|
Scr c/v cyto,thinlayer,rescr
|
$143.95 |
$143.95 |
$143.95 |
$85.15
|
|
Screen cerv/vag thin layer
|
$140.64 |
$140.64 |
$140.64 |
$86.56
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$36.58 |
$36.58 |
$36.58 |
$57.60
|
|
Screening Mammogram
|
$414.48 |
$414.48 |
$414.48 |
$310.20
|
|
Screening prostate cancer PSA
|
$31.73 |
$31.73 |
$31.73 |
$101.60
|
|
Scrotal (Testicle) Ultrasound
|
$590.69 |
$590.69 |
$590.69 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,755.89 |
$1,755.89 |
$1,755.89 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$256.27 |
$256.27 |
$256.27 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$42.48 |
$42.48 |
$42.48 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$77.47 |
$77.47 |
$77.47 |
$96.60
|
|
Semen analysis presence/motility
|
$38.02 |
$38.02 |
$38.02 |
$70.40
|
|
Set radiation therapy field
|
$2,239.73 |
$2,239.73 |
$2,239.73 |
$782.61
|
|
Set radiation therapy field
|
$2,230.56 |
$2,230.56 |
$2,230.56 |
$1,159.03
|
|
Set radiation therapy field
|
$2,239.73 |
$2,239.73 |
$2,239.73 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$11.55 |
$11.55 |
$11.55 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$30.62 |
$30.62 |
$30.62 |
$21.42
|
|
Sewhfo airplane without jnts cf
|
$2,754.91 |
$2,754.91 |
$2,754.91 |
$1,685.60
|
|
Sewhfo airplane w/jnt(s) cf
|
$3,252.58 |
$3,252.58 |
$3,252.58 |
$1,990.80
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$3,087.46 |
$3,087.46 |
$3,087.46 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$2,754.91 |
$2,754.91 |
$2,754.91 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$3,252.58 |
$3,252.58 |
$3,252.58 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$3,252.58 |
$3,252.58 |
$3,252.58 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$2,754.91 |
$2,754.91 |
$2,754.91 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$3,087.46 |
$3,087.46 |
$3,087.46 |
$1,890.00
|
|
Sewho erbs palsey design abd
|
$1,182.77 |
$1,182.77 |
$1,182.77 |
$988.40
|
|
Sheath above knee
|
$38.26 |
$38.26 |
$38.26 |
$30.80
|
|
Sheath below knee
|
$29.09 |
$29.09 |
$29.09 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$4,545.36 |
$4,545.36 |
$4,545.36 |
$6,570.70
|
|
Sheath upper limb
|
$39.60 |
$39.60 |
$39.60 |
$28.00
|
|
Shlder disart int lock elbow
|
$7,554.96 |
$7,554.96 |
$7,554.96 |
$5,586.00
|
|
Shldr disar prosth tiss shap
|
$7,698.72 |
$7,698.72 |
$7,698.72 |
$5,717.60
|
|
Shoe clubfoot wedge
|
$91.92 |
$91.92 |
$91.92 |
$111.56
|
|
Shoe dennis browne splint bo
|
$80.16 |
$80.16 |
$80.16 |
$93.52
|
|
Shoe heel new leather standa
|
$75.46 |
$75.46 |
$75.46 |
$88.03
|
|
Shoe heel new rubber standar
|
$63.70 |
$63.70 |
$63.70 |
$63.70
|
|
Shoe heel pad & depress for
|
$161.52 |
$161.52 |
$161.52 |
$149.60
|
|
Shoe heel sach cushion type
|
$195.50 |
$195.50 |
$195.50 |
$228.09
|
|
Shoe heel thomas extend to b
|
$115.44 |
$115.44 |
$115.44 |
$134.68
|
|
Shoe heel thomas with wedge
|
$108.48 |
$108.48 |
$108.48 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$150.86 |
$150.86 |
$150.86 |
$175.04
|
|
Shoe metatarsal bar between
|
$172.08 |
$172.08 |
$172.08 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$75.46 |
$75.46 |
$75.46 |
$69.03
|
|
Shoe outflare wedge
|
$91.92 |
$91.92 |
$91.92 |
$107.24
|
|
Shoe post-op mens m
|
$24.58 |
$24.58 |
$24.58 |
$53.20
|
|
Shoe sole wedge between sole
|
$91.92 |
$91.92 |
$91.92 |
$107.24
|
|
Shoe sole wedge outside sole
|
$66.00 |
$66.00 |
$66.00 |
$66.00
|
|
Shoe wedge sach
|
$157.92 |
$157.92 |
$157.92 |
$171.44
|
|
Sho heel count plast reinfor
|
$296.98 |
$296.98 |
