|
Scan duplex extracranial arteries unilateral/limited study
|
$284.80 |
$545.67 |
$1,164.00 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$260.80 |
$726.18 |
$1,571.00 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$325.00 |
$620.15 |
$3,874.00 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$275.20 |
$486.20 |
$1,286.00 |
|
|
Scan proc cranial extra
|
$434.40 |
$434.40 |
$54,774.79 |
|
|
Scan proc cranial intra 61781
|
$415.80 |
$552.80 |
$706.00 |
|
|
Scan proc spinal
|
$552.80 |
$552.80 |
$89,605.12 |
|
|
Sclerotherapy fluid collection pq w/img
|
$711.84 |
$2,860.00 |
$2,860.00 |
|
|
Scope plantar fasciotomy
|
$902.88 |
$3,185.60 |
$24,123.06 |
|
|
Scope uretscp lithovue dig disp
|
$1,417.50 |
$2,514.76 |
$6,118.74 |
|
|
Scr c/v cyto, automated sys
|
$36.80 |
$36.80 |
$36.80 |
|
|
Scr c/v cyto,autosys and md
|
$55.20 |
$55.20 |
$55.20 |
|
|
Scr c/v cyto, autosys, rescr
|
$64.00 |
$64.00 |
$64.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$88.00 |
$88.00 |
$88.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$55.00 |
$55.00 |
$191.10 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$54.40 |
$54.40 |
$54.40 |
|
|
Screen cerv/vag thin layer
|
$55.00 |
$55.00 |
$120.25 |
|
|
Screen c/v thin layer by md
|
$55.20 |
$55.20 |
$55.20 |
|
|
Screening Colonoscopy (average risk)
|
$612.60 |
$813.60 |
$25,763.87 |
|
|
Screening Colonoscopy (high risk)
|
$468.48 |
$813.60 |
$13,131.60 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$20.80 |
$64.28 |
$735.00 |
|
|
Screening hepatitis b non-obstetric high risk
|
$49.40 |
$110.00 |
$138.00 |
|
|
Screening hepatitis c antibody high risk
|
$45.50 |
$110.00 |
$132.00 |
|
|
Screening HIV antigen/antibody combination assay
|
$48.80 |
$58.50 |
$2,022.00 |
|
|
Screening Mammogram
|
$128.10 |
$327.06 |
$884.00 |
|
|
Screening pap smear by phys
|
$55.20 |
$55.20 |
$67.00 |
|
|
Screening prostate cancer PSA
|
$64.28 |
$98.28 |
$1,076.00 |
|
|
Screen pap by tech w md supv
|
$10.08 |
$36.80 |
$36.80 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.40 |
$6.40 |
$10.00 |
|
|
Screw cortex 2.0 x 10mm
|
$755.12 |
$23,287.80 |
$3,466,153.38 |
|
|
Scrotal (Testicle) Ultrasound
|
$247.20 |
$546.02 |
$1,318.00 |
|
|
Sc ther infusion reset pump
|
$52.08 |
$158.40 |
$222.14 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,461.60 |
$2,005.60 |
$2,951.00 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,487.60 |
$4,753.11 |
$6,565.00 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$39.06 |
$297.37 |
$13,025.10 |
|
|
Sedimentation rate erythrocyte automated
|
$18.60 |
$33.57 |
$104.00 |
|
|
Segmentectomy 32484
|
$2,650.20 |
$3,491.20 |
$4,396.00 |
|
|
Select picture audiometry
|
$84.00 |
$105.60 |
$105.60 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$52.50 |
$96.85 |
$1,774.50 |
|
|
Self-meas bp 2 readg bid 30d
|
$37.00 |
$37.00 |
$37.00 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$28.00 |
$28.00 |
$60.18 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$20.00 |
$20.00 |
$20.00 |
|
|
Semen analysis
|
$13.60 |
$13.60 |
$13.60 |
|
|
Semen analysis presence/motility
|
$32.40 |
$56.44 |
$155.00 |
|
|
Semen analysis w/count
|
$56.44 |
$56.44 |
$124.46 |
|
|
Sensorimotor examination
|
$132.00 |
$132.00 |
$132.00 |
|
|
Sensorineural acuity lvl tst
|
$137.60 |
$137.60 |
$137.60 |
|
|
Separate eyelid adhesions
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
|
|
Sept9 promoter methylation analysis
|
$384.00 |
$384.00 |
$384.00 |
|
|
Sequestrectomy olecrn proces
|
$3,342.40 |
$3,342.40 |
$3,342.40 |
|
|
Sequestrectomy radial h/n
