|
Scope uretscp lithovue dig disp
|
$2,514.76 |
$2,514.76 |
$2,514.76 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$8,052.75 |
$8,052.75 |
$8,052.75 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$8,148.95 |
$8,148.95 |
$8,148.95 |
$2,249.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$61.75 |
$61.75 |
$61.75 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$56.55 |
$56.55 |
$56.55 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$85.80 |
$85.80 |
$85.80 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$96.85 |
$96.85 |
$96.85 |
$42.30
|
|
Screening Mammogram
|
$830.00 |
$830.00 |
$830.00 |
$310.20
|
|
Screening prostate cancer PSA
|
$129.35 |
$129.35 |
$129.35 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$776,558.25 |
$776,558.25 |
$776,558.25 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$542.75 |
$542.75 |
$542.75 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$558.35 |
$558.35 |
$558.35 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$44.20 |
$44.20 |
$44.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$93.60 |
$93.60 |
$93.60 |
$96.00
|
|
Semen analysis presence/motility
|
$100.75 |
$100.75 |
$100.75 |
$70.40
|
|
Sheath gldlight lasr 12fx50cm
|
$4,730.47 |
$4,730.47 |
$4,730.47 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$5,815.06 |
$5,815.06 |
$5,815.06 |
$7,143.32
|
|
Sho arthrs srg bicp tenodsis
|
$29,911.68 |
$29,911.68 |
$29,911.68 |
$4,950.40
|
|
Sho arthrs srg xtnsv dbrdmt
|
$27,866.36 |
$27,866.36 |
$27,866.36 |
$5,148.00
|
|
Shoe post-op mens m
|
$42.87 |
$42.87 |
$42.87 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$9,042.85 |
$9,042.85 |
$9,042.85 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$249.60 |
$249.60 |
$249.60 |
$270.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$29,101.52 |
$29,101.52 |
$29,101.52 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$622.05 |
$622.05 |
$622.05 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$6,159.40 |
$6,159.40 |
$6,159.40 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$5,245.50 |
$5,245.50 |
$5,245.50 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$3,858.40 |
$3,858.40 |
$3,858.40 |
$2,096.84
|
|
Shoulder X-ray
|
$396.00 |
$396.00 |
$396.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$299.65 |
$299.65 |
$299.65 |
$263.25
|
|
Shrinker prosth above knee
|
$230.16 |
$230.16 |
$230.16 |
$168.89
|
|
Shrinker prosth below knee
|
$178.63 |
$178.63 |
$178.63 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$3,209.23 |
$3,209.23 |
$3,209.23 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$659.10 |
$659.10 |
$659.10 |
$355.80
|
|
Sickling rbc
|
$50.70 |
$50.70 |
$50.70 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$628.40 |
$628.40 |
$628.40 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,218.10 |
$1,218.10 |
$1,218.10 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$1,289.00
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$42,938.50 |
$42,938.50 |
$42,938.50 |
$14,361.10
|
|
Skull X-ray (1 to 3 views)
|
$193.05 |
$193.05 |
$193.05 |
$294.45
|
|
Skull X-ray (complete)
|
$301.60 |
$301.60 |
$301.60 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$3,901.30 |
$3,901.30 |
$3,901.30 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$37.65 |
$37.65 |
$37.65 |
$203.58
|
|
Sleeve irr assura 1pc disp
|
$0.65 |
$0.65 |
$0.65 |
$0.65
|
|
Sling arm deluxe w/pad xs
|
$529.06 |
$529.06 |
$529.06 |
$30.35
|
|
Sling pelv split sam med
|
$165.55 |
$165.55 |
$165.55 |
$150.00
|
|
Sling suprapubic suburetheral
|
$9,671.50 |
$9,671.50 |
$9,671.50 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$57,456.00 |
$57,456.00 |
$57,456.00 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$50.70 |
$50.70 |
$50.70 |
$64.35
|
|
Smear gram stain
|
$393.00 |
$393.00 |
$393.00 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$64.35 |
$64.35 |
$64.35 |
$73.50
|
|
Sock wool above knee
|
$158.68 |
$158.68 |
$158.68 |
$51.18
|
|
Sodium 24 hour urine
|
$74.10 |
$74.10 |
$74.10 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$25.00 |
$25.00 |
$25.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$22.50 |
$22.50 |
$22.50 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$34.50 |
$34.50 |
$34.50 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$30.00 |
$30.00 |
$30.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$292.60 |
$292.60 |
$292.60 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$11,028.10 |
$11,028.10 |
$11,028.10 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$495.00 |
$495.00 |
$495.00 |
$177.52
|
|
Specific gravity body fluid
|
$30.55 |
$30.55 |
$30.55 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$428.35 |
$428.35 |
$428.35 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$245.70 |
$245.70 |
$245.70 |
$246.87
|
|
Splint arm vnyl coated padded lft med
|
$16.25 |
$16.25 |
$16.25 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$43.09 |
$43.09 |
$43.09 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$50.38 |
$50.38 |
$50.38 |
$71.44
|
|
Splint finger 4 prong foam sm
|
$0.55 |
$0.55 |
$0.55 |
$34.00
|
|
Splint finger fold over sm
|
$0.44 |
$0.44 |
$0.44 |
$146.88
|
|
Splint finger frog med
|
$0.54 |
$0.54 |
$0.54 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$1.04 |
$1.04 |
$1.04 |
$5.60
|
|
Splint func pos polyflex ii med
|
$33.60 |
$33.60 |
$33.60 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$101.18 |
$101.18 |
$101.18 |
$99.04
|
|
Sr-89 stront chlor ther / mci
|
$40,862.00 |
$40,862.00 |
$40,862.00 |
$2,515.15
|
|
St analysis behavior qualitative voice/resonance
|
$286.65 |
$286.65 |
$286.65 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$408.85 |
$408.85 |
$408.85 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$32,403.15 |
$32,403.15 |
$32,403.15 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,063.30 |
$6,063.30 |
$6,063.30 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$18,714.49 |
$18,714.49 |
$18,714.49 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,918.86 |
$4,918.86 |
$4,918.86 |
$4,631.82
|
|
St evaluate speech sound production
|
$336.70 |
$336.70 |
$336.70 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$312.65 |
$312.65 |
$312.65 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$1,345.40
|
|
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
|
|
Stress test pulmonary
|
$273.65 |
$273.65 |
$273.65 |
$324.00
|
|
Stress tte complete
|
$1,578.85 |
$1,578.85 |
$1,578.85 |
$1,900.96
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$82.50 |
$82.50 |
$82.50 |
$54.80
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$9.20 |
$9.20 |
$9.20 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$17.70 |
$17.70 |
$17.70 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$94.19 |
$94.19 |
$94.19 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$72.15 |
$72.15 |
$72.15 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$116.35 |
$116.35 |
$116.35 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$122.20 |
$122.20 |
$122.20 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$178.10 |
$178.10 |
$178.10 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$321.10 |
$321.10 |
$321.10 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$531.05 |
$531.05 |
$531.05 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$54.60 |
$54.60 |
$54.60 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$14.30 |
$14.30 |
$14.30 |
$35.89
|
|
Susceptibility mic per plate
|
$324.00 |
$324.00 |
$324.00 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$293.15 |
$293.15 |
$293.15 |
$316.80
|