|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,910.35 |
$1,910.35 |
$1,910.35 |
$2,148.00
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,910.35 |
$1,910.35 |
$1,910.35 |
$4,000.83
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$2,665.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,009.45 |
$1,009.45 |
$1,009.45 |
$3,856.84
|
|
Rpr fem hernia init blocked
|
$1,889.55 |
$1,889.55 |
$1,889.55 |
$3,094.40
|
|
Rpr rem hernia init reduce
|
$973.70 |
$973.70 |
$973.70 |
$2,825.60
|
|
Rsv assay w/optic
|
$64.35 |
$64.35 |
$64.35 |
$64.13
|
|
Rubella antibody igg
|
$52.00 |
$52.00 |
$52.00 |
$73.05
|
|
Rubeola antibody igg
|
$94.90 |
$94.90 |
$94.90 |
$80.00
|
|
Russell viper venom diluted
|
$81.25 |
$81.25 |
$81.25 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$73.45 |
$73.45 |
$73.45 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$110.50 |
$110.50 |
$110.50 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$193.70 |
$193.70 |
$193.70 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$101.40 |
$101.40 |
$101.40 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$134.55 |
$134.55 |
$134.55 |
$187.65
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$66.95 |
$66.95 |
$66.95 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$889.85 |
$889.85 |
$889.85 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$640.90 |
$640.90 |
$640.90 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$635.05 |
$635.05 |
$635.05 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$317.20 |
$317.20 |
$317.20 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$446.55 |
$446.55 |
$446.55 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$465.40 |
$465.40 |
$465.40 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$588.90 |
$588.90 |
$588.90 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$399.10 |
$399.10 |
$399.10 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$527.80 |
$527.80 |
$527.80 |
$527.80
|
|
Scr c/v cyto,thinlayer,rescr
|
$76.70 |
$76.70 |
$76.70 |
$76.70
|
|
Screening Colonoscopy (average risk)
|
$601.90 |
$601.90 |
$601.90 |
$1,093.16
|
|
Screening Colonoscopy (high risk)
|
$575.90 |
$575.90 |
$575.90 |
$1,575.00
|
|
Screening Mammogram
|
$118.30 |
$118.30 |
$118.30 |
$287.12
|
|
Screening prostate cancer PSA
|
$130.65 |
$130.65 |
$130.65 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$158.60 |
$158.60 |
$158.60 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$41.60 |
$41.60 |
$41.60 |
$37.80
|
|
Semen analysis presence/motility
|
$115.05 |
$115.05 |
$115.05 |
$79.92
|
|
Sertraline (zoloft) - sendout
|
$215.15 |
$215.15 |
$215.15 |
$178.33
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$109.85 |
$109.85 |
$109.85 |
$258.40
|
|
Sho arthrs srg bicp tenodsis
|
$8,217.11 |
$8,217.11 |
$8,217.11 |
$4,523.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$7,242.57 |
$7,242.57 |
$7,242.57 |
$3,705.22
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$8,472.56 |
$8,472.56 |
$8,472.56 |
$5,272.00
|
|
Shoulder MRI (with and without contrast)
|
$2,364.70 |
$2,364.70 |
$2,364.70 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,214.55 |
$2,214.55 |
$2,214.55 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,117.70 |
$2,117.70 |
$2,117.70 |
$1,938.28
|
|
Shoulder X-ray
|
$312.00 |
$312.00 |
$312.00 |
$307.20
|
|
Sickling rbc
|
$61.75 |
$61.75 |
$61.75 |
$53.40
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$577.26 |
$577.26 |
$577.26 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,475.50 |
$1,475.50 |
$1,475.50 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,191.45 |
$1,191.45 |
$1,191.45 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$1,151.00
|
|
Skin Biopsy
|
$327.60 |
$327.60 |
$327.60 |
$362.40
|
