|
Sirolimus-protein bound 100 mg intravenous suspension
|
$19,233.62 |
$19,233.62 |
$19,233.62 |
$14,361.10
|
|
Skeletal muscle relaxant 1/2
|
$86.25 |
$86.25 |
$86.25 |
$83.85
|
|
Skin Biopsy
|
$314.25 |
$314.25 |
$314.25 |
$360.34
|
|
Skin test unlisted antigen ea
|
$27.00 |
$27.00 |
$27.00 |
$48.57
|
|
Skyla, 13.5 mg
|
$2,370.39 |
$2,370.39 |
$2,370.39 |
$1,643.47
|
|
Sleep study attended
|
$1,521.75 |
$1,521.75 |
$1,521.75 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,749.50 |
$2,749.50 |
$2,749.50 |
$3,607.50
|
|
Sling arm deluxe w/pad xs
|
$16.50 |
$16.50 |
$16.50 |
$30.35
|
|
Sling suprapubic suburetheral
|
$692.55 |
$692.55 |
$692.55 |
$9,679.96
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$64.50 |
$64.50 |
$64.50 |
$129.20
|
|
Slp eval non-spch gen comm dev
|
$143.25 |
$143.25 |
$143.25 |
$285.09
|
|
Slp stdy unatnd w/anal
|
$285.00 |
$285.00 |
$285.00 |
$296.34
|
|
Slp ther svc non-spch gen
|
$180.00 |
$180.00 |
$180.00 |
$188.50
|
|
Small animal inoculation
|
$102.00 |
$102.00 |
$102.00 |
$23.24
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,463.36
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,244.82
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,389.40
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,842.50
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,568.75 |
$2,568.75 |
$2,568.75 |
$1,924.00
|
|
Small bowel endoscopy/stent 44370
|
$9,196.50 |
$9,196.50 |
$9,196.50 |
$4,925.70
|
|
Smallpox&monkeypox vac 0.5ml
|
$635.55 |
$635.55 |
$635.55 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$42.75 |
$42.75 |
$42.75 |
$64.20
|
|
Smear gram stain
|
$76.50 |
$76.50 |
$76.50 |
$55.25
|
|
Smear nasal eosinophil
|
$21.75 |
$21.75 |
$21.75 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$90.00 |
$90.00 |
$90.00 |
$73.15
|
|
Smear wet mount
|
$33.00 |
$33.00 |
$33.00 |
$67.49
|
|
Smpd1 gene common variants
|
$9.75 |
$9.75 |
$9.75 |
$133.84
|
|
Sodium 24 hour urine
|
$39.00 |
$39.00 |
$39.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$96.68 |
$96.68 |
$96.68 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$24.00 |
$24.00 |
$24.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$27.32 |
$27.32 |
$27.32 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$33.08 |
$33.08 |
$33.08 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$101.06 |
$101.06 |
$101.06 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$559.50 |
$559.50 |
$559.50 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$48.75 |
$48.75 |
$48.75 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$237.75 |
$237.75 |
$237.75 |
$177.52
|
|
Somatosensory testing
|
$830.25 |
$830.25 |
$830.25 |
$816.00
|
|
Somatropin injection
|
$11,877.38 |
$11,877.38 |
$11,877.38 |
$2,381.48
|
|
Sotalol hydrochloride IV
|
$7,716.39 |
$7,716.39 |
$7,716.39 |
$5,761.57
|
|
Spacer bag/reservoir
|
$15.75 |
$15.75 |
$15.75 |
$26.00
|
|
Sp bone algrft morsel add-on
|
$331.50 |
$331.50 |
$331.50 |
$498.55
|
|
Special physics consult
|
$483.75 |
$483.75 |
$483.75 |
$725.00
|
|
Special radiation dosimetry
|
$384.00 |
$384.00 |
$384.00 |
$392.50
|
|
Special radiation treatment
|
$1,641.75 |
$1,641.75 |
$1,641.75 |
$1,986.00
|
|
Special supplies phys/qhp
|
$20.18 |
$20.18 |
$20.18 |
$60.00
|
|
Special teletx port plan
|
$1,031.25 |
$1,031.25 |
$1,031.25 |
$1,086.99
|
|
Specific gravity body fluid
