|
Special teletx port plan
|
$696.93 |
$696.93 |
$1,956.00 |
|
|
Specific gravity body fluid
|
$15.00 |
$33.15 |
$71.00 |
|
|
Specimen fat stain
|
$58.91 |
$102.96 |
$144.00 |
|
|
Speech and Language Evaluation (comprehensive)
|
$144.16 |
$244.14 |
$703.16 |
|
|
Speech audiometry complete
|
$172.77 |
$172.77 |
$336.00 |
|
|
Speech evaluation complex
|
$598.26 |
$598.26 |
$598.26 |
|
|
Speech recep thresh
|
$130.26 |
$130.26 |
$271.00 |
|
|
Speech Therapy Session (one-on-one)
|
$169.00 |
$172.77 |
$917.15 |
|
|
Sperm antibody test
|
$53.88 |
$53.88 |
$53.88 |
|
|
Sperm identification
|
$88.14 |
$88.14 |
$88.14 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$742.08 |
$2,049.06 |
$6,376.75 |
|
|
Spine X-ray (single view, one level)
|
$95.32 |
$312.00 |
$1,485.74 |
|
|
Spleen imaging
|
$773.76 |
$773.76 |
$773.76 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$112.20 |
$418.94 |
$418.94 |
|
|
Splint finger 4 prong foam sm
|
$503.41 |
$503.41 |
$503.41 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,560.66 |
$4,560.66 |
$8,978.00 |
|
|
Split blood or products
|
$157.95 |
$157.95 |
$520.00 |
|
|
Sprchoroidal spc njx rx agt
|
$453.57 |
$453.57 |
$453.57 |
|
|
Sputum specimen collection
|
$450.00 |
$450.00 |
$450.00 |
|
|
Sr-89 stront chlor ther / mci
|
$3,382.47 |
$3,382.47 |
$3,382.47 |
|
|
Srs cranial lesion simple
|
$3,598.00 |
$3,598.00 |
$3,598.00 |
|
|
Srs cran les complex addl
|
$75.00 |
$75.00 |
$75.00 |
|
|
Srs linear based
|
$4,013.47 |
$18,301.53 |
$66,499.00 |
|
|
Srs multisource
|
$36,359.82 |
$61,542.78 |
$100,225.33 |
|
|
St analysis behavior qualitative voice/resonance
|
$84.36 |
$244.14 |
$729.29 |
|
|
Staph a dna amp probe
|
$41.44 |
$173.55 |
$1,880.67 |
|
|
St cognitve performance testing healthcare professional each hour
|
$140.01 |
$140.01 |
$657.26 |
|
|
Stem cells total count
|
$109.20 |
$109.20 |
$361.00 |
|
|
Stenger test pure tone
|
$239.00 |
$239.00 |
$239.00 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,302.00 |
$17,598.75 |
$17,598.75 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$2,399.97 |
$46,500.48 |
$92,400.00 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$238.28 |
$1,322.36 |
$3,862.10 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,112.96 |
$23,261.70 |
$26,466.66 |
|
|
Stent bronch dumon sil 10x40mm
|
$3,862.10 |
$3,862.10 |
$3,862.10 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,687.00 |
$12,394.20 |
$17,114.13 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,563.73 |
$5,454.93 |
$8,048.00 |
|
|
Stent placemt retro carotid
|
$1,452.77 |
$1,452.77 |
$1,452.77 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,484.29 |
$10,995.27 |
$10,995.27 |
|
|
Sterile water/saline, 10 ml
|
$13.32 |
$13.32 |
$13.32 |
|
|
Sterile water/saline, 500 ml
|
$12.17 |
$12.17 |
$12.17 |
|
|
St evaluate speech sound production
|
$76.37 |
$244.14 |
$703.16 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$263.44 |
$334.23 |
$1,638.43 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$898.66 |
$982.80 |
$5,993.72 |
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$19,458.00 |
$19,458.00 |
$19,458.00 |
|
|
Strapping of ankle and/or ft 29540
|
$392.34 |
$392.34 |
$2,052.93 |
|
|
Strapping of chest
|
$365.43 |
$365.43 |
$365.43 |
|
|
Strapping of elbow or wrist 29260
|
$145.86 |
$145.86 |
$789.92 |
|
|
Strapping of hand or finger
|
$231.00 |
$292.11 |
$292.11 |
|
|
Strapping of hip
|
$381.81 |
$381.81 |
$381.81 |
|
|
Strapping of knee
|
$343.98 |
$343.98 |
