|
Sickling rbc
|
$34.70 |
$34.70 |
$34.70 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$467.80 |
$467.80 |
$467.80 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,649.25 |
$2,649.25 |
$2,649.25 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$963.40 |
$963.40 |
$963.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$799.75 |
$799.75 |
$799.75 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$2,628.40 |
$2,628.40 |
$2,628.40 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$564.00 |
$564.00 |
$564.00 |
$346.45
|
|
Sinus X-ray (limited)
|
$663.00 |
$663.00 |
$663.00 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$663.00 |
$663.00 |
$663.00 |
$294.45
|
|
Skull X-ray (complete)
|
$1,160.70 |
$1,160.70 |
$1,160.70 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,537.91 |
$1,537.91 |
$1,537.91 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,312.90 |
$3,312.90 |
$3,312.90 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$562.75 |
$562.75 |
$562.75 |
$203.58
|
|
Sling suprapubic suburetheral
|
$1,382.00 |
$1,382.00 |
$1,382.00 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$548.15 |
$548.15 |
$548.15 |
$285.09
|
|
Slp ther svc non-spch gen
|
$413.40 |
$413.40 |
$413.40 |
$188.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,503.55 |
$1,503.55 |
$1,503.55 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$25.80 |
$25.80 |
$25.80 |
$64.35
|
|
Smear gram stain
|
$77.85 |
$77.85 |
$77.85 |
$55.55
|
|
Smear nasal eosinophil
|
$161.75 |
$161.75 |
$161.75 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$92.50 |
$92.50 |
$92.50 |
$73.50
|
|
Smear wet mount
|
$17.25 |
$17.25 |
$17.25 |
$67.55
|
|
Smpd1 gene common variants
|
$158.10 |
$158.10 |
$158.10 |
$133.84
|
|
Sodium 24 hour urine
|
$164.75 |
$164.75 |
$164.75 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$25.19 |
$25.19 |
$25.19 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$25.19 |
$25.19 |
$25.19 |
$37.64
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$811.62 |
$811.62 |
$811.62 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$99.25 |
$99.25 |
$99.25 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$277.14 |
$277.14 |
$277.14 |
$177.52
|
|
Specific gravity body fluid
|
$9.70 |
$9.70 |
$9.70 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$478.70 |
$478.70 |
$478.70 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$208.10 |
$208.10 |
$208.10 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,519.55 |
$2,519.55 |
$2,519.55 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$288.60 |
$288.60 |
$288.60 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$930.40 |
$930.40 |
$930.40 |
$388.80
|
|
St analysis behavior qualitative voice/resonance
|
$239.05 |
$239.05 |
$239.05 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$284.65 |
$284.65 |
$284.65 |
$286.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$245.06 |
$245.06 |
$245.06 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,032.76 |
$1,032.76 |
$1,032.76 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,856.30 |
$17,856.30 |
$17,856.30 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$16,767.55 |
$16,767.55 |
$16,767.55 |
$8,925.76
|
|
St evaluate speech sound production
|
$230.60 |
$230.60 |
$230.60 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$592.50 |
$592.50 |
$592.50 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$3,165.05 |
$3,165.05 |
$3,165.05 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$225.70 |
$225.70 |
$225.70 |
$223.45
|
|
Strapping of hand or finger
|
$236.90 |
$236.90 |
$236.90 |
$177.45
|
|
Strapping of hip
|
$260.00 |
$260.00 |
$260.00 |
$164.70
|
|
Strapping of knee
|
$245.80 |
$245.80 |
$245.80 |
$205.20
|
|
Strapping of toes 29550
|
$202.25 |
$202.25 |
