|
Sex chromatin identification
|
$119.40 |
$119.40 |
$119.40 |
$20.80
|
|
Shoe post-op mens m
|
$36.00 |
$36.00 |
$36.00 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$148.20 |
$148.20 |
$148.20 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$297.00 |
$297.00 |
$297.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$251.40 |
$251.40 |
$251.40 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$2,088.20
|
|
Shoulder X-ray
|
$281.40 |
$281.40 |
$281.40 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$281.40 |
$281.40 |
$281.40 |
$264.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$302.40 |
$302.40 |
$302.40 |
$355.80
|
|
Sialidase enzyme assay
|
$57.60 |
$57.60 |
$57.60 |
$54.99
|
|
Sickling rbc
|
$80.40 |
$80.40 |
$80.40 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$497.40 |
$497.40 |
$497.40 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,680.60 |
$1,680.60 |
$1,680.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$281.40 |
$281.40 |
$281.40 |
$347.10
|
|
Sinus X-ray (limited)
|
$281.40 |
$281.40 |
$281.40 |
$215.75
|
|
Sirolimus, oral
|
$18.50 |
$18.50 |
$18.50 |
$41.70
|
|
Skin Biopsy
|
$361.20 |
$361.20 |
$361.20 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$310.80 |
$310.80 |
$310.80 |
$294.66
|
|
Skull X-ray (complete)
|
$281.40 |
$281.40 |
$281.40 |
$423.15
|
|
Sleep study attended
|
$790.80 |
$790.80 |
$790.80 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,567.60 |
$3,567.60 |
$3,567.60 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$204.60 |
$204.60 |
$204.60 |
$203.58
|
|
Slp eval non-spch gen comm dev
|
$231.00 |
$231.00 |
$231.00 |
$285.09
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$567.00 |
$567.00 |
$567.00 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$81.60 |
$81.60 |
$81.60 |
$64.20
|
|
Smear gram stain
|
$68.40 |
$68.40 |
$68.40 |
$55.42
|
|
Smear nasal eosinophil
|
$89.40 |
$89.40 |
$89.40 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$48.00 |
$48.00 |
$48.00 |
$73.15
|
|
Smear wet mount
|
$45.00 |
$45.00 |
$45.00 |
$67.49
|
|
Sodium 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$49.07 |
$49.07 |
$49.07 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$79.09 |
$79.09 |
$79.09 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$79.66 |
$79.66 |
$79.66 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$79.30 |
$79.30 |
$79.30 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$104.98 |
$104.98 |
$104.98 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$57.60 |
$57.60 |
$57.60 |
$46.26
|
|
Special physics consult
|
$868.20 |
$868.20 |
$868.20 |
$725.00
|
|
Special radiation dosimetry
|
$408.00 |
$408.00 |
$408.00 |
$392.50
|
|
Special radiation treatment
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$2,052.00
|
|
Special teletx port plan
|
$877.80 |
$877.80 |
$877.80 |
$1,095.05
|
|
Specific gravity body fluid
|
$9.60 |
$9.60 |
$9.60 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$280.20 |
$280.20 |
$280.20 |
$385.00
|
|
Speech audiometry complete
|
$112.80 |
$112.80 |
$112.80 |
$109.20
|
|
Speech Therapy Session (one-on-one)
|
$240.00 |
$240.00 |
$240.00 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,531.80 |
$1,531.80 |
$1,531.80 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$251.40 |
$251.40 |
$251.40 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$388.80
|
|
Split blood or products
|
$70.80 |
$70.80 |
$70.80 |
$129.50
|
|
Srs linear based
|
$13,756.20 |
$13,756.20 |
$13,756.20 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$225.60 |
$225.60 |
$225.60 |
$297.60
|
|
Staph a dna amp probe
|
$91.20 |
$91.20 |
$91.20 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$267.00 |
$267.00 |
$267.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$37,257.60 |
$37,257.60 |
$37,257.60 |
$21,568.80
|
|
Stent iliac/open or perc/uni/init 37221
|
$32,515.80 |
$32,515.80 |
$32,515.80 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$12,847.80 |
$12,847.80 |
$12,847.80 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$27,868.20 |
$27,868.20 |
$27,868.20 |
$16,875.93
|
|
St evaluate speech sound production
|
$249.00 |
$249.00 |
$249.00 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$356.40 |
$356.40 |
$356.40 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$1,342.00
|
|
Strapping of ankle and/or ft 29540
|
$100.80 |
$100.80 |
$100.80 |
$223.45
|
|
Strapping of chest
|
$153.00 |
$153.00 |
$153.00 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$117.00 |
$117.00 |
$117.00 |
$157.46
|
|
Strapping of knee
|
$116.40 |
$116.40 |
$116.40 |
$205.20
|
|
Strep a ag ia
|
$58.80 |
$58.80 |
$58.80 |
$75.40
|
|
Strep b dna amp probe
|
$209.40 |
$209.40 |
$209.40 |
$122.43
|
|
Streptozocin injection
|
$397.01 |
$397.01 |
$397.01 |
$785.95
|
|
Stress test pulmonary
|
$348.60 |
$348.60 |
$348.60 |
$324.00
|
|
Stress tte complete
|
$5,070.00 |
$5,070.00 |
$5,070.00 |
$1,894.20
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$55.13 |
$55.13 |
$55.13 |
$54.80
|
|
Sugars single quant
|
$86.40 |
$86.40 |
$86.40 |
$64.28
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$50.71 |
$50.71 |
$50.71 |
$126.63
|
|
Surgical pathology level 1 gross examination only
|
$67.80 |
$67.80 |
$67.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$112.80 |
$112.80 |
$112.80 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$133.20 |
$133.20 |
$133.20 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$285.60 |
$285.60 |
$285.60 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$850.20 |
$850.20 |
$850.20 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$912.60 |
$912.60 |
$912.60 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$48.00 |
$48.00 |
$48.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$47.40 |
$47.40 |
$47.40 |
$35.75
|
|
Susceptibility mic per plate
|
$60.60 |
$60.60 |
$60.60 |
$105.75
|
|
Svc venogram s&i
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$275.40 |
$275.40 |
$275.40 |
$316.55
|
|
Swallowing Therapy Session
|
$230.40 |
$230.40 |
$230.40 |
$240.31
|
|
Sweat collection by iontophoresis
|
$120.60 |
$120.60 |
$120.60 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$17.40 |
$17.40 |
$17.40 |
$41.60
|
|
T3 (triiodothyronine) free
|
$267.60 |
$267.60 |
$267.60 |
$100.32
|
|
T3 (triiodothyronine) total
|
$133.20 |
$133.20 |
$133.20 |
$93.52
|
|
T4 (thyroxine) free
|
$60.60 |
$60.60 |
$60.60 |
$88.44
|
|
T4 (thyroxine) total
|
$63.00 |
$63.00 |
$63.00 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$10.20 |
$10.20 |
$10.20 |
$62.32
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$28.59 |
$28.59 |
$28.59 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$187.80 |
$187.80 |
$187.80 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$12.12 |
$12.12 |
$12.12 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$310.80 |
$310.80 |
$310.80 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$1,036.35 |
$1,036.35 |
$1,036.35 |
$1,223.36
|
