|
Slp stdy unatnd w/anal
|
$1,065.34 |
$1,065.34 |
$1,065.34 |
|
|
Slp ther svc non-spch gen
|
$228.58 |
$240.35 |
$344.80 |
|
|
Sm-153 lexidron ther
|
$10,428.14 |
$12,166.17 |
$12,166.17 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$415.54 |
$515.42 |
$865.60 |
|
|
Smear fluorescent and/or acid fast stain
|
$32.93 |
$34.78 |
$96.00 |
|
|
Smear gram stain
|
$28.00 |
$31.92 |
$72.00 |
|
|
Smear nasal eosinophil
|
$24.80 |
$55.20 |
$66.40 |
|
|
Smear special stain inclusion bodies/parasites
|
$54.40 |
$147.95 |
$190.57 |
|
|
Smear wet mount
|
$39.59 |
$83.16 |
$101.60 |
|
|
Smpd1 gene common variants
|
$173.49 |
$173.49 |
$224.95 |
|
|
Snrpn/ube3a gene
|
$348.00 |
$348.00 |
$348.00 |
|
|
So cap design without jnts cf
|
$1,297.63 |
$1,723.68 |
$1,723.68 |
|
|
Socket insert above knee
|
$719.71 |
$955.98 |
$955.98 |
|
|
Socket insert below knee
|
$448.78 |
$596.12 |
$596.12 |
|
|
Socket insert knee articulat
|
$681.80 |
$905.69 |
$905.69 |
|
|
Socket insert symes
|
$621.60 |
$825.72 |
$825.72 |
|
|
Socket insert without lock mech
|
$1,038.41 |
$1,379.39 |
$1,379.39 |
|
|
Socket insert w lock mech
|
$1,246.17 |
$1,655.30 |
$1,655.30 |
|
|
Sock fracture or equal each
|
$59.08 |
$69.22 |
$80.75 |
|
|
Sock wool above knee
|
$37.41 |
$51.18 |
$51.18 |
|
|
Sodium 24 hour urine
|
$28.00 |
$36.34 |
$81.60 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$14.00 |
$31.16 |
$86.40 |
|
|
Sodium chloride 0.9 % IV bolus
|
$15.60 |
$40.03 |
$194.40 |
|
|
Sodium chloride 0.9 % IV bolus
|
$18.00 |
$27.64 |
$324.00 |
|
|
Sodium chloride 3 % ivpb
|
$3.00 |
$23.07 |
$27.60 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$29.96 |
$126.51 |
$146.54 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$295.48 |
$387.65 |
$387.65 |
|
|
Sodium serum/plasma/whole blood
|
$25.03 |
$80.86 |
$100.00 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$65.78 |
$197.42 |
$230.33 |
|
|
Soft interface below knee se
|
$128.52 |
$175.56 |
$175.56 |
|
|
So gsap cll fr mcrstl ins
|
$2,857.68 |
$2,857.68 |
$2,857.68 |
|
|
Somatosensory testing
|
$217.15 |
$217.15 |
$217.15 |
|
|
Somatropin injection
|
$4,024.69 |
$4,024.69 |
$4,024.69 |
|
|
So neo gsap dna/dna&rna
|
$5,124.00 |
$5,124.00 |
$5,124.00 |
|
|
So neo gsap dna mcrstl ins
|
$4,023.20 |
$4,023.20 |
$4,023.20 |
|
|
Sotalol hydrochloride IV
|
$3,667.00 |
$3,667.00 |
$3,667.00 |
|
|
So vest canvas/web pre ots
|
$219.89 |
$256.54 |
$365.16 |
|
|
Special physics consult
|
$1,028.80 |
$1,679.86 |
$2,934.62 |
|
|
Special radiation dosimetry
|
$286.85 |
$501.14 |
$985.60 |
|
|
Special radiation treatment
|
$1,200.14 |
$2,096.75 |
$3,699.20 |
|
|
Special teletx port plan
|
$335.04 |
$587.83 |
$2,856.00 |
|
|
Specific gravity body fluid
|
$25.60 |
$63.95 |
$76.50 |
|
|
Specimen fat stain
|
$16.80 |
$54.40 |
$121.60 |
|
|
Speech and Language Evaluation (comprehensive)
|
$192.92 |
$337.60 |
$496.00 |
|
|
Speech audiometry complete
|
$92.79 |
$92.79 |
$146.40 |
|
|
Speech recep thresh
|
$61.49 |
$61.49 |
$99.20 |
|
|
Speech Therapy Session (one-on-one)
|
$192.92 |
$268.80 |
$324.00 |
|
|
Sperm isolation complex
|
$260.00 |
$375.20 |
$375.20 |
|
|
Sperm isolation simple
|
$172.00 |
$172.00 |
$200.00 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,053.36 |
$1,263.07 |
$1,952.00 |
|
|
Spine X-ray (single view, one level)
