|
Semen analysis w/count
|
$25.50 |
$25.50 |
$25.50 |
|
|
Sensorimotor examination
|
$66.00 |
$66.00 |
$66.00 |
|
|
Sertraline (zoloft) - sendout
|
$93.75 |
$93.75 |
$93.75 |
|
|
Set radiation therapy field
|
$455.68 |
$455.68 |
$983.25 |
|
|
Set radiation therapy field
|
$1,397.25 |
$1,397.25 |
$1,397.25 |
|
|
Set radiation therapy field
|
$754.24 |
$754.24 |
$1,620.00 |
|
|
Set up port xray equipment
|
$72.00 |
$72.00 |
$72.00 |
|
|
Sevelamer carbonate pdr 20mg
|
$6.52 |
$6.52 |
$6.52 |
|
|
Sex chromatin identification
|
$56.25 |
$56.25 |
$56.25 |
|
|
Sex chromatin identification
|
$24.00 |
$24.00 |
$24.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$112.96 |
$112.96 |
$112.96 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$112.96 |
$112.96 |
$112.96 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$77.12 |
$77.12 |
$505.50 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$77.12 |
$77.12 |
$77.12 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$87.36 |
$87.36 |
$87.36 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$155.20 |
$155.20 |
$155.20 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$77.12 |
$77.12 |
$77.12 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$88.64 |
$88.64 |
$88.64 |
|
|
Sheath gldlight lasr 12fx50cm
|
$465.00 |
$465.00 |
$465.00 |
|
|
Shigella antibody
|
$120.00 |
$120.00 |
$120.00 |
|
|
Sho arthrs srg bicp tenodsis
|
$739.84 |
$739.84 |
$739.84 |
|
|
Shoe heel new rubber standar
|
$31.20 |
$31.20 |
$31.20 |
|
|
Shoe post-op mens m
|
$17.25 |
$17.25 |
$17.25 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$862.72 |
$862.72 |
$5,430.00 |
|
|
Shoulder MRI (with and without contrast)
|
$1,148.48 |
$1,148.48 |
$2,692.50 |
|
|
Shoulder MRI (with contrast)
|
$1,102.08 |
$1,102.08 |
$2,257.50 |
|
|
Shoulder MRI (without contrast)
|
$1,382.08 |
$1,382.08 |
$2,407.50 |
|
|
Shoulder prosthesis removal
|
$786.88 |
$786.88 |
$786.88 |
|
|
Shoulder X-ray
|
$188.80 |
$188.80 |
$270.75 |
|
|
Shunt glaucoma baerveldt 350mm
|
$662.63 |
$662.63 |
$3,456.00 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$296.25 |
$296.25 |
$296.25 |
|
|
Sialidase enzyme assay
|
$74.25 |
$74.25 |
$74.25 |
|
|
Sialography s&i
|
$203.52 |
$203.52 |
$652.50 |
|
|
Sialolithotomy 42330
|
$128.32 |
$128.32 |
$128.32 |
|
|
Sickling rbc
|
$15.04 |
$15.04 |
$35.25 |
|
|
Sigmoidoscopy and biopsy
|
$352.00 |
$352.00 |
$2,272.50 |
|
|
Sigmoidoscopy flex decompression 45337
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
|
|
Sigmoidoscopy for bleeding
|
$72.96 |
$72.96 |
$3,235.50 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$53.76 |
$53.76 |
$2,295.00 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$82.88 |
$82.88 |
$3,235.50 |
|
|
Sigmoidoscopy w/plcmt stent
|
$9,196.50 |
$9,196.50 |
$9,196.50 |
|
|
Sigmoidoscopy w/tumr remove
|
$95.04 |
$95.04 |
$3,235.50 |
|
|
Sigmoidoscopy w/us guide bx
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$73.92 |
$73.92 |
$2,452.50 |
|
|
Signal avg ecg w or without ecg 93278
|
$134.25 |
$134.25 |
$134.25 |
|
|
Sig w/tndsc balloon dilation
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
|
|
Simple cystometrogram 51725
|
$750.00 |
$750.00 |
$750.00 |
|
|