|
$17.25 |
$17.25 |
$17.25 |
$22.00
|
|
Specimen fat stain
|
$29.25 |
$29.25 |
$29.25 |
$35.10
|
|
Speech evaluation complex
|
$652.50 |
$652.50 |
$652.50 |
$527.06
|
|
Sperm antibody test
|
$33.75 |
$33.75 |
$33.75 |
$57.85
|
|
Sperm evaluation test
|
$60.00 |
$60.00 |
$60.00 |
$27.03
|
|
Sperm isolation complex
|
$141.00 |
$141.00 |
$141.00 |
$176.28
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,787.25 |
$1,787.25 |
$1,787.25 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$830.25 |
$830.25 |
$830.25 |
$543.26
|
|
Spleen imaging
|
$997.50 |
$997.50 |
$997.50 |
$679.00
|
|
Splint finger 4 prong foam sm
|
$16.50 |
$16.50 |
$16.50 |
$34.00
|
|
Splint finger fold over sm
|
$106.50 |
$106.50 |
$106.50 |
$146.88
|
|
Splint fing stax assort 1-7in
|
$3.30 |
$3.30 |
$3.30 |
$5.60
|
|
Splint rstrc wrst/cmc right med
|
$25.50 |
$25.50 |
$25.50 |
$99.04
|
|
Split blood or products
|
$159.00 |
$159.00 |
$159.00 |
$127.48
|
|
Sputum specimen collection
|
$159.75 |
$159.75 |
$159.75 |
$180.00
|
|
Srs linear based
|
$22,077.00 |
$22,077.00 |
$22,077.00 |
$13,585.00
|
|
Srs multisource
|
$22,077.00 |
$22,077.00 |
$22,077.00 |
$34,165.20
|
|
Staggered spondaic word test
|
$450.00 |
$450.00 |
$450.00 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$304.50 |
$304.50 |
$304.50 |
$297.60
|
|
Staph a dna amp probe
|
$213.00 |
$213.00 |
$213.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$305.25 |
$305.25 |
$305.25 |
$286.00
|
|
Stem cells total count
|
$383.25 |
$383.25 |
$383.25 |
$179.64
|
|
Stenger test speech
|
$1,466.25 |
$1,466.25 |
$1,466.25 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$715.50 |
$715.50 |
$715.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$697.50 |
$697.50 |
$697.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$748.50 |
$748.50 |
$748.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$323.73 |
$323.73 |
$323.73 |
$4,939.20
|
|
Stereotactic radiation trmt
|
$1,177.50 |
$1,177.50 |
$1,177.50 |
$845.60
|
|
Sterile gauze <= 16 sq in
|
$0.75 |
$0.75 |
$0.75 |
$1.52
|
|
Sterile needle
|
$0.75 |
$0.75 |
$0.75 |
$190.13
|
|
St evaluate speech sound production
|
$280.50 |
$280.50 |
$280.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$534.00 |
$534.00 |
$534.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$224.25 |
$224.25 |
$224.25 |
$399.60
|
|
St evaluation swallow function
|
$310.50 |
$310.50 |
$310.50 |
$314.40
|
|
Stimulants synthetic
|
$86.25 |
$86.25 |
$86.25 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$185.25 |
$185.25 |
$185.25 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$75.00 |
$75.00 |
$75.00 |
$154.70
|
|
Strapping of toes 29550
|
$60.00 |
$60.00 |
$60.00 |
$164.70
|
|
Strep a ag ia
|
$82.50 |
$82.50 |
$82.50 |
$75.40
|
|
Strep a dna dir probe
|
$122.25 |
$122.25 |
$122.25 |
$96.72
|
|
Strep a dna quant
|
$255.00 |
$255.00 |
$255.00 |
$75.60
|
|
Strep b assay w/optic
|
$72.75 |
$72.75 |
$72.75 |
$80.16
|
|
Strep b dna amp probe
|
$219.75 |
$219.75 |
$219.75 |
$120.90
|
|
Streptokinase antibody
|
$67.50 |
$67.50 |
$67.50 |
$25.60
|
|
Streptomycin injection
|
$206.25 |
$206.25 |
$206.25 |
$138.30
|
|
Streptozocin injection
|
$850.94 |
$850.94 |
$850.94 |
$785.95
|
|
Stress test pulmonary
|
$138.00 |
$138.00 |
$138.00 |
$322.85
|
|
Stress tte complete
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$1,870.50
|
