|
Scope uretscp lithovue dig disp
|
$723.09 |
$723.09 |
$723.09 |
$5,151.28
|
|
Screening Mammogram
|
$208.73 |
$208.73 |
$208.73 |
$299.01
|
|
Screening prostate cancer PSA
|
$88.22 |
$88.22 |
$88.22 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$7,501.09 |
$7,501.09 |
$7,501.09 |
$25,424.28
|
|
Sc ther infusion reset pump
|
$146.55 |
$146.55 |
$146.55 |
$128.52
|
|
Sedimentation rate erythrocyte automated
|
$66.05 |
$66.05 |
$66.05 |
$44.20
|
|
Semen analysis presence/motility
|
$40.98 |
$40.98 |
$40.98 |
$72.42
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$964.11 |
$964.11 |
$964.11 |
$299.65
|
|
Shoulder MRI (with and without contrast)
|
$1,312.16 |
$1,312.16 |
$1,312.16 |
$2,708.00
|
|
Shoulder MRI (with contrast)
|
$1,372.90 |
$1,372.90 |
$1,372.90 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$2,115.26 |
$2,115.26 |
$2,115.26 |
$2,051.28
|
|
Shoulder X-ray
|
$491.70 |
$491.70 |
$491.70 |
$372.00
|
|
Shunt glaucoma baerveldt 350mm
|
$964.11 |
$964.11 |
$964.11 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$271.40 |
$271.40 |
$271.40 |
$345.00
|
|
Sialolithotomy 42330
|
$1,475.09 |
$1,475.09 |
$1,475.09 |
$3,837.72
|
|
Sickling rbc
|
$39.05 |
$39.05 |
$39.05 |
$54.00
|
|
Signal avg ecg w or without ecg 93278
|
$27.48 |
$27.48 |
$27.48 |
$310.05
|
|
Sincalide 5 mcg solution for injection
|
$232.13 |
$232.13 |
$232.13 |
$412.96
|
|
Sinus CT scan (with and without contrast)
|
$740.92 |
$740.92 |
$740.92 |
$1,822.80
|
|
Sinus CT scan (with contrast)
|
$905.78 |
$905.78 |
$905.78 |
$1,520.35
|
|
Sinus CT scan (without contrast)
|
$823.35 |
$823.35 |
$823.35 |
$1,281.80
|
|
Skin Biopsy
|
$195.24 |
$195.24 |
$195.24 |
$381.60
|
|
Skin full graft 20sq cm less 15200
|
$2,213.60 |
$2,213.60 |
$2,213.60 |
$2,190.24
|
|
Sleep Study (Polysomnography)
|
$2,642.14 |
$2,642.14 |
$2,642.14 |
$3,920.95
|
|
Sleep study unattended
|
$436.26 |
$436.26 |
$436.26 |
$595.50
|
|
Sling suprapubic suburetheral
|
$3,376.51 |
$3,376.51 |
$3,376.51 |
$10,395.47
|
|
Slp eval non-spch gen comm dev
|
$378.90 |
$378.90 |
$378.90 |
$285.09
|
|
Slp pure tone screening
|
$209.70 |
$209.70 |
$209.70 |
$67.60
|
|
Slp ther svc non-spch gen
|
$164.87 |
$164.87 |
$164.87 |
$186.40
|
|
Small bowel endoscopy
|
$2,098.87 |
$2,098.87 |
$2,098.87 |
$2,466.10
|
|
Small bowel endoscopy
|
$2,202.03 |
$2,202.03 |
$2,202.03 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,098.87 |
$2,098.87 |
$2,098.87 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$50.62 |
$50.62 |
$50.62 |
$64.35
|
|
Smear gram stain
|
$32.78 |
$32.78 |
$32.78 |
$58.05
|
|
Smear nasal eosinophil
|
$47.73 |
$47.73 |
$47.73 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$205.36 |
$205.36 |
$205.36 |
$66.82
|
|
Smear wet mount
|
$47.25 |
$47.25 |
$47.25 |
$68.64
|
|
Sodium 24 hour urine
|
$41.46 |
$41.46 |
$41.46 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$9.59 |
$9.59 |
$9.59 |
$46.85
|
|
Sodium chloride 0.9 % IV bolus
|
$9.59 |
$9.59 |
$9.59 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$8.40 |
$8.40 |
$8.40 |
$47.66
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$43.32 |
$43.32 |
$43.32 |
$104.98
|
|
Sodium serum/plasma/whole blood
|
$36.64 |
$36.64 |
$36.64 |
$43.00
|
|
Specific gravity body fluid
|
$18.81 |
$18.81 |
$18.81 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$802.63 |
$802.63 |
$802.63 |
$1,485.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$114.25 |
$114.25 |
$114.25 |
$559.30
|
|
Splint extn xsm w sof-stretch rolyan
|
$156.67 |
$156.67 |
$156.67 |
$41.58
|
|
Split blood or products
|
$87.74 |
$87.74 |
$87.74 |
$148.92
|
|
Sputum specimen collection
|
$195.72 |
$195.72 |
$195.72 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$157.15 |
$157.15 |
$157.15 |
$302.00
|
|
St cognitve performance testing healthcare professional each hour
|
$74.72 |
$74.72 |
$74.72 |
$310.40
