|
Screening Mammogram
|
$391.14 |
$525.15 |
$2,840.35 |
$303.55
|
|
Screening prostate cancer PSA
|
$7.81 |
$7.81 |
$12.41 |
$100.80
|
|
Screen pap by tech w md supv
|
$245.72 |
$245.72 |
$245.72 |
$41.80
|
|
Sc ther infusion reset pump
|
$256.49 |
$256.49 |
$256.49 |
$126.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,927.58 |
$9,927.58 |
$9,927.58 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$204.41 |
$204.41 |
$1,151.43 |
$44.20
|
|
Select picture audiometry
|
$670.29 |
$670.29 |
$670.29 |
$81.12
|
|
Semen analysis presence/motility
|
$186.00 |
$186.00 |
$186.00 |
$70.85
|
|
Semen analysis w/count
|
$132.90 |
$132.90 |
$132.90 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$2,963.52 |
$2,963.52 |
$2,963.52 |
$316.68
|
|
Serpina1 gene
|
$288.00 |
$673.74 |
$673.74 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$30.25 |
$30.25 |
$30.25 |
$173.16
|
|
Set radiation therapy field
|
$1,068.79 |
$1,068.79 |
$1,068.79 |
$731.50
|
|
Set radiation therapy field
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,102.40
|
|
Set radiation therapy field
|
$2,131.28 |
$2,131.28 |
$2,131.28 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$1,675.11 |
$1,675.11 |
$1,675.11 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$2,188.21 |
$2,188.21 |
$2,188.21 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$2,791.85 |
$2,791.85 |
$2,791.85 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$3,123.86 |
$3,123.86 |
$3,123.86 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$1,524.20 |
$1,524.20 |
$1,524.20 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$2,293.85 |
$2,293.85 |
$2,293.85 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$2,671.12 |
$2,671.12 |
$2,671.12 |
$302.55
|
|
Sho arthrs dx +- synovial bx
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,419.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Shorten radius or ulna
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$7,607.01 |
$7,607.01 |
$7,607.01 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,896.42 |
$5,896.42 |
$5,896.42 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,342.78 |
$3,342.78 |
$5,637.30 |
$2,051.28
|
|
Shoulder X-ray
|
$1,868.10 |
$1,868.10 |
$1,868.10 |
$367.02
|
|
Shrinker prosth above knee
|
$532.68 |
$532.68 |
$573.84 |
$157.49
|
|
Shrinker prosth below knee
|
$382.71 |
$382.71 |
$382.71 |
$153.13
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,344.82 |
$3,690.20 |
$5,215.12 |
$345.00
|
|
Sialidase enzyme assay
|
$14.78 |
$14.78 |
$89.82 |
$49.44
|
|
Sialography s&i
|
$5,343.97 |
$5,343.97 |
$5,789.85 |
$462.40
|
|
Sialolithotomy 42330
|
$30,746.36 |
$30,746.36 |
$30,746.36 |
$3,837.72
|
|
Sickling rbc
|
$35.00 |
$87.28 |
$87.28 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,351.63
|
|
Sigmoidoscopy w/fb removal 45332
|
$12,166.92 |
$12,166.92 |
$12,166.92 |
$1,395.28
|
|
Sigmoidoscopy w/tumr remove
|
$12,166.92 |
$12,166.92 |
$12,166.92 |
$1,395.28
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$1,790.20 |
$1,790.20 |
$1,790.20 |
$309.52
|
|
Sim ang w/prs cath rad emb
|
$25,107.44 |
$25,107.44 |
$25,107.44 |
$13,001.06
|
|
Simple cystometrogram 51725
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$1,153.43 |
$1,153.43 |
$1,283.00 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$9,590.02 |
$9,590.02 |
$20,088.31 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$8,411.53 |
