|
Screw cortex 2.0 x 10mm
|
$30,739.56 |
$30,739.56 |
$30,739.56 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$553.41 |
$553.41 |
$553.41 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,789.28 |
$2,789.28 |
$2,789.28 |
$4,332.68
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$79.56 |
$79.56 |
$79.56 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$53.82 |
$53.82 |
$53.82 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$83.46 |
$83.46 |
$83.46 |
$96.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$164.97 |
$164.97 |
$164.97 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$166.14 |
$166.14 |
$166.14 |
$33.04
|
|
Semen analysis presence/motility
|
$33.54 |
$33.54 |
$33.54 |
$70.40
|
|
Sensorimotor examination
|
$64.35 |
$64.35 |
$64.35 |
$109.50
|
|
Sept9 promoter methylation analysis
|
$316.68 |
$316.68 |
$316.68 |
$316.68
|
|
Serial casting application 97139app
|
$78.39 |
$78.39 |
$78.39 |
$78.39
|
|
Serpina1 gene
|
$636.09 |
$636.09 |
$636.09 |
$197.00
|
|
Set radiation therapy field
|
$522.99 |
$522.99 |
$522.99 |
$782.61
|
|
Set radiation therapy field
|
$845.91 |
$845.91 |
$845.91 |
$1,159.03
|
|
Set radiation therapy field
|
$1,021.41 |
$1,021.41 |
$1,021.41 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$347.88 |
$347.88 |
$347.88 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$163.80 |
$163.80 |
$163.80 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$202.80 |
$202.80 |
$202.80 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$1,904.37 |
$1,904.37 |
$1,904.37 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$138.84 |
$138.84 |
$138.84 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$138.84 |
$138.84 |
$138.84 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$156.00 |
$156.00 |
$156.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$2,190.24 |
$2,190.24 |
$2,190.24 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$159.12 |
$159.12 |
$159.12 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$138.84 |
$138.84 |
$138.84 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$370.89 |
$370.89 |
$370.89 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$5,366.12 |
$5,366.12 |
$5,366.12 |
$6,570.70
|
|
Shoe post-op mens m
|
$49.25 |
$49.25 |
$49.25 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$121.29 |
$121.29 |
$121.29 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$271.44 |
$271.44 |
$271.44 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$238.68 |
$238.68 |
$238.68 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$2,061.54 |
$2,061.54 |
$2,061.54 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,743.30 |
$1,743.30 |
$1,743.30 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,549.08 |
$1,549.08 |
$1,549.08 |
$2,096.84
|
|
Shoulder X-ray
|
$276.90 |
$276.90 |
$276.90 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$201.63 |
$201.63 |
$201.63 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$3,581.59 |
$3,581.59 |
$3,581.59 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$400.92 |
$400.92 |
$400.92 |
$355.80
|
|
Sialography s&i
|
$376.35 |
$376.35 |
$376.35 |
$499.20
|
|
Sialolithotomy 42330
|
$1,959.75 |
$1,959.75 |
$1,959.75 |
$3,837.72
|
|
Sickling rbc
|
$65.91 |
$65.91 |
$65.91 |
$59.40
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,374.75 |
$1,374.75 |
$1,374.75 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$1,740.57 |
$1,740.57 |
$1,740.57 |
$1,740.57
|
|
Signal avg ecg w or without ecg 93278
|
$813.93 |
$813.93 |
$813.93 |
$280.00
|
|
Simple cystometrogram 51725
|
$396.63 |
$396.63 |
$396.63 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$354.67 |
$354.67 |
$354.67 |
$309.14
|
|
Single energy x-ray study
|
$97.89 |
$97.89 |
$97.89 |
$125.84
|
|
Sinus CT scan (with and without contrast)
