
Special radiation dosimetry
|
$191.62 |
$3,113.59 |
$9,447.90 |
|
|
Special radiation treatment
|
$566.28 |
$16,973.22 |
$83,727.05 |
|
|
Special teletx port plan
|
$318.03 |
$5,771.28 |
$17,644.00 |
|
|
Specific gravity body fluid
|
$2.27 |
$141.26 |
$467.47 |
|
|
Specimen fat stain
|
$146.15 |
$487.05 |
$2,173.75 |
|
|
Speech and Language Evaluation (comprehensive)
|
$173.08 |
$376.84 |
$2,258.85 |
|
|
Speech audiometry complete
|
$303.00 |
$303.00 |
$316.91 |
|
|
Speech evaluation complex
|
$825.50 |
$2,106.93 |
$5,525.85 |
|
|
Speech recep thresh
|
$128.00 |
$165.14 |
$172.00 |
|
|
Speech Therapy Session (one-on-one)
|
$90.98 |
$541.62 |
$1,287.00 |
|
|
Sperm antibody test
|
$865.14 |
$865.14 |
$1,688.25 |
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$2,492.47 |
$2,492.47 |
$2,492.47 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$466.47 |
$3,447.89 |
$5,542.00 |
|
|
Spine X-ray (single view, one level)
|
$52.80 |
$940.25 |
$988.71 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,106.83 |
$1,106.83 |
$1,106.83 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$85.85 |
$85.85 |
$85.85 |
|
|
Splint finger frog med
|
$84.38 |
$84.38 |
$84.38 |
|
|
Splint func pos polyflex ii med
|
$149.03 |
$149.03 |
$149.03 |
|
|
Splint rstrc wrst/cmc right med
|
$111.62 |
$111.62 |
$111.62 |
|
|
Split blood or products
|
$132.78 |
$422.95 |
$1,180.41 |
|
|
Sprchoroidal spc njx rx agt
|
$261.62 |
$261.62 |
$296.81 |
|
|
Sputum specimen collection
|
$132.78 |
$145.51 |
$303.06 |
|
|
Srsf2 gene common variants
|
$73.25 |
$1,253.25 |
$1,588.44 |
|
|
Srs linear based
|
$13,241.63 |
$35,628.60 |
$399,191.36 |
|
|
Srs multisource
|
$19,147.12 |
$19,147.12 |
$314,161.34 |
|
|
St analysis behavior qualitative voice/resonance
|
$119.83 |
$224.03 |
$2,258.85 |
|
|
Staph a dna amp probe
|
$562.15 |
$562.15 |
$562.15 |
|
|
Static or dynami afo pre ots
|
$371.71 |
$371.71 |
$371.71 |
|
|
St cognitve performance testing healthcare professional each hour
|
$141.70 |
$766.45 |
$766.45 |
|
|
Stem cells total count
|
$172.10 |
$172.10 |
$2,178.25 |
|
|
Stenger test pure tone
|
$149.50 |
$149.50 |
$149.50 |
|
|
Stenger test speech
|
$135.25 |
$135.25 |
$135.25 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,255.79 |
$35,103.79 |
$35,103.79 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$20,412.66 |
$21,126.22 |
$23,435.14 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,437.32 |
$3,733.80 |
$4,956.78 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$10,556.97 |
$10,556.97 |
$18,748.54 |
|
|
Stent bronch dumon sil 10x40mm
|
$3,437.32 |
$3,733.80 |
$4,956.78 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,384.60 |
$21,155.24 |
$21,155.24 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,817.41 |
$14,032.29 |
$14,032.29 |
|
|
Stent placemt retro carotid
|
$19,150.92 |
$19,150.92 |
$19,150.92 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$12,677.74 |
$22,323.73 |
$22,323.73 |
|
|
St evaluate speech sound production
|
$121.73 |
$221.49 |
$2,258.85 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$148.36 |
$1,123.32 |
$2,944.25 |
|
|
Stimulants synthetic
|
$36.32 |
$36.80 |
$98.56 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$854.90 |
$3,729.61 |
$9,735.35 |
|
|
Strapping of ankle and/or ft 29540
|
$399.42 |
$399.42 |
$399.42 |
|
|
Strapping of chest
|
$207.42 |
$207.42 |
$1,158.58 |
|
|
Strapping of elbow or wrist 29260
|
$157.46 |
$157.46 |
$157.46 |
|
|
Strapping of hand or finger
|
$156.75 |
$156.75 |
$1,158.58 |
|
|
Strapping of hip
|
$316.74 |
$316.74 |
$316.74 |
|
|
Strapping of knee
|
$316.74 |
$316.74 |
$316.74 |
|
|
Strapping of toes 29550
|
$738.89 |
$738.89 |
$738.89 |
|
|
Strep a ag ia
|
$7.39 |
$194.59 |
$907.50 |
|
|
Strep a dna quant
|
$297.82 |
$297.82 |
$297.82 |
|
|
Strep b assay w/optic
|
$476.28 |
$632.00 |
$1,735.16 |
|
|
Strep b dna amp probe
|
$15.37 |
$558.28 |
$1,210.07 |
|
|
Streptomycin injection
|
$501.00 |
$611.52 |
$611.52 |
|
|
Streptozocin injection
|
$1,227.40 |
$1,227.40 |
$2,314.58 |
|
|
Stress test pulmonary
|
$249.70 |
$734.00 |
$3,007.42 |
|
|
Stress tte complete
|
$522.55 |
$4,257.61 |
$11,050.60 |
|
