|
Sigmoidoscopy w/fb removal 45332
|
$3,914.00 |
$3,914.00 |
$3,914.00 |
$1,395.28
|
|
Sigmoidoscopy w/tumr remove
|
$5,015.00 |
$5,015.00 |
$5,015.00 |
$1,395.28
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$2,458.85 |
$2,458.85 |
$2,458.85 |
$309.52
|
|
Simple cystometrogram 51725
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$483.00 |
$483.00 |
$521.25 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$7,729.00 |
$7,729.00 |
$22,141.42 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$7,567.00 |
$7,567.00 |
$22,141.42 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,908.00 |
$4,908.00 |
$22,141.42 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$5,261.07 |
$5,261.07 |
$5,445.00 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$10,326.00 |
$10,326.00 |
$10,326.00 |
$3,592.74
|
|
Sirolimus, oral
|
$78.00 |
$78.00 |
$78.00 |
$42.11
|
|
Skin Biopsy
|
$699.00 |
$699.00 |
$699.00 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$8,626.00 |
$8,626.00 |
$8,626.00 |
$3,936.80
|
|
Sleep study unattended
|
$4,308.00 |
$4,308.00 |
$4,308.00 |
$595.50
|
|
Sleeve fing rolyan med
|
$403.00 |
$403.00 |
$403.00 |
$167.31
|
|
Slp pure tone screening
|
$143.00 |
$143.00 |
$143.00 |
$67.60
|
|
Slp stdy unatnd w/anal
|
$819.00 |
$819.00 |
$819.00 |
$307.50
|
|
Slp ther svc non-spch gen
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$186.40
|
|
Small bowel endoscopy
|
$5,598.00 |
$5,598.00 |
$5,598.00 |
$2,466.10
|
|
Small bowel endoscopy 44365
|
$6,131.00 |
$6,131.00 |
$6,131.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$5,661.00 |
$5,661.00 |
$5,661.00 |
$2,442.70
|
|
Smear fluorescent and/or acid fast stain
|
$299.00 |
$299.00 |
$299.00 |
$64.20
|
|
Smear gram stain
|
$281.00 |
$281.00 |
$281.00 |
$57.85
|
|
Smear nasal eosinophil
|
$414.00 |
$837.42 |
$855.95 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$64.35
|
|
Smear wet mount
|
$263.00 |
$263.00 |
$263.00 |
$68.63
|
|
Smpd1 gene common variants
|
$76.00 |
$76.00 |
$76.00 |
$140.00
|
|
Snrpn/ube3a gene
|
$275.00 |
$275.00 |
$275.00 |
$228.80
|
|
Sodium 24 hour urine
|
$291.00 |
$291.00 |
$685.05 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$16.75 |
$26.00 |
$34.62 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$26.00 |
$26.00 |
$110.25 |
$47.27
|
|
Sodium chloride 3 % ivpb
|
$111.45 |
$111.45 |
$111.45 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$104.00 |
$104.00 |
$462.53 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,915.24 |
$1,915.24 |
$1,915.24 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$197.00 |
$685.05 |
$700.20 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$565.30 |
$565.30 |
$565.30 |
$195.48
|
|
Somatosensory testing
|
$695.80 |
$695.80 |
$695.80 |
$583.80
|
|
Sotalol hydrochloride IV
|
$6,599.80 |
$6,599.80 |
$6,599.80 |
$1,153.60
|
|
Special physics consult
|
$1,538.50 |
$2,567.00 |
$3,952.43 |
$700.74
|
|
Special radiation dosimetry
|
$47.75 |
$2,810.00 |
$4,483.70 |
$445.50
|
|
Special radiation treatment
|
$6,334.00 |
$6,334.00 |
$6,334.00 |
$1,934.03
|
|
Special teletx port plan
|
$3,886.95 |
$3,886.95 |
$5,339.00 |
$1,046.65
|
|
Specific gravity body fluid
|
$84.00 |
$84.00 |
$324.90 |
$23.63
|
|
Speech audiometry complete
|
$139.00 |
$139.00 |
$139.00 |
$104.25
|
|
Speech evaluation complex
|
$1,783.00 |
$1,783.00 |
$1,783.00 |
$527.06
|
|
Speech recep thresh
|
$119.00 |
$119.00 |
$119.00 |
$90.60
|
|
Sperm antibody test
|
$239.00 |
$239.00 |
$239.00 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,252.00 |
$4,685.43 |
$5,006.10 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$474.00 |
$474.00 |
$474.00 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$279.00 |
