|
Snrpn/ube3a gene
|
$1,597.20 |
$1,597.20 |
$1,597.20 |
$231.85
|
|
So cap design without jnts cf
|
$734.40 |
$734.40 |
$734.40 |
$606.35
|
|
Sodium 24 hour urine
|
$139.80 |
$139.80 |
$139.80 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$73.80 |
$73.80 |
$73.80 |
$45.60
|
|
Somatosensory testing
|
$2,362.20 |
$2,362.20 |
$2,362.20 |
$816.00
|
|
So neo gsap dna mcrstl ins
|
$8,194.80 |
$8,194.80 |
$8,194.80 |
$2,296.00
|
|
Special physics consult
|
$782.40 |
$782.40 |
$782.40 |
$725.00
|
|
Special radiation dosimetry
|
$916.20 |
$916.20 |
$916.20 |
$392.50
|
|
Special radiation treatment
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$1,986.00
|
|
Special teletx port plan
|
$903.60 |
$903.60 |
$903.60 |
$1,086.99
|
|
Specific gravity body fluid
|
$66.60 |
$66.60 |
$66.60 |
$22.00
|
|
Speech audiometry complete
|
$150.00 |
$150.00 |
$150.00 |
$109.20
|
|
Speech evaluation complex
|
$577.80 |
$577.80 |
$577.80 |
$527.06
|
|
Speech recep thresh
|
$126.60 |
$126.60 |
$126.60 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,038.80 |
$2,038.80 |
$2,038.80 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$580.20 |
$580.20 |
$580.20 |
$543.26
|
|
Spleen imaging
|
$732.60 |
$732.60 |
$732.60 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$391.80 |
$391.80 |
$391.80 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$108.00 |
$108.00 |
$108.00 |
$68.25
|
|
Splint finger frog med
|
$55.80 |
$55.80 |
$55.80 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$158.40 |
$158.40 |
$158.40 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,718.80 |
$3,718.80 |
$3,718.80 |
$4,619.65
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$3,718.80 |
$3,718.80 |
$3,718.80 |
$1,612.78
|
|
Srs linear based
|
$17,404.80 |
$17,404.80 |
$17,404.80 |
$13,585.00
|
|
Srs multisource
|
$56,264.40 |
$56,264.40 |
$56,264.40 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$358.20 |
$358.20 |
$358.20 |
$297.60
|
|
Staph a dna amp probe
|
$169.20 |
$169.20 |
$169.20 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$280.20 |
$280.20 |
$280.20 |
$286.00
|
|
Stenger test pure tone
|
$438.00 |
$438.00 |
$438.00 |
$77.84
|
|
Stenger test speech
|
$358.20 |
$358.20 |
$358.20 |
$404.25
|
|
Stent placemt retro carotid
|
$21,672.00 |
$21,672.00 |
$21,672.00 |
$5,328.00
|
|
Stereotactic radiation trmt
|
$3,085.80 |
$3,085.80 |
$3,085.80 |
$845.60
|
|
St evaluate speech sound production
|
$293.40 |
$293.40 |
$293.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$406.20 |
$406.20 |
$406.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$410.40 |
$410.40 |
$410.40 |
$399.60
|
|
St evaluation swallow function
|
$309.60 |
$309.60 |
$309.60 |
$314.40
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$4,726.80 |
$4,726.80 |
$4,726.80 |
$2,607.60
|
|
Strapping of ankle and/or ft 29540
|
$112.80 |
$112.80 |
$112.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$123.00 |
$123.00 |
$123.00 |
$154.70
|
|
Strapping of hand or finger
|
$123.00 |
$123.00 |
$123.00 |
$174.82
|
|
Strapping of knee
|
$123.00 |
$123.00 |
$123.00 |
$205.20
|
|
Stress test pulmonary
|
$367.20 |
$367.20 |
$367.20 |
$322.85
|
|
Stress tte complete
|
$1,873.20 |
$1,873.20 |
$1,873.20 |
$1,870.50
|
|
Str markers spec anal addl
|
$472.80 |
$472.80 |
$472.80 |
$479.17
|
|
Str markers specimen anal
|
$1,063.80 |
$1,063.80 |
$1,063.80 |
$751.50
|
|
St treatment speech individual
|
$396.00 |
$396.00 |
$396.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$216.00 |
$216.00 |
$216.00 |
$240.31
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$466.80 |
$466.80 |
$466.80 |
$717.60
