|
Special radiation dosimetry
|
$993.20 |
$993.20 |
$993.20 |
$392.73
|
|
Special radiation treatment
|
$3,823.30 |
$3,823.30 |
$3,823.30 |
$2,045.50
|
|
Special supplies phys/qhp
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$60.00
|
|
Special teletx port plan
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$1,086.99
|
|
Specific gravity body fluid
|
$12.35 |
$12.35 |
$12.35 |
$22.00
|
|
Specimen fat stain
|
$7.15 |
$7.15 |
$7.15 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$998.40 |
$998.40 |
$998.40 |
$380.00
|
|
Speech audiometry complete
|
$193.70 |
$193.70 |
$193.70 |
$109.20
|
|
Speech recep thresh
|
$193.70 |
$193.70 |
$193.70 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$384.15 |
$384.15 |
$384.15 |
$248.84
|
|
Sperm antibody test
|
$182.65 |
$182.65 |
$182.65 |
$57.85
|
|
Sperm identification
|
$757.90 |
$757.90 |
$757.90 |
$101.55
|
|
Sperm isolation complex
|
$375.70 |
$375.70 |
$375.70 |
$176.28
|
|
Sperm isolation simple
|
$201.50 |
$201.50 |
$201.50 |
$126.05
|
|
Sphenoid sinus surgery
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$470.60 |
$470.60 |
$470.60 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$707.85 |
$707.85 |
$707.85 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$535.60 |
$535.60 |
$535.60 |
$251.40
|
|
Spleen imaging
|
$2,367.30 |
$2,367.30 |
$2,367.30 |
$679.00
|
|
Splenectomy total open 38100
|
$5,083.00 |
$5,083.00 |
$5,083.00 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$10,400.00 |
$10,400.00 |
$10,400.00 |
$2,547.00
|
|
Splicing of ureters
|
$5,517.20 |
$5,517.20 |
$5,517.20 |
$1,493.66
|
|
Splint arm vnyl coated padded lft med
|
$7.80 |
$7.80 |
$7.80 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$46.83 |
$46.83 |
$46.83 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$16.25 |
$16.25 |
$16.25 |
$67.76
|
|
Splint finger frog med
|
$17.55 |
$17.55 |
$17.55 |
$38.08
|
|
Splint func pos polyflex ii med
|
$71.50 |
$71.50 |
$71.50 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$35.10 |
$35.10 |
$35.10 |
$100.00
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,639.00 |
$2,639.00 |
$2,639.00 |
$4,687.20
|
|
Split blood or products
|
$122.85 |
$122.85 |
$122.85 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$520.00 |
$520.00 |
$520.00 |
$1,612.78
|
|
Spontaneous nystagmus study
|
$851.50 |
$851.50 |
$851.50 |
$130.65
|
|
Sprchoroidal spc njx rx agt
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$454.19
|
|
Sputum specimen collection
|
$117.00 |
$117.00 |
$117.00 |
$180.00
|
|
Srs cranial lesion complex
|
$5,161.00 |
$5,161.00 |
$5,161.00 |
$3,244.00
|
|
Srs cranial lesion simple
|
$3,621.80 |
$3,621.80 |
$3,621.80 |
$3,145.05
|
|
Srs cran les complex addl
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$711.20
|
|
Srs cran les simple addl
|
$904.80 |
$904.80 |
$904.80 |
$719.20
|
|
Srs linear based
|
$42,857.10 |
$42,857.10 |
$42,857.10 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$499.20 |
$499.20 |
$499.20 |
$295.10
|
|
Staph a dna amp probe
|
$193.70 |
$193.70 |
$193.70 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$538.20 |
$538.20 |
$538.20 |
$281.00
|
|
Stem cells total count
|
$259.35 |
$259.35 |
$259.35 |
$184.00
|
|
Stenger test pure tone
|
$65.00 |
$65.00 |
$65.00 |
$77.84
|
|
Stenger test speech
|
$93.60 |
$93.60 |
$93.60 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$37,252.80 |
$37,252.80 |
$37,252.80 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$10,715.90 |
$10,715.90 |
$10,715.90 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$633.10 |
$633.10 |
$633.10 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$17,940.00 |
