|
Scan duplex upper extremity arteries unilateral/limited study left
|
$784.00 |
$784.00 |
$784.00 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$4,604.00 |
$4,604.00 |
$4,604.00 |
$2,144.48
|
|
Screening Colonoscopy (average risk)
|
$872.59 |
$872.59 |
$872.59 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$872.59 |
$872.59 |
$872.59 |
$2,249.00
|
|
Screening Mammogram
|
$507.00 |
$507.00 |
$507.00 |
$310.20
|
|
Scrotal (Testicle) Ultrasound
|
$887.00 |
$887.00 |
$887.00 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$26.00 |
$26.00 |
$26.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$126.30 |
$126.30 |
$126.30 |
$96.00
|
|
Semen analysis presence/motility
|
$99.00 |
$99.00 |
$99.00 |
$70.40
|
|
Semen analysis w/count
|
$28.00 |
$28.00 |
$28.00 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$148.00 |
$148.00 |
$148.00 |
$126.43
|
|
Set radiation therapy field
|
$709.00 |
$709.00 |
$709.00 |
$782.61
|
|
Set radiation therapy field
|
$1,806.26 |
$1,806.26 |
$1,806.26 |
$1,159.03
|
|
Set radiation therapy field
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$292.00 |
$292.00 |
$292.00 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$345.00 |
$345.00 |
$345.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$393.00 |
$393.00 |
$393.00 |
$314.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$197.00 |
$197.00 |
$197.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$501.00 |
$501.00 |
$501.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$619.00 |
$619.00 |
$619.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,525.00 |
$4,525.00 |
$4,525.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,935.00 |
$3,935.00 |
$3,935.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$7,604.00 |
$7,604.00 |
$7,604.00 |
$2,096.84
|
|
Shoulder X-ray
|
$976.00 |
$976.00 |
$976.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$619.00 |
$619.00 |
$619.00 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$762.00 |
$762.00 |
$762.00 |
$355.80
|
|
Sialography s&i
|
$495.00 |
$495.00 |
$495.00 |
$499.20
|
|
Sialolithotomy 42330
|
$4,293.00 |
$4,293.00 |
$4,293.00 |
$3,837.72
|
|
Sickling rbc
|
$52.00 |
$52.00 |
$52.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$872.59 |
$872.59 |
$872.59 |
$1,446.90
|
|
Sigmoidoscopy w/tumr remove
|
$380.00 |
$380.00 |
$380.00 |
$1,645.43
|
|
Sinus CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$3,970.00 |
$3,970.00 |
$3,970.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$483.00 |
$483.00 |
$483.00 |
$346.45
|
|
Sinus X-ray (limited)
|
$282.00 |
$282.00 |
$282.00 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$148.00 |
$148.00 |
$148.00 |
$83.85
|
|
Skin Biopsy
|
$593.00 |
$593.00 |
$593.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$485.00 |
$485.00 |
$485.00 |
$294.45
|
|
Skull X-ray (complete)
|
$485.00 |
$485.00 |
$485.00 |
$417.50
|
|
Sleep study attended
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$5,683.00 |
$5,683.00 |
$5,683.00 |
$3,734.50
|
|
Sleep study unattended
|
$665.00 |
$665.00 |
$665.00 |
$594.00
|
|
Slp eval non-spch gen comm dev
|
$900.00 |
$900.00 |
$900.00 |
$285.09
|
|
Slp pure tone screening
|
$127.00 |
$127.00 |
$127.00 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$355.00 |
$355.00 |
$355.00 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$35.00 |
$35.00 |
$35.00 |
$64.35
|
|
Smear gram stain
|
$28.00 |
$28.00 |
$28.00 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$32.00 |
$32.00 |
$32.00 |
$73.50
|
|
Smear wet mount
|
$76.00 |
$76.00 |
$76.00 |
$67.55
|
|
Snrpn/ube3a gene
|
$225.00 |
$225.00 |
$225.00 |
$230.63
