|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$259.20 |
$259.20 |
$274.30 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$284.80 |
$284.80 |
$284.80 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$702.91 |
$702.91 |
$750.75 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$325.00 |
$325.00 |
$348.00 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$356.46 |
$356.46 |
$375.70 |
$595.35
|
|
Scan proc cranial extra
|
$434.40 |
$434.40 |
$23,520.25 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$552.80 |
$552.80 |
$552.80 |
$1,015.00
|
|
Scan proc spinal
|
$552.80 |
$552.80 |
$552.80 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$3,185.60 |
$3,185.60 |
$3,185.60 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$2,514.76 |
$2,514.76 |
$2,514.76 |
$4,246.72
|
|
Scr c/v cyto, automated sys
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Scr c/v cyto,autosys and md
|
$55.20 |
$55.20 |
$55.20 |
$55.20
|
|
Scr c/v cyto, autosys, rescr
|
$64.00 |
$64.00 |
$64.00 |
$59.28
|
|
Scr c/v cyto,thinlayer,rescr
|
$88.00 |
$88.00 |
$88.00 |
$88.00
|
|
Scr c/v cyto,thinlayer,rescr
|
$55.00 |
$55.00 |
$55.00 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$54.40 |
$54.40 |
$54.40 |
$54.40
|
|
Screen cerv/vag thin layer
|
$55.00 |
$55.00 |
$55.00 |
$86.56
|
|
Screen c/v thin layer by md
|
$55.20 |
$55.20 |
$55.20 |
$55.20
|
|
Screening Colonoscopy (average risk)
|
$813.60 |
$813.60 |
$3,890.57 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$813.60 |
$813.60 |
$3,856.77 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$64.28 |
$64.28 |
$141.05 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$89.70 |
$89.70 |
$110.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$45.50 |
$45.50 |
$110.00 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$48.80 |
$48.80 |
$96.85 |
$42.30
|
|
Screening Mammogram
|
$290.55 |
$290.55 |
$318.82 |
$310.20
|
|
Screening pap smear by phys
|
$55.20 |
$55.20 |
$55.20 |
$41.00
|
|
Screening prostate cancer PSA
|
$64.28 |
$64.28 |
$75.40 |
$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
|
$795.88 |
$795.88 |
$2,979,158.83 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$672.10 |
$672.10 |
$819.31 |
$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
|
$6,203.97 |
$6,203.97 |
$6,203.97 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$120.80 |
$120.80 |
$194.35 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$29.90 |
$29.90 |
$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)
|
$102.76 |
$102.76 |
$1,774.50 |
$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
|
$41.60 |
$41.60 |
$56.44 |
$70.40
|
|
Semen analysis w/count
|
$56.44 |
$56.44 |
$68.90 |
$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
|
$1,133.03 |
$1,133.03 |
$19,449.95 |
$787.50
|
|
Set radiation therapy field
|
$795.20 |
$795.20 |
$795.20 |
$1,183.38
|
|
Set radiation therapy field
|
$1,550.90 |
$1,550.90 |
$1,870.48 |
$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
|
|
Sevelamer carbonate 800 mg tablet
|
$1.50 |
$1.50 |
$1.50 |
$7.14
|
|
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/<
|
$398.98 |
$398.98 |
$398.98 |
$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
|
$298.40 |
$298.40 |
$298.40 |
$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
|
$4,725.71 |
$4,725.71 |
$4,725.71 |
$6,491.87
|
|
Sheath laser cavaclear 14f
|
$5,815.06 |
$5,815.06 |
$5,815.06 |
$6,952.68
|
|
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 |
$29,212.90 |
$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 |
$28,612.14 |
$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 |
$26,435.03 |
$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 |
$42.87 |
$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)
|
$122.28 |
$122.28 |
$2,380.04 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$250.07 |
$250.07 |
$250.07 |
$268.80
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,272.00 |
$5,272.00 |
$24,101.99 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$320.08 |
$320.08 |
$370.50 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$2,683.42 |
$2,683.42 |
$5,964.40 |
$2,739.30
|