|
Skin split graft addl 100sq cm 15101
|
$513.50 |
$513.50 |
$513.50 |
$460.00
|
|
Sleep Study (Polysomnography)
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
$4,043.20
|
|
Smear fluorescent and/or acid fast stain
|
$83.20 |
$83.20 |
$83.20 |
$50.70
|
|
Smear gram stain
|
$60.45 |
$60.45 |
$60.45 |
$48.00
|
|
Smear nasal eosinophil
|
$39.65 |
$39.65 |
$39.65 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$83.20 |
$83.20 |
$83.20 |
$60.00
|
|
Smear wet mount
|
$65.00 |
$65.00 |
$65.00 |
$56.13
|
|
Snrpn/ube3a gene
|
$337.35 |
$337.35 |
$337.35 |
$228.80
|
|
Sodium 24 hour urine
|
$66.95 |
$66.95 |
$66.95 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$23.40 |
$23.40 |
$23.40 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$23.40 |
$23.40 |
$23.40 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$23.40 |
$23.40 |
$23.40 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$23.40 |
$23.40 |
$23.40 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$134.35 |
$134.35 |
$134.35 |
$28.46
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$802.75 |
$802.75 |
$802.75 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$50.05 |
$50.05 |
$50.05 |
$42.43
|
|
Specific gravity body fluid
|
$26.65 |
$26.65 |
$26.65 |
$21.55
|
|
Specimen fat stain
|
$45.50 |
$45.50 |
$45.50 |
$40.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$445.25 |
$445.25 |
$445.25 |
$526.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$108.55 |
$108.55 |
$108.55 |
$93.00
|
|
Splint rstrc wrst/cmc right med
|
$124.15 |
$124.15 |
$124.15 |
$74.97
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,628.90 |
$1,628.90 |
$1,628.90 |
$4,543.60
|
|
Split blood or products
|
$99.45 |
$99.45 |
$99.45 |
$143.64
|
|
St analysis behavior qualitative voice/resonance
|
$416.00 |
$416.00 |
$416.00 |
$295.10
|
|
Staph a dna amp probe
|
$103.35 |
$103.35 |
$103.35 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$221.65 |
$221.65 |
$221.65 |
$313.96
|
|
St evaluate speech sound production
|
$416.00 |
$416.00 |
$416.00 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$416.00 |
$416.00 |
$416.00 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$422.50 |
$422.50 |
$422.50 |
$336.00
|
|
St evaluation swallow function
|
$369.20 |
$369.20 |
$369.20 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$157.95 |
$157.95 |
$157.95 |
$185.36
|
|
Strapping of chest
|
$140.40 |
$140.40 |
$140.40 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$133.90 |
$133.90 |
$133.90 |
$176.31
|
|
Strapping of hand or finger
|
$130.00 |
$130.00 |
$130.00 |
$197.63
|
|
Strapping of hip
|
$133.90 |
$133.90 |
$133.90 |
$164.70
|
|
Strapping of knee
|
$154.70 |
$154.70 |
$154.70 |
$216.34
|
|
Strapping of toes 29550
|
$123.50 |
$123.50 |
$123.50 |
$183.30
|
|
Strep a ag ia
|
$90.35 |
$90.35 |
$90.35 |
$75.40
|
|
Strep b dna amp probe
|
$126.10 |
$126.10 |
$126.10 |
$124.20
|
|
Stress test pulmonary
|
$340.60 |
$340.60 |
$340.60 |
$330.63
|
|
Str markers specimen anal
|
$750.10 |
$750.10 |
$750.10 |
$978.25
|
|
St treatment speech individual
|
$322.40 |
$322.40 |
$322.40 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$289.90 |
$289.90 |
$289.90 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$52.98 |
$52.98 |
$52.98 |
$0.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$46.47 |
$46.47 |
$46.47 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$27.95 |
$27.95 |
$27.95 |
$105.75
|
|
Surg dx exam anorectal
|
$471.25 |
$471.25 |
$471.25 |
$2,814.85
|
|
Surgical pathology level 1 gross examination only
|
$5,320.43 |
$5,320.43 |
$5,320.43 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$73.45 |
$73.45 |
$73.45 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$9,602.34 |
$9,602.34 |
$9,602.34 |
$181.00
|