|
Storage/year sperm/semen
|
$236.00 |
$236.00 |
$236.00 |
$207.35
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$2,723.50
|
|
Strap chin dlx f/cpap
|
$34.90 |
$34.90 |
$34.90 |
$34.90
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$0.25 |
$0.25 |
$0.25 |
$5.04
|
|
Strapping of ankle and/or ft 29540
|
$142.40 |
$142.40 |
$142.40 |
$223.45
|
|
Strapping of chest
|
$82.40 |
$82.40 |
$82.40 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$152.00 |
$152.00 |
$152.00 |
$157.46
|
|
Strapping of hand or finger
|
$153.60 |
$153.60 |
$153.60 |
$177.45
|
|
Strapping of hip
|
$176.00 |
$176.00 |
$176.00 |
$164.70
|
|
Strapping of knee
|
$203.69 |
$203.69 |
$203.69 |
$205.20
|
|
Strapping of toes 29550
|
$96.00 |
$96.00 |
$96.00 |
$164.70
|
|
Strep a ag ia
|
$38.58 |
$38.58 |
$38.58 |
$75.40
|
|
Strep a dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
$96.72
|
|
Strep a dna quant
|
$104.80 |
$104.80 |
$104.80 |
$75.60
|
|
Strep b assay w/optic
|
$32.00 |
$32.00 |
$32.00 |
$58.95
|
|
Strep b dna amp probe
|
$87.20 |
$87.20 |
$254.15 |
$124.15
|
|
Streptokinase antibody
|
$25.60 |
$25.60 |
$25.60 |
$25.60
|
|
Streptomycin injection
|
$73.60 |
$73.60 |
$73.60 |
$138.30
|
|
Stress test pulmonary
|
$140.95 |
$140.95 |
$145.60 |
$324.00
|
|
Stress tte complete
|
$1,163.26 |
$1,163.26 |
$1,163.26 |
$1,820.70
|
|
Str markers spec anal addl
|
$610.40 |
$610.40 |
$610.40 |
$479.17
|
|
Str markers specimen anal
|
$483.20 |
$483.20 |
$1,240.85 |
$751.50
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$264.80 |
$264.80 |
$264.80 |
$878.24
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$717.60 |
$717.60 |
$1,002.00 |
$717.60
|
|
Subq njx filling matrl 1cc/<
|
$194.40 |
$194.40 |
$194.40 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$353.60 |
$353.60 |
$353.60 |
$988.00
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$224.80 |
$224.80 |
$316.00 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$216.00 |
$216.00 |
$304.00 |
$216.00
|
|
Subsequent repair of nerve
|
$288.80 |
$288.80 |
$288.80 |
$4,448.60
|
|
Subtalar arthro w/deb
|
$3,296.00 |
$3,296.00 |
$3,296.00 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$3,132.80 |
$3,132.80 |
$3,132.80 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$4,308.80 |
$4,308.80 |
$4,308.80 |
$13,158.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$19.76 |
$19.76 |
$19.76 |
$54.80
|
|
Suction lipectomy head&neck
|
$575.20 |
$575.20 |
$575.20 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$6,080.00 |
$6,080.00 |
$6,080.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$4,544.00 |
$4,544.00 |
$4,544.00 |
$4,544.00
|
|
Sugars multiple quant
|
$66.24 |
$66.24 |
$66.24 |
$44.19
|
|
Sugars single quant
|
$64.28 |
$64.28 |
$64.28 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.42 |
$0.42 |
$23.00 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$72.14 |
$72.14 |
$72.14 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$17.70 |
$17.70 |
$448.80 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$44.80 |
$44.80 |
$44.80 |
$54.60
|
|
Support clav 29.6-40.5in med
|
$94.19 |
$94.19 |
$156.00 |
$94.08
|
|
Supprelin la implant
|
$51,408.00 |
$51,408.00 |
$51,408.00 |
$80,935.72
|
|
Suprv interfacilty transport
|
$139.20 |
$139.20 |
$139.20 |
$112.05
|
|
Suprv interfac trnsport addl
|
$120.80 |
$120.80 |
$120.80 |
$98.69
|
|
Surg dx exam anorectal
|
$264.00 |
$264.00 |
$264.00 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$1,957.60 |
$1,957.60 |
$1,957.60 |
$1,634.40
|
|
Surgery for urethra pouch
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$4,627.00
|
|
