|
Sigmoidoscopy w/us guide bx
|
$5,595.80 |
$5,595.80 |
$5,595.80 |
$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
|
$6,963.42 |
$6,963.42 |
$6,963.42 |
$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
|
$1,612.45 |
$1,612.45 |
$1,612.45 |
$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
|
|
Sinusotomy maxillary sinus 31020
|
$27,788.88 |
$27,788.88 |
$27,788.88 |
$2,616.15
|
|
Sipuleucel-t - su
|
$484,851.66 |
$484,851.66 |
$484,851.66 |
$100,990.51
|
|
Sirolimus, oral
|
$322.87 |
$322.87 |
$322.87 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$228.90 |
$228.90 |
$228.90 |
$83.85
|
|
Skin Biopsy
|
$819.70 |
$819.70 |
$819.70 |
$360.34
|
|
Skyla, 13.5 mg
|
$6,403.25 |
$6,403.25 |
$6,403.25 |
$1,643.47
|
|
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
|
$653.06 |
$653.06 |
$653.06 |
$30.35
|
|
Sling suprapubic suburetheral
|
$39,525.02 |
$39,525.02 |
$39,525.02 |
$9,679.96
|
|
Slitting of prepuce
|
$29,240.24 |
$29,240.24 |
$29,240.24 |
$3,365.50
|
|
Sm-153 lexidron ther
|
$28,298.90 |
$28,298.90 |
$28,298.90 |
$7,320.12
|
|
Small bowel endoscopy
|
$11,886.64 |
$11,886.64 |
$11,886.64 |
$2,463.36
|
|
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 |
$2,389.40
|
|
Small bowel endoscopy
|
$5,324.20 |
$5,324.20 |
$5,324.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$21,974.67 |
$21,974.67 |
$21,974.67 |
$2,842.50
|
|
Small bowel endoscopy
|
$16,763.86 |
$16,763.86 |
$16,763.86 |
$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
|
$18,696.53 |
$18,696.53 |
$18,696.53 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$3,395.00 |
$3,395.00 |
$3,395.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$16,763.86 |
$16,763.86 |
$16,763.86 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$19,936.99 |
$19,936.99 |
$19,936.99 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$10,558.31 |
$10,558.31 |
$10,558.31 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$2,164.40 |
$2,164.40 |
$2,164.40 |
$2,381.60
|
|
Smear fluorescent and/or acid fast stain
|
$145.60 |
$145.60 |
$145.60 |
$64.20
|
|
Smear gram stain
|
$123.20 |
$123.20 |
$123.20 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$190.40 |
$190.40 |
$190.40 |
$73.15
|
|
Smear wet mount
|
$139.30 |
$139.30 |
$139.30 |
$67.49
|
|
Smpd1 gene common variants
|
$121.80 |
$121.80 |
$121.80 |
$133.84
|
|
Snrpn/ube3a gene
|
$610.40 |
$610.40 |
$610.40 |
$231.85
|
|
So cap design without jnts cf
|
$596.40 |
$596.40 |
$596.40 |
$606.35
|
|
Sodium 24 hour urine
|
$108.50 |
$108.50 |
$108.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$194.07 |
$194.07 |
$194.07 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$1,155.87 |
$1,155.87 |
$1,155.87 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$161.87 |
$161.87 |
$161.87 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$145.60 |
$145.60 |
$145.60 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$389.02 |
$389.02 |
$389.02 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$107.80 |
$107.80 |
$107.80 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$33.95 |
$33.95 |
$33.95 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$1,831.90 |
$1,831.90 |
$1,831.90 |
$2,296.00
|
|
Sotalol hydrochloride IV
|
$22,937.60 |
$22,937.60 |
$22,937.60 |
$5,761.57
|
|
Special physics consult
|
$49,199.50 |
$49,199.50 |
$49,199.50 |
$725.00
|
|
Special radiation dosimetry
|
$26,872.30 |
$26,872.30 |
$26,872.30 |
$392.50
|
|