$296.98 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,034.59 |
$1,034.59 |
$1,034.59 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$96.67 |
$96.67 |
$96.67 |
$111.14
|
|
Shot (Injection into Muscle or Under the Skin)
|
$122.88 |
$122.88 |
$122.88 |
$136.80
|
|
Shoulder abduction joint pai
|
$607.78 |
$607.78 |
$607.78 |
$316.40
|
|
Shoulder AC Joint X-ray (both sides)
|
$138.43 |
$138.43 |
$138.43 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$138.43 |
$138.43 |
$138.43 |
$287.25
|
|
Shoulder flexion-abduction j
|
$657.31 |
$657.31 |
$657.31 |
$478.80
|
|
Shoulder lock actuator
|
$937.39 |
$937.39 |
$937.39 |
$574.00
|
|
Shoulder MRI (with and without contrast)
|
$1,276.99 |
$1,276.99 |
$1,276.99 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$1,276.99 |
$1,276.99 |
$1,276.99 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$912.00 |
$912.00 |
$912.00 |
$2,088.20
|
|
Shoulder universal joint
|
$712.94 |
$712.94 |
$712.94 |
$509.60
|
|
Shoulder X-ray
|
$207.79 |
$207.79 |
$207.79 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$207.79 |
$207.79 |
$207.79 |
$264.00
|
|
Shrinker prosth above knee
|
$123.07 |
$123.07 |
$123.07 |
$168.89
|
|
Shrinker prosth below knee
|
$86.54 |
$86.54 |
$86.54 |
$105.12
|
|
Shrinker upper limb
|
$113.71 |
$113.71 |
$113.71 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,788.80 |
$2,788.80 |
$2,788.80 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$862.85 |
$862.85 |
$862.85 |
$355.80
|
|
Sialography s&i
|
$862.85 |
$862.85 |
$862.85 |
$499.20
|
|
Sialolithotomy 42330
|
$2,122.90 |
$2,122.90 |
$2,122.90 |
$3,837.72
|
|
Sickling rbc
|
$135.36 |
$135.36 |
$135.36 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$77.62 |
$77.62 |
$77.62 |
$280.00
|
|
Simple cystometrogram 51725
|
$747.55 |
$747.55 |
$747.55 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$239.19 |
$239.19 |
$239.19 |
$309.14
|
|
Single pivot hinge pair
|
$433.49 |
$433.49 |
$433.49 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,285.63 |
$1,285.63 |
$1,285.63 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$138.43 |
$138.43 |
$138.43 |
$347.10
|
|
Sinus X-ray (limited)
|
$138.43 |
$138.43 |
$138.43 |
$215.75
|
|
Sio flex pelvisacral custom
|
$481.54 |
$481.54 |
$481.54 |
$561.79
|
|
Sirolimus, oral
|
$57.67 |
$57.67 |
$57.67 |
$41.70
|
|
Skin Biopsy
|
$455.42 |
$455.42 |
$455.42 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$207.79 |
$207.79 |
$207.79 |
$294.66
|
|
Skull X-ray (complete)
|
$138.43 |
$138.43 |
$138.43 |
$423.15
|
|
Sleep study attended
|
$724.85 |
$724.85 |
$724.85 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,486.50 |
$2,486.50 |
$2,486.50 |
$3,734.50
|
|
Sleep study unattended
|
$895.82 |
$895.82 |
$895.82 |
$594.00
|
|
Sleeve fing rolyan med
|
$359.86 |
$359.86 |
$359.86 |
$203.58
|
|
Sling pelv split sam med
|
$43.73 |
$43.73 |
$43.73 |
$150.00
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$139.44 |
$139.44 |
$139.44 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$228.58 |
$228.58 |
$228.58 |
$285.09
|
|
Slp ther svc non-spch gen
|
$228.58 |
$228.58 |
$228.58 |
$188.00
|
|
Sm-153 lexidron ther
|
$10,428.14 |
$10,428.14 |
$10,428.14 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$415.54 |
$415.54 |
$415.54 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$32.93 |
$32.93 |
$32.93 |
$64.20
|
|
Smear gram stain
|
$31.92 |
$31.92 |
$31.92 |
$55.42
|
|
Smear nasal eosinophil
|
$47.95 |
$47.95 |
$47.95 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$161.90 |
$161.90 |
$161.90 |
$73.15
|
|
Smear wet mount
|
$93.02 |
$93.02 |
$93.02 |
$67.49
|
