|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$107.74 |
$107.74 |
$237.75 |
|
|
Somatosensory testing
|
$830.25 |
$830.25 |
$830.25 |
|
|
Somatropin injection
|
$11,877.38 |
$11,877.38 |
$11,877.38 |
|
|
Sotalol hydrochloride IV
|
$7,716.39 |
$7,716.39 |
$7,716.39 |
|
|
Spacer bag/reservoir
|
$15.75 |
$15.75 |
$15.75 |
|
|
Sp bone algrft morsel add-on
|
$331.50 |
$331.50 |
$429.76 |
|
|
Special physics consult
|
$131.84 |
$131.84 |
$483.75 |
|
|
Special radiation dosimetry
|
$384.00 |
$384.00 |
$384.00 |
|
|
Special radiation treatment
|
$504.64 |
$504.64 |
$1,641.75 |
|
|
Special supplies phys/qhp
|
$19.84 |
$19.84 |
$20.18 |
|
|
Special teletx port plan
|
$464.96 |
$464.96 |
$1,031.25 |
|
|
Specific gravity body fluid
|
$4.48 |
$4.48 |
$17.25 |
|
|
Specimen fat stain
|
$29.25 |
$29.25 |
$105.60 |
|
|
Speech evaluation complex
|
$652.50 |
$652.50 |
$652.50 |
|
|
Speech recep thresh
|
$27.20 |
$27.20 |
$27.20 |
|
|
Sperm antibody test
|
$33.75 |
$33.75 |
$33.75 |
|
|
Sperm evaluation test
|
$60.00 |
$60.00 |
$60.00 |
|
|
Sperm isolation complex
|
$141.00 |
$141.00 |
$141.00 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$761.92 |
$761.92 |
$1,787.25 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$364.80 |
$364.80 |
$830.25 |
|
|
Spleen imaging
|
$997.50 |
$997.50 |
$997.50 |
|
|
Splint finger 4 prong foam sm
|
$16.50 |
$16.50 |
$64.64 |
|
|
Splint finger fold over sm
|
$106.50 |
$106.50 |
$106.50 |
|
|
Splint fing stax assort 1-7in
|
$3.30 |
$3.30 |
$3.30 |
|
|
Splint rstrc wrst/cmc right med
|
$25.50 |
$25.50 |
$25.50 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$442.56 |
$442.56 |
$442.56 |
|
|
Split blood or products
|
$159.00 |
$159.00 |
$159.00 |
|
|
Sputum specimen collection
|
$159.75 |
$159.75 |
$159.75 |
|
|
Sr-89 stront chlor ther / mci
|
$2,181.12 |
$2,181.12 |
$2,181.12 |
|
|
Srs linear based
|
$22,077.00 |
$22,077.00 |
$22,077.00 |
|
|
Srs multisource
|
$22,077.00 |
$22,077.00 |
$22,077.00 |
|
|
Staggered spondaic word test
|
$450.00 |
$450.00 |
$450.00 |
|
|
St analysis behavior qualitative voice/resonance
|
$130.56 |
$130.56 |
$304.50 |
|
|
Staph a dna amp probe
|
$33.28 |
$33.28 |
$213.00 |
|
|
St cognitve performance testing healthcare professional each hour
|
$156.16 |
$156.16 |
$305.25 |
|
|
Stem cells total count
|
$383.25 |
$383.25 |
$383.25 |
|
|
Stenger test speech
|
$1,466.25 |
$1,466.25 |
$1,466.25 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$715.50 |
$715.50 |
$40,000.00 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$697.50 |
$697.50 |
$6,593.92 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$748.50 |
$748.50 |
$18,867.20 |
|
|
Stent bronch dumon sil 10x40mm
|
$323.73 |
$323.73 |
$4,512.00 |
|
|
Stereotactic radiation trmt
|
$1,177.50 |
$1,177.50 |
$1,177.50 |
|
|
Sterile gauze <= 16 sq in
|
$0.75 |
$0.75 |
$0.75 |
|
|
Sterile needle
|
$0.75 |
$0.75 |
$0.75 |
|
|
Sterile water/saline, 10 ml
|
$12.16 |
$12.16 |
$12.16 |
|
|
Sterile water/saline, 500 ml
|
$16.00 |
$16.00 |
$16.00 |
|
|
St evaluate speech sound production
|
$120.32 |
$120.32 |
$280.50 |
|
|
St evaluate speech sound production comprehensive/expressive
|
$145.92 |
$145.92 |
$534.00 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$182.40 |
$182.40 |
$224.25 |
|
|
St evaluation swallow function
|
$178.88 |
$178.88 |
$310.50 |
|
|
Stimulants synthetic
