|
Sincalide 5 mcg solution for injection
|
$1,337.85 |
$1,337.85 |
$1,337.85 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$3,588.64 |
$3,588.64 |
$3,588.64 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$3,046.99 |
$3,046.99 |
$3,046.99 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$14,670.66 |
$14,670.66 |
$14,670.66 |
$2,489.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$704.28 |
$704.28 |
$704.28 |
$14,361.10
|
|
Skeletal muscle relaxant 1/2
|
$191.15 |
$191.15 |
$191.15 |
$83.85
|
|
Skin test unlisted antigen ea
|
$62.89 |
$62.89 |
$62.89 |
$48.57
|
|
Sleep study attended
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$9,473.05 |
$9,473.05 |
$9,473.05 |
$3,607.50
|
|
Sleep study unattended
|
$1,535.60 |
$1,535.60 |
$1,535.60 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$64.86 |
$64.86 |
$64.86 |
$30.35
|
|
Sling pelv split sam med
|
$287.01 |
$287.01 |
$287.01 |
$150.00
|
|
Sling suprapubic suburetheral
|
$74,664.38 |
$74,664.38 |
$74,664.38 |
$9,679.96
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$194.58 |
$194.58 |
$194.58 |
$129.20
|
|
Slp eval non-spch gen comm dev
|
$431.97 |
$431.97 |
$431.97 |
$285.09
|
|
Slp pure tone screening
|
$116.27 |
$116.27 |
$116.27 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$810.77 |
$810.77 |
$810.77 |
$296.34
|
|
Sm-153 lexidron ther
|
$43,032.62 |
$43,032.62 |
$43,032.62 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$143.36 |
$143.36 |
$143.36 |
$64.20
|
|
Smear gram stain
|
$53.64 |
$53.64 |
$53.64 |
$55.25
|
|
Smear nasal eosinophil
|
$54.81 |
$54.81 |
$54.81 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$75.77 |
$75.77 |
$75.77 |
$73.15
|
|
Smear wet mount
|
$45.44 |
$45.44 |
$45.44 |
$67.49
|
|
Smn1 gene full gene sequence
|
$961.43 |
$961.43 |
$961.43 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$961.43 |
$961.43 |
$961.43 |
$276.42
|
|
Smpd1 gene common variants
|
$1,664.14 |
$1,664.14 |
$1,664.14 |
$133.84
|
|
Snrpn/ube3a gene
|
$1,718.84 |
$1,718.84 |
$1,718.84 |
$231.85
|
|
Sock fracture or equal each
|
$74.51 |
$74.51 |
$74.51 |
$74.51
|
|
Sodium 24 hour urine
|
$97.91 |
$97.91 |
$97.91 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$103.80 |
$103.80 |
$103.80 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$61.38 |
$61.38 |
$61.38 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$80.48 |
$80.48 |
$80.48 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$330.08 |
$330.08 |
$330.08 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$3,003.98 |
$3,003.98 |
$3,003.98 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$59.38 |
$59.38 |
$59.38 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.34 |
$8.34 |
$8.34 |
$177.52
|
|
So neo gsap dna/dna&rna
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$2,989.55
|
|
Special physics consult
|
$3,125.87 |
$3,125.87 |
$3,125.87 |
$725.00
|
|
Special radiation dosimetry
|
$1,682.12 |
$1,682.12 |
$1,682.12 |
$392.50
|
|
Special radiation treatment
|
$6,807.38 |
$6,807.38 |
$6,807.38 |
$1,986.00
|
|
Special teletx port plan
|
$4,807.98 |
$4,807.98 |
$4,807.98 |
$1,086.99
|
|
Specific gravity body fluid
|
$115.36 |
$115.36 |
$115.36 |
$22.00
|
|
Specimen fat stain
|
$53.64 |
$53.64 |
$53.64 |
$35.10
|
|
Speech evaluation complex
|
$504.84 |
$504.84 |
$504.84 |
$527.06
|
|
Sperm antibody test
|
$124.73 |
$124.73 |
$124.73 |
$57.85
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,115.87 |
$1,115.87 |
$1,115.87 |
$543.26
|
|
Spleen imaging
|
$2,472.19 |
$2,472.19 |
$2,472.19 |
$679.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$290.60 |
$290.60 |
$290.60 |
$68.25
|
|
Splint finger fold over sm
|
$232.49 |
$232.49 |
$232.49 |
$146.88
|
|
Splint finger frog med
|
$65.88 |
$65.88 |
$65.88 |