|
|
Sodium 24 hour urine
|
$19.00 |
$19.00 |
$19.00 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$18.00 |
$18.00 |
$18.00 |
$46.26
|
|
Special physics consult
|
$709.00 |
$709.00 |
$709.00 |
$725.00
|
|
Special radiation treatment
|
$3,353.00 |
$3,353.00 |
$3,353.00 |
$2,052.00
|
|
Special teletx port plan
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$1,095.05
|
|
Speech and Language Evaluation (comprehensive)
|
$341.00 |
$341.00 |
$341.00 |
$384.80
|
|
Speech audiometry complete
|
$311.00 |
$311.00 |
$311.00 |
$109.20
|
|
Speech recep thresh
|
$159.00 |
$159.00 |
$159.00 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$288.00 |
$288.00 |
$288.00 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,074.00 |
$2,074.00 |
$2,074.00 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$269.00 |
$269.00 |
$269.00 |
$251.00
|
|
Split blood or products
|
$67.51 |
$67.51 |
$67.51 |
$127.80
|
|
Srs linear based
|
$22,346.00 |
$22,346.00 |
$22,346.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$171.00 |
$171.00 |
$171.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$286.00 |
$286.00 |
$286.00 |
$286.00
|
|
Stem cells total count
|
$491.00 |
$491.00 |
$491.00 |
$194.25
|
|
Stent iliac/open or perc/uni/init 37221
|
$34,365.00 |
$34,365.00 |
$34,365.00 |
$14,356.50
|
|
St evaluate speech sound production
|
$164.00 |
$164.00 |
$164.00 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$537.00 |
$537.00 |
$537.00 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$828.00 |
$828.00 |
$828.00 |
$1,345.40
|
|
Strapping of toes 29550
|
$345.00 |
$345.00 |
$345.00 |
$164.70
|
|
Strep b dna amp probe
|
$178.00 |
$178.00 |
$178.00 |
$124.15
|
|
Stress test pulmonary
|
$664.00 |
$664.00 |
$664.00 |
$324.00
|
|
Str markers specimen anal
|
$2,228.00 |
$2,228.00 |
$2,228.00 |
$756.60
|
|
Subq njx filling matrl 1cc/<
|
$232.00 |
$232.00 |
$232.00 |
$237.00
|
|
Sulfonylurea screen qn-sendout
|
$162.00 |
$162.00 |
$162.00 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$81.00 |
$81.00 |
$81.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$152.00 |
$152.00 |
$152.00 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$181.00 |
$181.00 |
$181.00 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$292.00 |
$292.00 |
$292.00 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$489.00 |
$489.00 |
$489.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$815.00 |
$815.00 |
$815.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$17.00 |
$17.00 |
$17.00 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$22.00 |
$22.00 |
$22.00 |
$35.89
|
|
Susceptibility mic per plate
|
$58.00 |
$58.00 |
$58.00 |
$106.00
|
|
Svc venogram s&i
|
$1,994.00 |
$1,994.00 |
$1,994.00 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$439.00 |
$439.00 |
$439.00 |
$316.80
|
|
Swallowing Therapy Session
|
$281.00 |
$281.00 |
$281.00 |
$232.56
|
|
Sweat collection by iontophoresis
|
$135.00 |
$135.00 |
$135.00 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$51.00 |
$51.00 |
$51.00 |
$42.24
|
|
T3 (triiodothyronine) free
|
$68.00 |
$68.00 |
$68.00 |
$100.32
|
|
T3 (triiodothyronine) total
|
$56.00 |
$56.00 |
$56.00 |
$93.52
|
|
T4 (thyroxine) free
|
$37.00 |
$37.00 |
$37.00 |
$89.60
|
|
T4 (thyroxine) total
|
$22.00 |
$22.00 |
$22.00 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$97.00 |
$97.00 |
$97.00 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$302.00 |
$302.00 |
$302.00 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$3,726.00 |
$3,726.00 |
$3,726.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$4,026.00 |
$4,026.00 |
$4,026.00 |
$1,701.91
|
