|
Rtm dev sply cbt 16-30 d
|
$84.00 |
$84.00 |
$84.00 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$72.10 |
$72.10 |
$72.10 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$81.90 |
$81.90 |
$81.90 |
$81.90
|
|
Rubella antibody igg
|
$194.60 |
$194.60 |
$194.60 |
$77.03
|
|
Rubeola antibody igg
|
$161.00 |
$161.00 |
$161.00 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$799.40 |
$799.40 |
$799.40 |
$454.72
|
|
Russell viper venom diluted
|
$151.20 |
$151.20 |
$151.20 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,164.10 |
$1,164.10 |
$1,164.10 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,063.52 |
$7,063.52 |
$7,063.52 |
$5,174.32
|
|
Salivary gland imaging
|
$975.10 |
$975.10 |
$975.10 |
$585.00
|
|
S bowel endoscope w/stent
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,875.30 |
$1,875.30 |
$1,875.30 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,543.50 |
$1,543.50 |
$1,543.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,391.60 |
$1,391.60 |
$1,391.60 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,263.50 |
$1,263.50 |
$1,263.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,094.80 |
$1,094.80 |
$1,094.80 |
$595.35
|
|
Scan proc cranial extra
|
$42,008.33 |
$42,008.33 |
$42,008.33 |
$2,366.00
|
|
Sclerotherapy fluid collection pq w/img
|
$9,198.62 |
$9,198.62 |
$9,198.62 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$7,447.80 |
$7,447.80 |
$7,447.80 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$199.50 |
$199.50 |
$199.50 |
$85.15
|
|
Screen cerv/vag thin layer
|
$161.70 |
$161.70 |
$161.70 |
$84.60
|
|
Screen c/v thin layer by md
|
$100.80 |
$100.80 |
$100.80 |
$74.10
|
|
Screening Colonoscopy (average risk)
|
$2,878.40 |
$2,878.40 |
$2,878.40 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$2,898.00 |
$2,898.00 |
$2,898.00 |
$1,951.46
|
|
Screening Mammogram
|
$523.60 |
$523.60 |
$523.60 |
$312.55
|
|
Screening prostate cancer PSA
|
$126.00 |
$126.00 |
$126.00 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$46,453.74 |
$46,453.74 |
$46,453.74 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$93.10 |
$93.10 |
$93.10 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$10,026.10 |
$10,026.10 |
$10,026.10 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$67.20 |
$67.20 |
$67.20 |
$42.00
|
|
Semen analysis presence/motility
|
$96.60 |
$96.60 |
$96.60 |
$71.05
|
|
Semen analysis w/count
|
$123.90 |
$123.90 |
$123.90 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$443.80 |
$443.80 |
$443.80 |
$316.68
|
|
Serpina1 gene
|
$683.90 |
$683.90 |
$683.90 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$207.90 |
$207.90 |
$207.90 |
$126.43
|
|
Set radiation therapy field
|
$28,986.30 |
$28,986.30 |
$28,986.30 |
$762.40
|
|
Set radiation therapy field
|
$3,812.90 |
$3,812.90 |
$3,812.90 |
$1,157.38
|
|
Set radiation therapy field
|
$20,072.50 |
$20,072.50 |
$20,072.50 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$5,248.27 |
$5,248.27 |
$5,248.27 |
$2,146.95
|
|
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 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$19,925.56 |
$19,925.56 |
$19,925.56 |
$6,570.70
|
|
Sho arthrs srg bicp tenodsis
|
$52,665.71 |
$52,665.71 |
$52,665.71 |
$4,950.40
|
|
Sho arthrs srg lmtd dbrdmt
|
$54,839.43 |
$54,839.43 |
$54,839.43 |
$4,521.67
|
|
Sho arthrs srg prtl synvct
|
$59,869.51 |
$59,869.51 |
$59,869.51 |
$5,855.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$53,166.94 |
$53,166.94 |
$53,166.94 |
$5,148.00
|
|
Shoe post-op mens m
|
$252.70 |
$252.70 |
$252.70 |
