|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$589.67 |
$682.67 |
$976.16 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$392.04 |
$547.40 |
$789.68 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$479.20 |
$492.55 |
$717.46 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$449.74 |
$505.71 |
$2,113.13 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$482.54 |
$708.04 |
$2,272.01 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$330.18 |
$448.80 |
$1,605.22 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$254.05 |
$479.10 |
$1,605.22 |
|
|
Scope uretscp lithovue dig disp
|
$535.26 |
$602.52 |
$755.43 |
|
|
Screening Mammogram
|
$119.11 |
$177.78 |
$1,521.90 |
|
|
Screening pap smear by phys
|
$36.12 |
$36.12 |
$36.12 |
|
|
Screening prostate cancer PSA
|
$70.30 |
$82.44 |
$112.86 |
|
|
Screw cortex 2.0 x 10mm
|
$5,552.60 |
$6,250.33 |
$7,836.64 |
|
|
Sc ther infusion reset pump
|
$36.40 |
$146.55 |
$175.25 |
|
|
Sedimentation rate erythrocyte automated
|
$3.40 |
$57.85 |
$120.52 |
|
|
Semen analysis presence/motility
|
$12.46 |
$31.05 |
$45.08 |
|
|
Semen analysis w/count
|
$26.41 |
$26.41 |
$252.74 |
|
|
Serpina1 gene
|
$114.19 |
$123.14 |
$323.83 |
|
|
Sertraline (zoloft) - sendout
|
$50.32 |
$113.98 |
$192.81 |
|
|
Set radiation therapy field
|
$205.19 |
$270.88 |
$461.93 |
|
|
Set radiation therapy field
|
$487.44 |
$612.24 |
$1,097.38 |
|
|
Set radiation therapy field
|
$513.13 |
$677.42 |
$1,154.82 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$155.45 |
$155.45 |
$182.31 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$136.98 |
$136.98 |
$171.74 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$732.97 |
$795.72 |
$964.11 |
|
|
Shortening of hand tendon
|
$1,978.65 |
$1,978.65 |
$2,320.56 |
|
|
Shoulder MRI (with and without contrast)
|
$969.65 |
$1,218.95 |
$5,584.48 |
|
|
Shoulder MRI (with contrast)
|
$941.93 |
$1,158.40 |
$4,839.41 |
|
|
Shoulder MRI (without contrast)
|
$990.23 |
$1,271.31 |
$4,614.48 |
|
|
Shoulder X-ray
|
$409.71 |
$599.49 |
$678.88 |
|
|
Shunt glaucoma baerveldt 350mm
|
$713.68 |
$803.35 |
$1,007.24 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$156.66 |
$196.42 |
$484.13 |
|
|
Sialography s&i
|
$190.79 |
$190.79 |
$193.87 |
|
|
Sialolithotomy 42330
|
$1,475.09 |
$1,475.09 |
$1,475.09 |
|
|
Sickling rbc
|
$2.50 |
$39.05 |
$67.99 |
|
|
Signal avg ecg w or without ecg 93278
|
$27.48 |
$27.48 |
$316.57 |
|
|
Sincalide 5 mcg solution for injection
|
$171.83 |
$193.42 |
$242.51 |
|
|
Sinus CT scan (with and without contrast)
|
$740.92 |
$1,047.22 |
$3,230.12 |
|
|
Sinus CT scan (with contrast)
|
$786.48 |
$945.16 |
$4,689.03 |
|
|
Sinus CT scan (without contrast)
|
$819.02 |
$960.54 |
$4,095.66 |
|
|
Sinus/juglr venogram s&i
|
$1,200.40 |
$1,360.88 |
$1,596.03 |
|
|
Skin Biopsy
|
$74.72 |
$195.24 |
$317.59 |
|
|
Skin full graft 20sq cm less 15200
|
$1,607.19 |
$1,826.82 |
$2,290.46 |
|
|
Sleep study attended
|
$1,170.89 |
$1,170.89 |
$1,373.21 |
|
|
Sleep Study (Polysomnography)
|
$1,982.58 |
$2,539.33 |
$3,078.06 |
|
|
Sleep study unattended
|
$224.29 |
$322.94 |
$506.89 |
|
|
Sleeve fing rolyan med
|
$96.71 |
$99.32 |
$114.99 |
|
|
Sling suprapubic suburetheral
|
$2,499.42 |
$2,813.50 |
$3,527.55 |
|
|
Slp eval non-spch gen comm dev
|
$288.06 |
$333.49 |
$378.90 |
|
|
Slp pure tone screening
|
$147.73 |
$173.13 |
$209.70 |
|
|
Slp ther svc non-spch gen
|
$130.47 |
$145.11 |
$166.30 |
|
|
Small bowel endoscopy
|
