|
Stereotactic radiation trmt
|
$845.60 |
$845.60 |
$1,370.00 |
|
|
Sterile water/saline, 10 ml
|
$1.20 |
$1.20 |
$1.20 |
|
|
Sterile water/saline, 500 ml
|
$61.65 |
$61.65 |
$61.65 |
|
|
Sternal debridement
|
$708.96 |
$1,318.40 |
$2,155.00 |
|
|
St evaluate speech sound production
|
$152.04 |
$290.55 |
$589.96 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$204.00 |
$325.96 |
$1,412.00 |
|
|
Stimulants synthetic
|
$36.00 |
$36.00 |
$36.00 |
|
|
Stimulation of spinal cord
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$819.60 |
$1,293.11 |
$1,905.00 |
|
|
Storage/year embryo(s)
|
$236.00 |
$236.00 |
$236.00 |
|
|
Storage/year oocyte(s)
|
$236.00 |
$236.00 |
$236.00 |
|
|
Storage/year reprod tissue
|
$220.00 |
$220.00 |
$220.00 |
|
|
Storage/year sperm/semen
|
$236.00 |
$236.00 |
$236.00 |
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$952.80 |
$1,170.40 |
$1,170.40 |
|
|
Strap chin dlx f/cpap
|
$27.92 |
$34.90 |
$53.70 |
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$0.25 |
$0.25 |
$49.62 |
|
|
Strapping of ankle and/or ft 29540
|
$67.20 |
$144.48 |
$4,512.00 |
|
|
Strapping of chest
|
$82.40 |
$82.40 |
$194.15 |
|
|
Strapping of elbow or wrist 29260
|
$94.20 |
$172.88 |
$281.53 |
|
|
Strapping of hand or finger
|
$105.00 |
$153.60 |
$311.65 |
|
|
Strapping of hip
|
$89.04 |
$176.00 |
$201.39 |
|
|
Strapping of knee
|
$98.28 |
$153.60 |
$310.07 |
|
|
Strapping of toes 29550
|
$57.00 |
$129.62 |
$269.74 |
|
|
Strep a ag ia
|
$37.00 |
$38.58 |
$81.34 |
|
|
Strep a dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
|
|
Strep a dna quant
|
$104.80 |
$104.80 |
$104.80 |
|
|
Strep b assay w/optic
|
$32.00 |
$32.00 |
$32.00 |
|
|
Strep b dna amp probe
|
$52.80 |
$87.20 |
$254.15 |
|
|
Streptokinase 1.5 m-units inj
|
$917.47 |
$917.47 |
$917.47 |
|
|
Streptokinase antibody
|
$25.60 |
$25.60 |
$25.60 |
|
|
Streptomycin injection
|
$73.60 |
$73.60 |
$344.95 |
|
|
Streptozocin injection
|
$270.37 |
$270.37 |
$270.37 |
|
|
Stress test pulmonary
|
$73.20 |
$234.65 |
$740.54 |
|
|
Stress tte complete
|
$523.20 |
$1,514.40 |
$2,634.45 |
|
|
Str markers spec anal addl
|
$610.40 |
$610.40 |
$610.40 |
|
|
Str markers specimen anal
|
$483.20 |
$483.20 |
$1,240.85 |
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$204.00 |
$264.80 |
$264.80 |
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$717.60 |
$717.60 |
$1,002.00 |
|
|
Subq njx filling matrl 1cc/<
|
$194.40 |
$194.40 |
$194.40 |
|
|
Subq njx fil matrl 5.1-10cc
|
$353.60 |
$353.60 |
$353.60 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$224.80 |
$224.80 |
$316.00 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$216.00 |
$216.00 |
$304.00 |
|
|
Subsequent repair of nerve
|
$288.80 |
$288.80 |
$288.80 |
|
|
Subtalar arthro w/deb
|
$2,239.00 |
$3,296.00 |
$3,296.00 |
|
|
Subtalar arthro w/exc
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
|
|
Subtalar arthro w/fb rmvl
|
$3,132.80 |
$3,132.80 |
$3,132.80 |
|
|
Subtalar arthro w/fusion
|
$4,308.80 |
$4,308.80 |
$4,308.80 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.80 |
$66.25 |
$101.31 |
|
|
Suction lipectomy head&neck
|
$575.20 |
$575.20 |
$1,147.20 |
|
|
Suction lipectomy lwr extrem
|
$1,029.60 |
$6,080.00 |
$10,160.00 |
|
|
Suction lipectomy trunk
|
$1,029.60 |
$2,272.00 |
$54,263.33 |
|
|
Suction lipectomy upr extrem
|
$477.60 |
$4,544.00 |
$49,671.22 |
|
|
Sugars multiple quant
|
$66.24 |
$66.24 |
$66.24 |
|
|
Sugars single quant
|
$64.28 |
