|
Skull X-ray (complete)
|
$171.81 |
$171.81 |
$171.81 |
$417.50
|
|
Sleep study attended
|
$1,579.76 |
$1,579.76 |
$1,579.76 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,030.33 |
$3,030.33 |
$3,030.33 |
$3,734.50
|
|
Sleep study unattended
|
$843.98 |
$843.98 |
$843.98 |
$594.00
|
|
Sleeve fing rolyan med
|
$307.22 |
$307.22 |
$307.22 |
$203.58
|
|
Sling pelv split sam med
|
$44.80 |
$44.80 |
$44.80 |
$150.00
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$117.77 |
$117.77 |
$117.77 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$192.92 |
$192.92 |
$192.92 |
$285.09
|
|
Sm-153 lexidron ther
|
$11,509.62 |
$11,509.62 |
$11,509.62 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$515.42 |
$515.42 |
$515.42 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$37.58 |
$37.58 |
$37.58 |
$64.35
|
|
Smear gram stain
|
$34.83 |
$34.83 |
$34.83 |
$55.55
|
|
Smear nasal eosinophil
|
$48.44 |
$48.44 |
$48.44 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$190.57 |
$190.57 |
$190.57 |
$73.50
|
|
Smear wet mount
|
$39.59 |
$39.59 |
$39.59 |
$67.55
|
|
Smpd1 gene common variants
|
$224.95 |
$224.95 |
$224.95 |
$133.84
|
|
So cap design without jnts cf
|
$1,297.63 |
$1,297.63 |
$1,297.63 |
$606.35
|
|
Socket insert above knee
|
$719.71 |
$719.71 |
$719.71 |
$425.60
|
|
Socket insert below knee
|
$448.78 |
$448.78 |
$448.78 |
$397.60
|
|
Socket insert knee articulat
|
$681.80 |
$681.80 |
$681.80 |
$557.20
|
|
Socket insert symes
|
$621.60 |
$621.60 |
$621.60 |
$459.20
|
|
Socket insert without lock mech
|
$1,038.41 |
$1,038.41 |
$1,038.41 |
$1,192.50
|
|
Socket insert w lock mech
|
$1,246.17 |
$1,246.17 |
$1,246.17 |
$1,418.83
|
|
Sock fracture or equal each
|
$59.08 |
$59.08 |
$59.08 |
$74.51
|
|
Sock wool above knee
|
$37.41 |
$37.41 |
$37.41 |
$51.18
|
|
Sodium 24 hour urine
|
$39.76 |
$39.76 |
$39.76 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$32.12 |
$32.12 |
$32.12 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$21.06 |
$21.06 |
$21.06 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$29.32 |
$29.32 |
$29.32 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$23.07 |
$23.07 |
$23.07 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$139.90 |
$139.90 |
$139.90 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$25.03 |
$25.03 |
$25.03 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$221.42 |
$221.42 |
$221.42 |
$177.52
|
|
Soft interface below knee se
|
$128.52 |
$128.52 |
$128.52 |
$179.08
|
|
So gsap cll fr mcrstl ins
|
$2,857.68 |
$2,857.68 |
$2,857.68 |
$3,279.92
|
|
So vest canvas/web pre ots
|
$231.78 |
$231.78 |
$231.78 |
$256.54
|
|
Specific gravity body fluid
|
$76.50 |
$76.50 |
$76.50 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$192.92 |
$192.92 |
$192.92 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$192.92 |
$192.92 |
$192.92 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$257.66 |
$257.66 |
$257.66 |
$251.00
|
|
Spirometry up to 2 yrs old
|
$92.85 |
$92.85 |
$92.85 |
$326.04
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$729.79 |
$729.79 |
$729.79 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$94.58 |
$94.58 |
$94.58 |
$71.44
|
|
Splint finger fold over sm
|
$116.54 |
$116.54 |
$116.54 |
$146.88
|
|
Splint finger frog med
|
$80.64 |
$80.64 |
$80.64 |
$38.08
|
|
Splint func pos polyflex ii med
|
$329.84 |
$329.84 |
$329.84 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$139.10 |
$139.10 |
$139.10 |
$99.04
|
|
Split flat caliper stirr & p
|
$151.37 |
$151.37 |
$151.37 |
$109.20
|
|
Spring-ass rot wrst with latch
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$722.40
|
|
Sr-89 stront chlor ther / mci
|
$1,318.13 |
$1,318.13 |
$1,318.13 |
