|
Shuntogram nonvascular supervision & interpretation
|
$731.25 |
$731.25 |
$731.25 |
$359.55
|
|
Sialidase enzyme assay
|
$18.85 |
$18.85 |
$18.85 |
$54.99
|
|
Sialography s&i
|
$1,454.05 |
$1,454.05 |
$1,454.05 |
$512.40
|
|
Sialolithotomy 42330
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,864.00
|
|
Sickling rbc
|
$70.85 |
$70.85 |
$70.85 |
$56.99
|
|
Sigmoidoscopy and biopsy
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,550.40
|
|
Sigmoidoscopy flex decompression 45337
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$343.20 |
$343.20 |
$343.20 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$1,340.95 |
$1,340.95 |
$1,340.95 |
$614.00
|
|
Sincalide 5 mcg solution for injection
|
$305.29 |
$305.29 |
$305.29 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$1,788.60
|
|
Sinus CT scan (with contrast)
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$839.80 |
$839.80 |
$839.80 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$17,942.60 |
$17,942.60 |
$17,942.60 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$798.20 |
$798.20 |
$798.20 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$1,739.40 |
$1,739.40 |
$1,739.40 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$557.05 |
$557.05 |
$557.05 |
$345.24
|
|
Sinus X-ray (limited)
|
$538.20 |
$538.20 |
$538.20 |
$214.50
|
|
Sipuleucel-t - su
|
$109,596.50 |
$109,596.50 |
$109,596.50 |
$100,990.51
|
|
Sirolimus, oral
|
$56.88 |
$56.88 |
$56.88 |
$41.70
|
|
Skin and muscle repair face
|
$3,723.20 |
$3,723.20 |
$3,723.20 |
$4,332.25
|
|
Skin Biopsy
|
$484.25 |
$484.25 |
$484.25 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$531.70 |
$531.70 |
$531.70 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$2,654.60 |
$2,654.60 |
$2,654.60 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$447.20 |
$447.20 |
$447.20 |
$1,793.40
|
|
Skin test unlisted antigen ea
|
$22.75 |
$22.75 |
$22.75 |
$48.57
|
|
Skull base/brainstem surgery
|
$9,505.60 |
$9,505.60 |
$9,505.60 |
$3,770.91
|
|
Skull base/brainstem surgery
|
$15,584.40 |
$15,584.40 |
$15,584.40 |
$6,428.85
|
|
Skull X-ray (1 to 3 views)
|
$648.05 |
$648.05 |
$648.05 |
$297.00
|
|
Skull X-ray (complete)
|
$669.50 |
$669.50 |
$669.50 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,577.76 |
$1,577.76 |
$1,577.76 |
$1,643.47
|
|
Sleep study attended
|
$3,340.35 |
$3,340.35 |
$3,340.35 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$6,418.75 |
$6,418.75 |
$6,418.75 |
$3,721.41
|
|
Sleep study unattended
|
$1,143.35 |
$1,143.35 |
$1,143.35 |
$594.00
|
|
Sleeve fing rolyan med
|
$16.25 |
$16.25 |
$16.25 |
$204.60
|
|
Sling arm deluxe w/pad xs
|
$39.00 |
$39.00 |
$39.00 |
$30.35
|
|
Sling pelv split sam med
|
$56.55 |
$56.55 |
$56.55 |
$150.00
|
|
Sling suprapubic suburetheral
|
$6,045.00 |
$6,045.00 |
$6,045.00 |
$9,679.96
|
|
Slitting of prepuce
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,376.23
|
|
Slp pure tone screening
|
$40.30 |
$40.30 |
$40.30 |
$64.50
|
|
Sm-153 lexidron ther
|
$25,780.30 |
$25,780.30 |
$25,780.30 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,208.35 |
$1,208.35 |
$1,208.35 |
$557.70
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,596.41
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,518.10
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$3,265.60
|
|
Small bowel endoscopy
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$2,088.00
|
|
Small bowel endoscopy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$4,992.00
|
|
Smallpox&monkeypox vac 0.5ml
|
$510.71 |
$510.71 |
$510.71 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$20.80 |
$20.80 |
$20.80 |
$64.00
|
|
Smear gram stain
|
$52.65 |
$52.65 |
$52.65 |
$54.03
|
|
Smear nasal eosinophil
|
$23.40 |
$23.40 |
$23.40 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$114.40 |
$114.40 |
$114.40 |
$71.81
|
|
Smear wet mount
|
$48.10 |
$48.10 |
$48.10 |
$66.30
|
|
Smpd1 gene common variants
|
$84.50 |
$84.50 |
$84.50 |
$133.84
|
|
Snrpn/ube3a gene
|
$588.90 |
$588.90 |
$588.90 |
$228.80
|
|
Sock fracture or equal each
|
$22.75 |
$22.75 |
$22.75 |
$74.51
|
|
Sodium 24 hour urine
|
$70.85 |
$70.85 |
$70.85 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$26.00 |
$26.00 |
$26.00 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$8.45 |
$8.45 |
$8.45 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$27.95 |
$27.95 |
$27.95 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$0.60 |
$0.60 |
$0.60 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$22.10 |
$22.10 |
$22.10 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$242.45 |
$242.45 |
$242.45 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$47.45 |
$47.45 |
$47.45 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$4.68 |
$4.68 |
$4.68 |
$177.52
|
|
Soft interface below knee se
|
$72.15 |
$72.15 |
$72.15 |
$179.08
|
|
Solid skin barrier
|
$85.15 |
$85.15 |
$85.15 |
$2.84
|
|
Somatosensory testing
|
$1,886.30 |
$1,886.30 |
$1,886.30 |
$816.00
|
|
Somatropin injection
|
$2,770.40 |
$2,770.40 |
$2,770.40 |
$2,111.40
|
|
Sotalol hydrochloride IV
|
$771.26 |
$771.26 |
$771.26 |
$5,761.57
|
|
Spacer bag/reservoir
|
$31.20 |
$31.20 |
$31.20 |
$26.00
|
|
Sp bone agrft morsel add-on
|
$725.40 |
$725.40 |
$725.40 |
$406.40
|
|
Sp bone agrft struct add-on
|
$785.20 |
$785.20 |
$785.20 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$498.55 |
$498.55 |
$498.55 |
$498.55
|
|
Special casting material
|
$83.20 |
$83.20 |
$83.20 |
$47.45
|
|
Special physics consult
|
$1,479.40 |
$1,479.40 |
$1,479.40 |
$725.00
|
