|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$280.83 |
$905.00 |
$1,785.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$120.60 |
$703.80 |
$1,391.60 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$231.12 |
$637.92 |
$1,181.60 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$375.00 |
$801.00 |
$1,673.00 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$253.11 |
$720.60 |
$1,556.64 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$233.31 |
$659.45 |
$1,641.60 |
|
|
Scan proc cranial extra
|
$434.40 |
$42,008.33 |
$52,088.95 |
|
|
Scan proc cranial intra 61781
|
$436.80 |
$552.80 |
$102,980.61 |
|
|
Scan proc spinal
|
$552.80 |
$47,794.51 |
$138,936.11 |
|
|
Sclerotherapy fluid collection pq w/img
|
$600.00 |
$1,817.40 |
$19,373.61 |
|
|
Scope plantar fasciotomy
|
$945.60 |
$1,165.80 |
$24,725.67 |
|
|
Scope uretscp lithovue dig disp
|
$1,640.44 |
$4,023.60 |
$14,376.12 |
|
|
Scr c/v cyto, automated sys
|
$36.80 |
$36.80 |
$36.80 |
|
|
Scr c/v cyto,autosys and md
|
$55.20 |
$55.20 |
$55.20 |
|
|
Scr c/v cyto, autosys, rescr
|
$64.00 |
$64.00 |
$64.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$88.00 |
$88.00 |
$88.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$55.00 |
$171.20 |
$223.20 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$54.40 |
$168.00 |
$201.60 |
|
|
Screen cerv/vag thin layer
|
$31.68 |
$161.70 |
$191.10 |
|
|
Screen c/v thin layer by md
|
$55.20 |
$100.80 |
$100.80 |
|
|
Screening Colonoscopy (average risk)
|
$643.20 |
$2,557.80 |
$3,198.30 |
|
|
Screening Colonoscopy (high risk)
|
$643.20 |
$2,499.12 |
$3,322.90 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$45.10 |
$48.00 |
$72.72 |
|
|
Screening hepatitis b non-obstetric high risk
|
$110.00 |
$110.00 |
$110.00 |
|
|
Screening hepatitis c antibody high risk
|
$110.00 |
$110.00 |
$486.72 |
|
|
Screening HIV antigen/antibody combination assay
|
$48.80 |
$48.80 |
$200.90 |
|
|
Screening Mammogram
|
$97.50 |
$370.08 |
$551.20 |
|
|
Screening pap smear by phys
|
$55.20 |
$55.20 |
$55.20 |
|
|
Screening prostate cancer PSA
|
$64.28 |
$200.20 |
$508.80 |
|
|
Screen pap by tech w md supv
|
$32.34 |
$95.40 |
$288.20 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.40 |
$8.40 |
$79.80 |
|
|
Screw cortex 2.0 x 10mm
|
$950.86 |
$29,055.00 |
$200,531.52 |
|
|
Scrotal (Testicle) Ultrasound
|
$337.50 |
$819.00 |
$1,424.00 |
|
|
Sc ther infusion reset pump
|
$93.10 |
$93.10 |
$228.96 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,534.80 |
$1,534.80 |
$46,962.61 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$750.00 |
$4,389.60 |
$10,026.10 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$66.00 |
$66.00 |
$365.86 |
|
|
Sedimentation rate erythrocyte automated
|
$3.60 |
$60.90 |
$164.88 |
|
|
Segmentectomy 32484
|
$2,782.80 |
$2,915.40 |
$126,843.69 |
|
|
Select picture audiometry
|
$45.21 |
$125.00 |
$310.80 |
|
|
Self-adher band w>=3" <5"/yd
|
$58.32 |
$58.32 |
$58.32 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$32.50 |
$105.00 |
$208.80 |
|
|
Self-meas bp pt educaj/train
|
$37.50 |
$37.50 |
$37.50 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$43.20 |
$51.60 |
$60.18 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$20.00 |
$36.60 |
$60.00 |
|
|
Semen analysis
|
$13.60 |
$13.60 |
$13.60 |
|
|
Semen analysis presence/motility
|
$35.00 |
$60.00 |
$398.88 |
|
|
Semen analysis w/count
|
$31.25 |
$110.60 |
$226.80 |
|
|
Sensorimotor examination
|
$115.80 |
$115.80 |
$132.00 |
|
|
Sensorineural acuity lvl tst
|
$137.60 |
$137.60 |
$137.60 |
