|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$28,345.34 |
$28,345.34 |
$28,345.34 |
|
|
Salmonella antibody
|
$39.78 |
$39.78 |
$39.78 |
|
|
Sarscov coronavirus ag ia
|
$79.56 |
$79.56 |
$79.56 |
|
|
Sarscov & inf vir a&b ag ia
|
$67.08 |
$67.08 |
$67.08 |
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$294.06 |
$294.06 |
$294.06 |
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$272.74 |
$272.74 |
$272.74 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$177.58 |
$177.58 |
$177.58 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$345.28 |
$345.28 |
$345.28 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$261.30 |
$261.30 |
$261.30 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$428.48 |
$428.48 |
$428.48 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$570.96 |
$570.96 |
$570.96 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$390.78 |
$390.78 |
$390.78 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$383.50 |
$383.50 |
$383.50 |
|
|
Sclerotherapy fluid collection pq w/img
|
$2,144.48 |
$2,144.48 |
$2,144.48 |
|
|
Screening Colonoscopy (average risk)
|
$2,557.36 |
$2,557.36 |
$2,557.36 |
|
|
Screening Colonoscopy (high risk)
|
$2,557.36 |
$2,557.36 |
$2,557.36 |
|
|
Screening hepatitis b non-obstetric high risk
|
$42.38 |
$42.38 |
$42.38 |
|
|
Screening Mammogram
|
$272.74 |
$272.74 |
$272.74 |
|
|
Screening prostate cancer PSA
|
$96.98 |
$96.98 |
$96.98 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,181.36 |
$3,181.36 |
$3,181.36 |
|
|
Sedimentation rate erythrocyte automated
|
$4.68 |
$4.68 |
$4.68 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$108.94 |
$108.94 |
$108.94 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$111.80 |
$111.80 |
$111.80 |
|
|
Semen analysis presence/motility
|
$19.50 |
$19.50 |
$19.50 |
|
|
Semen analysis w/count
|
$92.30 |
$92.30 |
$92.30 |
|
|
Serpina1 gene
|
$255.06 |
$255.06 |
$255.06 |
|
|
Set radiation therapy field
|
$535.60 |
$535.60 |
$535.60 |
|
|
Set radiation therapy field
|
$711.10 |
$711.10 |
$711.10 |
|
|
Set radiation therapy field
|
$997.36 |
$997.36 |
$997.36 |
|
|
Sevelamer carbonate 800 mg tablet
|
$16.59 |
$16.59 |
$16.59 |
|
|
Sevelamer carbonate pdr 20mg
|
$199.11 |
$199.11 |
$199.11 |
|
|
Sgmdsc w/band ligation
|
$2,516.02 |
$2,516.02 |
$2,516.02 |
|
|
Shoulder MRI (with and without contrast)
|
$953.94 |
$953.94 |
$953.94 |
|
|
Shoulder MRI (with contrast)
|
$751.14 |
$751.14 |
$751.14 |
|
|
Shoulder MRI (without contrast)
|
$483.34 |
$483.34 |
$483.34 |
|
|
Shoulder X-ray
|
$132.60 |
$132.60 |
$132.60 |
|
|
Sickling rbc
|
$49.40 |
$49.40 |
$49.40 |
|
|
Sigmoidoscopy and biopsy
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
|
|
Sigmoidoscopy flex decompression 45337
|
$2,247.70 |
$2,247.70 |
$2,247.70 |
|
|
Sigmoidoscopy for bleeding
|
$3,112.98 |
$3,112.98 |
$3,112.98 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,047.24 |
$2,047.24 |
$2,047.24 |
|
|
Sigmoidoscopy w/ablation
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$2,369.12 |
$2,369.12 |
$2,369.12 |
|
|
Sigmoidoscopy w/plcmt stent
|
$2,604.68 |
$2,604.68 |
$2,604.68 |
|
|
Sigmoidoscopy w/tumr remove
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,958.28 |
$2,958.28 |
$2,958.28 |
|
|
Signal avg ecg w or without ecg 93278
|
$89.96 |
$89.96 |
$89.96 |
|
|
Sig w/tndsc balloon dilation
|
$1,089.92 |
$1,089.92 |
$1,089.92 |
|
|
Sincalide 5 mcg solution for injection
|
$360.64 |
$360.64 |
$360.64 |