Special radiation treatment
|
$44,673.30 |
$44,673.30 |
$44,673.30 |
$1,986.00
|
|
Special teletx port plan
|
$28,321.82 |
$28,321.82 |
$28,321.82 |
$1,086.99
|
|
Specific gravity body fluid
|
$26.60 |
$26.60 |
$26.60 |
$22.00
|
|
Speech audiometry complete
|
$89.60 |
$89.60 |
$89.60 |
$109.20
|
|
Sperm antibody test
|
$262.50 |
$262.50 |
$262.50 |
$57.85
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$27,067.75 |
$27,067.75 |
$27,067.75 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$9,926.00 |
$9,926.00 |
$9,926.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$616.00 |
$616.00 |
$616.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$664.30 |
$664.30 |
$664.30 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$107.80 |
$107.80 |
$107.80 |
$68.25
|
|
Splint finger fold over sm
|
$158.20 |
$158.20 |
$158.20 |
$146.88
|
|
Splint finger frog med
|
$105.00 |
$105.00 |
$105.00 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$369.60 |
$369.60 |
$369.60 |
$99.04
|
|
Split blood or products
|
$165.20 |
$165.20 |
$165.20 |
$127.48
|
|
Srs cranial lesion complex
|
$9,470.30 |
$9,470.30 |
$9,470.30 |
$3,244.00
|
|
Srs cranial lesion simple
|
$6,274.10 |
$6,274.10 |
$6,274.10 |
$2,384.00
|
|
Srs cran les simple addl
|
$1,498.70 |
$1,498.70 |
$1,498.70 |
$719.20
|
|
Srs linear based
|
$25,706.80 |
$25,706.80 |
$25,706.80 |
$13,585.00
|
|
Srs multisource
|
$65,189.60 |
$65,189.60 |
$65,189.60 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$769.30 |
$769.30 |
$769.30 |
$297.60
|
|
Staph a dna amp probe
|
$196.00 |
$196.00 |
$196.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$291.20 |
$291.20 |
$291.20 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$277.20 |
$277.20 |
$277.20 |
$286.00
|
|
Stem cells total count
|
$332.50 |
$332.50 |
$332.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$25,293.10 |
$25,293.10 |
$25,293.10 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$135,494.55 |
$135,494.55 |
$135,494.55 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$7,748.05 |
$7,748.05 |
$7,748.05 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$108,367.99 |
$108,367.99 |
$108,367.99 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$51,627.88 |
$51,627.88 |
$51,627.88 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$95,255.02 |
$95,255.02 |
$95,255.02 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$344,805.97 |
$344,805.97 |
$344,805.97 |
$17,271.50
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$66,839.73 |
$66,839.73 |
$66,839.73 |
$3,308.00
|
|
Sterile water/saline, 10 ml
|
$298.37 |
$298.37 |
$298.37 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$1,455.65 |
$1,455.65 |
$1,455.65 |
$28.11
|
|
St evaluate speech sound production
|
$787.50 |
$787.50 |
$787.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$564.20 |
$564.20 |
$564.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$893.90 |
$893.90 |
$893.90 |
$399.60
|
|
St evaluation swallow function
|
$709.10 |
$709.10 |
$709.10 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$592.90 |
$592.90 |
$592.90 |
$223.45
|
|
Strapping of hand or finger
|
$337.40 |
$337.40 |
$337.40 |
$174.82
|
|
Strep b dna amp probe
|
$177.10 |
$177.10 |
$177.10 |
$120.90
|
|
Stress test pulmonary
|
$520.10 |
$520.10 |
$520.10 |
$322.85
|
|
Stress tte complete
|
$4,490.50 |
$4,490.50 |
$4,490.50 |
$1,870.50
|
|
Str markers spec anal addl
|
$703.50 |
$703.50 |
$703.50 |
$479.17
|