$2,515.15
|
|
Stainless steel any wrist
|
$453.04 |
$453.04 |
$453.04 |
$243.60
|
|
St analysis behavior qualitative voice/resonance
|
$192.92 |
$192.92 |
$192.92 |
$297.60
|
|
Stance phase only
|
$26,520.42 |
$26,520.42 |
$26,520.42 |
$20,512.80
|
|
Standard control cable extra
|
$121.41 |
$121.41 |
$121.41 |
$114.80
|
|
Staph a dna amp probe
|
$133.22 |
$133.22 |
$133.22 |
$125.00
|
|
Static or dynami afo pre ots
|
$62.72 |
$62.72 |
$62.72 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$192.92 |
$192.92 |
$192.92 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$30,201.02 |
$30,201.02 |
$30,201.02 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,186.15 |
$6,186.15 |
$6,186.15 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$20,493.76 |
$20,493.76 |
$20,493.76 |
$20,962.50
|
|
Sterile water/saline, 10 ml
|
$6.55 |
$6.55 |
$6.55 |
$13.32
|
|
Sternal pad
|
$158.76 |
$158.76 |
$158.76 |
$216.89
|
|
St evaluate speech sound production
|
$192.92 |
$192.92 |
$192.92 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$259.95 |
$259.95 |
$259.95 |
$400.00
|
|
Stocking sup grips 4 pre ots
|
$23.69 |
$23.69 |
$23.69 |
$31.58
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,729.78 |
$1,729.78 |
$1,729.78 |
$1,345.40
|
|
Straight knee joint heavy du
|
$232.51 |
$232.51 |
$232.51 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$65.46 |
$65.46 |
$65.46 |
$223.45
|
|
Strapping of chest
|
$65.46 |
$65.46 |
$65.46 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$65.46 |
$65.46 |
$65.46 |
$157.46
|
|
Strapping of hand or finger
|
$65.46 |
$65.46 |
$65.46 |
$177.45
|
|
Strapping of hip
|
$65.46 |
$65.46 |
$65.46 |
$164.70
|
|
Strapping of knee
|
$65.46 |
$65.46 |
$65.46 |
$205.20
|
|
Strapping of toes 29550
|
$65.46 |
$65.46 |
$65.46 |
$164.70
|
|
Strep b dna amp probe
|
$323.46 |
$323.46 |
$323.46 |
$124.15
|
|
Stress test pulmonary
|
$377.61 |
$377.61 |
$377.61 |
$324.00
|
|
Stress tte complete
|
$2,525.88 |
$2,525.88 |
$2,525.88 |
$1,900.96
|
|
Str markers specimen anal
|
$1,346.86 |
$1,346.86 |
$1,346.86 |
$756.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$47.85 |
$47.85 |
$47.85 |
$54.80
|
|
Suction susp ak/knee disart
|
$687.29 |
$687.29 |
$687.29 |
$492.80
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$45.12 |
$45.12 |
$45.12 |
$82.46
|
|
Supp non-insulin inf cath/wk
|
$4.48 |
$4.48 |
$4.48 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$103.71 |
$103.71 |
$103.71 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$43.74 |
$43.74 |
$43.74 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$55.61 |
$55.61 |
$55.61 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$162.57 |
$162.57 |
$162.57 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$584.53 |
$584.53 |
$584.53 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$214.03 |
$214.03 |
$214.03 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$476.56 |
$476.56 |
$476.56 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$116.65 |
$116.65 |
$116.65 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$58.24 |
$58.24 |
$58.24 |
$35.89
|
|
Susceptibility mic per plate
|
$562.30 |
$562.30 |
$562.30 |
$106.00
|
|
Suspension sleeve lower ext
|
$193.14 |
$193.14 |
$193.14 |
$251.38
|
|
Swallowing Evaluation (Bedside)
|
$192.92 |
$192.92 |
$192.92 |
$316.80
|
|
Swallowing Therapy Session
|
$192.92 |
$192.92 |
$192.92 |
$232.56
|
|
Symes ankle without (sach) foot
|
$3,999.97 |
$3,999.97 |
$3,999.97 |
$2,707.60
|
|
Symes met fr leath socket ar
|
$5,176.86 |
$5,176.86 |
$5,176.86 |
$4,141.20
|
|
Symes type medial opening so
|
$408.02 |
$408.02 |
$408.02 |
$288.40
|
|
Symes type poster opening so
|
$533.85 |
$533.85 |
$533.85 |
$456.40
|