|
Sickling rbc
|
$213.85 |
$213.85 |
$213.85 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$271.70 |
$271.70 |
$271.70 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$473.17 |
$473.17 |
$473.17 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$3,201.90 |
$3,201.90 |
$3,201.90 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$810.55 |
$810.55 |
$810.55 |
$346.45
|
|
Sinus X-ray (limited)
|
$334.75 |
$334.75 |
$334.75 |
$215.40
|
|
Sirolimus, oral
|
$91.14 |
$91.14 |
$91.14 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$25,671.25 |
$25,671.25 |
$25,671.25 |
$14,361.10
|
|
Skel musc relaxant 3 or more
|
$18.85 |
$18.85 |
$18.85 |
$16.12
|
|
Skin Biopsy
|
$568.10 |
$568.10 |
$568.10 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$492.05 |
$492.05 |
$492.05 |
$294.45
|
|
Skull X-ray (complete)
|
$815.75 |
$815.75 |
$815.75 |
$417.50
|
|
Sleeve fing rolyan med
|
$851.50 |
$851.50 |
$851.50 |
$203.58
|
|
Sling suprapubic suburetheral
|
$27,009.45 |
$27,009.45 |
$27,009.45 |
$9,679.96
|
|
Slitting of prepuce
|
$3,885.70 |
$3,885.70 |
$3,885.70 |
$3,376.23
|
|
Slp pure tone screening
|
$89.05 |
$89.05 |
$89.05 |
$64.50
|
|
Sm-153 lexidron ther
|
$24,060.40 |
$24,060.40 |
$24,060.40 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$924.95 |
$924.95 |
$924.95 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$95.55 |
$95.55 |
$95.55 |
$64.35
|
|
Smear gram stain
|
$50.70 |
$50.70 |
$50.70 |
$55.55
|
|
Smear nasal eosinophil
|
$46.15 |
$46.15 |
$46.15 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$161.85 |
$161.85 |
$161.85 |
$73.50
|
|
Smear wet mount
|
$74.75 |
$74.75 |
$74.75 |
$67.55
|
|
Snrpn/ube3a gene
|
$363.35 |
$363.35 |
$363.35 |
$230.63
|
|
Sodium 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$48.98
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$22.03 |
$22.03 |
$22.03 |
$80.14
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$588.62 |
$588.62 |
$588.62 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$41.60 |
$41.60 |
$41.60 |
$46.26
|
|
Special physics consult
|
$1,095.90 |
$1,095.90 |
$1,095.90 |
$725.00
|
|
Special radiation dosimetry
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$392.50
|
|
Special radiation treatment
|
$2,569.45 |
$2,569.45 |
$2,569.45 |
$2,052.00
|
|
Special teletx port plan
|
$759.20 |
$759.20 |
$759.20 |
$1,095.05
|
|
Specific gravity body fluid
|
$53.30 |
$53.30 |
$53.30 |
$22.00
|
|
Specimen fat stain
|
$65.65 |
$65.65 |
$65.65 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$507.00 |
$507.00 |
$507.00 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$352.95 |
$352.95 |
$352.95 |
$246.87
|
|
Sperm antibody test
|
$78.65 |
$78.65 |
$78.65 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,113.15 |
$2,113.15 |
$2,113.15 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$434.20 |
$434.20 |
$434.20 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$388.80
|
|
Split blood or products
|
$274.95 |
$274.95 |
$274.95 |
$127.80
|
|
Sr-89 stront chlor ther / mci
|
$3,456.05 |
$3,456.05 |
$3,456.05 |
$2,515.15
|
|
Srs linear based
|
$22,369.10 |
$22,369.10 |
$22,369.10 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$254.80 |
$254.80 |
$254.80 |
$297.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$35,838.40 |
$35,838.40 |
$35,838.40 |
$21,249.26
|
|
Stent axios caut enh 15x10mm electrocaut
|
$134,611.10 |
$134,611.10 |
$134,611.10 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$14,616.55 |
$14,616.55 |
$14,616.55 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$29,810.30 |
$29,810.30 |
