|
Screening Colonoscopy (high risk)
|
$848.84 |
$848.84 |
$848.84 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$64.28 |
$64.28 |
$64.28 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$110.00 |
$110.00 |
$110.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$110.00 |
$110.00 |
$110.00 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$48.80 |
$48.80 |
$48.80 |
$42.30
|
|
Screening Mammogram
|
$460.84 |
$460.84 |
$460.84 |
$310.20
|
|
Screening pap smear by phys
|
$55.20 |
$55.20 |
$55.20 |
$41.00
|
|
Screening prostate cancer PSA
|
$64.28 |
$64.28 |
$64.28 |
$101.60
|
|
Screen pap by tech w md supv
|
$36.80 |
$36.80 |
$36.80 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.40 |
$6.40 |
$6.40 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$1,555.82 |
$1,555.82 |
$1,555.82 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$580.04 |
$580.04 |
$580.04 |
$612.55
|
|
Sc ther infusion reset pump
|
$158.40 |
$158.40 |
$158.40 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,005.60 |
$2,005.60 |
$2,005.60 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,206.40 |
$3,206.40 |
$3,206.40 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$377.44 |
$377.44 |
$377.44 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$33.57 |
$33.57 |
$33.57 |
$42.00
|
|
Segmentectomy 32484
|
$3,491.20 |
$3,491.20 |
$3,491.20 |
$2,915.40
|
|
Select picture audiometry
|
$105.60 |
$105.60 |
$105.60 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$61.24 |
$61.24 |
$61.24 |
$94.25
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$28.00 |
$28.00 |
$28.00 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$20.00 |
$20.00 |
$20.00 |
$33.04
|
|
Semen analysis
|
$13.60 |
$13.60 |
$13.60 |
$13.60
|
|
Semen analysis presence/motility
|
$56.44 |
$56.44 |
$56.44 |
$70.40
|
|
Semen analysis w/count
|
$56.44 |
$56.44 |
$56.44 |
$56.44
|
|
Sensorimotor examination
|
$132.00 |
$132.00 |
$132.00 |
$109.50
|
|
Sensorineural acuity lvl tst
|
$137.60 |
$137.60 |
$137.60 |
$129.36
|
|
Separate eyelid adhesions
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$384.00 |
$384.00 |
$384.00 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$3,342.40 |
$3,342.40 |
$3,342.40 |
$7,807.24
|
|
Sequestrectomy radial h/n
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
$4,499.12
|
|
Sequestrectomy shft/dstl hum
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
$7,913.97
|
|
Serial tonometry
|
$169.60 |
$169.60 |
$169.60 |
$131.02
|
|
Serpina1 gene
|
$127.86 |
$127.86 |
$127.86 |
$195.65
|
|
Sertraline (zoloft) - sendout
|
$126.43 |
$126.43 |
$126.43 |
$126.43
|
|
Set radiation therapy field
|
$548.00 |
$548.00 |
$548.00 |
$787.50
|
|
Set radiation therapy field
|
$795.20 |
$795.20 |
$795.20 |
$1,183.38
|
|
Set radiation therapy field
|
$918.40 |
$918.40 |
$918.40 |
$1,641.90
|
|
Set-up cardiovert-defibrill
|
$218.40 |
$218.40 |
$218.40 |
$373.29
|
|
Set up port xray equipment
|
$49.60 |
$49.60 |
$49.60 |
$49.60
|
|
Sever cranial nerve
|
$1,500.80 |
$1,500.80 |
$1,500.80 |
$3,141.46
|
|
Sex chromatin identification
|
$45.60 |
$45.60 |
$45.60 |
$45.60
|
|
Sex chromatin identification
|
$20.80 |
$20.80 |
$20.80 |
$20.80
|
|
Sf3b1 gene common variants
|
$185.52 |
$185.52 |
$185.52 |
$248.10
|
|
Sgmdsc w/band ligation
|
$1,523.20 |
$1,523.20 |
$1,523.20 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$284.00 |
$284.00 |
$284.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$337.60 |
$337.60 |
$337.60 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$390.40 |
$390.40 |
$390.40 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$456.00 |
$456.00 |
$456.00 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$258.40 |
$258.40 |
$258.40 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$303.20 |
$303.20 |
$303.20 |
$225.50
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$354.40 |
$354.40 |
$354.40 |
$270.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$380.00 |
$380.00 |
$380.00 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$244.80 |
$244.80 |
$244.80 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$416.64 |
$416.64 |
$416.64 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$344.80 |
$344.80 |
$344.80 |
$289.30
|
|
Shigella antibody
|
$49.60 |
$49.60 |
$49.60 |
$49.60
|
|
Sho arthrs dx +- synovial bx
|
$2,310.40 |
$2,310.40 |
$2,310.40 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$4,523.20 |
$4,523.20 |
$4,523.20 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$5,208.00 |
$5,208.00 |
$5,208.00 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$2,916.80 |
$2,916.80 |
$2,916.80 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$2,836.80 |
$2,836.80 |
$2,836.80 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$5,091.20 |
$5,091.20 |
$5,091.20 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$5,148.00
|
|
Shoe heel pad & depress for
|
$149.60 |
$149.60 |
$149.60 |
$149.60
|
|
Shoe post-op mens m
|
$23.20 |
$23.20 |
$23.20 |
$53.20
|
|
Shortening of hand tendon
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$3,839.54
|
|
Shorten radius or ulna
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$6,609.96
|
|
Shorten radius & ulna
|
$4,988.80 |
$4,988.80 |
$4,988.80 |
$7,907.11
|
|
Shot (Injection into Muscle or Under the Skin)
|
$91.44 |
$91.44 |
$91.44 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$230.35 |
$230.35 |
$230.35 |
$268.80
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,272.00 |
$5,272.00 |
$5,272.00 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$230.35 |
$230.35 |
$230.35 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$3,315.56 |
$3,315.56 |
$3,315.56 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$2,373.47 |
$2,373.47 |
$2,373.47 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$2,178.50 |
$2,178.50 |
$2,178.50 |
$2,060.00
|
|
Shoulder prosthesis removal
|
$5,259.20 |
$5,259.20 |
$5,259.20 |
$3,870.38
|
|
Shoulder X-ray
|
$264.60 |
$264.60 |
$264.60 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$175.12 |
$175.12 |
$175.12 |
$260.40
|
|
Shuntogram nonvascular supervision & interpretation
|
$216.80 |
$216.80 |
$216.80 |
$359.55
|
|
Sialidase enzyme assay
|
$38.58 |
$38.58 |
$38.58 |
$54.99
|
|
Sialography s&i
|
$215.20 |
$215.20 |
$215.20 |
$512.40
|
|
Sialolithotomy 42330
|
$617.48 |
$617.48 |
$617.48 |
$3,864.00
|
|
Sickling rbc
|
$33.57 |
$33.57 |
$33.57 |
$56.99
|
|
Sigmoidoscopy and biopsy
|
$672.00 |
$672.00 |
$672.00 |
$1,550.40
|
|
Sigmoidoscopy flex decompression 45337
|
$291.20 |
$291.20 |
$291.20 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$649.60 |
$649.60 |
$649.60 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$6,681.60 |
$6,681.60 |
$6,681.60 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$648.00 |
$648.00 |
$648.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$388.80 |
$388.80 |
$388.80 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$501.60 |
$501.60 |
$501.60 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$694.40 |
$694.40 |
$694.40 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$312.00 |
$312.00 |
$312.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$428.80 |
$428.80 |
$428.80 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$764.00 |
$764.00 |
$764.00 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$70.40 |
$70.40 |
$70.40 |
$280.00
|