Surgery to stop leg growth
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
$7,907.11
|
|
Surgery to stop leg growth
|
$3,604.80 |
$3,604.80 |
$3,604.80 |
$7,913.97
|
|
Surgery to stop leg growth
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
$7,907.11
|
|
Surgery to stop leg growth
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
$8,412.89
|
|
Surgical exposure prostate 55860
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$5,626.86
|
|
Surgical opening of stomach
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$2,320.80
|
|
Surgical opening of stomach 43500
|
$1,925.60 |
$1,925.60 |
$1,925.60 |
$1,477.80
|
|
Surgical opening of throat
|
$1,870.40 |
$1,870.40 |
$1,870.40 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$89.05 |
$89.05 |
$98.56 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$98.56 |
$98.56 |
$144.95 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$98.56 |
$98.56 |
$222.95 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$164.00 |
$164.00 |
$265.00 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$647.20 |
$647.20 |
$27,058.65 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$624.65 |
$624.65 |
$942.40 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$3,304.80 |
$3,304.80 |
$3,304.80 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$3,736.80 |
$3,736.80 |
$3,736.80 |
$2,864.40
|
|
Surgical revision intestine
|
$2,607.20 |
$2,607.20 |
$2,607.20 |
$2,366.76
|
|
Surgical trays
|
$45.60 |
$45.60 |
$45.60 |
$694.80
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$38.58 |
$38.58 |
$52.00 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$28.60 |
$28.60 |
$38.58 |
$35.70
|
|
Susceptibility mic per plate
|
$38.58 |
$38.58 |
$12,564.94 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$38.58 |
$38.58 |
$38.58 |
$59.28
|
|
Suspension of testis
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
$4,055.01
|
|
Suspension of uterus 58400
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$2,600.80 |
$2,600.80 |
$2,600.80 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$3,346.40 |
$3,346.40 |
$3,346.40 |
$2,559.60
|
|
Svc venogram s&i
|
$472.00 |
$472.00 |
$472.00 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$323.72 |
$323.72 |
$349.05 |
$314.40
|
|
Swallowing Therapy Session
|
$169.65 |
$169.65 |
$253.72 |
$240.50
|
|
Sweat collection by iontophoresis
|
$70.00 |
$70.00 |
$70.00 |
$121.55
|
|
Sympathectomy cervical
|
$3,934.40 |
$3,934.40 |
$3,934.40 |
$3,934.40
|
|
Sympathectomy digital artery
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$3,839.54
|
|
Synch audio-only est high 40
|
$265.60 |
$265.60 |
$265.60 |
$190.77
|
|
Synch audio-only est low 20
|
$160.80 |
$160.80 |
$160.80 |
$90.60
|
|
Synch audio-only est mod 30
|
$192.00 |
$192.00 |
$192.00 |
$136.64
|
|
Synch audio-only est sf 10
|
$83.20 |
$83.20 |
$83.20 |
$53.20
|
|
Synch audio-only new high 60
|
$367.20 |
$367.20 |
$367.20 |
$207.64
|
|
Synch audio-only new low 30
|
$189.60 |
$189.60 |
$189.60 |
$117.00
|
|
Synch audio-only new mod 45
|
$289.60 |
$289.60 |
$289.60 |
$166.70
|
|
Synch audio-only new sf 15
|
$133.60 |
$133.60 |
$133.60 |
$67.80
|
|
Synthetic sentence id test
|
$80.80 |
$80.80 |
$80.80 |
$99.32
|
|
Synvisc or synvisc-one
|
$26.40 |
$26.40 |
$26.40 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$48.57 |
$48.57 |
$153.40 |
$42.24
|
|
System cardiomems hosp electronics
|
$24,023.02 |
$24,023.02 |
$24,023.02 |
$38,234.70
|
|
System pacing micra av
|
$4,783.32 |
$4,783.32 |
$16,760.25 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,704.92 |
$5,704.92 |
$27,099.09 |
$12,003.00
|
