|
Signal avg ecg w or without ecg 93278
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$280.00
|
|
Sim ang w/prs cath rad emb
|
$31,254.60 |
$31,254.60 |
$31,254.60 |
$18,145.20
|
|
Simple cystometrogram 51725
|
$681.20 |
$681.20 |
$681.20 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$1,025.05 |
$1,025.05 |
$1,025.05 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,688.10 |
$3,688.10 |
$3,930.55 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$3,521.70 |
$3,521.70 |
$3,753.75 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,984.15 |
$2,984.15 |
$3,181.10 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$5,886.00 |
$6,561.75 |
$6,561.75 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$905.45 |
$905.45 |
$905.45 |
$347.10
|
|
Sinus X-ray (limited)
|
$372.45 |
$372.45 |
$521.95 |
$215.75
|
|
Sipuleucel-t - su
|
$173,460.30 |
$173,460.30 |
$173,460.30 |
$100,990.51
|
|
Sirolimus, oral
|
$98.15 |
$98.15 |
$98.15 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$679.90 |
$679.90 |
$679.90 |
$14,361.10
|
|
Skeletal muscle relaxant 1/2
|
$321.00 |
$321.00 |
$321.00 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$7.15 |
$7.15 |
$7.15 |
$16.12
|
|
Skin Biopsy
|
$665.60 |
$665.60 |
$665.60 |
$361.20
|
|
Skin full graft 20sq cm less 15200
|
$2,855.45 |
$2,855.45 |
$2,855.45 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$11,737.05 |
$11,737.05 |
$11,737.05 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$5,709.60 |
$5,709.60 |
$5,709.60 |
$2,501.86
|
|
Skull X-ray (1 to 3 views)
|
$549.25 |
$549.25 |
$566.15 |
$294.66
|
|
Skull X-ray (complete)
|
$910.00 |
$910.00 |
$910.00 |
$423.15
|
|
Skyla, 13.5 mg
|
$2,802.15 |
$2,802.15 |
$2,802.15 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$27,646.00 |
$27,646.00 |
$27,646.00 |
$3,734.50
|
|
Sling suprapubic suburetheral
|
$22,740.25 |
$22,740.25 |
$22,740.25 |
$9,679.96
|
|
Slitting of prepuce
|
$9,611.55 |
$9,611.55 |
$9,611.55 |
$4,061.71
|
|
Slitting of prepuce
|
$6,071.00 |
$6,071.00 |
$6,071.00 |
$3,376.23
|
|
Slp pure tone screening
|
$99.45 |
$99.45 |
$99.45 |
$64.50
|
|
Sm-153 lexidron ther
|
$11,993.80 |
$11,993.80 |
$147,404.00 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,032.20 |
$1,032.20 |
$1,032.20 |
$557.70
|
|
Small bowel endoscopy/stent 44370
|
$4,575.35 |
$4,575.35 |
$4,575.35 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$360.10 |
$360.10 |
$360.10 |
$64.20
|
|
Smear gram stain
|
$160.55 |
$160.55 |
$160.55 |
$55.42
|
|
Smear nasal eosinophil
|
$119.60 |
$119.60 |
$386.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$191.75 |
$191.75 |
$191.75 |
$73.15
|
|
Smear wet mount
|
$176.80 |
$176.80 |
$176.80 |
$67.49
|
|
Sodium 24 hour urine
|
$122.85 |
$122.85 |
$472.00 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$215.80 |
$215.80 |
$723.00 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$185.25 |
$185.25 |
$723.00 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$150.15 |
$150.15 |
$150.15 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$2.50 |
$185.25 |
$185.25 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$53.30 |
$53.30 |
$408.00 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$54.60 |
$54.60 |
$383.00 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$693.55 |
$693.55 |
$889.49 |
$177.52
|
|
Solid skin barrier
|
$1.95 |
$1.95 |
$1.95 |
$2.84
|
|
Somatosensory testing
|
$827.45 |
$827.45 |
$827.45 |
$816.00
|
|
Special physics consult
|
$1,233.70 |
$1,233.70 |
$1,233.70 |
$725.00
|
|
Special radiation dosimetry
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$392.50
|
|
Special radiation treatment
|
$2,893.15 |
$2,893.15 |
$2,893.15 |
$2,052.00
|
|
Special teletx port plan
|
$3,804.45 |
$3,804.45 |
$3,804.45 |
