|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$614.05 |
$614.05 |
$614.05 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$185.00 |
$185.00 |
$185.00 |
$4,246.72
|
|
Screening hepatitis b non-obstetric high risk
|
$84.00 |
$84.00 |
$84.00 |
$60.00
|
|
Screening Mammogram
|
$869.25 |
$869.25 |
$869.25 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$9,208.55 |
$9,208.55 |
$9,208.55 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$1,132.40 |
$1,132.40 |
$1,132.40 |
$608.90
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$567.10 |
$567.10 |
$567.10 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$99.25 |
$99.25 |
$99.25 |
$42.00
|
|
Select picture audiometry
|
$176.85 |
$176.85 |
$176.85 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$167.35 |
$167.35 |
$167.35 |
$96.60
|
|
Semen analysis presence/motility
|
$52.50 |
$52.50 |
$52.50 |
$70.40
|
|
Serial casting application 97139app
|
$141.75 |
$141.75 |
$141.75 |
$78.39
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$338.30 |
$338.30 |
$338.30 |
$235.13
|
|
Shoe post-op mens m
|
$22.80 |
$22.80 |
$22.80 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$190.20 |
$190.20 |
$190.20 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$674.85 |
$674.85 |
$674.85 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$663.00 |
$663.00 |
$663.00 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,850.55 |
$2,850.55 |
$2,850.55 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,339.00 |
$2,339.00 |
$2,339.00 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$2,088.20
|
|
Shoulder X-ray
|
$437.25 |
$437.25 |
$437.25 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$318.50 |
$318.50 |
$318.50 |
$264.00
|
|
Sialography s&i
|
$1,409.90 |
$1,409.90 |
$1,409.90 |
$499.20
|
|
Sialolithotomy 42330
|
$434.55 |
$434.55 |
$434.55 |
$3,837.72
|
|
Sickling rbc
|
$201.10 |
$201.10 |
$201.10 |
$59.40
|
|
Sigmoidoscopy flex decompression 45337
|
$1,545.25 |
$1,545.25 |
$1,545.25 |
$1,078.88
|
|
Sincalide 5 mcg solution for injection
|
$1,273.29 |
$1,273.29 |
$1,273.29 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,953.20 |
$2,953.20 |
$2,953.20 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,306.60 |
$2,306.60 |
$2,306.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,920.60 |
$1,920.60 |
$1,920.60 |
$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 |
$347.10
|
|
Sinus X-ray (limited)
|
$663.00 |
$663.00 |
$663.00 |
$215.75
|
|
Sipuleucel-t - su
|
$149,482.25 |
$149,482.25 |
$149,482.25 |
$100,990.51
|
|
Skin Biopsy
|
$378.65 |
$378.65 |
$378.65 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$663.00 |
$663.00 |
$663.00 |
$294.66
|
|
Skull X-ray (complete)
|
$1,160.70 |
$1,160.70 |
$1,160.70 |
$423.15
|
|
Skyla, 13.5 mg
|
$2,414.97 |
$2,414.97 |
$2,414.97 |
$1,643.47
|
|
Sleep study attended
|
$2,681.85 |
$2,681.85 |
$2,681.85 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$5,591.75 |
$5,591.75 |
$5,591.75 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$562.75 |
$562.75 |
$562.75 |
$203.58
|
|
Sling suprapubic suburetheral
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$9,679.96
|
|
Slitting of prepuce
|
$3,690.10 |
$3,690.10 |
$3,690.10 |
$3,376.23
|
|
Slp eval non-spch gen comm dev
|
$548.15 |
$548.15 |
$548.15 |
$285.09
|
|
Slp pure tone screening
|
$59.00 |
$59.00 |
$59.00 |
$64.50
|
|
Slp ther svc non-spch gen
|
$413.40 |
$413.40 |
$413.40 |
$188.00
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,504.95 |
$1,504.95 |
$1,504.95 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$25.80 |
$25.80 |
$25.80 |
$64.20
|
|
Smear gram stain
|
$77.85 |
$77.85 |
$77.85 |
$55.42
|
|
Smear nasal eosinophil
|
$161.75 |
$161.75 |
$161.75 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$92.50 |
$92.50 |
$92.50 |
$73.15
|
|
Smear wet mount
|
$148.45 |
$148.45 |
$148.45 |
$67.49
|
|
Smpd1 gene common variants
|
$158.10 |
$158.10 |
$158.10 |
$133.84
|
|
Sodium 24 hour urine
|
$164.75 |
$164.75 |
$164.75 |
$48.75
|
|
Sodium chloride 0.9 % IV bolus
|
$0.21 |
$0.21 |
$0.21 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$7.35 |
$7.35 |
$7.35 |
$37.64
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$310.36 |
$310.36 |
$310.36 |
$80.73
|
|
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
|
$790.54 |
$790.54 |
$790.54 |
$177.52
|
|
Spacer bag/reservoir
|
$26.00 |
$26.00 |
$26.00 |
$26.00
|
|
Specific gravity body fluid
|
$9.70 |
$9.70 |
$9.70 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$619.60 |
$619.60 |
$619.60 |
$385.00
|
|
Speech audiometry complete
|
$121.45 |
$121.45 |
$121.45 |
$109.20
|
|
Speech recep thresh
|
$129.65 |
$129.65 |
$129.65 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$688.40 |
$688.40 |
$688.40 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,519.55 |
$2,519.55 |
$2,519.55 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$296.95 |
$296.95 |
$296.95 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$930.40 |
$930.40 |
$930.40 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$53.40 |
$53.40 |
$53.40 |
$71.44
|
|
Splint finger fold over sm
|
$57.75 |
$57.75 |
$57.75 |
$146.88
|
|
Splint func pos polyflex ii med
|
$101.80 |
$101.80 |
$101.80 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$148.45 |
$148.45 |
$148.45 |
$99.04
|
|
Staggered spondaic word test
|
$267.80 |
$267.80 |
$267.80 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$643.75 |
$643.75 |
$643.75 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$704.55 |
$704.55 |
$704.55 |
$286.00
|
|
Stenger test pure tone
|
$106.70 |
$106.70 |
$106.70 |
$77.84
|
|
Stenger test speech
|
$940.10 |
$940.10 |
$940.10 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$7,084.00 |
$7,084.00 |
$7,084.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,136.75 |
$2,136.75 |
$2,136.75 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,136.75 |
$2,136.75 |
$2,136.75 |
$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 |
$8,948.40
|
|
Sterile needle
|
$123.60 |
$123.60 |
$123.60 |
$190.13
|
|
St evaluate speech sound production
|
$263.15 |
$263.15 |
$263.15 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$754.45 |
$754.45 |
$754.45 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$3,165.05 |
$3,165.05 |
$3,165.05 |
$1,342.00
|
|
Strapping of ankle and/or ft 29540
|
$288.80 |
$288.80 |
$288.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$67.45 |
$67.45 |
$67.45 |
$157.46
|
|
Strapping of hand or finger
|
$236.90 |
$236.90 |
$236.90 |
$174.82
|
|
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 test pulmonary
|
$302.35 |
$302.35 |
$302.35 |
$324.00
|
|
Stress tte complete
|
$1,434.75 |
$1,434.75 |
$1,434.75 |
$1,894.20
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.48 |
$22.48 |
$22.48 |
$54.80
|