|
Stent bronch dumon sil 10x40mm
|
$6,423.38 |
$6,423.38 |
$6,423.38 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$831.60 |
$15,300.00 |
$68,453.21 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$1,750.00 |
$8,110.00 |
$112,745.72 |
|
|
Stent placemt retro carotid
|
$1,645.20 |
$5,328.00 |
$27,052.80 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$1,173.60 |
$18,585.00 |
$344,805.97 |
|
|
Stereoscopic x-ray guidance
|
$136.00 |
$136.00 |
$136.00 |
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$2,587.80 |
$2,587.80 |
$66,839.73 |
|
|
Stereotactic radiation trmt
|
$845.60 |
$1,478.40 |
$3,639.00 |
|
|
Sterile gauze <= 16 sq in
|
$1.52 |
$1.52 |
$4.32 |
|
|
Sterile needle
|
$11.52 |
$11.52 |
$11.52 |
|
|
Sterile water/saline, 10 ml
|
$0.16 |
$16.80 |
$298.37 |
|
|
Sterile water/saline, 500 ml
|
$187.77 |
$247.97 |
$1,455.65 |
|
|
Sternal debridement
|
$1,048.20 |
$1,048.20 |
$1,318.40 |
|
|
St evaluate speech sound production
|
$88.44 |
$294.25 |
$797.04 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$85.00 |
$410.40 |
$893.90 |
|
|
Stimulants synthetic
|
$36.00 |
$122.50 |
$171.05 |
|
|
Stimulation of spinal cord
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$433.75 |
$1,470.00 |
$2,943.60 |
|
|
Storage/year embryo(s)
|
$236.00 |
$236.00 |
$236.00 |
|
|
Storage/year oocyte(s)
|
$236.00 |
$236.00 |
$236.00 |
|
|
Storage/year reprod tissue
|
$220.00 |
$220.00 |
$220.00 |
|
|
Storage/year sperm/semen
|
$236.00 |
$236.00 |
$236.00 |
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$1,000.20 |
$4,589.40 |
$5,436.60 |
|
|
Strapping of ankle and/or ft 29540
|
$70.80 |
$226.60 |
$914.40 |
|
|
Strapping of chest
|
$82.40 |
$340.56 |
$1,379.20 |
|
|
Strapping of elbow or wrist 29260
|
$84.15 |
$162.60 |
$1,248.80 |
|
|
Strapping of hand or finger
|
$84.15 |
$208.80 |
$1,204.00 |
|
|
Strapping of hip
|
$142.50 |
$176.00 |
$323.28 |
|
|
Strapping of knee
|
$43.75 |
$142.50 |
$1,368.00 |
|
|
Strapping of toes 29550
|
$60.00 |
$119.52 |
$1,200.80 |
|
|
Strep a ag ia
|
$20.00 |
$33.99 |
$192.96 |
|
|
Strep a dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
|
|
Strep a dna quant
|
$75.60 |
$75.60 |
$104.80 |
|
|
Strep b assay w/optic
|
$32.00 |
$107.10 |
$107.25 |
|
|
Strep b dna amp probe
|
$43.92 |
$172.50 |
$495.36 |
|
|
Streptokinase 1.5 m-units inj
|
$917.47 |
$917.47 |
$917.47 |
|
|
Streptokinase antibody
|
$25.60 |
$25.60 |
$25.60 |
|
|
Streptomycin injection
|
$73.60 |
$127.74 |
$150.80 |
|
|
Streptozocin injection
|
$270.37 |
$524.91 |
$524.91 |
|
|
Stress test pulmonary
|
$73.20 |
$278.64 |
$668.16 |
|
|
Stress tte complete
|
$550.00 |
$2,482.56 |
$4,490.50 |
|
|
Str markers spec anal addl
|
$406.20 |
$648.00 |
$707.20 |
|
|
Str markers specimen anal
|
$283.14 |
$1,063.80 |
$1,589.60 |
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$214.20 |
$214.20 |
$1,598.40 |
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$466.80 |
$733.80 |
$842.40 |
|
|
Subq njx filling matrl 1cc/<
|
$194.40 |
$194.40 |
$194.40 |
|
|
Subq njx fil matrl 5.1-10cc
|
$353.60 |
$353.60 |
$353.60 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$197.40 |
$229.20 |
$257.40 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$176.40 |
$221.40 |
$242.40 |
|
|
Subsequent repair of nerve
|
$288.80 |
$288.80 |
$288.80 |
|
|
Subtalar arthro w/deb
|
$3,296.00 |
$3,296.00 |
$27,227.38 |
|
|
Subtalar arthro w/exc
|
$2,641.60 |
$2,641.60 |
$58,754.63 |
|
|
Subtalar arthro w/fb rmvl
|
$3,132.80 |
$3,132.80 |
