|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$291.20 |
$291.20 |
$291.20 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$4,853.47 |
$4,853.47 |
$4,853.47 |
$6,570.70
|
|
Sho arthrs srg bicp tenodsis
|
$44,807.73 |
$44,807.73 |
$44,807.73 |
$4,950.40
|
|
Sho arthrs srg lmtd dbrdmt
|
$44,439.24 |
$44,439.24 |
$44,439.24 |
$4,521.67
|
|
Sho arthrs srg xtnsv dbrdmt
|
$42,650.24 |
$42,650.24 |
$42,650.24 |
$5,148.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$48,088.52 |
$48,088.52 |
$48,088.52 |
$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
|
$2,824.72 |
$2,824.72 |
$2,824.72 |
$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
|
$18,379.09 |
$18,379.09 |
$18,379.09 |
$3,837.72
|
|
Sickling rbc
|
$69.30 |
$69.30 |
$69.30 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$5,685.83 |
$5,685.83 |
$5,685.83 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$3,320.10 |
$3,320.10 |
$3,320.10 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$5,525.53 |
$5,525.53 |
$5,525.53 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,453.50 |
$2,453.50 |
$2,453.50 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$3,388.00 |
$3,388.00 |
$3,388.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$20,814.04 |
$20,814.04 |
$20,814.04 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$15,615.74 |
$15,615.74 |
$15,615.74 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$3,965.50 |
$3,965.50 |
$3,965.50 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$13,613.82 |
$13,613.82 |
$13,613.82 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$4,549.15 |
$4,549.15 |
$4,549.15 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$7,795.34 |
$7,795.34 |
$7,795.34 |
$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
|
$4,690.94 |
$4,690.94 |
$4,690.94 |
$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
|
$508.90 |
$508.90 |
$508.90 |
$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
|
$26.60 |
$26.60 |
$26.60 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$228.90 |
$228.90 |
$228.90 |
$83.85
|
|
Skin Biopsy
|
$723.10 |
$723.10 |
$723.10 |
$360.34
|
|
Slco1b1 gene com variants
|
$403.20 |
$403.20 |
$403.20 |
$241.24
|
|
Sleeve fing rolyan med
|
$275.10 |
$275.10 |
$275.10 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$79.67 |
$79.67 |
$79.67 |
$30.35
|
|
Sling suprapubic suburetheral
|
$12,163.31 |
$12,163.31 |
$12,163.31 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$28,298.90 |
$28,298.90 |
$28,298.90 |
$7,320.12
|
|
Small bowel endoscopy
|
$4,741.83 |
$4,741.83 |
$4,741.83 |
$2,463.36
|
|
Small bowel endoscopy
|
$4,805.50 |
$4,805.50 |
$4,805.50 |
$2,244.82
|
|
Small bowel endoscopy
|
$3,882.90 |
$3,882.90 |
$3,882.90 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,505.90 |
$4,505.90 |
$4,505.90 |
$2,389.40
|
|
Small bowel endoscopy
|
$4,167.10 |
$4,167.10 |
$4,167.10 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,866.40 |
$4,866.40 |
$4,866.40 |
$2,842.50
|
|
Small bowel endoscopy
|
$3,033.80 |
$3,033.80 |
$3,033.80 |
$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
|
$17,708.37 |
$17,708.37 |
$17,708.37 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$3,395.00 |
$3,395.00 |
$3,395.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$8,263.02 |
$8,263.02 |
$8,263.02 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$4,314.80 |
$4,314.80 |
$4,314.80 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,164.31 |
$2,164.31 |
$2,164.31 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$2,164.40 |
$2,164.40 |
$2,164.40 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$17,708.37 |
$17,708.37 |
$17,708.37 |
$4,925.70
|
|
Smear fluorescent and/or acid fast stain
|
$96.60 |
$96.60 |
$96.60 |
$64.20
|
|
Smear gram stain
|
$70.70 |
$70.70 |
$70.70 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$71.40 |
$71.40 |
$71.40 |
$73.15
|
|
Smpd1 gene common variants
|
$114.10 |
$114.10 |
$114.10 |
$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
|
$56.00 |
$56.00 |
$56.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$33.42 |
$33.42 |
$33.42 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$14.70 |
$14.70 |
$14.70 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$15.57 |
$15.57 |
$15.57 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$46.37 |
$46.37 |
$46.37 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$94.85 |
$94.85 |
$94.85 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$52.50 |
$52.50 |
$52.50 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.40 |
$8.40 |
$8.40 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$1,831.90 |
$1,831.90 |
$1,831.90 |
$2,296.00
|
|
Special radiation treatment
|
$2,496.20 |
$2,496.20 |
$2,496.20 |
$1,986.00
|
|
Special teletx port plan
|
$1,458.80 |
$1,458.80 |
$1,458.80 |
$1,086.99
|
|
Specific gravity body fluid
|
$19.60 |
$19.60 |
$19.60 |
$22.00
|
|
Speech audiometry complete
|
$89.60 |
$89.60 |
$89.60 |
$109.20
|
|
Sperm antibody test
|
$262.50 |
$262.50 |
$262.50 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$5,755.05 |
$5,755.05 |
$5,755.05 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$667.80 |
$667.80 |
$667.80 |
$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
|
$101.50 |
$101.50 |
$101.50 |
$68.25
|
|
Splint finger fold over sm
|
$158.20 |
$158.20 |
$158.20 |
$146.88
|
|
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
|
$159.60 |
$159.60 |
$159.60 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$277.20 |
$277.20 |
$277.20 |
$286.00
|
|
Stem cells total count
|
$302.40 |
$302.40 |
$302.40 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$74,239.02 |
$74,239.02 |
$74,239.02 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$29,011.17 |
$29,011.17 |
$29,011.17 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,711.45 |
$4,711.45 |
$4,711.45 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$44,435.27 |
$44,435.27 |
$44,435.27 |
$14,356.50
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$107,168.74 |
$107,168.74 |
$107,168.74 |
$17,271.50
|