$17,940.00 |
$17,940.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$3,327.35 |
$3,327.35 |
$3,327.35 |
$4,673.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$29,283.15 |
$29,283.15 |
$29,283.15 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,356.65 |
$5,356.65 |
$5,356.65 |
$8,985.00
|
|
Stent placemt retro carotid
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$37,252.80 |
$37,252.80 |
$37,252.80 |
$17,892.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$5,155.80 |
$5,155.80 |
$5,155.80 |
$3,308.00
|
|
Stereotactic radiation trmt
|
$2,265.25 |
$2,265.25 |
$2,265.25 |
$845.60
|
|
Sterile needle
|
$163.80 |
$163.80 |
$163.80 |
$190.13
|
|
Sternal debridement
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$1,318.40
|
|
St evaluate speech sound production
|
$499.20 |
$499.20 |
$499.20 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$673.40 |
$673.40 |
$673.40 |
$396.90
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$2,479.10 |
$2,479.10 |
$2,479.10 |
$1,350.05
|
|
Storage/year sperm/semen
|
$238.55 |
$238.55 |
$238.55 |
$207.35
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$3,404.70 |
$3,404.70 |
$3,404.70 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$590.20 |
$590.20 |
$590.20 |
$223.45
|
|
Strapping of chest
|
$590.20 |
$590.20 |
$590.20 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$221.65 |
$221.65 |
$221.65 |
$157.46
|
|
Strapping of hand or finger
|
$221.65 |
$221.65 |
$221.65 |
$177.45
|
|
Strapping of knee
|
$481.65 |
$481.65 |
$481.65 |
$205.20
|
|
Strapping of toes 29550
|
$221.65 |
$221.65 |
$221.65 |
$164.70
|
|
Strep a ag ia
|
$276.25 |
$276.25 |
$276.25 |
$75.40
|
|
Strep b assay w/optic
|
$9.75 |
$9.75 |
$9.75 |
$58.95
|
|
Strep b dna amp probe
|
$242.45 |
$242.45 |
$242.45 |
$124.15
|
|
Streptomycin injection
|
$175.50 |
$175.50 |
$175.50 |
$138.30
|
|
Streptozocin injection
|
$295.10 |
$295.10 |
$295.10 |
$785.95
|
|
Stress test pulmonary
|
$481.65 |
$481.65 |
$481.65 |
$324.00
|
|
Stress tte complete
|
$3,062.15 |
$3,062.15 |
$3,062.15 |
$1,820.70
|
|
Str markers specimen anal
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$751.50
|
|
Subq njx filling matrl 1cc/<
|
$484.25 |
$484.25 |
$484.25 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$439.40 |
$439.40 |
$439.40 |
$988.00
|
|
Subsequent repair of nerve
|
$517.40 |
$517.40 |
$517.40 |
$4,448.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$8.45 |
$8.45 |
$8.45 |
$54.80
|
|
Suction lipectomy head&neck
|
$1,596.40 |
$1,596.40 |
$1,596.40 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$3,105.05 |
$3,105.05 |
$3,105.05 |
$4,544.00
|
|
Sugars multiple quant
|
$48.10 |
$48.10 |
$48.10 |
$44.19
|
|
Sugars single quant
|
$308.10 |
$308.10 |
$308.10 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,164,968.00 |
$2,164,968.00 |
$2,164,968.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$2.96 |
$2.96 |
$2.96 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,129.07 |
$1,129.07 |
$1,129.07 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$15.60 |
$15.60 |
$15.60 |
$54.60
|
|
Supply of digital device
|
$418.60 |
$418.60 |
$418.60 |
$280.00
|
|
Support clav 29.6-40.5in med
|
$52.00 |
$52.00 |
$52.00 |
$94.08
|
|
Supprelin la implant
|
$117,424.98 |
$117,424.98 |
$117,424.98 |
$80,935.72
|
|
Surg dx exam anorectal
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$3,294.20 |
$3,294.20 |
$3,294.20 |
$1,632.60
|
|
Surgery for urethra pouch
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$4,627.00
|
|
Surgery to stop leg growth
|
$26,699.40 |
$26,699.40 |
$26,699.40 |
$7,907.11
|