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$197.40 |
$197.40 |
$197.40 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$176.40 |
$176.40 |
$176.40 |
$216.00
|
|
Sugars single quant
|
$642.60 |
$642.60 |
$642.60 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$132.00 |
$132.00 |
$132.00 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$59.40 |
$59.40 |
$59.40 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$100.80 |
$100.80 |
$100.80 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$243.00 |
$243.00 |
$243.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$308.40 |
$308.40 |
$308.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$387.00 |
$387.00 |
$387.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$573.60 |
$573.60 |
$573.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$69.00 |
$69.00 |
$69.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$40.20 |
$40.20 |
$40.20 |
$35.70
|
|
Susceptibility mic per plate
|
$70.80 |
$70.80 |
$70.80 |
$106.00
|
|
Svc venogram s&i
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$176.40 |
$176.40 |
$176.40 |
$125.40
|
|
Synch audio-only est high 40
|
$160.20 |
$160.20 |
$160.20 |
$189.40
|
|
Synch audio-only est low 20
|
$73.20 |
$73.20 |
$73.20 |
$90.60
|
|
Synch audio-only est mod 30
|
$108.60 |
$108.60 |
$108.60 |
$136.64
|
|
Synch audio-only est sf 10
|
$40.20 |
$40.20 |
$40.20 |
$53.20
|
|
Synch audio-only new high 60
|
$196.20 |
$196.20 |
$196.20 |
$200.30
|
|
Synch audio-only new low 30
|
$94.80 |
$94.80 |
$94.80 |
$117.00
|
|
Synch audio-only new mod 45
|
$150.00 |
$150.00 |
$150.00 |
$163.38
|
|
Synch audio-only new sf 15
|
$54.60 |
$54.60 |
$54.60 |
$67.80
|
|
Synthetic sentence id test
|
$257.40 |
$257.40 |
$257.40 |
$99.32
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$95.40 |
$95.40 |
$95.40 |
$41.60
|
|
T3 (triiodothyronine) free
|
$136.20 |
$136.20 |
$136.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$129.00 |
$129.00 |
$129.00 |
$93.52
|
|
T4 (thyroxine) free
|
$117.00 |
$117.00 |
$117.00 |
$85.20
|
|
T4 (thyroxine) total
|
$85.20 |
$85.20 |
$85.20 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$192.60 |
$192.60 |
$192.60 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$4,882.80 |
$4,882.80 |
$4,882.80 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,592.80 |
$3,592.80 |
$3,592.80 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,983.80 |
$2,983.80 |
$2,983.80 |
$1,655.52
|
|
Tas congenital car anomal
|
$7,540.20 |
$7,540.20 |
$7,540.20 |
$6,003.27
|
|
Tavr perq femoral
|
$38,545.20 |
$38,545.20 |
$38,545.20 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$382.20 |
$382.20 |
$382.20 |
$177.65
|
|
T cells absolute cd4/cd8 including ratio
|
$217.80 |
$217.80 |
$217.80 |
$176.40
|
|
T cells absolute cd 4 count
|
$270.00 |
$270.00 |
$270.00 |
$111.20
|
|
T cells total count
|
$204.60 |
$204.60 |
$204.60 |
$126.90
|
|
Tdh sdrl/ventr pnxr
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$1,087.20
|
|
Telehealth original site facility fee
|
$52.80 |
$52.80 |
$52.80 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,760.40 |
$1,760.40 |
$1,760.40 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,760.40 |
$1,760.40 |
$1,760.40 |
$873.62
|
|
Tert gene targeted seq alys
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$7,031.40 |
$7,031.40 |
$7,031.40 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$265.80 |
$265.80 |
$265.80 |
$108.00
|
|
Therapeutic procd strg endur
|
$79.80 |
$79.80 |
$79.80 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$49.80 |
$49.80 |
$49.80 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$44.40 |
$44.40 |
$44.40 |
$50.00
|
