|
Scan duplex upper extremity arteries unilateral/limited study left
|
$738.30 |
$738.30 |
$738.30 |
$597.35
|
|
Scan proc cranial intra 61781
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$1,025.00
|
|
Scope uretscp lithovue dig disp
|
$925.00 |
$925.00 |
$925.00 |
$4,246.72
|
|
Screening hepatitis b non-obstetric high risk
|
$467.00 |
$467.00 |
$467.00 |
$60.00
|
|
Screening Mammogram
|
$383.30 |
$383.30 |
$383.30 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$7,016.00 |
$7,016.00 |
$7,016.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$781.50 |
$781.50 |
$781.50 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$64.75 |
$64.75 |
$64.75 |
$42.00
|
|
Select picture audiometry
|
$96.00 |
$96.00 |
$96.00 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$159.35 |
$159.35 |
$159.35 |
$96.00
|
|
Semen analysis presence/motility
|
$133.65 |
$133.65 |
$133.65 |
$70.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$271.30 |
$271.30 |
$271.30 |
$235.13
|
|
Shot (Injection into Muscle or Under the Skin)
|
$83.75 |
$83.75 |
$83.75 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$423.80 |
$423.80 |
$423.80 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$391.40 |
$391.40 |
$391.40 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,559.15 |
$3,559.15 |
$3,559.15 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,959.85 |
$2,959.85 |
$2,959.85 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,361.95 |
$2,361.95 |
$2,361.95 |
$2,096.84
|
|
Shoulder X-ray
|
$425.20 |
$425.20 |
$425.20 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$309.05 |
$309.05 |
$309.05 |
$263.25
|
|
Sialography s&i
|
$978.55 |
$978.55 |
$978.55 |
$499.20
|
|
Sickling rbc
|
$51.25 |
$51.25 |
$51.25 |
$59.40
|
|
Sigmoidoscopy flex decompression 45337
|
$244.25 |
$244.25 |
$244.25 |
$1,078.88
|
|
Sigmoidoscopy w/fb removal 45332
|
$475.10 |
$475.10 |
$475.10 |
$1,395.28
|
|
Sincalide 5 mcg solution for injection
|
$909.06 |
$909.06 |
$909.06 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,598.20 |
$2,598.20 |
$2,598.20 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,893.70 |
$1,893.70 |
$1,893.70 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,544.10 |
$1,544.10 |
$1,544.10 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$430.50 |
$430.50 |
$430.50 |
$346.45
|
|
Sinus X-ray (limited)
|
$288.80 |
$288.80 |
$288.80 |
$215.40
|
|
Skin Biopsy
|
$214.60 |
$214.60 |
$214.60 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$430.50 |
$430.50 |
$430.50 |
$294.45
|
|
Skull X-ray (complete)
|
$543.95 |
$543.95 |
$543.95 |
$417.50
|
|
Skyla, 13.5 mg
|
$4,404.46 |
$4,404.46 |
$4,404.46 |
$1,643.47
|
|
Sleep study attended
|
$707.20 |
$707.20 |
$707.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,829.05 |
$3,829.05 |
$3,829.05 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$170.05 |
$170.05 |
$170.05 |
$203.58
|
|
Sling suprapubic suburetheral
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$9,679.96
|
|
Slitting of prepuce
|
$607.35 |
$607.35 |
$607.35 |
$3,376.23
|
|
Slp eval non-spch gen comm dev
|
$844.95 |
$844.95 |
$844.95 |
$285.09
|
|
Slp pure tone screening
|
$56.70 |
$56.70 |
$56.70 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$805.80 |
$805.80 |
$805.80 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$82.20 |
$82.20 |
$82.20 |
$64.35
|
|
Smear gram stain
|
$55.35 |
$55.35 |
$55.35 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$135.25 |
$135.25 |
$135.25 |
$73.50
|
|
Smear wet mount
|
$82.05 |
$82.05 |
$82.05 |
$67.55
|
|
Smpd1 gene common variants
|
$87.00 |
$87.00 |
$87.00 |
$133.84
|
|
Sodium 24 hour urine
|
$39.10 |
$39.10 |