$202.25 |
$164.70
|
|
Strep a ag ia
|
$43.70 |
$43.70 |
$43.70 |
$75.40
|
|
Stress tte complete
|
$1,434.75 |
$1,434.75 |
$1,434.75 |
$1,900.96
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$52.39 |
$52.39 |
$52.39 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,039.82 |
$5,039.82 |
$5,039.82 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$63.17 |
$63.17 |
$63.17 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$55.41 |
$55.41 |
$55.41 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$72.80 |
$72.80 |
$72.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$189.95 |
$189.95 |
$189.95 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$254.00 |
$254.00 |
$254.00 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$475.05 |
$475.05 |
$475.05 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$633.90 |
$633.90 |
$633.90 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$791.85 |
$791.85 |
$791.85 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$14.15 |
$14.15 |
$14.15 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$8.65 |
$8.65 |
$8.65 |
$35.89
|
|
Susceptibility mic per plate
|
$164.55 |
$164.55 |
$164.55 |
$106.00
|
|
Svc venogram s&i
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$585.50 |
$585.50 |
$585.50 |
$316.80
|
|
Swallowing Therapy Session
|
$217.45 |
$217.45 |
$217.45 |
$232.56
|
|
Synch audio-only est high 40
|
$241.75 |
$241.75 |
$241.75 |
$196.80
|
|
Synch audio-only est low 20
|
$110.95 |
$110.95 |
$110.95 |
$93.60
|
|
Synch audio-only est mod 30
|
$163.50 |
$163.50 |
$163.50 |
$136.64
|
|
Synch audio-only est sf 10
|
$60.75 |
$60.75 |
$60.75 |
$53.20
|
|
Synch audio-only new high 60
|
$297.15 |
$297.15 |
$297.15 |
$207.64
|
|
Synch audio-only new low 30
|
$143.60 |
$143.60 |
$143.60 |
$120.80
|
|
Synch audio-only new mod 45
|
$225.55 |
$225.55 |
$225.55 |
$176.70
|
|
Synch audio-only new sf 15
|
$82.85 |
$82.85 |
$82.85 |
$71.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$31.20 |
$31.20 |
$31.20 |
$42.24
|
|
System pacing micra av
|
$3,100.00 |
$3,100.00 |
$3,100.00 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,893.00 |
$5,893.00 |
$5,893.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$214.45 |
$214.45 |
$214.45 |
$100.32
|
|
T3 (triiodothyronine) total
|
$179.35 |
$179.35 |
$179.35 |
$93.52
|
|
T4 (thyroxine) free
|
$26.75 |
$26.75 |
$26.75 |
$89.60
|
|
T4 (thyroxine) total
|
$86.70 |
$86.70 |
$86.70 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.98 |
$9.98 |
$9.98 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$232.70 |
$232.70 |
$232.70 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$663.00 |
$663.00 |
$663.00 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$2,256.65 |
$2,256.65 |
$2,256.65 |
$2,246.30
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,368.23 |
$1,368.23 |
$1,368.23 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$172.10 |
$172.10 |
$172.10 |
$179.95
|
|
Tc-99m disofenin
|
$511.00 |
$511.00 |
$511.00 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,169.95 |
$3,169.95 |
$3,169.95 |
$2,503.15
|
|
Tc-99m labeled rbc
|
$432.85 |
$432.85 |
$432.85 |
$306.00
|
|
Tc-99m maa
|
$629.80 |
$629.80 |
$629.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$274.30 |
$274.30 |
$274.30 |
$157.65
|
|
Tc-99m medronate
|
$160.95 |
$160.95 |
$160.95 |
$111.01
|
|
Tc-99m mertiatide
|
$2,509.45 |
$2,509.45 |
$2,509.45 |
$756.00
|
|
Tc-99m oxidronate
|
$142.90 |
$142.90 |
$142.90 |
$108.00
|
|
Tc-99m pentetate dtpa aerosol
|
$512.05 |
$512.05 |
$512.05 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$15.50 |
$15.50 |
$15.50 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$144.30 |
$144.30 |
$144.30 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$210.15 |
$210.15 |
$210.15 |
$287.20
|