$1,095.05
|
|
Specific gravity body fluid
|
$82.55 |
$82.55 |
$201.00 |
$22.00
|
|
Specimen fat stain
|
$77.35 |
$77.35 |
$557.00 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$586.95 |
$586.95 |
$3,480.00 |
$385.00
|
|
Speech Therapy Session (one-on-one)
|
$408.85 |
$408.85 |
$1,406.00 |
$248.30
|
|
Sperm antibody test
|
$57.85 |
$57.85 |
$297.00 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,356.25 |
$2,356.25 |
$2,356.25 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$484.90 |
$484.90 |
$484.90 |
$251.00
|
|
Spleen imaging
|
$1,203.80 |
$1,203.80 |
$2,514.00 |
$679.00
|
|
Splint rstrc wrst/cmc right med
|
$72.80 |
$72.80 |
$72.80 |
$99.04
|
|
Split blood or products
|
$94.90 |
$94.90 |
$109.00 |
$129.50
|
|
Sputum specimen collection
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$7,152.60 |
$7,152.60 |
$29,524.00 |
$2,515.15
|
|
Srs linear based
|
$24,948.95 |
$24,948.95 |
$24,948.95 |
$14,124.25
|
|
Srs multisource
|
$42,663.40 |
$42,663.40 |
$42,663.40 |
$35,004.79
|
|
St analysis behavior qualitative voice/resonance
|
$295.10 |
$295.10 |
$3,480.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$416.65 |
$416.65 |
$1,827.00 |
$286.00
|
|
Stem cells total count
|
$285.35 |
$285.35 |
$285.35 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$73,427.90 |
$73,427.90 |
$73,427.90 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$96,361.20 |
$96,361.20 |
$96,361.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$11,771.50 |
$11,771.50 |
$11,771.50 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$53,311.05 |
$53,311.05 |
$53,311.05 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$16,727.10 |
$16,727.10 |
$16,727.10 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$57,595.20 |
$57,595.20 |
$57,595.20 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$42,199.95 |
$42,199.95 |
$42,199.95 |
$8,948.40
|
|
Stent placemt retro carotid
|
$38,714.00 |
$38,714.00 |
$38,714.00 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$61,822.80 |
$61,822.80 |
$61,822.80 |
$16,875.93
|
|
Sterile needle
|
$551.20 |
$551.20 |
$551.20 |
$190.13
|
|
St evaluate speech sound production
|
$375.05 |
$375.05 |
$3,480.00 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$750.10 |
$750.10 |
$3,480.00 |
$400.00
|
|
Stimulants synthetic
|
$895.00 |
$895.00 |
$895.00 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,968.20 |
$1,968.20 |
$7,237.00 |
$1,342.00
|
|
Strapping of ankle and/or ft 29540
|
$559.00 |
$559.00 |
$825.50 |
$223.45
|
|
Strapping of chest
|
$443.30 |
$443.30 |
$443.30 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$206.70 |
$206.70 |
$206.70 |
$157.46
|
|
Strapping of hand or finger
|
$206.70 |
$206.70 |
$206.70 |
$174.82
|
|
Strapping of hip
|
$885.95 |
$885.95 |
$885.95 |
$164.70
|
|
Strapping of knee
|
$498.00 |
$498.00 |
$595.40 |
$205.20
|
|
Strapping of toes 29550
|
$559.00 |
$559.00 |
$598.00 |
$164.70
|
|
Strep a ag ia
|
$206.05 |
$206.05 |
$206.05 |
$75.40
|
|
Streptomycin injection
|
$201.00 |
$638.95 |
$638.95 |
$138.30
|
|
Streptozocin injection
|
$1,603.00 |
$2,782.00 |
$2,782.00 |
$785.95
|
|
Stress test pulmonary
|
$400.00 |
$434.20 |
$434.20 |
$324.00
|
|
Stress tte complete
|
$2,837.25 |
$2,837.25 |
$5,742.00 |
$1,894.20
|
|
Str markers specimen anal
|
$978.25 |
$978.25 |
$978.25 |
$751.50
|
|
Subq njx filling matrl 1cc/<
|
$167.70 |
$167.70 |
$167.70 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$336.05 |
$336.05 |
$336.05 |
$988.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$167.05 |
$167.05 |
$167.05 |
$54.80
|
|
Suction lipectomy trunk
|
$12,069.85 |
$12,069.85 |
$12,069.85 |
$4,385.50
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$1,997,073.00 |
$1,997,073.00 |
$1,997,073.00 |
$7,345.98
|
