|
Scan duplex upper extremity arteries unilateral/limited study left
|
$490.70 |
$490.70 |
$490.70 |
$597.35
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$53.00 |
$53.00 |
$53.00 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$254.05 |
$254.05 |
$254.05 |
$60.00
|
|
Screening Mammogram
|
$399.00 |
$399.00 |
$399.00 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$4,089.00 |
$4,089.00 |
$4,089.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$634.90 |
$634.90 |
$634.90 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$103.80 |
$103.80 |
$103.80 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$41.75 |
$41.75 |
$41.75 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$191.35 |
$191.35 |
$191.35 |
$96.00
|
|
Semen analysis presence/motility
|
$133.40 |
$133.40 |
$133.40 |
$70.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$591.50 |
$591.50 |
$591.50 |
$235.13
|
|
Shot (Injection into Muscle or Under the Skin)
|
$242.65 |
$242.65 |
$242.65 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$303.25 |
$303.25 |
$303.25 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$235.85 |
$235.85 |
$235.85 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,956.45 |
$3,956.45 |
$3,956.45 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,554.55 |
$2,554.55 |
$2,554.55 |
$2,096.84
|
|
Shoulder X-ray
|
$248.05 |
$248.05 |
$248.05 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$191.35 |
$191.35 |
$191.35 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$4,538.82
|
|
Sickling rbc
|
$63.40 |
$63.40 |
$63.40 |
$59.40
|
|
Sigmoidoscopy flex decompression 45337
|
$2,702.00 |
$2,702.00 |
$2,702.00 |
$1,078.88
|
|
Sincalide 5 mcg solution for injection
|
$595.19 |
$595.19 |
$595.19 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,503.35 |
$2,503.35 |
$2,503.35 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,003.20 |
$2,003.20 |
$2,003.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$320.90 |
$320.90 |
$320.90 |
$346.45
|
|
Sinus X-ray (limited)
|
$256.15 |
$256.15 |
$256.15 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$292.50 |
$292.50 |
$292.50 |
$294.45
|
|
Skull X-ray (complete)
|
$374.70 |
$374.70 |
$374.70 |
$417.50
|
|
Skyla, 13.5 mg
|
$3,076.02 |
$3,076.02 |
$3,076.02 |
$1,643.47
|
|
Sleep study unattended
|
$446.15 |
$446.15 |
$446.15 |
$594.00
|
|
Sleeve fing rolyan med
|
$934.00 |
$934.00 |
$934.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$9,679.96
|
|
Slp ther svc non-spch gen
|
$486.65 |
$486.65 |
$486.65 |
$188.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$924.65 |
$924.65 |
$924.65 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$52.35 |
$52.35 |
$52.35 |
$64.35
|
|
Smear gram stain
|
$49.85 |
$49.85 |
$49.85 |
$55.55
|
|
Smear nasal eosinophil
|
$33.35 |
$33.35 |
$33.35 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$67.35 |
$67.35 |
$67.35 |
$73.50
|
|
Smear wet mount
|
$48.35 |
$48.35 |
$48.35 |
$67.55
|
|
Smpd1 gene common variants
|
$335.15 |
$335.15 |
$335.15 |
$133.84
|
|
Sodium 24 hour urine
|
$47.60 |
$47.60 |
$47.60 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$157.14 |
$157.14 |
$157.14 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$0.11 |
$0.11 |
$0.11 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$157.14 |
$157.14 |
$157.14 |
$37.64
|
|
Sodium serum/plasma/whole blood
|
$55.30 |
$55.30 |
$55.30 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$451.15 |
$451.15 |
$451.15 |
$177.52
|
|
Specific gravity body fluid
|
$25.10 |
$25.10 |
$25.10 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$436.85 |
$436.85 |
$436.85 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$334.30 |
$334.30 |
