|
Sodium chloride 0.9 % IV bolus
|
$29.09 |
$29.09 |
$29.09 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$27.64 |
$27.64 |
$27.64 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$25.98 |
$25.98 |
$25.98 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$146.54 |
$146.54 |
$146.54 |
$80.14
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$387.65 |
$387.65 |
$387.65 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$80.86 |
$80.86 |
$80.86 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$230.33 |
$230.33 |
$230.33 |
$177.52
|
|
Soft interface below knee se
|
$175.56 |
$175.56 |
$175.56 |
$179.08
|
|
So vest canvas/web pre ots
|
$256.54 |
$256.54 |
$256.54 |
$256.54
|
|
Special physics consult
|
$2,934.62 |
$2,934.62 |
$2,934.62 |
$725.00
|
|
Special radiation dosimetry
|
$501.14 |
$501.14 |
$501.14 |
$392.50
|
|
Special radiation treatment
|
$2,096.75 |
$2,096.75 |
$2,096.75 |
$2,052.00
|
|
Special teletx port plan
|
$587.83 |
$587.83 |
$587.83 |
$1,095.05
|
|
Specific gravity body fluid
|
$63.95 |
$63.95 |
$63.95 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$240.35 |
$240.35 |
$240.35 |
$384.80
|
|
Speech audiometry complete
|
$92.79 |
$92.79 |
$92.79 |
$109.20
|
|
Speech recep thresh
|
$61.49 |
$61.49 |
$61.49 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$240.35 |
$240.35 |
$240.35 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,053.36 |
$1,053.36 |
$1,053.36 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$208.99 |
$208.99 |
$208.99 |
$251.00
|
|
Spleen imaging
|
$877.07 |
$877.07 |
$877.07 |
$679.00
|
|
Splint arm vnyl coated padded lft med
|
$292.32 |
$292.32 |
$292.32 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$969.47 |
$969.47 |
$969.47 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$129.25 |
$129.25 |
$129.25 |
$71.44
|
|
Splint finger fold over sm
|
$171.36 |
$171.36 |
$171.36 |
$146.88
|
|
Splint finger frog med
|
$91.78 |
$91.78 |
$91.78 |
$38.08
|
|
Splint func pos polyflex ii med
|
$365.06 |
$365.06 |
$365.06 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$190.06 |
$190.06 |
$190.06 |
$99.04
|
|
Split flat caliper stirr & p
|
$206.81 |
$206.81 |
$206.81 |
$109.20
|
|
Spring-ass rot wrst with latch
|
$1,502.59 |
$1,502.59 |
$1,502.59 |
$722.40
|
|
Sr-89 stront chlor ther / mci
|
$1,478.90 |
$1,478.90 |
$1,478.90 |
$2,515.15
|
|
Srs linear based
|
$7,825.78 |
$7,825.78 |
$7,825.78 |
$14,124.25
|
|
Stainless steel any wrist
|
$601.72 |
$601.72 |
$601.72 |
$243.60
|
|
St analysis behavior qualitative voice/resonance
|
$240.35 |
$240.35 |
$240.35 |
$297.60
|
|
Stance phase only
|
$35,786.58 |
$35,786.58 |
$35,786.58 |
$20,512.80
|
|
Standard control cable extra
|
$165.98 |
$165.98 |
$165.98 |
$114.80
|
|
Staph a dna amp probe
|
$94.30 |
$94.30 |
$94.30 |
$125.00
|
|
Static or dynami afo pre ots
|
$71.40 |
$71.40 |
$71.40 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$240.35 |
$240.35 |
$240.35 |
$286.00
|
|
Stenger test pure tone
|
$61.49 |
$61.49 |
$61.49 |
$77.84
|
|
Stenger test speech
|
$171.36 |
$171.36 |
$171.36 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$31,776.14 |
$31,776.14 |
$31,776.14 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,490.68 |
$6,490.68 |
$6,490.68 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$25,661.44 |
$25,661.44 |
$25,661.44 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$33,546.24 |
$33,546.24 |
$33,546.24 |
$4,631.82
|
|
Sterile water/saline, 10 ml
|
$7.80 |
$7.80 |
$7.80 |
$13.32
|
|
Sternal pad
|
$216.89 |
$216.89 |
$216.89 |
$216.89
|
|
St evaluate speech sound production
|
$240.35 |
$240.35 |
$240.35 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$323.79 |
$323.79 |
$323.79 |
$400.00
|
|
Stocking sup grips 4 pre ots
|
$31.58 |
$31.58 |
