|
Scan duplex extracranial arteries unilateral/limited study
|
$320.45 |
$320.45 |
$320.45 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$931.45 |
$931.45 |
$931.45 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$806.00 |
$806.00 |
$806.00 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$864.50 |
$864.50 |
$864.50 |
$527.80
|
|
Scan proc cranial extra
|
$21,903.09 |
$21,903.09 |
$21,903.09 |
$909.35
|
|
Scan proc spinal
|
$50,222.83 |
$50,222.83 |
$50,222.83 |
$975.00
|
|
Sclerotherapy fluid collection pq w/img
|
$5,435.28 |
$5,435.28 |
$5,435.28 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$8,263.11 |
$8,263.11 |
$8,263.11 |
$3,185.60
|
|
Scr c/v cyto,thinlayer,rescr
|
$73.45 |
$73.45 |
$73.45 |
$76.70
|
|
Screening Mammogram
|
$410.15 |
$410.15 |
$410.15 |
$287.12
|
|
Screening prostate cancer PSA
|
$159.90 |
$159.90 |
$159.90 |
$96.00
|
|
Screen/visual acuity/bilat/quant 99173
|
$26.65 |
$26.65 |
$26.65 |
$29.70
|
|
Sc ther infusion reset pump
|
$354.25 |
$354.25 |
$354.25 |
$125.46
|
|
Sec art mech thrmbc non-intracranial add-on
|
$50,542.95 |
$50,542.95 |
$50,542.95 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$104.65 |
$104.65 |
$104.65 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$53.30 |
$53.30 |
$53.30 |
$37.80
|
|
Semen analysis presence/motility
|
$74.75 |
$74.75 |
$74.75 |
$79.92
|
|
Sensorimotor examination
|
$59.80 |
$59.80 |
$59.80 |
$109.50
|
|
Sertraline (zoloft) - sendout
|
$154.70 |
$154.70 |
$154.70 |
$178.33
|
|
Set radiation therapy field
|
$29,050.45 |
$29,050.45 |
$29,050.45 |
$709.00
|
|
Set radiation therapy field
|
$1,458.60 |
$1,458.60 |
$1,458.60 |
$1,029.00
|
|
Set radiation therapy field
|
$34,732.10 |
$34,732.10 |
$34,732.10 |
$1,601.60
|
|
Sever cranial nerve
|
$27,933.49 |
$27,933.49 |
$27,933.49 |
$2,163.32
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$272.35 |
$272.35 |
$272.35 |
$258.40
|
|
Sho arthrs srg bicp tenodsis
|
$21,612.66 |
$21,612.66 |
$21,612.66 |
$4,523.20
|
|
Sho arthrs srg lmtd dbrdmt
|
$15,755.12 |
$15,755.12 |
$15,755.12 |
$3,594.44
|
|
Sho arthrs srg lss&rescj ads
|
$15,295.32 |
$15,295.32 |
$15,295.32 |
$3,594.44
|
|
Sho arthrs srg xtnsv dbrdmt
|
$18,804.67 |
$18,804.67 |
$18,804.67 |
$3,705.22
|
|
Shoe post-op mens m
|
$55.90 |
$55.90 |
$55.90 |
$29.76
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$23,053.43 |
$23,053.43 |
$23,053.43 |
$5,272.00
|
|
Shoulder MRI (with and without contrast)
|
$5,010.20 |
$5,010.20 |
$5,010.20 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$5,245.50 |
$5,245.50 |
$5,245.50 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$4,387.50 |
$4,387.50 |
$4,387.50 |
$1,938.28
|
|
Shoulder X-ray
|
$614.25 |
$614.25 |
$614.25 |
$307.20
|
|
Shrinker prosth above knee
|
$63.70 |
$63.70 |
$63.70 |
$157.49
|
|
Shrinker prosth below knee
|
$19.50 |
$19.50 |
$19.50 |
$90.54
|
|
Sialography s&i
|
$789.75 |
$789.75 |
$789.75 |
$403.70
|
|
Sialolithotomy 42330
|
$10,743.69 |
$10,743.69 |
$10,743.69 |
$3,424.00
|
|
Sickling rbc
|
$45.50 |
$45.50 |
$45.50 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$2,717.58 |
$2,717.58 |
$2,717.58 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$3,233.22 |
$3,233.22 |
$3,233.22 |
$1,594.50
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,195.97 |
$3,195.97 |
$3,195.97 |
$1,278.72
|
|
Sigmoidoscopy w/ablation
|
$2,849.60 |
$2,849.60 |
$2,849.60 |
$2,604.00
|
|
Sigmoidoscopy w/tumr remove
|
$3,450.85 |
$3,450.85 |
$3,450.85 |
$1,350.83
|
|
Sigmoidoscopy w/ultrasound
|
$2,014.92 |
$2,014.92 |
$2,014.92 |
$1,233.60
|
|
Signal avg ecg w or without ecg 93278
|
$676.65 |
$676.65 |
$676.65 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$5,259.16 |
$5,259.16 |