$3,132.80 |
|
|
Subtalar arthro w/fusion
|
$4,308.80 |
$4,308.80 |
$4,308.80 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$3.60 |
$31.22 |
$452.72 |
|
|
Suction lipectomy head&neck
|
$575.20 |
$1,147.20 |
$1,147.20 |
|
|
Suction lipectomy lwr extrem
|
$1,081.20 |
$1,081.20 |
$6,080.00 |
|
|
Suction lipectomy trunk
|
$1,081.20 |
$1,081.20 |
$2,272.00 |
|
|
Suction lipectomy upr extrem
|
$477.60 |
$477.60 |
$4,544.00 |
|
|
Sugars multiple quant
|
$66.24 |
$66.24 |
$554.40 |
|
|
Sugars single quant
|
$44.00 |
$202.30 |
$771.60 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$161.68 |
$5,773.50 |
$3,275,897.80 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.56 |
$96.23 |
$592.37 |
|
|
Sulfonylurea screen qn-sendout
|
$25.00 |
$230.00 |
$341.60 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$18.72 |
$176.40 |
$540.25 |
|
|
Sup of prep of antigen # of vials 95144
|
$24.00 |
$24.00 |
$44.80 |
|
|
Supp non-insulin inf cath/wk
|
$1.50 |
$1.50 |
$1.50 |
|
|
Support clav 29.6-40.5in med
|
$8.64 |
$156.00 |
$225.60 |
|
|
Supprelin la implant
|
$22,556.05 |
$30,450.00 |
$131,671.90 |
|
|
Suprv interfacilty transport
|
$139.20 |
$139.20 |
$139.20 |
|
|
Suprv interfac trnsport addl
|
$120.80 |
$120.80 |
$120.80 |
|
|
Surg dx exam anorectal
|
$204.60 |
$9,119.76 |
$18,925.92 |
|
|
Surg ect salp-oophorectomy 59120
|
$1,632.60 |
$1,632.60 |
$1,955.20 |
|
|
Surg ect without salp-oophorectomy 59121
|
$1,634.40 |
$1,634.40 |
$1,957.60 |
|
|
Surgery for urethra pouch
|
$1,068.00 |
$1,068.00 |
$26,996.74 |
|
|
Surgery to stop leg growth
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
|
|
Surgery to stop leg growth
|
$3,604.80 |
$3,604.80 |
$3,604.80 |
|
|
Surgery to stop leg growth
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
|
|
Surgery to stop leg growth
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
|
|
Surgical exposure prostate 55860
|
$1,639.80 |
$1,639.80 |
$2,212.00 |
|
|
Surgical opening of stomach
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
|
|
Surgical opening of stomach 43500
|
$1,477.80 |
$1,477.80 |
$33,268.85 |
|
|
Surgical opening of throat
|
$1,870.40 |
$1,870.40 |
$1,870.40 |
|
|
Surgical pathology level 1 gross examination only
|
$30.60 |
$117.50 |
$47,289.37 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$68.75 |
$206.40 |
$33,857.68 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$74.40 |
$267.63 |
$64,822.75 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$64.20 |
$339.84 |
$12,315.40 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$99.00 |
$675.00 |
$41,015.24 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$153.60 |
$1,029.60 |
$87,273.82 |
|
|
Surgical repair stomach bleedin ulcer 43501
|
$2,536.20 |
$2,536.20 |
$3,304.80 |
|
|
Surgical repair stomach gastric lac 43502
|
$2,864.40 |
$2,864.40 |
$3,736.80 |
|
|
Surgical revision intestine
|
$2,607.20 |
$2,607.20 |
$2,607.20 |
|
|
Surgical trays
|
$45.60 |
$45.60 |
$45.60 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,017.60 |
$9,232.77 |
$28,607.42 |
|
|
Susceptibility agar dilution per agent
|
$10.23 |
$77.04 |
$268.10 |
|
|
Susceptibility enzyme detection per enzyme
|
$12.54 |
$47.30 |
$134.40 |
|
|
Susceptibility mic per plate
|
$38.58 |
$80.80 |
$822.24 |
|
|
Suscept studies macrobroth dilution ea
|
$36.30 |
$75.00 |
$310.20 |
|
|
Suspension of testis
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
|
|
Suspension of uterus 58400
|
$856.80 |
$856.80 |
$33,647.64 |
|
