|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$169.60 |
$169.60 |
$169.60 |
$188.16
|
|
Rsv assay w/optic
|
$16.00 |
$16.00 |
$16.00 |
$76.32
|
|
Rubella antibody igg
|
$178.00 |
$178.00 |
$178.00 |
$77.40
|
|
Rubeola antibody igg
|
$162.45 |
$162.45 |
$162.45 |
$80.00
|
|
Russell viper venom diluted
|
$109.35 |
$109.35 |
$109.35 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$473.75 |
$473.75 |
$473.75 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$40.00 |
$40.00 |
$40.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$50.00 |
$50.00 |
$50.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$279.00 |
$279.00 |
$279.00 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$142.70 |
$142.70 |
$142.70 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$187.65 |
$187.65 |
$187.65 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$92.55 |
$92.55 |
$92.55 |
$67.84
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$858.35 |
$858.35 |
$858.35 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,166.15 |
$1,166.15 |
$1,166.15 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$858.35 |
$858.35 |
$858.35 |
$726.18
|
|
Screen cerv/vag thin layer
|
$133.00 |
$133.00 |
$133.00 |
$86.56
|
|
Screening hepatitis b non-obstetric high risk
|
$695.15 |
$695.15 |
$695.15 |
$60.00
|
|
Screening Mammogram
|
$380.60 |
$380.60 |
$380.60 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$8,005.00 |
$8,005.00 |
$8,005.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$858.35 |
$858.35 |
$858.35 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$116.05 |
$116.05 |
$116.05 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$70.20 |
$70.20 |
$70.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$153.85 |
$153.85 |
$153.85 |
$96.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$164.70 |
$164.70 |
$164.70 |
$51.98
|
|
Semen analysis presence/motility
|
$128.25 |
$128.25 |
$128.25 |
$70.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$303.50 |
$303.50 |
$303.50 |
$235.13
|
|
Shot (Injection into Muscle or Under the Skin)
|
$112.00 |
$112.00 |
$112.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$473.75 |
$473.75 |
$473.75 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$473.75 |
$473.75 |
$473.75 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,347.25 |
$3,347.25 |
$3,347.25 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,822.25 |
$2,822.25 |
$2,822.25 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,181.10 |
$2,181.10 |
$2,181.10 |
$2,096.84
|
|
Shoulder X-ray
|
$473.75 |
$473.75 |
$473.75 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$473.75 |
$473.75 |
$473.75 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$645.15 |
$645.15 |
$645.15 |
$355.80
|
|
Sickling rbc
|
$93.85 |
$93.85 |
$93.85 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$250.90 |
$250.90 |
$250.90 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,382.10 |
$1,382.10 |
$1,382.10 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$645.15 |
$645.15 |
$645.15 |
$346.45
|
|
Sinus X-ray (limited)
|
$473.75 |
$473.75 |
$473.75 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$473.75 |
$473.75 |
$473.75 |
$294.45
|
|
Skull X-ray (complete)
|
$645.15 |
$645.15 |
$645.15 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$3,094.85 |
$3,094.85 |
$3,094.85 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$849.00 |
$849.00 |
$849.00 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$14.00 |
$14.00 |
$14.00 |
$30.35
|
|
Sling suprapubic suburetheral
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$9,679.96
|
|
Slp pure tone screening
|
$79.65 |
$79.65 |
$79.65 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$728.85 |
$728.85 |
$728.85 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$93.45 |
$93.45 |
$93.45 |
$64.35
|
|
Smear gram stain
|
$90.40 |
$90.40 |
$90.40 |
$55.55
|
|
Smear nasal eosinophil
|
$94.50 |
$94.50 |
$94.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$109.35 |
$109.35 |
$109.35 |
$73.50
|
|
Smear wet mount
|
$83.90 |
$83.90 |
$83.90 |
$67.55
|
|
Smpd1 gene common variants
|
$231.90 |
$231.90 |
$231.90 |
$133.84
|
|
Sodium 24 hour urine
|
$95.85 |
$95.85 |
$95.85 |
$48.98
|
|
Sodium chloride 0.9 % IV bolus
|
$0.22 |
$0.22 |
$0.22 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$54.67 |
$54.67 |
$54.67 |
$37.64
|
|
Sodium serum/plasma/whole blood
|
$94.50 |
$94.50 |
$94.50 |
$46.26
|
|
Spacer bag/reservoir
|
$26.00 |
$26.00 |
$26.00 |
$26.00
|
|
Special casting material
|
$38.00 |
$38.00 |
$38.00 |
$47.45
|
|
Specific gravity body fluid
|
$68.80 |
$68.80 |
$68.80 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$315.85 |
$315.85 |
$315.85 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$315.85 |
$315.85 |
$315.85 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$473.75 |
$473.75 |
$473.75 |
$251.00
|
|
Spleen imaging
|
$2,081.20 |
$2,081.20 |
$2,081.20 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,769.65 |
$1,769.65 |
$1,769.65 |
$388.80
|
|
Splint finger 4 prong foam sm
|
$14.00 |
$14.00 |
$14.00 |
$34.00
|
|
Splint finger fold over sm
|
$180.85 |
$180.85 |
$180.85 |
$146.88
|
|
Splint fing stax assort 1-7in
|
$17.00 |
$17.00 |
$17.00 |
$5.60
|
|
St analysis behavior qualitative voice/resonance
|
$315.85 |
$315.85 |
$315.85 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$475.10 |
$475.10 |
$475.10 |
$286.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$108.37 |
$108.37 |
$108.37 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$20,962.50
|
|
St evaluate speech sound production
|
$315.85 |
$315.85 |
$315.85 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$381.95 |
$381.95 |
$381.95 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,936.85 |
$1,936.85 |
$1,936.85 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$260.45 |
$260.45 |
$260.45 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$168.75 |
$168.75 |
$168.75 |
$157.46
|
|
Strapping of hand or finger
|
$190.25 |
$190.25 |
$190.25 |
$177.45
|
|
Strapping of knee
|
$170.05 |
$170.05 |
$170.05 |
$205.20
|
|
Strapping of toes 29550
|
$190.25 |
$190.25 |
$190.25 |
$164.70
|
|
Strep a ag ia
|
$148.45 |
$148.45 |
$148.45 |
$75.40
|
|
Stress test pulmonary
|
$169.50 |
$169.50 |
$169.50 |
$324.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.08 |
$6.08 |
$6.08 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$8,724.06 |
$8,724.06 |
$8,724.06 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$152.35 |
$152.35 |
$152.35 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$208.85 |
$208.85 |
$208.85 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$22.28 |
$22.28 |
$22.28 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$264.60 |
$264.60 |
$264.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$330.70 |
$330.70 |
$330.70 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$330.70 |
$330.70 |
$330.70 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$413.05 |
$413.05 |
$413.05 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$537.20 |
$537.20 |
$537.20 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,070.25 |
$1,070.25 |
$1,070.25 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$91.75 |
$91.75 |
$91.75 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$66.40 |
$66.40 |
$66.40 |
$35.89
|
|
Susceptibility mic per plate
|
$129.60 |
$129.60 |
$129.60 |
$106.00
|