|
$207.79 |
$224.00 |
$393.60 |
|
|
Spirometry up to 2 yrs old
|
$92.85 |
$128.64 |
$128.64 |
|
|
Spleen imaging
|
$537.79 |
$759.20 |
$877.07 |
|
|
Splint arm vnyl coated padded lft med
|
$250.56 |
$292.32 |
$292.32 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$729.79 |
$830.98 |
$969.47 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$94.58 |
$110.78 |
$129.25 |
|
|
Splint finger fold over sm
|
$25.68 |
$146.88 |
$171.36 |
|
|
Splint finger frog med
|
$51.79 |
$80.64 |
$91.78 |
|
|
Splint func pos polyflex ii med
|
$90.00 |
$329.84 |
$365.06 |
|
|
Splint rstrc wrst/cmc right med
|
$52.80 |
$162.91 |
$190.06 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$5,944.80 |
$5,944.80 |
$5,944.80 |
|
|
Split blood or products
|
$10.80 |
$10.80 |
$10.80 |
|
|
Split flat caliper stirr & p
|
$151.37 |
$206.81 |
$206.81 |
|
|
Spring-ass rot wrst with latch
|
$1,131.20 |
$1,502.59 |
$1,502.59 |
|
|
Sr-89 stront chlor ther / mci
|
$1,267.63 |
$1,478.90 |
$1,478.90 |
|
|
Srs linear based
|
$4,479.55 |
$7,825.78 |
$26,032.00 |
|
|
Stainless steel any wrist
|
$453.04 |
$601.72 |
$601.72 |
|
|
St analysis behavior qualitative voice/resonance
|
$192.92 |
$248.00 |
$407.20 |
|
|
Stance phase only
|
$26,520.42 |
$35,786.58 |
$35,786.58 |
|
|
Standard control cable extra
|
$121.41 |
$165.98 |
$165.98 |
|
|
Staph a dna amp probe
|
$94.30 |
$121.87 |
$144.80 |
|
|
Static or dynami afo pre ots
|
$61.20 |
$71.40 |
$71.40 |
|
|
St cognitve performance testing healthcare professional each hour
|
$192.92 |
$240.35 |
$349.60 |
|
|
Stenger test pure tone
|
$61.49 |
$61.49 |
$80.45 |
|
|
Stenger test speech
|
$171.36 |
$171.36 |
$223.54 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,720.00 |
$31,776.14 |
$34,407.99 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$174.40 |
$5,563.44 |
$6,490.68 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,349.60 |
$21,995.52 |
$28,695.23 |
|
|
Stent bronch dumon sil 10x40mm
|
$28,753.92 |
$33,546.24 |
$33,546.24 |
|
|
Stent placemt retro carotid
|
$8,480.00 |
$12,801.12 |
$12,801.12 |
|
|
Sterile water/saline, 10 ml
|
$2.40 |
$7.80 |
$17.20 |
|
|
Sterile water/saline, 500 ml
|
$14.00 |
$40.00 |
$75.59 |
|
|
Sternal pad
|
$158.76 |
$216.89 |
$216.89 |
|
|
St evaluate speech sound production
|
$192.92 |
$240.35 |
$391.20 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$259.95 |
$323.79 |
$524.00 |
|
|
Stocking sup grips 4 pre ots
|
$23.69 |
$31.58 |
$31.58 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,236.00 |
$1,775.20 |
$2,329.21 |
|
|
Straight knee joint heavy du
|
$232.51 |
$317.69 |
$317.69 |
|
|
Strapping of ankle and/or ft 29540
|
$65.46 |
$81.48 |
$252.00 |
|
|
Strapping of chest
|
$65.46 |
$81.48 |
$182.40 |
|
|
Strapping of elbow or wrist 29260
|
$65.46 |
$81.48 |
$192.00 |
|
|
Strapping of hand or finger
|
$65.46 |
$81.48 |
$152.00 |
|
|
Strapping of hip
|
$65.46 |
$81.48 |
$199.20 |
|
|
Strapping of knee
|
$65.46 |
$81.48 |
$134.40 |
|
|
Strapping of toes 29550
|
$65.46 |
$81.48 |
$176.80 |
|
|
Strep b dna amp probe
|
$71.20 |
$264.60 |
$323.46 |
|
|
Streptomycin injection
|
$90.17 |
$90.17 |
$90.17 |
|
|
Streptozocin injection
|
$673.67 |
$785.95 |
$785.95 |
|
|
Stress test pulmonary
|
$264.80 |
$333.70 |
$501.87 |
|
|
Stress tte complete
|
$1,769.14 |
$2,421.60 |
$2,878.96 |
|