|
Rmvl perm pm pulse gen
|
$3,059.28 |
$3,059.28 |
$3,059.28 |
$6,820.50
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$16,381.68 |
$16,381.68 |
$16,381.68 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,916.00 |
$13,916.00 |
$13,916.00 |
$11,241.96
|
|
Rmvl pq iabp
|
$163.52 |
$163.52 |
$163.52 |
$1,116.00
|
|
Rmvl subq card rhythm mntr
|
$1,052.24 |
$1,052.24 |
$1,052.24 |
$2,079.40
|
|
Rmvl tv pm lead dual
|
$3,059.28 |
$3,059.28 |
$3,059.28 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,712.08 |
$2,712.08 |
$2,712.08 |
$4,028.20
|
|
Rp loclzj tum 2+area 1+d img
|
$681.52 |
$681.52 |
$681.52 |
$1,283.66
|
|
Rp loclzj tum spect w/ct 1
|
$1,076.88 |
$1,076.88 |
$1,076.88 |
$2,505.00
|
|
Rp loclzj tum spect w/ct 2
|
$1,076.88 |
$1,076.88 |
$1,076.88 |
$3,139.20
|
|
Rubella antibody igg
|
$32.48 |
$32.48 |
$32.48 |
$73.05
|
|
Rubeola antibody igg
|
$24.64 |
$24.64 |
$24.64 |
$80.00
|
|
Russell viper venom diluted
|
$26.88 |
$26.88 |
$26.88 |
$73.03
|
|
Salivary glnd img serial img
|
$243.60 |
$243.60 |
$243.60 |
$585.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$342.16 |
$342.16 |
$342.16 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$168.00 |
$168.00 |
$168.00 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$400.40 |
$400.40 |
$400.40 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$241.92 |
$241.92 |
$241.92 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$502.32 |
$502.32 |
$502.32 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$627.76 |
$627.76 |
$627.76 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$851.20 |
$851.20 |
$851.20 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$671.44 |
$671.44 |
$671.44 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$532.00 |
$532.00 |
$532.00 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$1,842.96 |
$1,842.96 |
$1,842.96 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$30.80 |
$30.80 |
$30.80 |
$76.70
|
|
Screen cerv/vag thin layer
|
$33.04 |
$33.04 |
$33.04 |
$61.20
|
|
Screening Mammogram
|
$175.84 |
$175.84 |
$175.84 |
$287.12
|
|
Screen pap by tech w md supv
|
$25.20 |
$25.20 |
$25.20 |
$27.65
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,491.20 |
$4,491.20 |
$4,491.20 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$82.32 |
$82.32 |
$82.32 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$11.76 |
$11.76 |
$11.76 |
$37.80
|
|
Semen analysis w/count
|
$20.72 |
$20.72 |
$20.72 |
$56.44
|
|
Set radiation therapy field
|
$542.64 |
$542.64 |
$542.64 |
$709.00
|
|
Set radiation therapy field
|
$635.04 |
$635.04 |
$635.04 |
$1,029.00
|
|
Set radiation therapy field
|
$913.36 |
$913.36 |
$913.36 |
$1,601.60
|
|
Shoulder MRI (with and without contrast)
|
$2,591.68 |
$2,591.68 |
$2,591.68 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,495.36 |
$2,495.36 |
$2,495.36 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$1,938.28
|
|
Shoulder X-ray
|
$228.48 |
$228.48 |
$228.48 |
$307.20
|
|
Sialography s&i
|
$356.16 |
$356.16 |
$356.16 |
$403.70
|
|
Sickling rbc
|
$21.28 |
$21.28 |
$21.28 |
$53.40
|
|
Signal avg ecg w or without ecg 93278
|
$338.24 |
$338.24 |
$338.24 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$794.64 |
$794.64 |
$794.64 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$743.12 |
$743.12 |
$743.12 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$677.04 |
$677.04 |
$677.04 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$1,363.60 |
$1,363.60 |
$1,363.60 |
$2,052.67
|
|
Skin Biopsy
|
$266.00 |
$266.00 |
$266.00 |
$362.40
|
|
Sling arm deluxe w/pad xs
|
$87.36 |
$87.36 |
$87.36 |
$37.80
|
|
Slp pure tone screening
|
$59.92 |
$59.92 |
$59.92 |
$64.50
|
|
Smear fluorescent and/or acid fast stain