$1,524.05 |
$1,732.43 |
$2,098.87 |
|
|
Small bowel endoscopy
|
$1,598.98 |
$1,817.18 |
$2,202.03 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,524.05 |
$1,732.43 |
$2,172.11 |
|
|
Smear fluorescent and/or acid fast stain
|
$35.55 |
$50.62 |
$138.18 |
|
|
Smear gram stain
|
$19.79 |
$46.68 |
$142.51 |
|
|
Smear nasal eosinophil
|
$26.77 |
$30.13 |
$47.73 |
|
|
Smear special stain inclusion bodies/parasites
|
$26.41 |
$89.06 |
$205.36 |
|
|
Smear wet mount
|
$28.91 |
$47.25 |
$129.55 |
|
|
Smpd1 gene common variants
|
$56.01 |
$223.34 |
$261.93 |
|
|
Snrpn/ube3a gene
|
$195.19 |
$386.82 |
$453.66 |
|
|
Sodium 24 hour urine
|
$29.33 |
$36.77 |
$125.70 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.10 |
$8.44 |
$30.60 |
|
|
Sodium chloride 0.9 % IV bolus
|
$7.10 |
$7.99 |
$10.02 |
|
|
Sodium chloride 0.9 % IV bolus
|
$6.22 |
$7.00 |
$8.77 |
|
|
Sodium chloride 3 % ivpb
|
$45.11 |
$45.11 |
$45.11 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$32.07 |
$38.13 |
$187.10 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,207.06 |
$1,207.06 |
$1,207.06 |
|
|
Sodium serum/plasma/whole blood
|
$18.88 |
$33.72 |
$87.70 |
|
|
Special physics consult
|
$198.41 |
$261.93 |
$446.67 |
|
|
Special radiation dosimetry
|
$125.59 |
$175.21 |
$398.47 |
|
|
Special radiation treatment
|
$402.65 |
$634.10 |
$1,605.50 |
|
|
Special teletx port plan
|
$197.72 |
$433.92 |
$1,045.97 |
|
|
Specific gravity body fluid
|
$7.50 |
$16.47 |
$20.65 |
|
|
Specimen fat stain
|
$10.35 |
$30.22 |
$84.01 |
|
|
Speech evaluation complex
|
$207.75 |
$207.75 |
$207.75 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$610.19 |
$639.40 |
$1,160.34 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$73.41 |
$170.54 |
$996.08 |
|
|
Spleen imaging
|
$271.14 |
$317.99 |
$659.76 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$415.00 |
$426.22 |
$493.44 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$115.98 |
$130.55 |
$156.67 |
|
|
Splint rstrc wrst/cmc right med
|
$71.84 |
$73.51 |
$87.41 |
|
|
Split blood or products
|
$44.97 |
$54.31 |
$87.74 |
|
|
Sputum specimen collection
|
$141.83 |
$156.14 |
$215.05 |
|
|
Sr-89 stront chlor ther / mci
|
$5,176.74 |
$5,176.74 |
$5,176.74 |
|
|
Srs linear based
|
$3,372.10 |
$4,495.08 |
$8,096.98 |
|
|
Srs multisource
|
$98,343.21 |
$98,343.21 |
$98,343.21 |
|
|
St analysis behavior qualitative voice/resonance
|
$157.15 |
$219.78 |
$269.46 |
|
|
Staph a dna amp probe
|
$23.34 |
$31.34 |
$36.75 |
|
|
St cognitve performance testing healthcare professional each hour
|
$74.72 |
$104.80 |
$128.14 |
|
|
Stem cells total count
|
$66.28 |
$66.28 |
$77.73 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$26,513.50 |
$26,513.50 |
$26,513.50 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,269.60 |
$7,057.43 |
$8,848.58 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$335.22 |
$377.34 |
$473.10 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,630.74 |
$1,835.66 |
$2,301.54 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,555.70 |
$11,487.50 |
$13,472.51 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$10,108.95 |
$10,108.95 |
$11,855.75 |
|
|
St evaluate speech sound production
|
$157.15 |
$178.85 |
$188.41 |
|
|
St evaluate speech sound production comprehensive/expressive
|
$123.32 |
$154.16 |
$244.97 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$214.03 |
$259.09 |
$436.75 |
|
|
St evaluation swallow function
|
$139.63 |
$219.72 |
$396.86 |
|
