|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$760.93 |
$2,074.00 |
$2,703.00 |
|
|
Spine device implant surgery
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Spine X-ray (single view, one level)
|
$47.60 |
$269.00 |
$366.40 |
|
|
Spirmtry w/brnchdil inf-2 yr
|
$296.91 |
$296.91 |
$296.91 |
|
|
Spirometry up to 2 yrs old
|
$176.93 |
$176.93 |
$176.93 |
|
|
Spleen imaging
|
$271.32 |
$549.70 |
$549.70 |
|
|
Splenectomy total open 38100
|
$1,620.30 |
$1,620.30 |
$1,620.30 |
|
|
Splice spleen/kidney veins
|
$3,256.92 |
$3,256.92 |
$3,256.92 |
|
|
Splicing of ureters
|
$1,493.66 |
$1,493.66 |
$1,493.66 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$388.80 |
$739.66 |
$782.17 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$25.00 |
$54.40 |
$101.39 |
|
|
Splint finger fold over sm
|
$42.00 |
$333.60 |
$356.00 |
|
|
Splint finger frog med
|
$20.00 |
$131.00 |
$131.00 |
|
|
Splint fing stax assort 1-7in
|
$3.70 |
$3.70 |
$3.70 |
|
|
Splint rstrc wrst/cmc right med
|
$54.40 |
$151.00 |
$356.00 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,676.00 |
$4,872.75 |
$5,281.36 |
|
|
Split blood or products
|
$32.90 |
$72.80 |
$279.00 |
|
|
Split flat caliper stirr & p
|
$162.23 |
$162.23 |
$162.23 |
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$175.89 |
$175.89 |
$175.89 |
|
|
Sprchoroidal spc njx rx agt
|
$454.19 |
$454.19 |
$454.19 |
|
|
Spring-ass rot wrst with latch
|
$1,212.37 |
$1,212.37 |
$1,212.37 |
|
|
Sputum specimen collection
|
$196.00 |
$234.27 |
$234.27 |
|
|
Sr-89 stront chlor ther / mci
|
$5,721.94 |
$5,721.94 |
$5,721.94 |
|
|
Srs cranial lesion complex
|
$2,078.06 |
$2,078.06 |
$2,078.06 |
|
|
Srs cranial lesion simple
|
$1,559.30 |
$1,559.30 |
$1,559.30 |
|
|
Srs cran les complex addl
|
$438.66 |
$438.66 |
$438.66 |
|
|
Srs cran les simple addl
|
$319.10 |
$319.10 |
$319.10 |
|
|
Srsf2 gene common variants
|
$242.05 |
$242.05 |
$242.05 |
|
|
Srs linear based
|
$1,902.88 |
$22,346.00 |
$26,944.00 |
|
|
Srs multisource
|
$10,127.56 |
$42,040.00 |
$42,040.00 |
|
|
Srs spinal lesion
|
$1,719.74 |
$1,719.74 |
$1,719.74 |
|
|
Srs spinal lesion addl
|
$368.16 |
$368.16 |
$368.16 |
|
|
Staggered spondaic word test
|
$176.93 |
$176.93 |
$176.93 |
|
|
Stainless steel any wrist
|
$485.48 |
$485.48 |
$485.48 |
|
|
St analysis behavior qualitative voice/resonance
|
$131.60 |
$171.00 |
$477.60 |
|
|
Stance phase only
|
$31,581.37 |
$31,581.37 |
$31,581.37 |
|
|
Standard control cable extra
|
$130.19 |
$130.19 |
$130.19 |
|
|
Staph a dna amp probe
|
$41.93 |
$66.74 |
$235.20 |
|
|
Static or dynami afo pre ots
|
$284.60 |
$1,186.76 |
$1,186.78 |
|
|
Stationary o2 contents, gas
|
$93.23 |
$93.23 |
$93.23 |
|
|
Stationary o2 contents, liq
|
$93.23 |
$93.23 |
$93.23 |
|
|
St cognitve performance testing healthcare professional each hour
|
$141.06 |
$286.00 |
$759.00 |
|
|
Stem cells total count
|
$36.66 |
$491.00 |
$491.00 |
|
|
Stenger test pure tone
|
$26.32 |
$81.12 |
$81.12 |
|
|
Stenger test speech
|
$119.84 |
$513.11 |
$513.11 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$24,247.00 |
$67,680.00 |
$67,680.00 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$17,814.16 |
$17,814.16 |
$17,814.16 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$15,394.96 |
$15,394.96 |
$15,394.96 |
|
|
Stent bronch dumon sil 10x40mm
|
$3,046.96 |