$279.00 |
$279.00 |
$52.65
|
|
Splint finger fold over sm
|
$320.00 |
$320.00 |
$320.00 |
$84.00
|
|
Splint finger frog med
|
$189.00 |
$189.00 |
$189.00 |
$27.95
|
|
Split blood or products
|
$712.00 |
$712.00 |
$712.00 |
$148.98
|
|
Srs linear based
|
$35,795.00 |
$35,795.00 |
$35,795.00 |
$14,124.25
|
|
Srs multisource
|
$136,731.00 |
$136,731.00 |
$136,731.00 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$878.55 |
$883.00 |
$900.00 |
$300.00
|
|
Staph a dna amp probe
|
$582.00 |
$582.00 |
$582.00 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$900.00 |
$900.00 |
$1,013.00 |
$313.96
|
|
Stem cells total count
|
$997.00 |
$997.00 |
$997.00 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$83,860.00 |
$83,860.00 |
$83,860.00 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1.00 |
$1.00 |
$1.00 |
$32,403.15
|
|
Stent iliac/open or perc/uni/init 37221
|
$63,562.00 |
$63,562.00 |
$63,562.00 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$52,535.00 |
$52,535.00 |
$52,535.00 |
$9,276.80
|
|
Stent placemt retro carotid
|
$37,615.00 |
$37,615.00 |
$37,615.00 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$63,212.00 |
$63,212.00 |
$63,212.00 |
$19,765.20
|
|
St evaluate speech sound production
|
$846.00 |
$878.55 |
$900.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$740.12 |
$878.55 |
$1,632.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,162.00 |
$1,870.41 |
$2,218.00 |
$406.40
|
|
St evaluation swallow function
|
$950.00 |
$1,682.59 |
$1,994.05 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$235.00 |
$235.00 |
$235.00 |
$248.05
|
|
Strapping of chest
|
$392.00 |
$392.00 |
$392.00 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$313.00 |
$313.00 |
$313.00 |
$171.00
|
|
Strapping of hand or finger
|
$313.00 |
$313.00 |
$313.00 |
$194.40
|
|
Strapping of hip
|
$392.00 |
$392.00 |
$392.00 |
$170.08
|
|
Strapping of knee
|
$313.00 |
$313.00 |
$313.00 |
$224.80
|
|
Strapping of toes 29550
|
$288.00 |
$288.00 |
$288.00 |
$185.36
|
|
Strep a ag ia
|
$266.00 |
$761.86 |
$778.45 |
$75.40
|
|
Strep b assay w/optic
|
$6.78 |
$6.78 |
$68.00 |
$32.00
|
|
Strep b dna amp probe
|
$769.00 |
$769.00 |
$769.00 |
$139.20
|
|
Streptomycin injection
|
$121.00 |
$121.00 |
$121.00 |
$138.30
|
|
Stress test pulmonary
|
$315.45 |
$626.36 |
$1,655.00 |
$327.20
|
|
Stress tte complete
|
$3,571.00 |
$3,571.00 |
$13,476.50 |
$1,964.95
|
|
Str markers spec anal addl
|
$4,840.00 |
$4,840.00 |
$4,840.00 |
$468.00
|
|
Str markers specimen anal
|
$4,840.00 |
$4,840.00 |
$4,840.00 |
$835.28
|
|
St treatment speech individual
|
$756.00 |
$1,268.93 |
$1,503.30 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$439.00 |
$1,268.93 |
$1,503.30 |
$261.60
|
|
Subq njx filling matrl 1cc/<
|
$611.00 |
$611.00 |
$611.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$748.14
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$14.00 |
$14.00 |
$261.17 |
$49.13
|
|
Sugars single quant
|
$26.61 |
$26.70 |
$546.00 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$62.10 |
$62.10 |
$62.10 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$130.20 |
$130.20 |
$554.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$165.66 |
$370.00 |
$399.50 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$316.00 |
$905.42 |
$925.80 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$641.00 |
$1,416.69 |
$1,448.35 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$956.00 |
$1,614.39 |
$1,650.85 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,200.00 |
$1,200.00 |
$3,845.84 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$186.37 |
$944.95 |
$1,384.00 |
$494.00
|
