|
Scan duplex extremity veins unilateral/limited study
|
$143.75 |
$143.75 |
$143.75 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$143.75 |
$143.75 |
$143.75 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$143.75 |
$143.75 |
$143.75 |
$595.35
|
|
Scan proc cranial extra
|
$212.44 |
$212.44 |
$212.44 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$342.54 |
$342.54 |
$342.54 |
$1,015.00
|
|
Scan proc spinal
|
$325.67 |
$325.67 |
$325.67 |
$2,544.58
|
|
Scap thorac prosth tiss shap
|
$8,580.63 |
$8,580.63 |
$8,580.63 |
$6,563.20
|
|
Sclerotherapy fluid collection pq w/img
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Scr c/v cyto, automated sys
|
$25.59 |
$25.59 |
$25.59 |
$36.80
|
|
Scr c/v cyto,autosys and md
|
$32.76 |
$32.76 |
$32.76 |
$55.20
|
|
Scr c/v cyto, autosys, rescr
|
$44.08 |
$44.08 |
$44.08 |
$59.28
|
|
Scr c/v cyto,thinlayer,rescr
|
$60.68 |
$60.68 |
$60.68 |
$88.00
|
|
Scr c/v cyto,thinlayer,rescr
|
$36.56 |
$36.56 |
$36.56 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$37.33 |
$37.33 |
$37.33 |
$54.40
|
|
Screen cerv/vag thin layer
|
$27.96 |
$27.96 |
$27.96 |
$86.56
|
|
Screen c/v thin layer by md
|
$32.76 |
$32.76 |
$32.76 |
$55.20
|
|
Screening Colonoscopy (average risk)
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$24.91 |
$24.91 |
$24.91 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$39.01 |
$39.01 |
$39.01 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$63.96 |
$63.96 |
$63.96 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$33.23 |
$33.23 |
$33.23 |
$42.30
|
|
Screening Mammogram
|
$121.76 |
$121.76 |
$121.76 |
$310.20
|
|
Screening pap smear by phys
|
$32.76 |
$32.76 |
$32.76 |
$41.00
|
|
Screening prostate cancer PSA
|
$26.65 |
$26.65 |
$26.65 |
$101.60
|
|
Screen pap by tech w md supv
|
$25.59 |
$25.59 |
$25.59 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$17.00 |
$17.00 |
$17.00 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$143.75 |
$143.75 |
$143.75 |
$612.55
|
|
Sc ther infusion reset pump
|
$99.00 |
$99.00 |
$99.00 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,186.29 |
$1,186.29 |
$1,186.29 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$332.98 |
$332.98 |
$332.98 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$8.28 |
$8.28 |
$8.28 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$3.73 |
$3.73 |
$3.73 |
$42.00
|
|
Segmentectomy 32484
|
$2,048.20 |
$2,048.20 |
$2,048.20 |
$2,915.40
|
|
Select picture audiometry
|
$81.12 |
$81.12 |
$81.12 |
$105.60
|
|
Self-adher band w>=3" <5"/yd
|
$1.55 |
$1.55 |
$1.55 |
$2.07
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$44.20 |
$44.20 |
$44.20 |
$94.25
|
|
Self-meas bp 2 readg bid 30d
|
$11.30 |
$11.30 |
$11.30 |
$11.30
|
|
Self-meas bp pt educaj/train
|
$39.77 |
$39.77 |
$39.77 |
$29.55
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$43.95 |
$43.95 |
$43.95 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$43.95 |
$43.95 |
$43.95 |
$33.04
|
|
Semen analysis
|
$8.97 |
$8.97 |
$8.97 |
$13.60
|
|
Semen analysis presence/motility
|
$16.63 |
$16.63 |
$16.63 |
$70.40
|
|
Semen analysis w/count
|
$11.88 |
$11.88 |
$11.88 |
$56.44
|
|
Sensorimotor examination
|
$81.12 |
$81.12 |
$81.12 |
$109.50
|
|
Sensorineural acuity lvl tst
|
$51.36 |
$51.36 |
$51.36 |
$129.36
|
|
Separate eyelid adhesions
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$264.96 |
$264.96 |
