|
Russell viper venom diluted
|
$170.00 |
$170.00 |
$170.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$82.13 |
$82.13 |
$82.13 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$434.00 |
$434.00 |
$434.00 |
$314.79
|
|
Sargramostim injection
|
$152.50 |
$152.50 |
$152.50 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$136.00 |
$136.00 |
$136.00 |
$60.40
|
|
Sbrt management
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$1,156.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,285.00 |
$2,285.00 |
$2,285.00 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$947.00 |
$947.00 |
$947.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$2,361.00 |
$2,361.00 |
$2,361.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,285.00 |
$2,285.00 |
$2,285.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,285.00 |
$2,285.00 |
$2,285.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,285.00 |
$2,285.00 |
$2,285.00 |
$595.35
|
|
Scan proc cranial intra 61781
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,015.00
|
|
Sclerotherapy fluid collection pq w/img
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$1,324.40 |
$1,324.40 |
$1,324.40 |
$4,246.72
|
|
Screen cerv/vag thin layer
|
$500.00 |
$500.00 |
$500.00 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$3,599.00 |
$3,599.00 |
$3,599.00 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$4,798.00 |
$4,798.00 |
$4,798.00 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$123.00 |
$123.00 |
$123.00 |
$57.60
|
|
Screening Mammogram
|
$255.00 |
$255.00 |
$255.00 |
$310.20
|
|
Screening prostate cancer PSA
|
$356.00 |
$356.00 |
$356.00 |
$101.60
|
|
Screen pap by tech w md supv
|
$186.00 |
$186.00 |
$186.00 |
$53.46
|
|
Screw cortex 2.0 x 10mm
|
$42,442.40 |
$42,442.40 |
$42,442.40 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$608.90
|
|
Sc ther infusion reset pump
|
$795.00 |
$795.00 |
$795.00 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$71.00 |
$71.00 |
$71.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$204.00 |
$204.00 |
$204.00 |
$96.60
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$152.00 |
$152.00 |
$152.00 |
$51.98
|
|
Separate eyelid adhesions
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,857.60
|
|
Sequestrectomy olecrn proces
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$7,807.24
|
|
Sertraline (zoloft) - sendout
|
$323.00 |
$323.00 |
$323.00 |
$126.43
|
|
Set radiation therapy field
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$782.61
|
|
Set radiation therapy field
|
$2,363.00 |
$2,363.00 |
$2,363.00 |
$1,159.03
|
|
Set radiation therapy field
|
$2,889.00 |
$2,889.00 |
$2,889.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$2.17 |
$2.17 |
$2.17 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$3.94 |
$3.94 |
$3.94 |
$21.42
|
|
Sever cranial nerve
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,141.46
|
|
Sgmdsc w/band ligation
|
$5,322.00 |
$5,322.00 |
$5,322.00 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$8,209.00 |
$8,209.00 |
$8,209.00 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$8,209.00 |
$8,209.00 |
$8,209.00 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$4,879.23 |
$4,879.23 |
$4,879.23 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$4,797.10 |
$4,797.10 |
$4,797.10 |
$7,143.32
|
|
Sho arthrs dx +- synovial bx
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$13,882.00 |
$13,882.00 |
$13,882.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$5,148.00
|
|
Shoe post-op mens m
|
$154.00 |
$154.00 |
$154.00 |
$53.20
|
|
Shortening of hand tendon
|
$4,815.00 |
$4,815.00 |
$4,815.00 |
$3,839.54
|
|
Shorten radius or ulna
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$6,609.96
|
|
Shorten radius & ulna
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,907.11
|
|
Shot (Injection into Muscle or Under the Skin)
|
$288.00 |
$288.00 |
$288.00 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$453.00 |
$453.00 |
$453.00 |
$270.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$18,813.00 |
$18,813.00 |
$18,813.00 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$377.00 |
$377.00 |
$377.00 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$2,088.20
|
|
Shoulder X-ray
|
$397.00 |
$397.00 |
$397.00 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$343.00 |
$343.00 |
$343.00 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$491.70 |
$491.70 |
$491.70 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$900.00 |
$900.00 |
$900.00 |
$355.80
|
|
Shunt subclavian to pulm art
|
$29,988.00 |
$29,988.00 |
$29,988.00 |
$29,988.00
|
|
Sialolithotomy 42330
|
$9,397.00 |
$9,397.00 |
$9,397.00 |
$3,837.72
|
|
Sickling rbc
|
$104.00 |
$104.00 |
$104.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$925.00 |
$925.00 |
$925.00 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$1,238.00 |
$1,238.00 |
$1,238.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$5,104.00 |
$5,104.00 |
$5,104.00 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$4,178.00 |
$4,178.00 |
$4,178.00 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,976.25
|
|
Sig w/tndsc balloon dilation
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$2,288.00
|
|
Sincalide 5 mcg solution for injection
|
$542.96 |
$542.96 |
$542.96 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,357.00 |
$2,357.00 |
$2,357.00 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$2,517.48
|
|
Sinusotomy maxillary sinus 31020
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$15,400.00 |
$15,400.00 |
$15,400.00 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$552.00 |
$552.00 |
$552.00 |
$347.10
|
|
Sinus X-ray (limited)
|
$417.00 |
$417.00 |
$417.00 |
$215.75
|
|
Sirolimus, oral
|
$148.53 |
$148.53 |
$148.53 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$163.93 |
$163.93 |
$163.93 |
$14,361.10
|
|
Skin Biopsy
|
$780.00 |
$780.00 |
$780.00 |
$361.20
|
|
Skin full graft 20sq cm less 15200
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,332.25
|
|
Skin split graft addl 100sq cm 15101
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$1,793.40
|
