|
Rmvl tv pm lead sgl
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,510.00 |
$3,510.00 |
$3,510.00 |
$2,203.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$7,612.00 |
$7,612.00 |
$7,612.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,320.00 |
$3,320.00 |
$3,320.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$7,905.00 |
$7,905.00 |
$7,905.00 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$9,076.00 |
$9,076.00 |
$9,076.00 |
$3,724.63
|
|
Rsv assay w/optic
|
$56.00 |
$56.00 |
$56.00 |
$76.32
|
|
Rubella antibody igg
|
$126.00 |
$126.00 |
$126.00 |
$77.40
|
|
Rubeola antibody igg
|
$147.00 |
$147.00 |
$147.00 |
$80.00
|
|
Russell viper venom diluted
|
$45.00 |
$45.00 |
$45.00 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$462.00 |
$462.00 |
$462.00 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$88.00 |
$88.00 |
$88.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$99.00 |
$99.00 |
$99.00 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$796.00 |
$796.00 |
$796.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$858.00 |
$858.00 |
$858.00 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$4,144.00 |
$4,144.00 |
$4,144.00 |
$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
|
$447.00 |
$447.00 |
$447.00 |
$310.20
|
|
Scrotal (Testicle) Ultrasound
|
$992.00 |
$992.00 |
$992.00 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$26.00 |
$26.00 |
$26.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$102.00 |
$102.00 |
$102.00 |
$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/<
|
$263.00 |
$263.00 |
$263.00 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$368.00 |
$368.00 |
$368.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$354.00 |
$354.00 |
$354.00 |
$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)
|
$500.00 |
$500.00 |
$500.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$618.00 |
$618.00 |
$618.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,842.00 |
$4,842.00 |
$4,842.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$4,210.00 |
$4,210.00 |
$4,210.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$8,136.00 |
$8,136.00 |
$8,136.00 |
$2,096.84
|
|
Shoulder X-ray
|
$974.00 |
$974.00 |
$974.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$618.00 |
$618.00 |
$618.00 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$686.00 |
$686.00 |
$686.00 |
$355.80
|
|
Sialography s&i
|
$446.00 |
$446.00 |
$446.00 |
$499.20
|
|
Sialolithotomy 42330
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$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)
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$4,566.00 |
$4,566.00 |
$4,566.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$482.00 |
$482.00 |
$482.00 |
$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
|
$611.00 |
$611.00 |
$611.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$484.00 |
$484.00 |
$484.00 |
$294.45
|
|
Skull X-ray (complete)
|
$484.00 |
$484.00 |
$484.00 |
$417.50
|
|
Sleep study attended
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$6,258.00 |
$6,258.00 |
$6,258.00 |
$3,734.50
|
|
Sleep study unattended
|
$732.00 |
$732.00 |
$732.00 |
$594.00
|
|
Slp eval non-spch gen comm dev
|
$855.00 |
$855.00 |
$855.00 |
$285.09
|
|
Slp pure tone screening
|
$127.00 |
$127.00 |
$127.00 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$344.00 |
$344.00 |
$344.00 |
$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)
|
$324.00 |
$324.00 |
$324.00 |
$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)
|
$274.00 |
$274.00 |
$274.00 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,214.00 |
$2,214.00 |
$2,214.00 |
$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
|
$20,111.00 |
$20,111.00 |
$20,111.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$162.00 |
$162.00 |
$162.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$272.00 |
$272.00 |
$272.00 |
$286.00
|
|
Stem cells total count
|
$491.00 |
$491.00 |
$491.00 |
$194.25
|
|
Stent iliac/open or perc/uni/init 37221
|
$30,928.00 |
$30,928.00 |
$30,928.00 |
$14,356.50
|
|
St evaluate speech sound production
|
$156.00 |
$156.00 |
$156.00 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$510.00 |
$510.00 |
$510.00 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$914.00 |
$914.00 |
$914.00 |
$1,345.40
|
|
Strapping of toes 29550
|
$310.00 |
$310.00 |
$310.00 |
$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/<
|
$209.00 |
$209.00 |
$209.00 |
$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
|