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
|
|
Sequestrectomy shft/dstl hum
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
|
|
Serial casting application 97139app
|
$60.90 |
$151.20 |
$159.00 |
|
|
Serial tonometry
|
$169.60 |
$169.60 |
$169.60 |
|
|
Serpina1 gene
|
$127.86 |
$127.86 |
$127.86 |
|
|
Sertraline (zoloft) - sendout
|
$126.43 |
$126.43 |
$222.95 |
|
|
Set radiation therapy field
|
$546.00 |
$798.00 |
$19,449.95 |
|
|
Set radiation therapy field
|
$601.80 |
$795.20 |
$3,321.39 |
|
|
Set radiation therapy field
|
$918.40 |
$1,550.90 |
$3,321.39 |
|
|
Set-up cardiovert-defibrill
|
$218.40 |
$218.40 |
$218.40 |
|
|
Set up port xray equipment
|
$49.60 |
$49.60 |
$49.60 |
|
|
Sevelamer carbonate 800 mg tablet
|
$0.01 |
$1.00 |
$1.50 |
|
|
Sevelamer carbonate pdr 20mg
|
$0.03 |
$1.05 |
$1.75 |
|
|
Sever cranial nerve
|
$1,500.80 |
$1,500.80 |
$1,500.80 |
|
|
Sex chromatin identification
|
$45.60 |
$45.60 |
$45.60 |
|
|
Sex chromatin identification
|
$20.80 |
$20.80 |
$20.80 |
|
|
Sf3b1 gene common variants
|
$185.52 |
$185.52 |
$185.52 |
|
|
Sgmdsc w/band ligation
|
$1,215.00 |
$1,523.20 |
$1,523.20 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$134.88 |
$284.00 |
$3,885.80 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$102.24 |
$337.60 |
$359.72 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$201.60 |
$390.40 |
$716.48 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$100.32 |
$456.00 |
$456.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$116.76 |
$258.40 |
$1,137.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$174.00 |
$303.20 |
$1,410.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$157.95 |
$354.40 |
$668.36 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$227.40 |
$380.00 |
$860.21 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$126.60 |
$244.80 |
$1,529.00 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$74.88 |
$298.40 |
$1,399.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$125.58 |
$344.80 |
$1,189.00 |
|
|
Sheath gldlight lasr 12fx50cm
|
$194.72 |
$4,730.47 |
$10,227.68 |
|
|
Sheath laser cavaclear 14f
|
$2,830.28 |
$5,815.06 |
$8,946.25 |
|
|
Shigella antibody
|
$49.60 |
$49.60 |
$49.60 |
|
|
Sho arthrs dx +- synovial bx
|
$2,310.40 |
$2,310.40 |
$2,310.40 |
|
|
Sho arthrs srg bicp tenodsis
|
$2,946.00 |
$4,523.20 |
$77,386.95 |
|
|
Sho arthrs srg capsulorraphy
|
$5,208.00 |
$5,208.00 |
$68,005.65 |
|
|
Sho arthrs srg compl synvct
|
$2,916.80 |
$2,916.80 |
$2,916.80 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$2,836.80 |
$2,836.80 |
$63,336.26 |
|
|
Sho arthrs srg lss&rescj ads
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
|
|
Sho arthrs srg prtl synvct
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
|
|
Sho arthrs srg rmvl loose/fb
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
|
|
Sho arthrs srg rpr slap les
|
$3,554.00 |
$5,091.20 |
$37,952.01 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$1,980.00 |
$3,086.40 |
$60,456.75 |
|
|
Shoe heel pad & depress for
|
$4.80 |
$149.60 |
$149.60 |
|
|
Shoe lift elev heel/sole neo
|
$350.50 |
$350.50 |
$350.50 |
|
|
Shoe post-op mens m
|
$19.80 |
$42.87 |
$26,108.65 |
|
|
Sho heel count plast reinfor
|
$15.60 |
$16.20 |
$16.20 |
|
|
Shortening of hand tendon
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
|
|
Shorten radius or ulna
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
|
|
Shorten radius & ulna
|
$4,988.80 |
$4,988.80 |
$4,988.80 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$72.00 |
$146.31 |
$11,364.95 |
|