|
|
Stent axios caut enh 15x10mm electrocaut
|
$8,469.70 |
$8,469.70 |
$8,469.70 |
$38,656.97
|
|
Stent bili dbl pgtl 10fx5cm
|
$452.85 |
$452.85 |
$452.85 |
$1,894.80
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,202.99 |
$2,202.99 |
$2,202.99 |
$15,826.01
|
|
St evaluate speech sound production
|
$157.15 |
$157.15 |
$157.15 |
$302.40
|
|
St evaluate speech sound production comprehensive/expressive
|
$157.15 |
$157.15 |
$157.15 |
$389.64
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$436.75 |
$436.75 |
$436.75 |
$406.52
|
|
St evaluation swallow function
|
$395.77 |
$395.77 |
$395.77 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$111.84 |
$111.84 |
$111.84 |
$247.03
|
|
Strapping of elbow or wrist 29260
|
$129.68 |
$129.68 |
$129.68 |
$171.00
|
|
Strapping of hand or finger
|
$129.68 |
$129.68 |
$129.68 |
$197.63
|
|
Strapping of hip
|
$70.87 |
$70.87 |
$70.87 |
$165.90
|
|
Strapping of knee
|
$71.35 |
$71.35 |
$71.35 |
$225.29
|
|
Strapping of toes 29550
|
$111.84 |
$111.84 |
$111.84 |
$185.36
|
|
Strep b assay w/optic
|
$64.60 |
$64.60 |
$64.60 |
$32.00
|
|
Stress test pulmonary
|
$145.10 |
$145.10 |
$145.10 |
$325.60
|
|
Stress tte complete
|
$841.67 |
$841.67 |
$841.67 |
$1,964.95
|
|
St treatment speech individual
|
$174.51 |
$174.51 |
$174.51 |
$256.55
|
|
St treatment swallow dysfunction/oral
|
$156.67 |
$156.67 |
$156.67 |
$260.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$55.03 |
$55.03 |
$55.03 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$226.57 |
$226.57 |
$226.57 |
$172.00
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$87.75 |
$87.75 |
$87.75 |
$109.26
|
|
Surgical pathology level 1 gross examination only
|
$36.16 |
$36.16 |
$36.16 |
$92.95
|
|
Surgical pathology level 2 gross & microscopic examination
|
$160.53 |
$160.53 |
$160.53 |
$150.40
|
|
Surgical pathology level 3 gross & microscopic examination
|
$176.92 |
$176.92 |
$176.92 |
$195.06
|
|
Surgical pathology level 4 gross & microscopic examination
|
$200.54 |
$200.54 |
$200.54 |
$254.94
|
|
Surgical pathology level 5 gross & microscopic examination
|
$477.24 |
$477.24 |
$477.24 |
$494.40
|
|
Surgical pathology level 6 gross & microscopic examination
|
$267.06 |
$267.06 |
$267.06 |
$791.85
|
|
Susceptibility agar dilution per agent
|
$121.00 |
$121.00 |
$121.00 |
$40.68
|
|
Susceptibility enzyme detection per enzyme
|
$33.75 |
$33.75 |
$33.75 |
$35.10
|
|
Susceptibility mic per plate
|
$55.92 |
$55.92 |
$55.92 |
$94.38
|
|
Synvisc or synvisc-one
|
$72.55 |
$72.55 |
$72.55 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$52.55 |
$52.55 |
$52.55 |
$44.85
|
|
System pacing micra av
|
$5,890.71 |
$5,890.71 |
$5,890.71 |
$22,733.55
|
|
T3 (triiodothyronine) free
|
$63.15 |
$63.15 |
$63.15 |
$89.82
|
|
T3 (triiodothyronine) total
|
$55.92 |
$55.92 |
$55.92 |
$93.60
|
|
T4 (thyroxine) free
|
$40.98 |
$40.98 |
$40.98 |
$83.65
|
|
T4 (thyroxine) total
|
$43.87 |
$43.87 |
$43.87 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$57.92 |
$57.92 |
$57.92 |
$10.30
|
|
Tacrolimus therapeutic drug level
|
$139.32 |
$139.32 |
$139.32 |
$122.50
|
|
Tap block bilat cont infusion 64489
|
$1,739.26 |
$1,739.26 |
$1,739.26 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$301.29 |
$301.29 |
$301.29 |
$638.65
|
|
Target gsa panel organ neop
|
$288.27 |
$288.27 |
$288.27 |
$1,913.00
|
|
Tavr perq femoral
|
$2,164.43 |
$2,164.43 |
$2,164.43 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,416.25 |
$1,416.25 |
$1,416.25 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$176.92 |
$176.92 |
$176.92 |
$166.46
|
|
Tc-99m sulfur colloid
|
$194.78 |
$194.78 |
$194.78 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$69.42 |
$69.42 |
$69.42 |
$185.28
|
|
T cells absolute cd 4 count
|
$87.26 |
$87.26 |
$87.26 |
$120.25
|
|
T cells total count
|
$34.23 |
$34.23 |
$34.23 |
$124.11
|