$3,046.96 |
$3,046.96 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,497.20 |
$34,365.00 |
$35,038.00 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$10,123.00 |
$16,730.00 |
$16,730.00 |
|
|
Stent placemt retro carotid
|
$1,253.28 |
$1,503.04 |
$12,185.04 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$21,960.96 |
$35,884.00 |
$43,609.00 |
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$2,146.07 |
$2,146.07 |
$2,146.07 |
|
|
Stereotactic radiation trmt
|
$597.62 |
$597.62 |
$597.62 |
|
|
Sterile gauze <= 16 sq in
|
$0.21 |
$0.21 |
$0.47 |
|
|
Sterile needle
|
$70.56 |
$70.56 |
$70.56 |
|
|
Sterile water/saline, 10 ml
|
$0.87 |
$0.87 |
$0.87 |
|
|
Sterile water/saline, 500 ml
|
$6.17 |
$6.17 |
$22.09 |
|
|
Sternal debridement
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Sternal pad
|
$170.17 |
$170.17 |
$170.17 |
|
|
St evaluate speech sound production
|
$127.12 |
$164.00 |
$458.00 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$124.32 |
$510.00 |
$748.00 |
|
|
Stimulation of spinal cord
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
|
|
Stocking sup grips 4 pre ots
|
$26.54 |
$26.54 |
$26.54 |
|
|
Stoma absorptive cover
|
$1.27 |
$1.27 |
$1.27 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$297.36 |
$828.00 |
$1,972.00 |
|
|
Storage/year embryo(s)
|
$234.27 |
$234.27 |
$234.27 |
|
|
Storage/year oocyte(s)
|
$234.27 |
$234.27 |
$234.27 |
|
|
Storage/year reprod tissue
|
$234.27 |
$234.27 |
$234.27 |
|
|
Storage/year sperm/semen
|
$234.27 |
$234.27 |
$234.27 |
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$669.71 |
$669.71 |
$669.71 |
|
|
Straight knee joint heavy du
|
$249.20 |
$249.20 |
$249.20 |
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$6.49 |
$6.49 |
$15.51 |
|
|
Strapping of ankle and/or ft 29540
|
$199.20 |
$223.45 |
$223.45 |
|
|
Strapping of chest
|
$223.45 |
$223.45 |
$223.45 |
|
|
Strapping of elbow or wrist 29260
|
$81.12 |
$81.12 |
$192.80 |
|
|
Strapping of hand or finger
|
$81.12 |
$434.00 |
$434.00 |
|
|
Strapping of hip
|
$182.95 |
$182.95 |
$182.95 |
|
|
Strapping of knee
|
$182.95 |
$182.95 |
$250.40 |
|
|
Strapping of toes 29550
|
$81.12 |
$345.00 |
$434.00 |
|
|
Strep a ag ia
|
$7.99 |
$23.20 |
$23.20 |
|
|
Strep a dna dir probe
|
$27.67 |
$27.67 |
$43.26 |
|
|
Strep a dna quant
|
$57.63 |
$57.63 |
$57.63 |
|
|
Strep b assay w/optic
|
$17.57 |
$17.57 |
$17.57 |
|
|
Strep b dna amp probe
|
$48.42 |
$178.00 |
$310.40 |
|
|
Streptokinase antibody
|
$6.11 |
$17.47 |
$17.47 |
|
|
Streptomycin injection
|
$46.75 |
$46.75 |
$46.75 |
|
|
Stress test pulmonary
|
$132.54 |
$664.00 |
$985.60 |
|
|
Stress tte complete
|
$751.34 |
$1,277.92 |
$3,019.00 |
|
|
Str markers spec anal addl
|
$143.35 |
$420.64 |
$752.80 |
|
|
Str markers specimen anal
|
$141.68 |
$321.64 |
$2,228.00 |
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$970.61 |
$970.61 |
$970.61 |
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$477.20 |
$477.20 |
$477.20 |
|
|
Subq njx filling matrl 1cc/<
|
$209.00 |
$232.00 |
$275.88 |
|
|
Subq njx fil matrl 5.1-10cc
|
$765.00 |
$1,016.25 |
$1,016.25 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$149.14 |
$149.14 |
$149.14 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$143.63 |
$143.63 |
$143.63 |
|
|
Subsequent repair of nerve
|
$149.63 |
$149.63 |
$149.63 |
|