$8,411.53 |
$13,822.99 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$6,904.22 |
$6,904.22 |
$13,199.94 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$6,827.10 |
$26,854.65 |
$26,854.65 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$30,746.36 |
$30,746.36 |
$30,746.36 |
$3,592.74
|
|
Sirolimus, oral
|
$167.95 |
$167.95 |
$171.00 |
$42.11
|
|
Skeletal muscle relaxant 1/2
|
$37.82 |
$37.82 |
$37.82 |
$74.23
|
|
Skin Biopsy
|
$618.20 |
$618.20 |
$642.62 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$3,936.80
|
|
Sleep study unattended
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$595.50
|
|
Sleeve fing rolyan med
|
$1,192.18 |
$1,192.18 |
$1,192.18 |
$191.10
|
|
Slp pure tone screening
|
$67.18 |
$67.18 |
$67.18 |
$67.60
|
|
Slp stdy unatnd w/anal
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$307.50
|
|
Slp ther svc non-spch gen
|
$419.79 |
$419.79 |
$419.79 |
$186.40
|
|
Small bowel endoscopy
|
$17,266.53 |
$17,266.53 |
$17,266.53 |
$2,466.10
|
|
Small bowel endoscopy 44365
|
$17,266.53 |
$17,266.53 |
$17,266.53 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$17,266.53 |
$17,266.53 |
$17,266.53 |
$2,442.70
|
|
Smear fluorescent and/or acid fast stain
|
$266.72 |
$266.72 |
$266.72 |
$64.20
|
|
Smear gram stain
|
$180.77 |
$180.77 |
$180.77 |
$57.85
|
|
Smear nasal eosinophil
|
$89.37 |
$272.22 |
$845.23 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$110.28 |
$110.28 |
$110.28 |
$64.35
|
|
Smear wet mount
|
$231.62 |
$231.62 |
$231.62 |
$68.63
|
|
Snrpn/ube3a gene
|
$788.27 |
$788.27 |
$788.27 |
$228.80
|
|
Sodium 24 hour urine
|
$110.69 |
$225.41 |
$954.69 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$36.70 |
$38.60 |
$231.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$192.78 |
$192.78 |
$250.00 |
$47.27
|
|
Sodium chloride 3 % ivpb
|
$36.00 |
$51.43 |
$151.75 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$214.71 |
$482.02 |
$784.22 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,504.04 |
$1,504.04 |
$1,670.35 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$260.16 |
$260.16 |
$1,203.18 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$675.00 |
$675.00 |
$34,251.27 |
$195.48
|
|
Special physics consult
|
$1,170.00 |
$1,661.78 |
$1,661.78 |
$700.74
|
|
Special radiation dosimetry
|
$402.00 |
$942.28 |
$942.28 |
$445.50
|
|
Special radiation treatment
|
$3,449.00 |
$3,449.00 |
$3,449.00 |
$1,934.03
|
|
Special teletx port plan
|
$1,624.09 |
$1,624.09 |
$1,624.09 |
$1,046.65
|
|
Specific gravity body fluid
|
$50.63 |
$96.32 |
$467.97 |
$23.63
|
|
Specimen fat stain
|
$12.51 |
$12.51 |
$17.00 |
$32.76
|
|
Speech audiometry complete
|
$670.29 |
$670.29 |
$670.29 |
$104.25
|
|
Speech evaluation complex
|
$917.20 |
$917.20 |
$917.20 |
$527.06
|
|
Speech recep thresh
|
$418.76 |
$418.76 |
$418.76 |
$90.60
|
|
Sperm antibody test
|
$54.39 |
$54.39 |
$164.69 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,196.41 |
$3,196.41 |
$3,196.41 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,635.78 |
$1,635.78 |
$3,254.69 |
$559.96
|
|
Spleen imaging
|
$8,799.53 |
$8,799.53 |
$8,799.53 |
$539.70
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,885.73 |
$1,885.73 |
$1,885.73 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$354.17 |
$354.17 |
$354.17 |
$52.65
|
|
Splint finger fold over sm
|
$583.23 |
$583.23 |
$583.23 |
$84.00
|