|
Rpr aa hrn rcr < 3 ncr/strn
|
$33,462.90 |
$33,462.90 |
$33,462.90 |
$6,870.89
|
|
Rpr aa hrn rcr < 3 rdc
|
$55,739.59 |
$55,739.59 |
$55,739.59 |
$4,500.75
|
|
Rpr fem hernia init blocked
|
$33,885.29 |
$33,885.29 |
$33,885.29 |
$4,176.15
|
|
Rubella antibody igg
|
$156.00 |
$156.00 |
$156.00 |
$77.40
|
|
Rubeola antibody igg
|
$142.00 |
$142.00 |
$142.00 |
$80.00
|
|
Russell viper venom diluted
|
$313.00 |
$313.00 |
$313.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,844.35 |
$7,844.35 |
$7,844.35 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$600.00 |
$600.00 |
$600.00 |
$314.26
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$732.00 |
$732.00 |
$732.00 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,571.00 |
$1,571.00 |
$1,571.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,412.00 |
$1,412.00 |
$1,412.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$3,868.86 |
$3,868.86 |
$3,868.86 |
$4,246.72
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$75.00 |
$75.00 |
$75.00 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$138.00 |
$138.00 |
$138.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$70.00 |
$70.00 |
$70.00 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$90.00 |
$90.00 |
$90.00 |
$42.30
|
|
Screening prostate cancer PSA
|
$211.00 |
$211.00 |
$211.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$1,194,705.00 |
$1,194,705.00 |
$1,194,705.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$1,318.00 |
$1,318.00 |
$1,318.00 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$268.00 |
$268.00 |
$268.00 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$104.00 |
$104.00 |
$104.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$160.00 |
$160.00 |
$160.00 |
$96.00
|
|
Semen analysis presence/motility
|
$138.00 |
$138.00 |
$138.00 |
$70.40
|
|
Sevelamer carbonate 800 mg tablet
|
$1.50 |
$1.50 |
$1.50 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$1.75 |
$1.75 |
$1.75 |
$21.42
|
|
Sheath gldlight lasr 12fx50cm
|
$7,277.64 |
$7,277.64 |
$7,277.64 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$8,946.25 |
$8,946.25 |
$8,946.25 |
$7,143.32
|
|
Sho arthrs srg bicp tenodsis
|
$26,195.43 |
$26,195.43 |
$26,195.43 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$27,228.60 |
$27,228.60 |
$27,228.60 |
$7,311.00
|
|
Sho arthrs srg rpr slap les
|
$27,834.80 |
$27,834.80 |
$27,834.80 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$24,954.99 |
$24,954.99 |
$24,954.99 |
$5,148.00
|
|
Shoe post-op mens m
|
$65.95 |
$65.95 |
$65.95 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$2,482.80 |
$2,482.80 |
$2,482.80 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$542.00 |
$542.00 |
$542.00 |
$270.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$27,109.23 |
$27,109.23 |
$27,109.23 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$901.00 |
$901.00 |
$901.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$11,106.00 |
$11,106.00 |
$11,106.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$9,717.00 |
$9,717.00 |
$9,717.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$7,839.00 |
$7,839.00 |
$7,839.00 |
$2,096.84
|
|
Shoulder X-ray
|
$46,960.00 |
$46,960.00 |
$46,960.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$683.00 |
$683.00 |
$683.00 |
$263.25
|
|
Shrinker prosth above knee
|
$354.09 |
$354.09 |
$354.09 |
$168.89
|
|
Shrinker prosth below knee
|
$274.82 |
$274.82 |
$274.82 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$4,937.28 |
$4,937.28 |
$4,937.28 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$758.00 |
$758.00 |
$758.00 |
$355.80
|
|
Sickling rbc
|
$143.00 |
$143.00 |
$143.00 |
$59.40
|
|
Sigmoidoscopy for bleeding
|
$428.00 |
$428.00 |
$428.00 |
$1,993.08
|
|
Sinus CT scan (with and without contrast)
|
$5,193.00 |
$5,193.00 |
$5,193.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$3,821.00 |
$3,821.00 |
$3,821.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$645.00 |
$645.00 |
$645.00 |
$346.45
|
|
Sirolimus, oral
|
$3.30 |
$3.30 |
$3.30 |
$41.70
|
|
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)
|
$571.00 |
$571.00 |
$571.00 |
$294.45
|
|
Skull X-ray (complete)
|
$823.00 |
$823.00 |
$823.00 |
$417.50
|
|
Sleep study unattended
|
$765.00 |
$765.00 |
$765.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$57.93 |
$57.93 |
$57.93 |
$203.58
|
|
Sleeve irr assura 1pc disp
|
$1.00 |
$1.00 |
$1.00 |
$0.65
|
|
Sling arm deluxe w/pad xs
|
$813.94 |
$813.94 |
$813.94 |
$30.35
|
|
Sling pelv split sam med
|
$254.70 |
$254.70 |
$254.70 |
$150.00
|
|
Sling suprapubic suburetheral
|
$14,158.23 |
$14,158.23 |
$14,158.23 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$57,456.00 |
$57,456.00 |
$57,456.00 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$239.00 |
$239.00 |
$239.00 |
$64.35
|
|
Smear gram stain
|
$154.00 |
$154.00 |
$154.00 |
$55.55
|
|
Smear nasal eosinophil
|
$106.00 |
$106.00 |
$106.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$243.00 |
$243.00 |
$243.00 |
$73.50
|
|
Sock wool above knee
|
$244.12 |
$244.12 |
$244.12 |
$51.18
|
|
Sodium 24 hour urine
|
$113.00 |
$113.00 |
$113.00 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$25.00 |
$25.00 |
$25.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$20.00 |
$20.00 |
$20.00 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$33.00 |
$33.00 |
$33.00 |
$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
|
$40.85 |
$40.85 |
$40.85 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$118.00 |
$118.00 |
$118.00 |
$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
|
$62.00 |
$62.00 |
$62.00 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$445.00 |
$445.00 |
$445.00 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$356.00 |
$356.00 |
$356.00 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,045.00 |
$2,045.00 |
$2,045.00 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$464.00 |
$464.00 |
$464.00 |
$251.00
|
|
Splint arm vnyl coated padded lft med
|
$25.00 |
$25.00 |
$25.00 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$66.30 |
$66.30 |
$66.30 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$77.51 |
$77.51 |
$77.51 |
$71.44
|
|
Splint finger 4 prong foam sm
|
$0.85 |
$0.85 |
$0.85 |
$34.00
|
|
Splint finger fold over sm
|
$0.67 |
$0.67 |
$0.67 |
$146.88
|
|
Splint finger frog med
|
$0.83 |
$0.83 |
$0.83 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$1.60 |
$1.60 |
$1.60 |
$5.60
|
|
Splint func pos polyflex ii med
|
$51.70 |
$51.70 |
$51.70 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$155.66 |
$155.66 |
$155.66 |
$99.04
|
|
Split blood or products
|
$193.00 |
$193.00 |
$193.00 |
$127.80
|
|
Sputum specimen collection
|
$160.00 |
$160.00 |
$160.00 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$40,862.00 |
$40,862.00 |
$40,862.00 |
$2,515.15
|
|
St cognitve performance testing healthcare professional each hour
|
$553.00 |
$553.00 |
$553.00 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$49,851.00 |
$49,851.00 |
$49,851.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$9,328.16 |
$9,328.16 |
$9,328.16 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$28,791.53 |
$28,791.53 |
$28,791.53 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$7,567.48 |
$7,567.48 |
$7,567.48 |
$4,631.82
|