$1,475.52 |
|
|
Strapping of toes 29550
|
$183.30 |
$183.30 |
$540.66 |
|
|
Strep a ag ia
|
$81.51 |
$81.51 |
$81.51 |
|
|
Strep a dna dir probe
|
$96.72 |
$96.72 |
$96.72 |
|
|
Strep b assay w/optic
|
$26.35 |
$46.41 |
$46.41 |
|
|
Strep b dna amp probe
|
$30.79 |
$51.32 |
$178.00 |
|
|
Streptomycin injection
|
$328.13 |
$328.13 |
$328.13 |
|
|
Stress test pulmonary
|
$141.20 |
$424.32 |
$652.00 |
|
|
Stress tte complete
|
$1,196.13 |
$1,196.13 |
$6,986.59 |
|
|
Str markers spec anal addl
|
$1,110.72 |
$1,110.72 |
$1,110.72 |
|
|
Str markers specimen anal
|
$1,477.32 |
$1,477.32 |
$2,133.00 |
|
|
Subq njx filling matrl 1cc/<
|
$136.50 |
$136.50 |
$604.00 |
|
|
Subtalar arthro w/deb
|
$13,158.00 |
$13,158.00 |
$13,158.00 |
|
|
Subtalar arthro w/fusion
|
$13,158.00 |
$13,158.00 |
$13,158.00 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$20.83 |
$85.33 |
$839.13 |
|
|
Suction lipectomy lwr extrem
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Suction lipectomy trunk
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Suction lipectomy upr extrem
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Sugars single quant
|
$50.92 |
$50.92 |
$122.78 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$3,557.98 |
$2,995,240.00 |
$2,995,240.00 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$140.93 |
$140.93 |
$140.93 |
|
|
Sulfonylurea screen qn-sendout
|
$273.30 |
$420.00 |
$420.00 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$21.88 |
$175.31 |
$213.38 |
|
|
Surg dx exam anorectal
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Surgical pathology level 1 gross examination only
|
$44.70 |
$135.33 |
$377.38 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$95.61 |
$175.11 |
$920.22 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$173.76 |
$270.27 |
$1,216.56 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$78.15 |
$328.38 |
$1,476.52 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$294.82 |
$661.00 |
$1,902.85 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$352.56 |
$412.04 |
$3,255.00 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
|
|
Susceptibility agar dilution per agent
|
$39.78 |
$39.78 |
$95.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$5.92 |
$51.09 |
$254.58 |
|
|
Susceptibility mic per plate
|
$21.91 |
$94.38 |
$183.31 |
|
|
Suscept studies macrobroth dilution ea
|
$8.00 |
$663.78 |
$663.78 |
|
|
Svc venogram s&i
|
$1,287.31 |
$2,159.43 |
$6,583.00 |
|
|
Swallowing Evaluation (Bedside)
|
$156.29 |
$244.14 |
$677.95 |
|
|
Swallowing Therapy Session
|
$129.87 |
$202.00 |
$585.70 |
|
|
Sweat collection by iontophoresis
|
$290.94 |
$290.94 |
$290.94 |
|
|
Sympathectomy digital artery
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Synch audio-only est high 40
|
$705.00 |
$705.00 |
$705.00 |
|
|
Synch audio-only est low 20
|
$353.00 |
$353.00 |
$353.00 |
|
|
Synch audio-only est mod 30
|
$505.00 |
$505.00 |
$505.00 |
|
|
Synch audio-only est sf 10
|
$176.00 |
$176.00 |
$176.00 |
|
|
Synch audio-only new high 60
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
|
|
Synch audio-only new low 30
|
$529.00 |
$529.00 |
$529.00 |
|
|
Synch audio-only new mod 45
|
$794.00 |
$794.00 |
$794.00 |
|
|
Synch audio-only new sf 15
|
$264.00 |
$264.00 |
$264.00 |
|
|
Synvisc or synvisc-one
|
$71.21 |
$71.21 |
$3,690.03 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.00 |
$49.14 |
$238.82 |
|
|
System cardiomems hosp electronics
|
$27,720.00 |
$36,449.60 |
$36,449.60 |
|
