|
Sincalide 5 mcg solution for injection
|
$582.92 |
$582.92 |
$582.92 |
$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
|
$35.00 |
$35.00 |
$35.00 |
$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
|
|
Slco1b1 gene com variants
|
$403.20 |
$403.20 |
$403.20 |
$241.24
|
|
Sleep Study (Polysomnography)
|
$4,558.40 |
$4,558.40 |
$4,558.40 |
$3,607.50
|
|
Sleep study unattended
|
$931.70 |
$931.70 |
$931.70 |
$580.87
|
|
Sleeve fing rolyan med
|
$392.70 |
$392.70 |
$392.70 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$324.80 |
$324.80 |
$324.80 |
$30.35
|
|
Sling suprapubic suburetheral
|
$20,884.81 |
$20,884.81 |
$20,884.81 |
$9,679.96
|
|
Slitting of prepuce
|
$17,579.17 |
$17,579.17 |
$17,579.17 |
$3,365.50
|
|
Sm-153 lexidron ther
|
$28,298.90 |
$28,298.90 |
$28,298.90 |
$7,320.12
|
|
Small bowel endoscopy
|
$2,993.90 |
$2,993.90 |
$2,993.90 |
$2,463.36
|
|
Small bowel endoscopy
|
$4,898.60 |
$4,898.60 |
$4,898.60 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,454.60 |
$1,454.60 |
$1,454.60 |
$2,389.40
|
|
Small bowel endoscopy
|
$5,324.20 |
$5,324.20 |
$5,324.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,866.40 |
$4,866.40 |
$4,866.40 |
$2,842.50
|
|
Small bowel endoscopy
|
$1,515.50 |
$1,515.50 |
$1,515.50 |
$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
|
|
Small bowel endoscopy/biopsy
|
$9,640.90 |
$9,640.90 |
$9,640.90 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$14,779.07 |
$14,779.07 |
$14,779.07 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$3,392.90 |
$3,392.90 |
$3,392.90 |
$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
|
$112.70 |
$112.70 |
$112.70 |
$64.20
|
|
Smear gram stain
|
$81.20 |
$81.20 |
$81.20 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$71.40 |
$71.40 |
$71.40 |
$73.15
|
|
Smear wet mount
|
$78.40 |
$78.40 |
$78.40 |
$67.49
|
|
Smpd1 gene common variants
|
$693.00 |
$693.00 |
$693.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$1,383.90 |
$1,383.90 |
$1,383.90 |
$231.85
|
|
So cap design without jnts cf
|
$596.40 |
$596.40 |
$596.40 |
$606.35
|
|
Sodium 24 hour urine
|
$88.20 |
$88.20 |
$88.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$97.30 |
$97.30 |
$97.30 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$38.32 |
$38.32 |
$38.32 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$25.20 |
$25.20 |
$25.20 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$28.70 |
$28.70 |
$28.70 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$108.67 |
$108.67 |
$108.67 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$77.00 |
$77.00 |
$77.00 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$9.62 |
$9.62 |
$9.62 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$1,831.90 |
$1,831.90 |
$1,831.90 |
$2,296.00
|
|
Sotalol hydrochloride IV
|
$17,313.80 |
$17,313.80 |
$17,313.80 |
$5,761.57
|
|
Special physics consult
|
$1,957.20 |
$1,957.20 |
$1,957.20 |
$725.00
|
|
Special radiation dosimetry
|
$32,309.20 |
$32,309.20 |
$32,309.20 |
$392.50
|
|
Special radiation treatment
|
$30,432.50 |
$30,432.50 |
$30,432.50 |
$1,986.00
|
|
Special teletx port plan
|
$10,164.00 |
$10,164.00 |
$10,164.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$110.60 |
$110.60 |
$110.60 |
$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
|
$19,593.61 |
$19,593.61 |
$19,593.61 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$11,258.10 |
$11,258.10 |
$11,258.10 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$785.40 |
$785.40 |
$785.40 |
$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
|
$116.90 |
$116.90 |
$116.90 |
$68.25
|
|
Splint finger fold over sm
|
$158.20 |
$158.20 |
$158.20 |
$146.88
|
|
Splint finger frog med
|
$98.00 |
$98.00 |
$98.00 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$369.60 |
$369.60 |
$369.60 |
$99.04
|
|
Split blood or products
|
$125.30 |
$125.30 |
$125.30 |
$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
|
$162.40 |
$162.40 |
$162.40 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$277.20 |
$277.20 |
$277.20 |
$286.00
|
|
Stem cells total count
|
$276.50 |
$276.50 |
$276.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$76,281.33 |
$76,281.33 |
$76,281.33 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$48,604.84 |
$48,604.84 |
$48,604.84 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,704.27 |
$2,704.27 |
$2,704.27 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,817.10 |
$41,817.10 |
$41,817.10 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$37,387.43 |
$37,387.43 |
$37,387.43 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,144.80 |
$9,144.80 |
$9,144.80 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$18,189.50 |
$18,189.50 |
$18,189.50 |
$17,271.50
|
|
Sterile water/saline, 10 ml
|
$33.60 |
$33.60 |
$33.60 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$215.07 |
$215.07 |
$215.07 |
$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
|
$131.60 |
$131.60 |
$131.60 |
$120.90
|
|
Stress test pulmonary
|
$359.80 |
$359.80 |
$359.80 |
$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
|
|
Str markers specimen anal
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$751.50
|
|
St treatment speech individual
|
$355.60 |
$355.60 |
$355.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$517.30 |
$517.30 |
$517.30 |
$240.31
|
|
Subtalar arthro w/exc
|
$58,754.63 |
$58,754.63 |
$58,754.63 |
$7,907.11
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$148.05 |
$148.05 |
$148.05 |
$52.31
|
|
Sugars single quant
|
$224.70 |
$224.70 |
$224.70 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$23,994.95 |
$23,994.95 |
$23,994.95 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$29.40 |
$29.40 |
$29.40 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$341.60 |
$341.60 |
$341.60 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$48.30 |
$48.30 |
$48.30 |
$114.88
|