|
Sedimentation rate erythrocyte automated
|
$18.48 |
$25.00 |
$44.80 |
$42.00
|
|
Segmentectomy 32484
|
$126,843.69 |
$126,843.69 |
$126,843.69 |
$2,915.40
|
|
Select picture audiometry
|
$45.21 |
$45.21 |
$125.00 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$33.00 |
$85.00 |
$188.30 |
$96.60
|
|
Self-meas bp pt educaj/train
|
$37.50 |
$37.50 |
$37.50 |
$29.55
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$50.00 |
$50.00 |
$50.00 |
$51.98
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Semen analysis w/count
|
$213.50 |
$213.50 |
$213.50 |
$56.44
|
|
Separate eyelid adhesions
|
$132,521.56 |
$132,521.56 |
$132,521.56 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$124.41 |
$400.00 |
$443.80 |
$316.68
|
|
Serial tonometry
|
$122.50 |
$122.50 |
$122.50 |
$131.02
|
|
Serpina1 gene
|
$738.50 |
$738.50 |
$738.50 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$85.14 |
$207.90 |
$357.50 |
$126.43
|
|
Set radiation therapy field
|
$583.11 |
$710.00 |
$28,351.40 |
$782.61
|
|
Set radiation therapy field
|
$640.86 |
$1,070.00 |
$3,812.90 |
$1,159.03
|
|
Set radiation therapy field
|
$1,137.84 |
$1,600.00 |
$26,740.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$0.35 |
$0.35 |
$0.35 |
$7.14
|
|
Sever cranial nerve
|
$102,402.94 |
$102,402.94 |
$102,402.94 |
$3,141.46
|
|
Sex transformation f to m
|
$66,168.03 |
$66,168.03 |
$66,168.03 |
$4,846.99
|
|
Sex transformation m to f
|
$64,276.40 |
$64,276.40 |
$64,276.40 |
$5,841.60
|
|
Sgmdsc w/band ligation
|
$2,308.60 |
$2,308.60 |
$2,308.60 |
$2,288.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$208.60 |
$208.60 |
$208.60 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$291.20 |
$291.20 |
$291.20 |
$286.89
|
|
Sheath gldlight lasr 12fx50cm
|
$14,132.00 |
$14,132.00 |
$14,132.00 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$17,769.57 |
$17,769.57 |
$17,769.57 |
$7,143.32
|
|
Sho arthrs srg bicp tenodsis
|
$75,191.60 |
$75,191.60 |
$75,191.60 |
$4,950.40
|
|
Sho arthrs srg compl synvct
|
$43,457.97 |
$43,457.97 |
$43,457.97 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$61,250.04 |
$61,250.04 |
$61,250.04 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$24,686.49 |
$24,686.49 |
$24,686.49 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$101,016.37 |
$101,016.37 |
$101,016.37 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$26,093.77 |
$26,093.77 |
$26,093.77 |
$3,839.54
|
|
Sho arthrs srg xtnsv dbrdmt
|
$72,699.56 |
$72,699.56 |
$72,699.56 |
$5,148.00
|
|
Shoe post-op mens m
|
$345.80 |
$345.80 |
$345.80 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$51.48 |
$93.10 |
$127.50 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$118.47 |
$202.50 |
$764.40 |
$270.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$66,414.12 |
$66,414.12 |
$66,414.12 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$266.97 |
$280.00 |
$500.50 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,125.00 |
$2,489.19 |
$4,323.90 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$1,450.00 |
$2,190.00 |
$3,827.60 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,690.00 |
$2,060.00 |
$3,591.70 |
$2,088.20
|
|
Shoulder X-ray
|
$290.00 |
$304.26 |
$623.00 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$53.13 |
$220.00 |
$415.10 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$3,697.50 |
$3,697.50 |
$45,463.21 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$150.81 |
$150.81 |
$523.60 |
$355.80
|
|
Sialidase enzyme assay
|
$62.30 |
$62.30 |
$62.30 |
$54.99
|
|
Sialography s&i
|
$166.32 |
$472.50 |
$1,460.20 |
$499.20
|
|
Sialolithotomy 42330
|
$23,916.55 |
$23,916.55 |
$23,916.55 |
$3,837.72
|
|
Sickling rbc
|
$15.84 |
$142.80 |
$187.50 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$3,440.53 |
$3,440.53 |
$3,440.53 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$2,308.60 |
$2,308.60 |
$2,308.60 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$6,348.26 |
