|
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
|
$441.04 |
$441.04 |
$441.04 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$344.80 |
$344.80 |
$344.80 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$10,227.68 |
$10,227.68 |
$10,227.68 |
$6,491.87
|
|
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)
|
$143.59 |
$143.59 |
$143.59 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$304.00 |
$304.00 |
$304.00 |
$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)
|
$328.86 |
$328.86 |
$328.86 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$4,785.45 |
$4,785.45 |
$4,785.45 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$3,737.40 |
$3,737.40 |
$3,737.40 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$3,267.80 |
$3,267.80 |
$3,267.80 |
$2,060.00
|
|
Shoulder prosthesis removal
|
$5,259.20 |
$5,259.20 |
$5,259.20 |
$3,870.38
|
|
Shoulder X-ray
|
$407.97 |
$407.97 |
$407.97 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$298.36 |
$298.36 |
$298.36 |
$260.40
|
|
Shrinker prosth above knee
|
$428.88 |
$428.88 |
$428.88 |
$168.89
|
|
Shrinker prosth below knee
|
$257.33 |
$257.33 |
$257.33 |
$109.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$471.05 |
$471.05 |
$471.05 |
$359.55
|
|
Sialidase enzyme assay
|
$38.58 |
$38.58 |
$38.58 |
$54.99
|
|
Sialography s&i
|
$352.64 |
$352.64 |
$352.64 |
$512.40
|
|
Sialolithotomy 42330
|
$4,737.48 |
$4,737.48 |
$4,737.48 |
$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
|
$350.20 |
$350.20 |
$350.20 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$522.40 |
$522.40 |
$522.40 |
$614.00
|
|
Sincalide 5 mcg solution for injection
|
$288.32 |
$288.32 |
$288.32 |
$309.14
|
|
Single energy x-ray study
|
$76.80 |
$76.80 |
$76.80 |
$125.84
|
|
Sinus CT scan (with and without contrast)
|
$1,741.72 |
$1,741.72 |
$1,741.72 |
$1,788.60
|
|
Sinus CT scan (with contrast)
|
$1,601.82 |
$1,601.82 |
$1,601.82 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,324.60 |
$1,324.60 |
$1,324.60 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$2,117.88 |
$2,117.88 |
$2,117.88 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$2,321.60 |
$2,321.60 |
$2,321.60 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$2,859.20 |
$2,859.20 |
$2,859.20 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$2,446.40 |
$2,446.40 |
$2,446.40 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$337.90 |
$337.90 |
$337.90 |
$345.24
|
|
Sinus X-ray (limited)
|
$320.93 |
$320.93 |
$320.93 |
$214.50
|
|
Sirolimus, oral
|
$6.67 |
$6.67 |
$6.67 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$72.14 |
$72.14 |
$72.14 |
$80.10
|
|
Skel musc relaxant 3 or more
|
$13.60 |
$13.60 |
$13.60 |
$16.12
|
|
Skin and muscle repair face
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$4,332.25
|
|
Skin Biopsy
|
$424.97 |
$424.97 |
$424.97 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$2,052.80 |
$2,052.80 |
$2,052.80 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$445.60 |
$445.60 |
$445.60 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$2,168.80 |
$2,168.80 |
$2,168.80 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$460.00 |
$460.00 |
$460.00 |
$1,793.40
|
|
Skin test unlisted antigen ea
|
$48.57 |
$48.57 |
$48.57 |
$48.57
|
|
Skull X-ray (1 to 3 views)
|
$314.16 |
$314.16 |
$314.16 |
$297.00
|
|
Skull X-ray (complete)
|
$458.83 |
$458.83 |
$458.83 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$1,643.47
|
|
Slco1b1 gene com variants
|
$350.40 |
$350.40 |
$350.40 |
$235.20
|
|
Sleep study attended
|
$931.20 |
$931.20 |
$931.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$3,721.41
|
|
Sleep study unattended
|
$300.00 |
$300.00 |
$300.00 |
$594.00
|
|
Sling arm deluxe w/pad xs
|
$21.60 |
$21.60 |
$21.60 |
$30.35
|
|
Sling suprapubic suburetheral
|
$4,984.65 |
$4,984.65 |
$4,984.65 |
$9,679.96
|
|
Slitting of prepuce
|
$388.80 |
$388.80 |
$388.80 |
$4,061.71
|
|
Slitting of prepuce
|
$480.80 |
$480.80 |
$480.80 |
$3,376.23
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$75.20 |
$75.20 |
$75.20 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$211.20 |
$211.20 |
$211.20 |
$285.09
|
|
Slp pure tone screening
|
$24.80 |
$24.80 |
$24.80 |
$64.50
|
|
Slp stdy unatnd w/anal
|
$196.00 |
$196.00 |
$196.00 |
$285.00
|
|
Slp ther svc non-spch gen
|
$186.40 |
$186.40 |
$186.40 |
$188.00
|
|
Small animal inoculation
|
$42.40 |
$42.40 |
$42.40 |
$23.24
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$611.29 |
$611.29 |
$611.29 |
$557.70
|
|
Small bowel endoscopy
|
$363.20 |
$363.20 |
$363.20 |
$2,596.41
|
|
Small bowel endoscopy
|
$517.60 |
$517.60 |
$517.60 |
$2,244.82
|
|
Small bowel endoscopy
|
$608.00 |
$608.00 |
$608.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$623.20 |
$623.20 |
$623.20 |
$2,518.10
|
|
Small bowel endoscopy
|
$720.00 |
$720.00 |
$720.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$975.20 |
$975.20 |
$975.20 |
$3,265.60
|
|
Small bowel endoscopy
|
$698.40 |
$698.40 |
$698.40 |
$2,088.00
|
|
Small bowel endoscopy
|
$388.00 |
$388.00 |
$388.00 |
$2,956.20
|
