|
Speech and Language Evaluation (comprehensive)
|
$303.60 |
$303.60 |
$303.60 |
$385.00
|
|
Speech recep thresh
|
$41.40 |
$41.40 |
$41.40 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$283.20 |
$283.20 |
$283.20 |
$248.30
|
|
Sperm washing 58323
|
$39.60 |
$39.60 |
$39.60 |
$238.06
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$1,456.20 |
$1,456.20 |
$1,456.20 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$243.00 |
$243.00 |
$243.00 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$424.20 |
$424.20 |
$424.20 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$148.20 |
$148.20 |
$148.20 |
$251.00
|
|
Splenectomy total open 38100
|
$2,166.00 |
$2,166.00 |
$2,166.00 |
$2,166.00
|
|
Splint arm vnyl coated padded lft med
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$36.00 |
$36.00 |
$36.00 |
$71.44
|
|
Splint finger 4 prong foam sm
|
$16.80 |
$16.80 |
$16.80 |
$34.00
|
|
Splint finger frog med
|
$3.00 |
$3.00 |
$3.00 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$3.60 |
$3.60 |
$3.60 |
$5.60
|
|
Splint func pos polyflex ii med
|
$4.80 |
$4.80 |
$4.80 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$16.20 |
$16.20 |
$16.20 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,651.80 |
$1,651.80 |
$1,651.80 |
$4,689.60
|
|
Spontaneous nystagmus study
|
$52.20 |
$52.20 |
$52.20 |
$130.65
|
|
Staging lapro hodgkins disease/lymphoma 49220
|
$1,826.40 |
$1,826.40 |
$1,826.40 |
$1,826.40
|
|
St analysis behavior qualitative voice/resonance
|
$225.60 |
$225.60 |
$225.60 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$78.60 |
$78.60 |
$78.60 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$23,614.20 |
$23,614.20 |
$23,614.20 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$14,157.00 |
$14,157.00 |
$14,157.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$691.20 |
$691.20 |
$691.20 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$11,238.60 |
$11,238.60 |
$11,238.60 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$15,588.60 |
$15,588.60 |
$15,588.60 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,948.40 |
$8,948.40 |
$8,948.40 |
$8,948.40
|
|
Stent placemt retro carotid
|
$1,645.20 |
$1,645.20 |
$1,645.20 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$21,091.80 |
$21,091.80 |
$21,091.80 |
$16,875.93
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$2,587.80 |
$2,587.80 |
$2,587.80 |
$3,308.00
|
|
Sternal debridement
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$1,318.40
|
|
St evaluate speech sound production
|
$225.60 |
$225.60 |
$225.60 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$244.80 |
$244.80 |
$244.80 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$895.80 |
$895.80 |
$895.80 |
$1,342.00
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$1,000.20 |
$1,000.20 |
$1,000.20 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$70.80 |
$70.80 |
$70.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$99.00 |
$99.00 |
$99.00 |
$157.46
|
|
Strapping of toes 29550
|
$60.00 |
$60.00 |
$60.00 |
$164.70
|
|
Streptokinase 1.5 m-units inj
|
$917.47 |
$917.47 |
$917.47 |
$917.47
|
|
Streptomycin injection
|
$150.80 |
$150.80 |
$150.80 |
$138.30
|
|
Streptozocin injection
|
$270.37 |
$270.37 |
$270.37 |
$785.95
|
|
Stress test pulmonary
|
$73.20 |
$73.20 |
$73.20 |
$324.00
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$214.20 |
$214.20 |
$214.20 |
$878.24
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$842.40 |
$842.40 |
$842.40 |
$717.60
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$257.40 |
$257.40 |
$257.40 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$242.40 |
$242.40 |
$242.40 |
$216.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$46.73 |
$46.73 |
$46.73 |
$54.80
|
|
Suction lipectomy head&neck
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$5,661.00
|
|
Suction lipectomy trunk
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$477.60 |
$477.60 |
$477.60 |
$4,544.00
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$4,374.50 |
$4,374.50 |
$4,374.50 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$96.23 |
$96.23 |
$96.23 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$213.60 |
$213.60 |
$213.60 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$359.84 |
$359.84 |
$359.84 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$24.00 |
$24.00 |
$24.00 |
$54.60
|
|
Support clav 29.6-40.5in med
|
$86.40 |
$86.40 |
$86.40 |
$94.08
|
|
Surg dx exam anorectal
|
$204.60 |
$204.60 |
$204.60 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,634.40
|
|
Surgical exposure prostate 55860
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$5,626.86
|
|
Surgical opening of stomach 43500
|
$1,477.80 |
$1,477.80 |
$1,477.80 |
$1,477.80
|
|
Surgical pathology level 1 gross examination only
|
$79.20 |
$79.20 |
$79.20 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$76.80 |
$76.80 |
$76.80 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$79.20 |
$79.20 |
$79.20 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$88.20 |
$88.20 |
$88.20 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$137.40 |
$137.40 |
$137.40 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$153.60 |
$153.60 |
$153.60 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$2,536.20 |
$2,536.20 |
$2,536.20 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$2,864.40 |
$2,864.40 |
$2,864.40 |
$2,864.40
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$3,245.23
|
|
Susceptibility enzyme detection per enzyme
|
$64.80 |
$64.80 |
$64.80 |
$35.75
|
|
Susceptibility mic per plate
|
$159.60 |
$159.60 |
$159.60 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$310.20 |
$310.20 |
$310.20 |
$59.28
|
|
Suspension of uterus 58400
|
$856.80 |
$856.80 |
$856.80 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$2,559.60 |
$2,559.60 |
$2,559.60 |
$2,559.60
|
|
Svc venogram s&i
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$249.60 |
$249.60 |
$249.60 |
$316.55
|
|
Swallowing Therapy Session
|
$207.60 |
$207.60 |
$207.60 |
$240.31
|
|
Sweat collection by iontophoresis
|
$100.20 |
$100.20 |
$100.20 |
$123.78
|
|
Synch audio-only est high 40
|
$196.80 |
$196.80 |
$196.80 |
$190.77
|
|
Synch audio-only est low 20
|
$90.60 |
$90.60 |
$90.60 |
$90.60
|
|
Synch audio-only est mod 30
|
$132.60 |
$132.60 |
$132.60 |
$136.64
|
|
Synch audio-only est sf 10
|
$49.20 |
$49.20 |
$49.20 |
$53.20
|
|
Synch audio-only new high 60
|
$241.80 |
$241.80 |
$241.80 |
$207.64
|
|
Synch audio-only new low 30
|
$117.00 |
$117.00 |
$117.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$183.60 |
$183.60 |
$183.60 |
$166.70
|
|
Synch audio-only new sf 15
|
$67.80 |
$67.80 |
$67.80 |
$67.80
|
|
Synvisc or synvisc-one
|
$2,438.29 |
$2,438.29 |
$2,438.29 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$20.40 |
$20.40 |
$20.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$52,875.00 |
$52,875.00 |
$52,875.00 |
$38,234.70
|
|
System pacing micra av
|
$25,312.80 |
$25,312.80 |
$25,312.80 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$27,495.00 |
$27,495.00 |
$27,495.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$240.60 |
$240.60 |
$240.60 |
$100.32
|
|
T3 (triiodothyronine) total
|
$68.40 |
$68.40 |
$68.40 |
$93.52
|
|
T4 (thyroxine) free
|
$73.80 |
$73.80 |
$73.80 |
$88.44
|
|
T4 (thyroxine) total
|
$45.00 |
$45.00 |
$45.00 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$14.21 |
$14.21 |
$14.21 |
$15.60
|