Sincalide 5 mcg solution for injection
|
$133.47 |
$133.47 |
$309.04 |
|
|
Single energy x-ray study
|
$296.25 |
$296.25 |
$296.25 |
|
|
Sinus CT scan (with and without contrast)
|
$991.68 |
$991.68 |
$1,672.50 |
|
|
Sinus CT scan (with contrast)
|
$671.36 |
$671.36 |
$1,597.50 |
|
|
Sinus CT scan (without contrast)
|
$503.68 |
$503.68 |
$1,335.00 |
|
|
Sinus/juglr venogram s&i
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
|
|
Sipuleucel-t - su
|
$39,843.84 |
$39,843.84 |
$135,255.15 |
|
|
Sirolimus, oral
|
$4,597.85 |
$4,597.85 |
$4,597.85 |
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$19,233.62 |
$19,233.62 |
$19,233.62 |
|
|
Skeletal muscle relaxant 1/2
|
$86.25 |
$86.25 |
$86.25 |
|
|
Skel musc relaxant 3 or more
|
$1.92 |
$1.92 |
$1.92 |
|
|
Skin Biopsy
|
$112.96 |
$112.96 |
$314.25 |
|
|
Skin test unlisted antigen ea
|
$27.00 |
$27.00 |
$27.00 |
|
|
Skyla, 13.5 mg
|
$776.32 |
$776.32 |
$2,370.39 |
|
|
Sleep study attended
|
$1,521.75 |
$1,521.75 |
$1,521.75 |
|
|
Sleep Study (Polysomnography)
|
$2,749.50 |
$2,749.50 |
$2,749.50 |
|
|
Sling arm deluxe w/pad xs
|
$16.50 |
$16.50 |
$16.50 |
|
|
Sling suprapubic suburetheral
|
$692.55 |
$692.55 |
$5,487.68 |
|
|
Slitting of prepuce
|
$97.28 |
$97.28 |
$97.28 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$64.50 |
$64.50 |
$64.50 |
|
|
Slp eval non-spch gen comm dev
|
$143.25 |
$143.25 |
$143.25 |
|
|
Slp pure tone screening
|
$5.44 |
$5.44 |
$5.44 |
|
|
Slp stdy unatnd w/anal
|
$285.00 |
$285.00 |
$285.00 |
|
|
Slp ther svc non-spch gen
|
$42.56 |
$42.56 |
$180.00 |
|
|
Sm-153 lexidron ther
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
|
|
Small animal inoculation
|
$102.00 |
$102.00 |
$102.00 |
|
|
Small bowel endoscopy
|
$103.36 |
$103.36 |
$4,932.75 |
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy
|
$186.24 |
$186.24 |
$4,932.75 |
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy 44365
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy/biopsy
|
$124.16 |
$124.16 |
$4,932.75 |
|
|
Small bowel endoscopy/biopsy
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Small bowel endoscopy br/wa
|
$2,568.75 |
$2,568.75 |
$2,568.75 |
|
|
Small bowel endoscopy/stent 44370
|
$9,196.50 |
$9,196.50 |
$9,196.50 |
|
|
Smallpox&monkeypox vac 0.5ml
|
$635.55 |
$635.55 |
$635.55 |
|
|
Smear fluorescent and/or acid fast stain
|
$42.75 |
$42.75 |
$158.72 |
|
|
Smear gram stain
|
$76.50 |
$76.50 |
$158.72 |
|
|
Smear nasal eosinophil
|
$6.08 |
$6.08 |
$21.75 |
|
|
Smear special stain inclusion bodies/parasites
|
$13.44 |
$13.44 |
$90.00 |
|
|
Smear wet mount
|
$32.32 |
$32.32 |
$33.00 |
|
|
Smpd1 gene common variants
|
$9.75 |
$9.75 |
$9.75 |
|
|
Sodium 24 hour urine
|
$39.00 |
$39.00 |
$43.20 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$13.76 |
$13.76 |
$96.68 |
|
|
Sodium chloride 0.9 % IV bolus
|
$13.76 |
$13.76 |
$24.00 |
|
|
Sodium chloride 0.9 % IV bolus
|
$13.69 |
$13.69 |
$27.32 |
|
|
Sodium chloride 3 % ivpb
|
$14.39 |
$14.39 |
$33.08 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$45.18 |
$45.18 |
$101.06 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$559.50 |
$559.50 |
$559.50 |
|
|
Sodium serum/plasma/whole blood
|
$44.80 |
$44.80 |
$48.75 |
|