$5,259.16 |
$1,364.66
|
|
Sildenafil citrate, 25 mg
|
$182.99 |
$182.99 |
$182.99 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$394.33 |
$394.33 |
$394.33 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,863.55 |
$1,863.55 |
$1,863.55 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,717.95 |
$1,717.95 |
$1,717.95 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$2,601.30 |
$2,601.30 |
$2,601.30 |
$2,052.67
|
|
Sirolimus, oral
|
$11.43 |
$11.43 |
$11.43 |
$19.16
|
|
Skin Biopsy
|
$404.95 |
$404.95 |
$404.95 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$4,043.20
|
|
Sleep study unattended
|
$913.25 |
$913.25 |
$913.25 |
$631.55
|
|
Sling arm deluxe w/pad xs
|
$373.10 |
$373.10 |
$373.10 |
$37.80
|
|
Sling pelv split sam med
|
$57.20 |
$57.20 |
$57.20 |
$134.09
|
|
Slitting of prepuce
|
$7,058.79 |
$7,058.79 |
$7,058.79 |
$3,176.92
|
|
Slp stdy unatnd w/anal
|
$554.45 |
$554.45 |
$554.45 |
$402.15
|
|
Slp ther svc non-spch gen
|
$319.15 |
$319.15 |
$319.15 |
$172.50
|
|
Sm-153 lexidron ther
|
$14,863.55 |
$14,863.55 |
$14,863.55 |
$11,993.80
|
|
Small bowel endoscopy
|
$3,471.12 |
$3,471.12 |
$3,471.12 |
$2,200.46
|
|
Small bowel endoscopy
|
$3,393.08 |
$3,393.08 |
$3,393.08 |
$2,455.20
|
|
Small bowel endoscopy
|
$6,214.91 |
$6,214.91 |
$6,214.91 |
$2,200.46
|
|
Small bowel endoscopy/biopsy
|
$3,908.37 |
$3,908.37 |
$3,908.37 |
$2,178.16
|
|
Small bowel endoscopy br/wa
|
$4,307.94 |
$4,307.94 |
$4,307.94 |
$1,247.13
|
|
Smear fluorescent and/or acid fast stain
|
$90.35 |
$90.35 |
$90.35 |
$50.70
|
|
Smear gram stain
|
$81.25 |
$81.25 |
$81.25 |
$48.00
|
|
Smear nasal eosinophil
|
$61.10 |
$61.10 |
$61.10 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$83.20 |
$83.20 |
$83.20 |
$60.00
|
|
Smear wet mount
|
$74.10 |
$74.10 |
$74.10 |
$56.13
|
|
Snrpn/ube3a gene
|
$508.95 |
$508.95 |
$508.95 |
$228.80
|
|
Sodium 24 hour urine
|
$96.85 |
$96.85 |
$96.85 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$68.25 |
$68.25 |
$68.25 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$68.25 |
$68.25 |
$68.25 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$68.25 |
$68.25 |
$68.25 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$96.12 |
$96.12 |
$96.12 |
$28.46
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$574.27 |
$574.27 |
$574.27 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$50.70 |
$50.70 |
$50.70 |
$42.43
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.71 |
$8.71 |
$8.71 |
$8.89
|
|
Special physics consult
|
$73,102.90 |
$73,102.90 |
$73,102.90 |
$688.05
|
|
Special radiation dosimetry
|
$419.90 |
$419.90 |
$419.90 |
$482.08
|
|
Special radiation treatment
|
$50,831.28 |
$50,831.28 |
$50,831.28 |
$1,945.00
|
|
Special teletx port plan
|
$9,573.85 |
$9,573.85 |
$9,573.85 |
$975.60
|
|
Specific gravity body fluid
|
$26.65 |
$26.65 |
$26.65 |
$21.55
|
|
Specimen fat stain
|
$53.95 |
$53.95 |
$53.95 |
$40.00
|
|
Sperm antibody test
|
$89.70 |
$89.70 |
$89.70 |
$56.44
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$12,300.17 |
$12,300.17 |
$12,300.17 |
$3,038.07
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,886.65 |
$2,886.65 |
$2,886.65 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$505.70 |
$505.70 |
$505.70 |
$526.80
|
|
Spleen imaging
|
$1,515.15 |
$1,515.15 |
$1,515.15 |
$529.65
|
|
Splint extn xsm w sof-stretch rolyan
|
$33.15 |
$33.15 |
$33.15 |
$93.00
|
|
Splint rstrc wrst/cmc right med
|
$152.10 |
$152.10 |
$152.10 |
$74.97
|
|
Split blood or products
|
$137.80 |
$137.80 |
$137.80 |
$143.64
|
|
Sr-89 stront chlor ther / mci
|
$7,689.50 |
$7,689.50 |
$7,689.50 |
$5,445.60
|
|
Srs linear based
|
$36,708.10 |
$36,708.10 |
$36,708.10 |
$14,124.25
|
