|
Sbsq nursing facil care/day minor complj 15 min
|
$58.40 |
$58.40 |
$58.40 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$37.60 |
$37.60 |
$37.60 |
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$278.80 |
$337.00 |
$395.25 |
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$113.96 |
$207.20 |
$430.65 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$155.19 |
$363.40 |
$416.99 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$69.30 |
$214.83 |
$246.00 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$121.00 |
$206.50 |
$319.05 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$113.08 |
$248.75 |
$376.95 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$154.00 |
$363.40 |
$462.28 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$77.66 |
$242.72 |
$273.00 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$77.66 |
$184.23 |
$382.20 |
|
|
Sclerotherapy fluid collection pq w/img
|
$403.62 |
$464.60 |
$3,218.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$30.00 |
$36.00 |
$50.85 |
|
|
Screening Colonoscopy (average risk)
|
$134.40 |
$1,060.26 |
$1,163.70 |
|
|
Screening Colonoscopy (high risk)
|
$134.40 |
$706.43 |
$775.35 |
|
|
Screening hepatitis b non-obstetric high risk
|
$20.16 |
$20.16 |
$24.00 |
|
|
Screening hepatitis c antibody high risk
|
$70.35 |
$137.35 |
$150.75 |
|
|
Screening Mammogram
|
$89.32 |
$130.56 |
$218.25 |
|
|
Screening prostate cancer PSA
|
$23.32 |
$76.13 |
$137.50 |
|
|
Screw cortex 2.0 x 10mm
|
$218.88 |
$269.22 |
$1,850.60 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,332.40 |
$2,449.02 |
$4,389.20 |
|
|
Sedimentation rate erythrocyte automated
|
$1.98 |
$34.00 |
$62.55 |
|
|
Semen analysis presence/motility
|
$26.40 |
$48.00 |
$60.49 |
|
|
Semen analysis w/count
|
$13.64 |
$13.64 |
$24.80 |
|
|
Serpina1 gene
|
$24.38 |
$25.44 |
$37.75 |
|
|
Sertraline (zoloft) - sendout
|
$39.27 |
$50.14 |
$204.00 |
|
|
Set radiation therapy field
|
$195.09 |
$224.00 |
$536.40 |
|
|
Set radiation therapy field
|
$231.63 |
$288.40 |
$442.50 |
|
|
Set radiation therapy field
|
$422.40 |
$485.54 |
$882.80 |
|
|
Sevelamer carbonate 800 mg tablet
|
$1.08 |
$1.35 |
$5.18 |
|
|
Sevelamer carbonate pdr 20mg
|
$2.19 |
$2.73 |
$10.50 |
|
|
Sex chromatin identification
|
$44.10 |
$44.10 |
$44.10 |
|
|
Sf3b1 gene common variants
|
$142.38 |
$142.38 |
$142.38 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$90.24 |
$260.92 |
$474.40 |
|
|
Sho arthrs srg bicp tenodsis
|
$1,589.12 |
$1,589.12 |
$1,589.12 |
|
|
Sho arthrs srg capsulorraphy
|
$1,744.64 |
$1,744.64 |
$1,744.64 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$964.00 |
$964.00 |
$964.00 |
|
|
Sho arthrs srg lss&rescj ads
|
$984.96 |
$984.96 |
$984.96 |
|
|
Sho arthrs srg rpr slap les
|
$1,695.36 |
$1,695.36 |
$1,695.36 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$1,212.16 |
$1,212.16 |
$1,212.16 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,512.32 |
$1,512.32 |
$1,512.32 |
|
|
Shoulder MRI (with and without contrast)
|
$444.18 |
$1,183.20 |
$2,563.60 |
|
|
Shoulder MRI (with contrast)
|
$444.18 |
$1,025.50 |
$2,231.84 |
|
|
Shoulder MRI (without contrast)
|
$282.26 |
$992.68 |
$1,230.27 |
|
|
Shoulder X-ray
|
$73.92 |
$105.30 |
$194.25 |
|
|
Shunt glaucoma baerveldt 350mm
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$78.48 |
$258.80 |
$297.62 |
|
|
Sialolithotomy 42330