$31.58 |
$31.58
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$2,329.21 |
$2,329.21 |
$2,329.21 |
$1,345.40
|
|
Straight knee joint heavy du
|
$317.69 |
$317.69 |
$317.69 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$81.48 |
$81.48 |
$81.48 |
$223.45
|
|
Strapping of chest
|
$81.48 |
$81.48 |
$81.48 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$81.48 |
$81.48 |
$81.48 |
$157.46
|
|
Strapping of hand or finger
|
$81.48 |
$81.48 |
$81.48 |
$177.45
|
|
Strapping of hip
|
$81.48 |
$81.48 |
$81.48 |
$164.70
|
|
Strapping of knee
|
$81.48 |
$81.48 |
$81.48 |
$205.20
|
|
Strapping of toes 29550
|
$81.48 |
$81.48 |
$81.48 |
$164.70
|
|
Strep b dna amp probe
|
$264.60 |
$264.60 |
$264.60 |
$124.15
|
|
Streptozocin injection
|
$785.95 |
$785.95 |
$785.95 |
$785.95
|
|
Stress test pulmonary
|
$501.87 |
$501.87 |
$501.87 |
$324.00
|
|
Stress tte complete
|
$2,878.96 |
$2,878.96 |
$2,878.96 |
$1,900.96
|
|
Str markers specimen anal
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$756.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$74.49 |
$74.49 |
$74.49 |
$54.80
|
|
Suction susp ak/knee disart
|
$912.86 |
$912.86 |
$912.86 |
$492.80
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$49.13 |
$49.13 |
$49.13 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$155.29 |
$155.29 |
$155.29 |
$129.89
|
|
Supp non-insulin inf cath/wk
|
$5.10 |
$5.10 |
$5.10 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$141.79 |
$141.79 |
$141.79 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$36.57 |
$36.57 |
$36.57 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$46.54 |
$46.54 |
$46.54 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$125.38 |
$125.38 |
$125.38 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$434.67 |
$434.67 |
$434.67 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$438.20 |
$438.20 |
$438.20 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$398.55 |
$398.55 |
$398.55 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$113.40 |
$113.40 |
$113.40 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$51.07 |
$51.07 |
$51.07 |
$35.89
|
|
Susceptibility mic per plate
|
$447.22 |
$447.22 |
$447.22 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$81.65 |
$81.65 |
$81.65 |
$59.28
|
|
Suspension sleeve lower ext
|
$263.87 |
$263.87 |
$263.87 |
$251.38
|
|
Svc venogram s&i
|
$1,232.56 |
$1,232.56 |
$1,232.56 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$240.35 |
$240.35 |
$240.35 |
$316.80
|
|
Swallowing Therapy Session
|
$255.14 |
$255.14 |
$255.14 |
$232.56
|
|
Symes ankle without (sach) foot
|
$5,009.59 |
$5,009.59 |
$5,009.59 |
$2,707.60
|
|
Symes met fr leath socket ar
|
$6,707.12 |
$6,707.12 |
$6,707.12 |
$4,141.20
|
|
Symes type medial opening so
|
$542.02 |
$542.02 |
$542.02 |
$288.40
|
|
Symes type poster opening so
|
$709.13 |
$709.13 |
$709.13 |
$456.40
|
|
Symes type ptb brim design s
|
$567.06 |
$567.06 |
$567.06 |
$266.00
|
|
Syme typ expandabl wall sckt
|
$1,156.23 |
$1,156.23 |
$1,156.23 |
$621.60
|
|
Synvisc or synvisc-one
|
$864.58 |
$864.58 |
$864.58 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$31.98 |
$31.98 |
$31.98 |
$42.24
|
|
System cardiomems hosp electronics
|
$38,226.50 |
$38,226.50 |
$38,226.50 |
$38,234.70
|
|
System pacing micra av
|
$23,421.44 |
$23,421.44 |
$23,421.44 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$14,266.56 |
$14,266.56 |
$14,266.56 |
$12,003.00
|
|
System sealant biosentry tract
|
$678.16 |
$678.16 |
$678.16 |
$889.35
|
|
T3 (triiodothyronine) free
|
$29.23 |
$29.23 |
$29.23 |
$100.32
|
|
T3 (triiodothyronine) total
|
$27.55 |
$27.55 |
$27.55 |
$93.52
|
|
T4 (thyroxine) free
|
$29.23 |
$29.23 |
$29.23 |
$89.60
|
|
T4 (thyroxine) total
|
$24.75 |
$24.75 |
$24.75 |
$70.20
|