$334.30 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$932.85 |
$932.85 |
$932.85 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$191.35 |
$191.35 |
$191.35 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,850.45 |
$1,850.45 |
$1,850.45 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$236.15 |
$236.15 |
$236.15 |
$71.44
|
|
Splint finger fold over sm
|
$283.40 |
$283.40 |
$283.40 |
$146.88
|
|
Splint finger frog med
|
$155.20 |
$155.20 |
$155.20 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$523.70 |
$523.70 |
$523.70 |
$99.04
|
|
Split blood or products
|
$256.15 |
$256.15 |
$256.15 |
$127.80
|
|
St analysis behavior qualitative voice/resonance
|
$436.85 |
$436.85 |
$436.85 |
$297.60
|
|
Static or dynami afo pre ots
|
$167.15 |
$167.15 |
$167.15 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$406.50 |
$406.50 |
$406.50 |
$286.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$170.97 |
$170.97 |
$170.97 |
$2,704.27
|
|
Sterile needle
|
$261.50 |
$261.50 |
$261.50 |
$190.13
|
|
Sterile water/saline, 10 ml
|
$4.00 |
$4.00 |
$4.00 |
$13.32
|
|
St evaluate speech sound production
|
$436.85 |
$436.85 |
$436.85 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$746.80 |
$746.80 |
$746.80 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,686.40 |
$1,686.40 |
$1,686.40 |
$1,345.40
|
|
Strapping of hand or finger
|
$372.10 |
$372.10 |
$372.10 |
$177.45
|
|
Strep a ag ia
|
$104.90 |
$104.90 |
$104.90 |
$75.40
|
|
Stress test pulmonary
|
$291.20 |
$291.20 |
$291.20 |
$324.00
|
|
Stress tte complete
|
$1,867.55 |
$1,867.55 |
$1,867.55 |
$1,900.96
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$57.99 |
$57.99 |
$57.99 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$10,080.30 |
$10,080.30 |
$10,080.30 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$69.93 |
$69.93 |
$69.93 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$61.34 |
$61.34 |
$61.34 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$78.15 |
$78.15 |
$78.15 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$168.55 |
$168.55 |
$168.55 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$168.55 |
$168.55 |
$168.55 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$275.85 |
$275.85 |
$275.85 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$429.35 |
$429.35 |
$429.35 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,110.10 |
$1,110.10 |
$1,110.10 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$54.00 |
$54.00 |
$54.00 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$35.05 |
$35.05 |
$35.05 |
$35.89
|
|
Susceptibility mic per plate
|
$97.25 |
$97.25 |
$97.25 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$479.90 |
$479.90 |
$479.90 |
$316.80
|
|
Swallowing Therapy Session
|
$277.70 |
$277.70 |
$277.70 |
$232.56
|
|
Sweat collection by iontophoresis
|
$51.70 |
$51.70 |
$51.70 |
$123.78
|
|
Synch audio-only est high 40
|
$264.60 |
$264.60 |
$264.60 |
$196.80
|
|
Synch audio-only est low 20
|
$121.10 |
$121.10 |
$121.10 |
$93.60
|
|
Synch audio-only est mod 30
|
$179.20 |
$179.20 |
$179.20 |
$136.64
|
|
Synch audio-only est sf 10
|
$66.50 |
$66.50 |
$66.50 |
$53.20
|
|
Synch audio-only new high 60
|
$324.80 |
$324.80 |
$324.80 |
$207.64
|
|
Synch audio-only new low 30
|
$156.80 |
$156.80 |
$156.80 |
$120.80
|
|
Synch audio-only new mod 45
|
$247.10 |
$247.10 |
$247.10 |
$176.70
|
|
Synch audio-only new sf 15
|
$90.30 |
$90.30 |
$90.30 |
$71.20
|
|
Synvisc or synvisc-one
|
$4,165.57 |
$4,165.57 |
$4,165.57 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$37.35 |
$37.35 |
$37.35 |
$42.24
|
|
T3 (triiodothyronine) free
|
$186.00 |
$186.00 |
$186.00 |
$100.32
|
|
T3 (triiodothyronine) total
|
$155.05 |
$155.05 |
$155.05 |
$93.52
|