|
$887.00 |
$887.00 |
$887.00 |
|
|
Sickling rbc
|
$13.00 |
$40.80 |
$62.55 |
|
|
Sigmoidoscopy and biopsy
|
$188.80 |
$188.80 |
$188.80 |
|
|
Sincalide 5 mcg solution for injection
|
$115.18 |
$138.21 |
$460.70 |
|
|
Sinus CT scan (with and without contrast)
|
$588.72 |
$848.12 |
$1,250.50 |
|
|
Sinus CT scan (with contrast)
|
$443.31 |
$709.55 |
$1,002.25 |
|
|
Sinus CT scan (without contrast)
|
$371.14 |
$666.90 |
$921.00 |
|
|
Sinus/juglr venogram s&i
|
$583.59 |
$877.25 |
$1,408.52 |
|
|
Sirolimus, oral
|
$243.45 |
$292.14 |
$1,168.56 |
|
|
Skeletal muscle relaxant 1/2
|
$80.25 |
$80.25 |
$80.25 |
|
|
Skel musc relaxant 3 or more
|
$74.20 |
$89.04 |
$192.92 |
|
|
Skin Biopsy
|
$129.78 |
$179.52 |
$1,474.00 |
|
|
Sleep study attended
|
$188.16 |
$358.40 |
$1,379.20 |
|
|
Sleep Study (Polysomnography)
|
$1,008.84 |
$1,282.80 |
$2,949.76 |
|
|
Sleep study unattended
|
$102.20 |
$121.50 |
$640.00 |
|
|
Sling suprapubic suburetheral
|
$585.40 |
$585.40 |
$585.40 |
|
|
Slitting of prepuce
|
$553.00 |
$656.75 |
$1,196.55 |
|
|
Slp stdy unatnd w/anal
|
$107.00 |
$107.00 |
$117.07 |
|
|
Sm-153 lexidron ther
|
$3,641.80 |
$3,641.80 |
$4,477.00 |
|
|
Smear fluorescent and/or acid fast stain
|
$13.00 |
$35.88 |
$90.45 |
|
|
Smear gram stain
|
$15.62 |
$39.75 |
$88.40 |
|
|
Smear nasal eosinophil
|
$27.14 |
$27.14 |
$27.14 |
|
|
Smear special stain inclusion bodies/parasites
|
$14.96 |
$31.60 |
$57.75 |
|
|
Smear wet mount
|
$11.96 |
$20.24 |
$40.50 |
|
|
Snrpn/ube3a gene
|
$42.78 |
$42.78 |
$46.50 |
|
|
Sodium 24 hour urine
|
$11.07 |
$36.34 |
$114.00 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$119.60 |
$143.52 |
$447.20 |
|
|
Sodium chloride 0.9 % IV bolus
|
$110.40 |
$132.48 |
$412.80 |
|
|
Sodium chloride 0.9 % IV bolus
|
$41.40 |
$49.68 |
$154.80 |
|
|
Sodium chloride 3 % ivpb
|
$8.25 |
$9.90 |
$40.00 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$12.06 |
$14.47 |
$48.24 |
|
|
Sodium serum/plasma/whole blood
|
$5.94 |
$31.74 |
$46.75 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$148.50 |
$304.42 |
$594.00 |
|
|
Special physics consult
|
$110.22 |
$265.20 |
$483.00 |
|
|
Special radiation dosimetry
|
$86.60 |
$92.75 |
$312.06 |
|
|
Special radiation treatment
|
$824.00 |
$928.18 |
$1,687.60 |
|
|
Special teletx port plan
|
$212.74 |
$372.83 |
$433.23 |
|
|
Specific gravity body fluid
|
$2.16 |
$6.00 |
$18.00 |
|
|
Sperm antibody test
|
$48.76 |
$48.76 |
$48.76 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$420.00 |
$503.25 |
$1,474.00 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$107.41 |
$208.69 |
$276.96 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
|
|
Split blood or products
|
$41.60 |
$52.00 |
$153.20 |
|
|
Sputum specimen collection
|
$23.10 |
$65.78 |
$71.50 |
|
|
Sr-89 stront chlor ther / mci
|
$909.42 |
$909.42 |
$909.42 |
|
|
Srs linear based
|
$3,500.20 |
$3,766.14 |
$3,979.00 |
|
|
St analysis behavior qualitative voice/resonance
|
$35.28 |
$74.88 |
$156.00 |
|
|
Staph a dna amp probe
|
$31.60 |
$36.34 |
$63.20 |
|
|
St cognitve performance testing healthcare professional each hour
|
$36.75 |
$81.88 |
$185.12 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$7,631.14 |
$13,874.80 |
$19,212.75 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$55.40 |
$55.40 |
$103.92 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$927.00 |
$927.00 |
$1,193.93 |
|