$29,810.30 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,337.95 |
$24,337.95 |
$24,337.95 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$21,230.95 |
$21,230.95 |
$21,230.95 |
$8,925.76
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$28,528.50 |
$28,528.50 |
$28,528.50 |
$16,098.16
|
|
St evaluate speech sound production
|
$324.35 |
$324.35 |
$324.35 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$648.05 |
$648.05 |
$648.05 |
$400.00
|
|
Stimulants synthetic
|
$18.85 |
$18.85 |
$18.85 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$394.55 |
$394.55 |
$394.55 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$118.30 |
$118.30 |
$118.30 |
$157.46
|
|
Strapping of hand or finger
|
$118.30 |
$118.30 |
$118.30 |
$177.45
|
|
Strapping of hip
|
$163.80 |
$163.80 |
$163.80 |
$164.70
|
|
Strapping of knee
|
$312.00 |
$312.00 |
$312.00 |
$205.20
|
|
Strep a ag ia
|
$49.40 |
$49.40 |
$49.40 |
$75.40
|
|
Strep b dna amp probe
|
$46.80 |
$46.80 |
$46.80 |
$124.15
|
|
Streptomycin injection
|
$270.56 |
$270.56 |
$270.56 |
$138.30
|
|
Stress test pulmonary
|
$355.55 |
$355.55 |
$355.55 |
$324.00
|
|
Stress tte complete
|
$2,543.45 |
$2,543.45 |
$2,543.45 |
$1,900.96
|
|
Str markers specimen anal
|
$406.90 |
$406.90 |
$406.90 |
$756.60
|
|
Sugars single quant
|
$193.05 |
$193.05 |
$193.05 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$28,239.97 |
$28,239.97 |
$28,239.97 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$9.75 |
$9.75 |
$9.75 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$18.85 |
$18.85 |
$18.85 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,108.89 |
$1,108.89 |
$1,108.89 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$70.20 |
$70.20 |
$70.20 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$102.70 |
$102.70 |
$102.70 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$198.90 |
$198.90 |
$198.90 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$479.05 |
$479.05 |
$479.05 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$477.10 |
$477.10 |
$477.10 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,001.65 |
$1,001.65 |
$1,001.65 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$116.35 |
$116.35 |
$116.35 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$70.20 |
$70.20 |
$70.20 |
$35.89
|
|
Susceptibility mic per plate
|
$415.35 |
$415.35 |
$415.35 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$297.05 |
$297.05 |
$297.05 |
$59.28
|
|
Svc venogram s&i
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$505.70 |
$505.70 |
$505.70 |
$316.80
|
|
Swallowing Therapy Session
|
$319.80 |
$319.80 |
$319.80 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$87.10 |
$87.10 |
$87.10 |
$42.24
|
|
System pacing micra av
|
$40,382.55 |
$40,382.55 |
$40,382.55 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$20,559.50 |
$20,559.50 |
$20,559.50 |
$12,003.00
|
|
System sealant biosentry tract
|
$22.10 |
$22.10 |
$22.10 |
$889.35
|
|
T3 (triiodothyronine) free
|
$86.45 |
$86.45 |
$86.45 |
$100.32
|
|
T3 (triiodothyronine) total
|
$128.70 |
$128.70 |
$128.70 |
$93.52
|
|
T4 (thyroxine) free
|
$126.10 |
$126.10 |
$126.10 |
$89.60
|
|
T4 (thyroxine) total
|
$121.55 |
$121.55 |
$121.55 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$20.68 |
$20.68 |
$20.68 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$720.03 |
$720.03 |
$720.03 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$135.85 |
$135.85 |
$135.85 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$585.00 |
$585.00 |
$585.00 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$4,037.80 |
$4,037.80 |
$4,037.80 |
$2,246.30
|