$64.28 |
$393.60 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$161.68 |
$4,374.50 |
$17,168.04 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.42 |
$23.00 |
$96.23 |
|
|
Sulfonylurea screen qn-sendout
|
$72.14 |
$72.14 |
$236.18 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$17.70 |
$359.84 |
$448.80 |
|
|
Sup of prep of antigen # of vials 95144
|
$22.80 |
$44.80 |
$44.80 |
|
|
Support clav 29.6-40.5in med
|
$16.04 |
$94.19 |
$156.00 |
|
|
Supprelin la implant
|
$51,408.00 |
$51,408.00 |
$80,360.60 |
|
|
Suprv interfacilty transport
|
$139.20 |
$139.20 |
$139.20 |
|
|
Suprv interfac trnsport addl
|
$120.80 |
$120.80 |
$120.80 |
|
|
Surg dx exam anorectal
|
$138.24 |
$264.00 |
$6,001.40 |
|
|
Surg ect salp-oophorectomy 59120
|
$1,554.60 |
$1,955.20 |
$1,955.20 |
|
|
Surg ect without salp-oophorectomy 59121
|
$1,556.40 |
$1,957.60 |
$1,957.60 |
|
|
Surgery for urethra pouch
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
|
|
Surgery to stop leg growth
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
|
|
Surgery to stop leg growth
|
$3,604.80 |
$3,604.80 |
$3,604.80 |
|
|
Surgery to stop leg growth
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
|
|
Surgery to stop leg growth
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
|
|
Surgical exposure prostate 55860
|
$1,561.80 |
$2,212.00 |
$2,212.00 |
|
|
Surgical opening of stomach
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
|
|
Surgical opening of stomach 43500
|
$1,407.60 |
$1,925.60 |
$1,925.60 |
|
|
Surgical opening of throat
|
$1,870.40 |
$1,870.40 |
$1,870.40 |
|
|
Surgical pathology level 1 gross examination only
|
$30.60 |
$98.56 |
$149.00 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$66.60 |
$98.56 |
$271.00 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$70.80 |
$122.20 |
$32,113.22 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$71.40 |
$178.10 |
$15,297.86 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$98.40 |
$647.20 |
$27,058.65 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$138.00 |
$942.40 |
$1,754.40 |
|
|
Surgical repair stomach bleedin ulcer 43501
|
$2,415.60 |
$3,304.80 |
$3,304.80 |
|
|
Surgical repair stomach gastric lac 43502
|
$2,728.20 |
$3,736.80 |
$3,736.80 |
|
|
Surgical revision intestine
|
$2,607.20 |
$2,607.20 |
$2,607.20 |
|
|
Surgical trays
|
$45.60 |
$45.60 |
$45.60 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$760.80 |
$1,352.80 |
$1,352.80 |
|
|
Susceptibility agar dilution per agent
|
$35.40 |
$38.58 |
$84.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$14.30 |
$38.58 |
$91.56 |
|
|
Susceptibility mic per plate
|
$38.58 |
$89.70 |
$12,564.94 |
|
|
Suscept studies macrobroth dilution ea
|
$38.58 |
$38.58 |
$389.40 |
|
|
Suspension of testis
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
|
|
Suspension of uterus 58400
|
$816.00 |
$1,136.00 |
$1,136.00 |
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,362.72 |
$2,600.80 |
$3,770.00 |
|
|
Suture bile duct injury 47900
|
$2,437.80 |
$3,346.40 |
$7,381.00 |
|
|
Svc venogram s&i
|
$117.60 |
$1,563.60 |
$40,241.17 |
|
|
Swallowing Evaluation (Bedside)
|
$133.98 |
$293.15 |
$731.00 |
|
|
Swallowing Therapy Session
|
$132.60 |
$217.00 |
$749.70 |
|
|
Sweat collection by iontophoresis
|
$51.60 |
$70.00 |
$100.20 |
|
|
Sympathectomy cervical
|
$3,934.40 |
$3,934.40 |
$3,934.40 |
|
|
Sympathectomy digital artery
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
|
