|
Smn1 gen nown famil seq vrnt
|
$177.80 |
$177.80 |
$177.80 |
|
|
Smpd1 gene common variants
|
$127.86 |
$127.86 |
$127.86 |
|
|
Snrpn/ube3a gene
|
$127.86 |
$127.86 |
$127.86 |
|
|
Sock fracture or equal each
|
$18.02 |
$72.80 |
$72.80 |
|
|
Sock wool above knee
|
$56.42 |
$158.68 |
$244.12 |
|
|
Sodium 24 hour urine
|
$28.60 |
$45.60 |
$114.00 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$5.60 |
$46.65 |
$23,334.26 |
|
|
Sodium chloride 0.9 % IV bolus
|
$5.60 |
$22.50 |
$23,203.65 |
|
|
Sodium chloride 0.9 % IV bolus
|
$4.00 |
$43.00 |
$31,140.57 |
|
|
Sodium chloride 3 % ivpb
|
$5.25 |
$30.00 |
$101.31 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$13.68 |
$40.85 |
$292.60 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$172.00 |
$172.00 |
$443.04 |
|
|
Sodium serum/plasma/whole blood
|
$33.57 |
$46.80 |
$43,411.17 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1.52 |
$495.00 |
$495.00 |
|
|
Soft interface below knee se
|
$196.00 |
$196.00 |
$196.00 |
|
|
So gsap cl fr cpy nmbr&mcrst
|
$323.55 |
$323.55 |
$323.55 |
|
|
Somatosensory testing
|
$357.60 |
$357.60 |
$526.26 |
|
|
Somatropin injection
|
$587.69 |
$671.64 |
$685.64 |
|
|
So neo gsap dna/dna&rna
|
$2,869.97 |
$2,869.97 |
$2,869.97 |
|
|
So neo gsap dna mcrstl ins
|
$861.00 |
$861.00 |
$861.00 |
|
|
Spacer bag/reservoir
|
$6.00 |
$6.60 |
$6.60 |
|
|
Sp bone agrft morsel add-on
|
$406.40 |
$406.40 |
$75,121.10 |
|
|
Sp bone agrft struct add-on
|
$442.40 |
$442.40 |
$72,062.62 |
|
|
Sp bone algrft morsel add-on
|
$291.20 |
$291.20 |
$86,480.76 |
|
|
Special casting material
|
$34.80 |
$47.20 |
$2,778.00 |
|
|
Special physics consult
|
$261.60 |
$528.14 |
$21,743.15 |
|
|
Special pump services
|
$928.00 |
$928.00 |
$928.00 |
|
|
Special pump services
|
$649.60 |
$649.60 |
$649.60 |
|
|
Special pump services
|
$464.80 |
$464.80 |
$464.80 |
|
|
Special radiation dosimetry
|
$129.60 |
$362.46 |
$999.56 |
|
|
Special radiation treatment
|
$561.60 |
$1,665.95 |
$82,721.00 |
|
|
Special supplies phys/qhp
|
$8.40 |
$90.40 |
$103.80 |
|
|
Special teletx port plan
|
$226.40 |
$952.97 |
$2,498.88 |
|
|
Specific gravity body fluid
|
$16.25 |
$33.57 |
$62.00 |
|
|
Specimen fat stain
|
$18.48 |
$56.44 |
$74.40 |
|
|
Speech and Language Evaluation (comprehensive)
|
$191.94 |
$432.00 |
$668.00 |
|
|
Speech audiometry complete
|
$20.40 |
$83.20 |
$83.20 |
|
|
Speech evaluation complex
|
$228.00 |
$228.00 |
$274.89 |
|
|
Speech recep thresh
|
$32.64 |
$53.60 |
$81.00 |
|
|
Speech Therapy Session (one-on-one)
|
$140.40 |
$258.65 |
$1,719.00 |
|
|
Sperm antibody test
|
$56.44 |
$56.44 |
$158.40 |
|
|
Sperm evaluation test
|
$49.60 |
$49.60 |
$49.60 |
|
|
Sperm identification
|
$109.60 |
$109.60 |
$109.60 |
|
|
Sperm isolation complex
|
$140.80 |
$140.80 |
$140.80 |
|
|
Sperm isolation simple
|
$104.80 |
$104.80 |
$104.80 |
|
|
Sperm washing 58323
|
$37.80 |
$38.40 |
$39.60 |
|
|
Sphenoid sinus surgery
|
$3,276.80 |
$3,276.80 |
$3,276.80 |
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$1,386.60 |
$1,876.80 |
$1,876.80 |
|
|
Spinal bone allograftstructural 20931
|
$231.60 |
$266.40 |
$94,507.40 |
|
|
Spinal bone autograftlocal 20936
|
$309.60 |
$309.60 |
$86,113.86 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$499.68 |
$1,274.85 |
$10,155.90 |
|
|
Spine X-ray (single view, one level)
|
$135.60 |
$168.07 |
$60,206.23 |
|
|
Spirmtry w/brnchdil inf-2 yr