|
|
Separate eyelid adhesions
|
$2,857.60 |
$2,857.60 |
$132,521.56 |
|
|
Sept9 promoter methylation analysis
|
$124.41 |
$400.00 |
$443.80 |
|
|
Sequestrectomy olecrn proces
|
$3,342.40 |
$3,342.40 |
$3,342.40 |
|
|
Sequestrectomy radial h/n
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
|
|
Sequestrectomy shft/dstl hum
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
|
|
Serial casting application 97139app
|
$112.75 |
$112.75 |
$159.00 |
|
|
Serial tonometry
|
$122.50 |
$122.50 |
$169.60 |
|
|
Serpina1 gene
|
$38.25 |
$403.20 |
$738.50 |
|
|
Sertraline (zoloft) - sendout
|
$85.14 |
$207.90 |
$357.50 |
|
|
Set radiation therapy field
|
$475.00 |
$1,008.70 |
$29,229.20 |
|
|
Set radiation therapy field
|
$640.86 |
$2,443.20 |
$3,812.90 |
|
|
Set radiation therapy field
|
$950.00 |
$2,130.00 |
$26,740.00 |
|
|
Set-up cardiovert-defibrill
|
$218.40 |
$218.40 |
$218.40 |
|
|
Set up port xray equipment
|
$49.60 |
$49.60 |
$49.60 |
|
|
Sevelamer carbonate 800 mg tablet
|
$0.33 |
$0.35 |
$0.44 |
|
|
Sevelamer carbonate pdr 20mg
|
$0.33 |
$0.33 |
$0.38 |
|
|
Sever cranial nerve
|
$1,500.80 |
$1,500.80 |
$102,402.94 |
|
|
Sex chromatin identification
|
$45.60 |
$45.60 |
$45.60 |
|
|
Sex chromatin identification
|
$20.80 |
$20.80 |
$20.80 |
|
|
Sex transformation f to m
|
$66,168.03 |
$66,168.03 |
$66,168.03 |
|
|
Sex transformation m to f
|
$64,276.40 |
$64,276.40 |
$64,276.40 |
|
|
Sf3b1 gene common variants
|
$185.52 |
$185.52 |
$185.52 |
|
|
Sgmdsc w/band ligation
|
$1,275.60 |
$3,341.10 |
$5,248.27 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$115.20 |
$163.20 |
$402.50 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$159.60 |
$204.00 |
$337.60 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$177.00 |
$236.40 |
$390.40 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$129.00 |
$294.00 |
$456.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$121.20 |
$208.60 |
$258.40 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$143.40 |
$183.00 |
$510.44 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$159.60 |
$214.20 |
$354.40 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$232.20 |
$238.80 |
$380.00 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$112.50 |
$133.20 |
$252.00 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$138.60 |
$178.20 |
$588.96 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$159.00 |
$291.20 |
$344.80 |
|
|
Sheath gldlight lasr 12fx50cm
|
$4,516.75 |
$7,481.40 |
$24,249.30 |
|
|
Sheath laser cavaclear 14f
|
$4,516.75 |
$17,769.57 |
$24,249.30 |
|
|
Shigella antibody
|
$49.60 |
$49.60 |
$49.60 |
|
|
Sho arthrs dx +- synovial bx
|
$2,310.40 |
$2,310.40 |
$2,310.40 |
|
|
Sho arthrs srg bicp tenodsis
|
$4,523.20 |
$55,393.27 |
$75,191.60 |
|
|
Sho arthrs srg capsulorraphy
|
$5,208.00 |
$5,208.00 |
$15,430.32 |
|
|
Sho arthrs srg compl synvct
|
$2,916.80 |
$40,992.94 |
$43,457.97 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$2,836.80 |
$44,439.24 |
$61,250.04 |
|
|
Sho arthrs srg lss&rescj ads
|
$2,883.20 |
$24,686.49 |
$92,149.99 |
|
|
Sho arthrs srg prtl synvct
|
$2,641.60 |
$59,869.51 |
$101,016.37 |
|
|
Sho arthrs srg rmvl loose/fb
|
$2,883.20 |
$26,093.77 |
$76,957.29 |
|
|
Sho arthrs srg rpr slap les
|
$5,091.20 |
$5,091.20 |
$5,091.20 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$3,086.40 |
$45,654.19 |
$89,144.02 |
|
|
Shoe heel pad & depress for
|
$4.80 |
$77.64 |
$149.60 |
|
|
Shoe post-op mens m
|
$15.84 |
$252.70 |
$1,524.00 |
|
|
Sho heel count plast reinfor
|
$16.20 |
$16.20 |
$16.20 |
|