$52.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$52,862.78 |
$52,862.78 |
$52,862.78 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$4,323.90 |
$4,323.90 |
$4,323.90 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,827.60 |
$3,827.60 |
$3,827.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,591.70 |
$3,591.70 |
$3,591.70 |
$2,065.05
|
|
Shoulder X-ray
|
$623.00 |
$623.00 |
$623.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$8,751.44 |
$8,751.44 |
$8,751.44 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$523.60 |
$523.60 |
$523.60 |
$349.20
|
|
Sialidase enzyme assay
|
$62.30 |
$62.30 |
$62.30 |
$54.60
|
|
Sialography s&i
|
$1,460.20 |
$1,460.20 |
$1,460.20 |
$499.20
|
|
Sialolithotomy 42330
|
$23,916.55 |
$23,916.55 |
$23,916.55 |
$3,837.72
|
|
Sickling rbc
|
$142.80 |
$142.80 |
$142.80 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$5,354.71 |
$5,354.71 |
$5,354.71 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$6,348.26 |
$6,348.26 |
$6,348.26 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$8,019.67 |
$8,019.67 |
$8,019.67 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$11,713.30 |
$11,713.30 |
$11,713.30 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$12,382.50 |
$12,382.50 |
$12,382.50 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$4,503.80 |
$4,503.80 |
$4,503.80 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$12,407.58 |
$12,407.58 |
$12,407.58 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$9,553.63 |
$9,553.63 |
$9,553.63 |
$1,558.80
|
|
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 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,308.60 |
$2,308.60 |
$2,308.60 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$11,146.28 |
$11,146.28 |
$11,146.28 |
$1,901.90
|
|
Sim ang w/prs cath rad emb
|
$24,825.50 |
$24,825.50 |
$24,825.50 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$2,051.35 |
$2,051.35 |
$2,051.35 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$3,656.10 |
$3,656.10 |
$3,656.10 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$3,161.20 |
$3,161.20 |
$3,161.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,606.10 |
$2,606.10 |
$2,606.10 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,597.00 |
$2,597.00 |
$2,597.00 |
$2,489.25
|
|
Sirolimus, oral
|
$106.92 |
$106.92 |
$106.92 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$228.90 |
$228.90 |
$228.90 |
$83.85
|
|
Slco1b1 gene com variants
|
$1,216.60 |
$1,216.60 |
$1,216.60 |
$241.24
|
|
Sleep study attended
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,389.00 |
$4,389.00 |
$4,389.00 |
$3,607.50
|
|
Sleep study unattended
|
$1,149.40 |
$1,149.40 |
$1,149.40 |
$580.87
|
|
Sleeve fing rolyan med
|
$276.50 |
$276.50 |
$276.50 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$373.80 |
$373.80 |
$373.80 |
$30.35
|
|
Sling suprapubic suburetheral
|
$31,133.16 |
$31,133.16 |
$31,133.16 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$28,298.90 |
$28,298.90 |
$28,298.90 |
$7,320.12
|
|
Small bowel endoscopy
|
$7,535.13 |
$7,535.13 |
$7,535.13 |
$2,463.36
|
|
Small bowel endoscopy
|
$15,034.90 |
$15,034.90 |
$15,034.90 |
$2,638.57
|
|
Small bowel endoscopy
|
$857.50 |
$857.50 |
$857.50 |
$2,389.40
|
|
Small bowel endoscopy
|
$16,252.98 |
$16,252.98 |
$16,252.98 |
$2,638.57
|
|
Small bowel endoscopy
|
$13,051.11 |
$13,051.11 |
$13,051.11 |
$2,842.50
|
|
Small bowel endoscopy
|
$4,580.57 |
$4,580.57 |
$4,580.57 |
$1,620.78
|
|
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 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$3,395.00 |
$3,395.00 |
$3,395.00 |
$2,244.82
|