$38.08
|
|
Splint func pos polyflex ii med
|
$612.53 |
$612.53 |
$612.53 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$226.47 |
$226.47 |
$226.47 |
$99.04
|
|
Split blood or products
|
$164.33 |
$164.33 |
$164.33 |
$127.48
|
|
Srs linear based
|
$88,309.99 |
$88,309.99 |
$88,309.99 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$824.80 |
$824.80 |
$824.80 |
$297.60
|
|
Staph a dna amp probe
|
$438.14 |
$438.14 |
$438.14 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$874.97 |
$874.97 |
$874.97 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$255,127.50 |
$255,127.50 |
$255,127.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,278.50 |
$5,278.50 |
$5,278.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$140,182.88 |
$140,182.88 |
$140,182.88 |
$20,962.50
|
|
St evaluate speech sound production
|
$824.80 |
$824.80 |
$824.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$824.80 |
$824.80 |
$824.80 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$949.61 |
$949.61 |
$949.61 |
$399.60
|
|
St evaluation swallow function
|
$745.25 |
$745.25 |
$745.25 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$379.36 |
$379.36 |
$379.36 |
$223.45
|
|
Strapping of chest
|
$562.92 |
$562.92 |
$562.92 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$379.36 |
$379.36 |
$379.36 |
$154.70
|
|
Strapping of hand or finger
|
$103.49 |
$103.49 |
$103.49 |
$174.82
|
|
Strapping of knee
|
$379.36 |
$379.36 |
$379.36 |
$205.20
|
|
Strep a ag ia
|
$143.36 |
$143.36 |
$143.36 |
$75.40
|
|
Strep a dna dir probe
|
$195.83 |
$195.83 |
$195.83 |
$96.72
|
|
Strep b assay w/optic
|
$466.14 |
$466.14 |
$466.14 |
$80.16
|
|
Strep b dna amp probe
|
$386.84 |
$386.84 |
$386.84 |
$120.90
|
|
Streptomycin injection
|
$721.91 |
$721.91 |
$721.91 |
$138.30
|
|
Stress test pulmonary
|
$456.25 |
$456.25 |
$456.25 |
$322.85
|
|
Stress tte complete
|
$4,658.86 |
$4,658.86 |
$4,658.86 |
$1,870.50
|
|
Str markers specimen anal
|
$1,784.48 |
$1,784.48 |
$1,784.48 |
$751.50
|
|
St treatment speech individual
|
$643.69 |
$643.69 |
$643.69 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$540.89 |
$540.89 |
$540.89 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$172.52 |
$172.52 |
$172.52 |
$52.31
|
|
Sugars single quant
|
$164.33 |
$164.33 |
$164.33 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$204,845.25 |
$204,845.25 |
$204,845.25 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$703.14 |
$703.14 |
$703.14 |
$82.43
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,865.35 |
$1,865.35 |
$1,865.35 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$458.26 |
$458.26 |
$458.26 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$122.39 |
$122.39 |
$122.39 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$224.87 |
$224.87 |
$224.87 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$266.06 |
$266.06 |
$266.06 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$370.57 |
$370.57 |
$370.57 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$581.50 |
$581.50 |
$581.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,506.74 |
$1,506.74 |
$1,506.74 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$193.49 |
$193.49 |
$193.49 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$76.94 |
$76.94 |
$76.94 |
$35.70
|
|
Susceptibility mic per plate
|
$3,512.93 |
$3,512.93 |
$3,512.93 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$113.03 |
$113.03 |
$113.03 |
$59.28
|
|
Svc venogram s&i
|
$3,449.61 |
$3,449.61 |
$3,449.61 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$343.75 |
$343.75 |
$343.75 |
$125.40
|
|
Synvisc or synvisc-one
|
$132.93 |
$132.93 |
$132.93 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$54.81 |
$54.81 |
$54.81 |
$41.60
|