|
$316.00 |
$316.00 |
$316.00 |
|
|
Spirometry up to 2 yrs old
|
$194.40 |
$194.40 |
$194.40 |
|
|
Spleen imaging
|
$463.20 |
$463.20 |
$1,204.32 |
|
|
Splenectomy total open 38100
|
$1,483.20 |
$2,828.80 |
$3,858.00 |
|
|
Splint arm vnyl coated padded lft med
|
$13.00 |
$45.60 |
$48.00 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$34.48 |
$66.30 |
$881.60 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$36.00 |
$50.38 |
$88.00 |
|
|
Splint finger 4 prong foam sm
|
$0.55 |
$16.80 |
$64.34 |
|
|
Splint finger fold over sm
|
$0.44 |
$0.44 |
$77.89 |
|
|
Splint finger frog med
|
$0.54 |
$0.54 |
$23.20 |
|
|
Splint fing stax assort 1-7in
|
$1.04 |
$3.60 |
$5.60 |
|
|
Splint func pos polyflex ii med
|
$4.80 |
$33.60 |
$51.70 |
|
|
Splint rstrc wrst/cmc right med
|
$15.60 |
$120.09 |
$196.00 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,573.20 |
$2,092.80 |
$52,861.02 |
|
|
Split blood or products
|
$28.80 |
$164.99 |
$193.00 |
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$516.00 |
$516.00 |
$516.00 |
|
|
Spontaneous nystagmus study
|
$49.80 |
$52.80 |
$52.80 |
|
|
Sprchoroidal spc njx rx agt
|
$313.60 |
$313.60 |
$313.60 |
|
|
Sputum specimen collection
|
$104.00 |
$180.00 |
$180.00 |
|
|
Sr-89 stront chlor ther / mci
|
$767.40 |
$40,862.00 |
$40,862.00 |
|
|
Srs cranial lesion complex
|
$3,244.00 |
$3,244.00 |
$3,244.00 |
|
|
Srs cranial lesion simple
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
|
|
Srs cran les complex addl
|
$711.20 |
$711.20 |
$711.20 |
|
|
Srs cran les simple addl
|
$719.20 |
$719.20 |
$719.20 |
|
|
Srs linear based
|
$1,856.80 |
$15,651.49 |
$22,795.50 |
|
|
Srs multisource
|
$2,114.40 |
$2,114.40 |
$8,909.88 |
|
|
Srs spinal lesion
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
|
|
Srs spinal lesion addl
|
$591.20 |
$591.20 |
$591.20 |
|
|
Staggered spondaic word test
|
$100.80 |
$100.80 |
$100.80 |
|
|
Staging lapro hodgkins disease/lymphoma 49220
|
$1,739.40 |
$1,826.40 |
$1,826.40 |
|
|
St analysis behavior qualitative voice/resonance
|
$176.80 |
$286.65 |
$589.96 |
|
|
Staph a dna amp probe
|
$87.20 |
$87.20 |
$141.70 |
|
|
Static or dynami afo pre ots
|
$389.44 |
$389.44 |
$389.44 |
|
|
St cognitve performance testing healthcare professional each hour
|
$67.80 |
$264.85 |
$1,265.00 |
|
|
Stem cells total count
|
$156.00 |
$156.00 |
$2,215.50 |
|
|
Stenger test pure tone
|
$38.40 |
$39.20 |
$43.20 |
|
|
Stenger test speech
|
$40.80 |
$40.80 |
$962.00 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$1,219.80 |
$70,321.60 |
$70,321.60 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,343.13 |
$16,551.22 |
$49,851.00 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$181.39 |
$2,895.17 |
$9,328.16 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,883.40 |
$14,810.92 |
$28,791.53 |
|
|
Stent bronch dumon sil 10x40mm
|
$413.70 |
$4,918.86 |
$9,724.42 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$831.60 |
$20,300.56 |
$91,192.46 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,378.40 |
$9,276.80 |
$34,986.24 |
|
|
Stent placemt retro carotid
|
$1,645.20 |
$5,328.00 |
$16,270.99 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$1,173.60 |
$49,374.40 |
$49,374.40 |
|
|
Stereoscopic x-ray guidance
|
$136.00 |
$136.00 |
$236.00 |
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$2,464.80 |
$3,308.00 |
$4,252.00 |
|