|
$1,610.70 |
$1,610.70 |
$1,610.70 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,473.03 |
$1,473.03 |
$1,473.03 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,319.37 |
$1,319.37 |
$1,319.37 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,971.06 |
$1,971.06 |
$1,971.06 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$375.57 |
$375.57 |
$375.57 |
$346.45
|
|
Sinus X-ray (limited)
|
$218.40 |
$218.40 |
$218.40 |
$215.40
|
|
Skin Biopsy
|
$560.04 |
$560.04 |
$560.04 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,190.24 |
$2,190.24 |
$2,190.24 |
$2,379.00
|
|
Skull X-ray (1 to 3 views)
|
$276.90 |
$276.90 |
$276.90 |
$294.45
|
|
Skull X-ray (complete)
|
$412.23 |
$412.23 |
$412.23 |
$417.50
|
|
Slco1b1 gene com variants
|
$674.70 |
$674.70 |
$674.70 |
$241.24
|
|
Sleep study attended
|
$1,237.08 |
$1,237.08 |
$1,237.08 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,068.13 |
$3,068.13 |
$3,068.13 |
$3,734.50
|
|
Sleep study unattended
|
$430.95 |
$430.95 |
$430.95 |
$594.00
|
|
Sleeve fing rolyan med
|
$210.38 |
$210.38 |
$210.38 |
$203.58
|
|
Sling suprapubic suburetheral
|
$15,381.89 |
$15,381.89 |
$15,381.89 |
$9,679.96
|
|
Slitting of prepuce
|
$4,451.07 |
$4,451.07 |
$4,451.07 |
$3,376.23
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$142.35 |
$142.35 |
$142.35 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$285.09 |
$285.09 |
$285.09 |
$285.09
|
|
Slp pure tone screening
|
$70.20 |
$70.20 |
$70.20 |
$64.50
|
|
Slp ther svc non-spch gen
|
$106.08 |
$106.08 |
$106.08 |
$188.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$557.70 |
$557.70 |
$557.70 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$120.51 |
$120.51 |
$120.51 |
$64.35
|
|
Smear gram stain
|
$80.34 |
$80.34 |
$80.34 |
$55.55
|
|
Smear nasal eosinophil
|
$94.77 |
$94.77 |
$94.77 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$102.57 |
$102.57 |
$102.57 |
$73.50
|
|
Smear wet mount
|
$70.59 |
$70.59 |
$70.59 |
$67.55
|
|
Smn1 gene full gene sequence
|
$495.69 |
$495.69 |
$495.69 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$304.59 |
$304.59 |
$304.59 |
$276.42
|
|
Snrpn/ube3a gene
|
$69.81 |
$69.81 |
$69.81 |
$230.63
|
|
Sodium 24 hour urine
|
$74.49 |
$74.49 |
$74.49 |
$48.98
|
|
Sodium chloride 0.9 % IV bolus
|
$8.07 |
$8.07 |
$8.07 |
$37.64
|
|
Sodium serum/plasma/whole blood
|
$67.86 |
$67.86 |
$67.86 |
$46.26
|
|
Somatosensory testing
|
$1,316.25 |
$1,316.25 |
$1,316.25 |
$816.00
|
|
So neo gsap dna mcrstl ins
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$2,296.00
|
|
Sp bone algrft morsel add-on
|
$803.40 |
$803.40 |
$803.40 |
$498.55
|
|
Special physics consult
|
$477.75 |
$477.75 |
$477.75 |
$725.00
|
|
Special radiation dosimetry
|
$353.34 |
$353.34 |
$353.34 |
$392.50
|
|
Special radiation treatment
|
$1,515.93 |
$1,515.93 |
$1,515.93 |
$2,052.00
|
|
Special teletx port plan
|
$696.93 |
$696.93 |
$696.93 |
$1,095.05
|
|
Specific gravity body fluid
|
$33.15 |
$33.15 |
$33.15 |
$22.00
|
|
Specimen fat stain
|
$102.96 |
$102.96 |
$102.96 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$244.14 |
$244.14 |
$244.14 |
$384.80
|
|
Speech audiometry complete
|
$172.77 |
$172.77 |
$172.77 |
$109.20
|
|
Speech evaluation complex
|
$598.26 |
$598.26 |
$598.26 |
$527.06
|
|
Speech recep thresh
|
$130.26 |
$130.26 |
$130.26 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$172.77 |
$172.77 |
$172.77 |
$246.87
|
|
Sperm identification
|
$88.14 |
$88.14 |
$88.14 |
$101.55
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,049.06 |
$2,049.06 |
$2,049.06 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$182.13 |
$182.13 |
$182.13 |
$251.00
|
|
Spleen imaging
|
$773.76 |
$773.76 |
$773.76 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$418.94 |
$418.94 |
$418.94 |
$388.80
|