$264.96 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Sequestrectomy radial h/n
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Sequestrectomy shft/dstl hum
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,913.97
|
|
Serial tonometry
|
$36.31 |
$36.31 |
$36.31 |
$131.02
|
|
Serpina1 gene
|
$60.24 |
$60.24 |
$60.24 |
$195.65
|
|
Set radiation therapy field
|
$184.82 |
$184.82 |
$184.82 |
$787.50
|
|
Set radiation therapy field
|
$514.85 |
$514.85 |
$514.85 |
$1,183.38
|
|
Set radiation therapy field
|
$514.85 |
$514.85 |
$514.85 |
$1,641.90
|
|
Set-up cardiovert-defibrill
|
$422.32 |
$422.32 |
$422.32 |
$373.29
|
|
Set up port xray equipment
|
$34.58 |
$34.58 |
$34.58 |
$49.60
|
|
Sever cranial nerve
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,141.46
|
|
Sewhfo airplane without jnts cf
|
$2,593.25 |
$2,593.25 |
$2,593.25 |
$1,685.60
|
|
Sewhfo airplane w/jnt(s) cf
|
$3,061.71 |
$3,061.71 |
$3,061.71 |
$1,990.80
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$2,906.28 |
$2,906.28 |
$2,906.28 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$2,593.25 |
$2,593.25 |
$2,593.25 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$3,061.71 |
$3,061.71 |
$3,061.71 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$3,061.71 |
$3,061.71 |
$3,061.71 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$2,593.25 |
$2,593.25 |
$2,593.25 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$2,906.28 |
$2,906.28 |
$2,906.28 |
$1,890.00
|
|
Sewho erbs palsey design abd
|
$1,113.38 |
$1,113.38 |
$1,113.38 |
$988.40
|
|
Sex chromatin identification
|
$24.81 |
$24.81 |
$24.81 |
$45.60
|
|
Sex chromatin identification
|
$11.03 |
$11.03 |
$11.03 |
$20.80
|
|
Sex transformation f to m
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,846.99
|
|
Sex transformation m to f
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,841.60
|
|
Sf3b1 gene common variants
|
$266.69 |
$266.69 |
$266.69 |
$248.10
|
|
Sgmdsc w/band ligation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$275.88 |
$275.88 |
$275.88 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$275.88 |
$275.88 |
$275.88 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$558.97 |
$558.97 |
$558.97 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$558.97 |
$558.97 |
$558.97 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$275.88 |
$275.88 |
$275.88 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$275.88 |
$275.88 |
$275.88 |
$225.50
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$275.88 |
$275.88 |
$275.88 |
$270.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$558.97 |
$558.97 |
$558.97 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$558.97 |
$558.97 |
$558.97 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$275.88 |
$275.88 |
$275.88 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$275.88 |
$275.88 |
$275.88 |
$289.30
|
|
Sheath above knee
|
$35.00 |
$35.00 |
$35.00 |
$30.80
|
|
Sheath below knee
|
$26.59 |
$26.59 |
$26.59 |
$40.88
|
|
Sheath upper limb
|
$36.21 |
$36.21 |
$36.21 |
$28.00
|
|
Shigella antibody
|
$33.78 |
$33.78 |
$33.78 |
$49.60
|
|
Shlder disart int lock elbow
|
$7,542.67 |
$7,542.67 |
$7,542.67 |
$5,586.00
|
|
Shldr disar prosth tiss shap
|
$7,686.20 |
$7,686.20 |
$7,686.20 |
$5,717.60
|
|
Shldr disartic myoelectronic
|
$25,538.79 |
$25,538.79 |
$25,538.79 |
$16,682.40
|
|
Sho arthrs dx +- synovial bx
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