|
$40.32 |
$40.32 |
$86.25 |
|
|
Strapping of ankle and/or ft 29540
|
$86.40 |
$86.40 |
$185.25 |
|
|
Strapping of elbow or wrist 29260
|
$75.00 |
$75.00 |
$86.40 |
|
|
Strapping of hand or finger
|
$86.40 |
$86.40 |
$86.40 |
|
|
Strapping of knee
|
$86.40 |
$86.40 |
$86.40 |
|
|
Strapping of toes 29550
|
$23.68 |
$23.68 |
$60.00 |
|
|
Strep a ag ia
|
$82.50 |
$82.50 |
$82.50 |
|
|
Strep a dna dir probe
|
$25.92 |
$25.92 |
$122.25 |
|
|
Strep a dna quant
|
$255.00 |
$255.00 |
$255.00 |
|
|
Strep b assay w/optic
|
$72.75 |
$72.75 |
$72.75 |
|
|
Strep b dna amp probe
|
$67.84 |
$67.84 |
$219.75 |
|
|
Streptokinase antibody
|
$67.50 |
$67.50 |
$67.50 |
|
|
Streptomycin injection
|
$206.25 |
$206.25 |
$206.25 |
|
|
Streptozocin injection
|
$850.94 |
$850.94 |
$850.94 |
|
|
Stress test pulmonary
|
$138.00 |
$138.00 |
$170.24 |
|
|
Stress tte complete
|
$635.52 |
$635.52 |
$1,462.50 |
|
|
St treatment speech individual
|
$80.96 |
$80.96 |
$192.00 |
|
|
St treatment swallow dysfunction/oral
|
$117.12 |
$117.12 |
$288.00 |
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$235.84 |
$235.84 |
$235.84 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$93.76 |
$93.76 |
$93.76 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$91.84 |
$91.84 |
$91.84 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.08 |
$6.08 |
$97.36 |
|
|
Sugars multiple quant
|
$70.50 |
$70.50 |
$70.50 |
|
|
Sugars single quant
|
$10.24 |
$10.24 |
$70.50 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$21,424.80 |
$21,424.80 |
$21,424.80 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$118.89 |
$118.89 |
$118.89 |
|
|
Sulfonylurea screen qn-sendout
|
$59.84 |
$59.84 |
$330.75 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$568.29 |
$568.29 |
$568.29 |
|
|
Support clav 29.6-40.5in med
|
$9.32 |
$9.32 |
$9.32 |
|
|
Supprelin la implant
|
$108,396.06 |
$108,396.06 |
$108,396.06 |
|
|
Surg dx exam anorectal
|
$83.20 |
$83.20 |
$83.20 |
|
|
Surg ect salp-oophorectomy 59120
|
$636.16 |
$636.16 |
$636.16 |
|
|
Surg ect without salp-oophorectomy 59121
|
$635.84 |
$635.84 |
$635.84 |
|
|
Surgical pathology level 1 gross examination only
|
$30.08 |
$30.08 |
$39.75 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$63.04 |
$63.04 |
$144.00 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$88.96 |
$88.96 |
$286.50 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$129.28 |
$129.28 |
$328.50 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$220.16 |
$220.16 |
$690.75 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$440.96 |
$440.96 |
$1,027.50 |
|
|
Surgical trays
|
$74.82 |
$74.82 |
$74.82 |
|
|
Susceptibility agar dilution per agent
|
$19.52 |
$19.52 |
$29.25 |
|
|
Susceptibility enzyme detection per enzyme
|
$7.67 |
$7.67 |
$29.25 |
|
|
Susceptibility mic per plate
|
$47.36 |
$47.36 |
$183.75 |
|
|
Suscept studies macrobroth dilution ea
|
$24.00 |
$24.00 |
$40.50 |
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$813.44 |
$813.44 |
$813.44 |
|
|
Svc venogram s&i
|
$616.96 |
$616.96 |
$4,141.50 |
|
|
Sweat collection by iontophoresis
|
$53.25 |
$53.25 |
$53.25 |
|
|
Synvisc or synvisc-one
|
$3,208.66 |
$3,208.66 |
$3,208.66 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$27.00 |
$27.00 |
$35.20 |
|
|
System cardiomems hosp electronics
|
$38.25 |
$38.25 |
$38.25 |
|
