|
Scan duplex extremity veins unilateral/limited study
|
$565.00 |
$565.00 |
$565.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$520.00 |
$520.00 |
$520.00 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$6,955.05 |
$6,955.05 |
$6,955.05 |
$4,246.72
|
|
Screening Mammogram
|
$237.50 |
$237.50 |
$237.50 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$32,835.00 |
$32,835.00 |
$32,835.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$550.00 |
$550.00 |
$550.00 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$25.00 |
$25.00 |
$25.00 |
$42.00
|
|
Select picture audiometry
|
$125.00 |
$125.00 |
$125.00 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$96.60
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Sept9 promoter methylation analysis
|
$400.00 |
$400.00 |
$400.00 |
$316.68
|
|
Sertraline (zoloft) - sendout
|
$357.50 |
$357.50 |
$357.50 |
$126.43
|
|
Set radiation therapy field
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$782.61
|
|
Set radiation therapy field
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,159.03
|
|
Set radiation therapy field
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$0.34 |
$0.34 |
$0.34 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$0.38 |
$0.38 |
$0.38 |
$21.42
|
|
Sheath gldlight lasr 12fx50cm
|
$4,516.75 |
$4,516.75 |
$4,516.75 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$4,516.75 |
$4,516.75 |
$4,516.75 |
$7,143.32
|
|
Shot (Injection into Muscle or Under the Skin)
|
$112.50 |
$112.50 |
$112.50 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$202.50 |
$202.50 |
$202.50 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$3,320.00 |
$3,320.00 |
$3,320.00 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$2,088.20
|
|
Shoulder X-ray
|
$405.00 |
$405.00 |
$405.00 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$300.00 |
$300.00 |
$300.00 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$3,697.50 |
$3,697.50 |
$3,697.50 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$345.00 |
$345.00 |
$345.00 |
$355.80
|
|
Sialography s&i
|
$472.50 |
$472.50 |
$472.50 |
$499.20
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$280.00 |
$280.00 |
$280.00 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$1,975.00 |
$1,975.00 |
$1,975.00 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$242.50 |
$242.50 |
$242.50 |
$347.10
|
|
Sinus X-ray (limited)
|
$160.00 |
$160.00 |
$160.00 |
$215.75
|
|
Skeletal muscle relaxant 1/2
|
$287.50 |
$287.50 |
$287.50 |
$83.85
|
|
Skin Biopsy
|
$230.00 |
$230.00 |
$230.00 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$290.00 |
$290.00 |
$290.00 |
$294.66
|
|
Skull X-ray (complete)
|
$437.50 |
$437.50 |
$437.50 |
$423.15
|
|
Sleep Study (Polysomnography)
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$3,734.50
|
|
Sleep study unattended
|
$495.00 |
$495.00 |
$495.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$235.00 |
$235.00 |
$235.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$3,791.30 |
$3,791.30 |
$3,791.30 |
$9,679.96
|
|
Slitting of prepuce
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$3,376.23
|
|
Slp eval non-spch gen comm dev
|
$342.50 |
$342.50 |
$342.50 |
$285.09
|
|
Slp ther svc non-spch gen
|
$172.50 |
$172.50 |
$172.50 |
$188.00
|
|
Sm-153 lexidron ther
|
$16,305.00 |
$16,305.00 |
$16,305.00 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$397.50 |
$397.50 |
$397.50 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$47.50 |
$47.50 |
$47.50 |
$64.20
|
|
Smear gram stain
|
$45.00 |
$45.00 |
$45.00 |
$55.42
|
|
Smear nasal eosinophil
|
$50.00 |
$50.00 |
$50.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$60.00 |
$60.00 |
$60.00 |
$73.15
|
|
Smear wet mount
|
$32.50 |
$32.50 |
$32.50 |
$67.49
|
|
Smpd1 gene common variants
|
$140.00 |
$140.00 |
$140.00 |
$133.84
|
|
So cap design without jnts cf
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$606.35
|
|
Sodium 24 hour urine
|
$47.50 |
$47.50 |
$47.50 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$84.94 |
$84.94 |
$84.94 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$61.22 |
$61.22 |
$61.22 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$56.95 |
$56.95 |
$56.95 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$53.30 |
$53.30 |
$53.30 |
$39.60
|
|
Sodium serum/plasma/whole blood
|
$45.00 |
$45.00 |
$45.00 |
$46.26
|
|
Special physics consult
|
$485.00 |
$485.00 |
$485.00 |
$725.00
|
|
Special radiation dosimetry
|
$525.00 |
$525.00 |
$525.00 |
$392.50
|
|
Special radiation treatment
|
$1,945.00 |
$1,945.00 |
$1,945.00 |
$2,052.00
|
|
Special teletx port plan
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$1,095.05
|
|
Specimen fat stain
|
$40.00 |
$40.00 |
$40.00 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$525.00 |
$525.00 |
$525.00 |
$385.00
|
|
Speech audiometry complete
|
$100.00 |
$100.00 |
$100.00 |
$109.20
|
|
Speech evaluation complex
|
$645.00 |
$645.00 |
$645.00 |
$527.06
|
|
Speech recep thresh
|
$77.50 |
$77.50 |
$77.50 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$220.00 |
$220.00 |
$220.00 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$220.00 |
$220.00 |
$220.00 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$380.00 |
$380.00 |
$380.00 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$55.00 |
$55.00 |
$55.00 |
$71.44
|
|
Splint finger frog med
|
$35.00 |
$35.00 |
$35.00 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$100.00 |
$100.00 |
$100.00 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,440.00 |
$4,440.00 |
$4,440.00 |
$4,689.60
|
|
Split blood or products
|
$202.50 |
$202.50 |
$202.50 |
$129.50
|
|
Srs linear based
|
$16,170.00 |
$16,170.00 |
$16,170.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$272.50 |
$272.50 |
$272.50 |
$297.60
|
|
Staph a dna amp probe
|
$157.50 |
$157.50 |
$157.50 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$267.50 |
$267.50 |
$267.50 |
$286.00
|
|
Stem cells total count
|
$212.50 |
$212.50 |
$212.50 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$22,590.00 |
$22,590.00 |
$22,590.00 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$23,203.40 |
$23,203.40 |
$23,203.40 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$733.70 |
$733.70 |
$733.70 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$15,931.27 |
$15,931.27 |
$15,931.27 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$20,830.00 |
$20,830.00 |
$20,830.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,190.00 |
$8,190.00 |
$8,190.00 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$19,185.00 |
$19,185.00 |
$19,185.00 |
$16,875.93
|
|
St evaluate speech sound production
|
$272.50 |
$272.50 |
$272.50 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$327.50 |
$327.50 |
$327.50 |
$400.00
|
|
Stimulants synthetic
|
$122.50 |
$122.50 |
$122.50 |
$80.08
|