|
|
Sinus CT scan (with and without contrast)
|
$352.30 |
$352.30 |
$352.30 |
|
|
Sinus CT scan (with contrast)
|
$302.38 |
$302.38 |
$302.38 |
|
|
Sinus CT scan (without contrast)
|
$249.86 |
$249.86 |
$249.86 |
|
|
Sinus/juglr venogram s&i
|
$1,809.86 |
$1,809.86 |
$1,809.86 |
|
|
Skel musc relaxant 3 or more
|
$16.12 |
$16.12 |
$16.12 |
|
|
Skin Biopsy
|
$288.34 |
$288.34 |
$288.34 |
|
|
Sleep study attended
|
$1,577.68 |
$1,577.68 |
$1,577.68 |
|
|
Sleep Study (Polysomnography)
|
$2,236.78 |
$2,236.78 |
$2,236.78 |
|
|
Sleep study unattended
|
$1,074.84 |
$1,074.84 |
$1,074.84 |
|
|
Slp eval non-spch gen comm dev
|
$115.70 |
$115.70 |
$115.70 |
|
|
Small bowel endoscopy
|
$938.34 |
$938.34 |
$938.34 |
|
|
Small bowel endoscopy
|
$1,091.74 |
$1,091.74 |
$1,091.74 |
|
|
Small bowel endoscopy
|
$1,660.36 |
$1,660.36 |
$1,660.36 |
|
|
Small bowel endoscopy
|
$1,269.32 |
$1,269.32 |
$1,269.32 |
|
|
Small bowel endoscopy
|
$1,740.70 |
$1,740.70 |
$1,740.70 |
|
|
Small bowel endoscopy
|
$2,048.28 |
$2,048.28 |
$2,048.28 |
|
|
Small bowel endoscopy
|
$518.44 |
$518.44 |
$518.44 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,520.22 |
$1,520.22 |
$1,520.22 |
|
|
Small bowel endoscopy 44365
|
$852.02 |
$852.02 |
$852.02 |
|
|
Small bowel endoscopy/biopsy
|
$1,441.96 |
$1,441.96 |
$1,441.96 |
|
|
Small bowel endoscopy/biopsy
|
$982.54 |
$982.54 |
$982.54 |
|
|
Small bowel endoscopy br/wa
|
$1,302.60 |
$1,302.60 |
$1,302.60 |
|
|
Smear fluorescent and/or acid fast stain
|
$66.56 |
$66.56 |
$66.56 |
|
|
Smear gram stain
|
$42.64 |
$42.64 |
$42.64 |
|
|
Smear nasal eosinophil
|
$21.84 |
$21.84 |
$21.84 |
|
|
Smear special stain inclusion bodies/parasites
|
$75.40 |
$75.40 |
$75.40 |
|
|
Smear wet mount
|
$41.60 |
$41.60 |
$41.60 |
|
|
Sodium 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$73.89 |
$73.89 |
$73.89 |
|
|
Sodium chloride 0.9 % IV bolus
|
$147.43 |
$147.43 |
$147.43 |
|
|
Sodium chloride 0.9 % IV bolus
|
$28,260.36 |
$28,260.36 |
$28,260.36 |
|
|
Sodium chloride 3 % ivpb
|
$27.81 |
$27.81 |
$27.81 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$175.81 |
$175.81 |
$175.81 |
|
|
Sodium serum/plasma/whole blood
|
$26.78 |
$26.78 |
$26.78 |
|
|
Special physics consult
|
$205.92 |
$205.92 |
$205.92 |
|
|
Special radiation dosimetry
|
$278.20 |
$278.20 |
$278.20 |
|
|
Special radiation treatment
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
|
|
Special teletx port plan
|
$575.64 |
$575.64 |
$575.64 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$293.54 |
$293.54 |
$293.54 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$465.14 |
$465.14 |
$465.14 |
|
|
Sputum specimen collection
|
$52.26 |
$52.26 |
$52.26 |
|
|
Sr-89 stront chlor ther / mci
|
$527.28 |
$527.28 |
$527.28 |
|
|
Srs linear based
|
$6,088.16 |
$6,088.16 |
$6,088.16 |
|
|
St analysis behavior qualitative voice/resonance
|
$129.74 |
$129.74 |
$129.74 |
|
|
Staph a dna amp probe
|
$59.28 |
$59.28 |
$59.28 |
|
|
St cognitve performance testing healthcare professional each hour
|
$132.60 |
$132.60 |
$132.60 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$18,126.16 |
$18,126.16 |
$18,126.16 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,987.90 |
$9,987.90 |
$9,987.90 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,111.52 |
$7,111.52 |
$7,111.52 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,042.06 |
$8,042.06 |
$8,042.06 |
|
|
Sterile water/saline, 10 ml
|
$10.87 |
$10.87 |
$10.87 |
|