$39.10 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$29.04 |
$29.04 |
$29.04 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$34.95 |
$34.95 |
$34.95 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$65.28 |
$65.28 |
$65.28 |
$37.64
|
|
Sodium serum/plasma/whole blood
|
$41.80 |
$41.80 |
$41.80 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$654.99 |
$654.99 |
$654.99 |
$177.52
|
|
Spacer bag/reservoir
|
$20.00 |
$20.00 |
$20.00 |
$26.00
|
|
Special supplies phys/qhp
|
$337.40 |
$337.40 |
$337.40 |
$60.00
|
|
Specific gravity body fluid
|
$44.45 |
$44.45 |
$44.45 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$685.65 |
$685.65 |
$685.65 |
$384.80
|
|
Speech audiometry complete
|
$132.30 |
$132.30 |
$132.30 |
$109.20
|
|
Speech evaluation complex
|
$811.20 |
$811.20 |
$811.20 |
$527.06
|
|
Speech recep thresh
|
$82.35 |
$82.35 |
$82.35 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$458.90 |
$458.90 |
$458.90 |
$246.87
|
|
Sperm washing 58323
|
$28.60 |
$28.60 |
$28.60 |
$238.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,645.35 |
$2,645.35 |
$2,645.35 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$332.00 |
$332.00 |
$332.00 |
$251.00
|
|
Spleen imaging
|
$51.00 |
$51.00 |
$51.00 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$153.85 |
$153.85 |
$153.85 |
$388.80
|
|
Splint finger fold over sm
|
$57.75 |
$57.75 |
$57.75 |
$146.88
|
|
Splint rstrc wrst/cmc right med
|
$148.45 |
$148.45 |
$148.45 |
$99.04
|
|
Staggered spondaic word test
|
$134.95 |
$134.95 |
$134.95 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$685.65 |
$685.65 |
$685.65 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$704.55 |
$704.55 |
$704.55 |
$286.00
|
|
Stenger test pure tone
|
$87.65 |
$87.65 |
$87.65 |
$77.84
|
|
Stenger test speech
|
$167.35 |
$167.35 |
$167.35 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$124.63 |
$124.63 |
$124.63 |
$2,704.27
|
|
Sterile needle
|
$155.50 |
$155.50 |
$155.50 |
$190.13
|
|
St evaluate speech sound production
|
$685.65 |
$685.65 |
$685.65 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$435.95 |
$435.95 |
$435.95 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$184.85 |
$184.85 |
$184.85 |
$223.45
|
|
Strapping of chest
|
$103.90 |
$103.90 |
$103.90 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$116.05 |
$116.05 |
$116.05 |
$157.46
|
|
Strapping of hand or finger
|
$116.05 |
$116.05 |
$116.05 |
$177.45
|
|
Strapping of hip
|
$103.90 |
$103.90 |
$103.90 |
$164.70
|
|
Strapping of knee
|
$116.05 |
$116.05 |
$116.05 |
$205.20
|
|
Strapping of toes 29550
|
$43.20 |
$43.20 |
$43.20 |
$164.70
|
|
Strep a ag ia
|
$137.65 |
$137.65 |
$137.65 |
$75.40
|
|
Stress test pulmonary
|
$63.45 |
$63.45 |
$63.45 |
$324.00
|
|
Stress tte complete
|
$1,899.05 |
$1,899.05 |
$1,899.05 |
$1,900.96
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$67.36 |
$67.36 |
$67.36 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$11,546.90 |
$11,546.90 |
$11,546.90 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$151.25 |
$151.25 |
$151.25 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$140.52 |
$140.52 |
$140.52 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$58.05 |
$58.05 |
$58.05 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$139.00 |
$139.00 |
$139.00 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$210.55 |
$210.55 |
$210.55 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$276.70 |
$276.70 |
$276.70 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$337.40 |
$337.40 |
$337.40 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$491.35 |
$491.35 |
$491.35 |
$720.75
|
|
Surgical trays
|
$96.00 |
$96.00 |
$96.00 |
$694.80
|