|
$29.12 |
$29.12 |
$29.12 |
$50.70
|
|
Smear gram stain
|
$26.32 |
$26.32 |
$26.32 |
$48.00
|
|
Smear nasal eosinophil
|
$26.32 |
$26.32 |
$26.32 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$33.60 |
$33.60 |
$33.60 |
$60.00
|
|
Smpd1 gene common variants
|
$36.40 |
$36.40 |
$36.40 |
$127.86
|
|
Sodium 24 hour urine
|
$9.52 |
$9.52 |
$9.52 |
$47.25
|
|
Sodium serum/plasma/whole blood
|
$9.52 |
$9.52 |
$9.52 |
$42.43
|
|
Special physics consult
|
$185.92 |
$185.92 |
$185.92 |
$688.05
|
|
Special radiation dosimetry
|
$361.20 |
$361.20 |
$361.20 |
$482.08
|
|
Special radiation treatment
|
$791.28 |
$791.28 |
$791.28 |
$1,945.00
|
|
Special teletx port plan
|
$296.80 |
$296.80 |
$296.80 |
$975.60
|
|
Specific gravity body fluid
|
$11.76 |
$11.76 |
$11.76 |
$21.55
|
|
Speech recep thresh
|
$41.44 |
$41.44 |
$41.44 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$815.36 |
$815.36 |
$815.36 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$341.60 |
$341.60 |
$341.60 |
$526.80
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,339.44 |
$4,339.44 |
$4,339.44 |
$4,543.60
|
|
Split blood or products
|
$72.80 |
$72.80 |
$72.80 |
$143.64
|
|
Srs linear based
|
$1,902.88 |
$1,902.88 |
$1,902.88 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$131.60 |
$131.60 |
$131.60 |
$295.10
|
|
Staph a dna amp probe
|
$45.92 |
$45.92 |
$45.92 |
$116.39
|
|
Stenger test pure tone
|
$41.44 |
$41.44 |
$41.44 |
$75.60
|
|
Stenger test speech
|
$119.84 |
$119.84 |
$119.84 |
$404.25
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,815.28 |
$17,815.28 |
$17,815.28 |
$19,385.83
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$12,569.76 |
$12,569.76 |
$12,569.76 |
$10,086.20
|
|
Stent placemt retro carotid
|
$1,253.28 |
$1,253.28 |
$1,253.28 |
$5,623.15
|
|
St evaluate speech sound production
|
$127.12 |
$127.12 |
$127.12 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$215.04 |
$215.04 |
$215.04 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$243.60 |
$243.60 |
$243.60 |
$336.00
|
|
St evaluation swallow function
|
$182.56 |
$182.56 |
$182.56 |
$323.72
|
|
Stress test pulmonary
|
$255.92 |
$255.92 |
$255.92 |
$330.63
|
|
Stress tte complete
|
$1,117.76 |
$1,117.76 |
$1,117.76 |
$1,989.60
|
|
Str markers specimen anal
|
$141.68 |
$141.68 |
$141.68 |
$978.25
|
|
St treatment speech individual
|
$91.28 |
$91.28 |
$91.28 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$106.40 |
$106.40 |
$106.40 |
$221.00
|
|
Surgical pathology level 1 gross examination only
|
$22.40 |
$22.40 |
$22.40 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$148.96 |
$148.96 |
$148.96 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$52.64 |
$52.64 |
$52.64 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$84.56 |
$84.56 |
$84.56 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$142.80 |
$142.80 |
$142.80 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$171.92 |
$171.92 |
$171.92 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$11.20 |
$11.20 |
$11.20 |
$38.58
|
|
Susceptibility mic per plate
|
$20.72 |
$20.72 |
$20.72 |
$89.70
|
|
Svc venogram s&i
|
$1,345.12 |
$1,345.12 |
$1,345.12 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$24.08 |
$24.08 |
$24.08 |
$45.70
|
|
System cardiomems hosp electronics
|
$48,109.04 |
$48,109.04 |
$48,109.04 |
$53,437.50
|
|
T3 (triiodothyronine) free
|
$47.60 |
$47.60 |
$47.60 |
$91.20
|
|
T3 (triiodothyronine) total
|
$61.04 |
$61.04 |
$61.04 |
$88.00
|
|
T4 (thyroxine) free
|
$42.56 |
$42.56 |
$42.56 |
$65.00
|
|
T4 (thyroxine) total
|
$21.84 |
$21.84 |
$21.84 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$31.36 |
$31.36 |
$31.36 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,928.40
|