$6,348.26 |
$6,348.26 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$8,019.67 |
$8,019.67 |
$8,019.67 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$11,713.30 |
$11,713.30 |
$11,713.30 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$8,413.43 |
$8,413.43 |
$8,413.43 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$6,129.54 |
$6,129.54 |
$6,129.54 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$12,407.58 |
$12,407.58 |
$12,407.58 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$3,589.49 |
$3,589.49 |
$3,589.49 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$12,288.95 |
$12,288.95 |
$12,288.95 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$16,038.34 |
$16,038.34 |
$16,038.34 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$24,685.83 |
$24,685.83 |
$24,685.83 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$79.86 |
$79.86 |
$280.00 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$4,690.94 |
$4,690.94 |
$4,690.94 |
$2,288.00
|
|
Sim ang w/prs cath rad emb
|
$24,825.50 |
$24,825.50 |
$24,825.50 |
$18,145.20
|
|
Simple cystometrogram 51725
|
$387.50 |
$387.50 |
$387.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$324.10 |
$324.10 |
$324.10 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$969.54 |
$1,385.00 |
$3,656.10 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$763.62 |
$955.00 |
$3,161.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$693.99 |
$855.00 |
$2,606.10 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,681.35 |
$2,597.00 |
$3,295.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$242.50 |
$242.50 |
$840.70 |
$347.10
|
|
Sinus X-ray (limited)
|
$109.56 |
$160.00 |
$266.70 |
$215.75
|
|
Sirolimus, oral
|
$106.92 |
$106.92 |
$106.92 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$34,433.87 |
$34,433.87 |
$34,433.87 |
$14,361.10
|
|
Skeletal muscle relaxant 1/2
|
$85.14 |
$228.90 |
$287.50 |
$83.85
|
|
Skin Biopsy
|
$192.50 |
$205.00 |
$819.70 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$71.61 |
$290.00 |
$484.40 |
$294.66
|
|
Skull X-ray (complete)
|
$198.00 |
$437.50 |
$812.00 |
$423.15
|
|
Slco1b1 gene com variants
|
$403.20 |
$403.20 |
$403.20 |
$235.20
|
|
Sleep study attended
|
$1,333.50 |
$1,333.50 |
$1,333.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,695.44 |
$3,235.00 |
$3,990.00 |
$3,734.50
|
|
Sleep study unattended
|
$193.38 |
$495.00 |
$847.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$161.47 |
$235.00 |
$392.70 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$6.93 |
$6.93 |
$67.96 |
$30.35
|
|
Sling suprapubic suburetheral
|
$3,791.30 |
$3,859.06 |
$41,628.05 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$342.50 |
$342.50 |
$342.50 |
$285.09
|
|
Sm-153 lexidron ther
|
$16,305.00 |
$16,305.00 |
$28,298.90 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$166.65 |
$397.50 |
$790.30 |
$557.70
|
|
Small bowel endoscopy
|
$11,886.64 |
$11,886.64 |
$11,886.64 |
$2,596.41
|
|
Small bowel endoscopy
|
$11,379.19 |
$11,379.19 |
$11,379.19 |
$2,244.82
|
|
Small bowel endoscopy
|
$6,612.75 |
$6,612.75 |
$6,612.75 |
$2,638.57
|
|
Small bowel endoscopy
|
$10,206.41 |
$10,206.41 |
$10,206.41 |
$2,518.10
|
|
Small bowel endoscopy
|
$13,162.40 |
$13,162.40 |
$13,162.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$10,772.94 |
$10,772.94 |
$10,772.94 |
$3,265.60
|
|
Small bowel endoscopy
|
$3,997.27 |
$3,997.27 |
$3,997.27 |
$2,088.00
|
|
Small bowel endoscopy
|
$2,193.10 |
$2,193.10 |
$2,193.10 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$3,824.80 |
$3,824.80 |
$3,824.80 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$9,844.41 |
$9,844.41 |
$9,844.41 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$6,432.21 |
$6,432.21 |
$6,432.21 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$19,936.99 |
$19,936.99 |
$19,936.99 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$4,810.97 |
$4,810.97 |
$4,810.97 |
$1,924.00
|
