|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,569.60 |
$2,569.60 |
$2,569.60 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$2,553.10 |
$2,553.10 |
$2,553.10 |
$4,201.80
|
|
Rpr ing hern premie blocked
|
$2,930.40 |
$2,930.40 |
$2,930.40 |
$4,176.15
|
|
Rsv assay w/optic
|
$127.05 |
$127.05 |
$127.05 |
$73.80
|
|
Rubella antibody igg
|
$122.65 |
$122.65 |
$122.65 |
$73.10
|
|
Rubeola antibody igg
|
$184.25 |
$184.25 |
$184.25 |
$79.68
|
|
Russell viper venom diluted
|
$61.60 |
$61.60 |
$61.60 |
$70.16
|
|
Salivary gland imaging
|
$303.05 |
$303.05 |
$303.05 |
$549.70
|
|
Salmonella antibody
|
$68.75 |
$68.75 |
$68.75 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$79.20 |
$79.20 |
$79.20 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$138.05 |
$138.05 |
$138.05 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,320.55 |
$1,320.55 |
$1,320.55 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$653.40 |
$653.40 |
$653.40 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$999.35 |
$999.35 |
$999.35 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$537.90 |
$537.90 |
$537.90 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$583.00 |
$583.00 |
$583.00 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$932.80 |
$932.80 |
$932.80 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,317.25 |
$1,317.25 |
$1,317.25 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$771.10 |
$771.10 |
$771.10 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$601.70 |
$601.70 |
$601.70 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,997.50 |
$2,997.50 |
$2,997.50 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$4,079.62 |
$4,079.62 |
$4,079.62 |
$4,079.62
|
|
Screen cerv/vag thin layer
|
$70.40 |
$70.40 |
$70.40 |
$61.20
|
|
Screening Mammogram
|
$237.60 |
$237.60 |
$237.60 |
$303.55
|
|
Screening prostate cancer PSA
|
$62.70 |
$62.70 |
$62.70 |
$100.80
|
|
Screen pap by tech w md supv
|
$41.80 |
$41.80 |
$41.80 |
$41.80
|
|
Screen/visual acuity/bilat/quant 99173
|
$34.65 |
$34.65 |
$34.65 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$3,976.16 |
$3,976.16 |
$3,976.16 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$98.45 |
$98.45 |
$98.45 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$4,376.90 |
$4,376.90 |
$4,376.90 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,083.75 |
$4,083.75 |
$4,083.75 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$18.15 |
$18.15 |
$18.15 |
$44.20
|
|
Self-meas bp pt educaj/train
|
$0.01 |
$0.01 |
$0.01 |
$39.77
|
|
Semen analysis presence/motility
|
$82.50 |
$82.50 |
$82.50 |
$70.85
|
|
Sept9 promoter methylation analysis
|
$133.65 |
$133.65 |
$133.65 |
$316.68
|
|
Sertraline (zoloft) - sendout
|
$194.70 |
$194.70 |
$194.70 |
$173.16
|
|
Set radiation therapy field
|
$731.50 |
$731.50 |
$731.50 |
$731.50
|
|
Set radiation therapy field
|
$1,149.50 |
$1,149.50 |
$1,149.50 |
$1,102.40
|
|
Set radiation therapy field
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$245.85 |
$245.85 |
$245.85 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$364.10 |
$364.10 |
$364.10 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$129.89 |
$129.89 |
$129.89 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$422.40 |
$422.40 |
$422.40 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$264.00 |
$264.00 |
$264.00 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$242.55 |
$242.55 |
$242.55 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$557.70 |
$557.70 |
$557.70 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$606.10 |
$606.10 |
$606.10 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$187.55 |
$187.55 |
$187.55 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$247.50 |
$247.50 |
$247.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$289.30 |
$289.30 |
$289.30 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$3,278.48 |
$3,278.48 |
$3,278.48 |
$6,108.01
|
|
Shoulder MRI (with and without contrast)
|
$1,828.75 |
$1,828.75 |
$1,828.75 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,946.45 |
$1,946.45 |
$1,946.45 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,700.05 |
$1,700.05 |
$1,700.05 |
$2,051.28
|
|
Shoulder X-ray
|
$223.30 |
$223.30 |
$223.30 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$138.05 |
$138.05 |
$138.05 |
$345.00
|
|
Sialography s&i
|
$393.25 |
$393.25 |
$393.25 |
$462.40
|
|
Sickling rbc
|
$27.50 |
$27.50 |
$27.50 |
$53.55
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,260.60 |
$1,260.60 |
$1,260.60 |
$1,395.28
|
|
Signal avg ecg w or without ecg 93278
|
$190.30 |
$190.30 |
$190.30 |
$309.52
|
|
Sim ang w/prs cath rad emb
|
$22,490.60 |
$22,490.60 |
$22,490.60 |
$13,001.06
|
|
Simple cystometrogram 51725
|
$893.75 |
$893.75 |
$893.75 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$883.30 |
$883.30 |
$883.30 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$2,489.25
|
|
Skeletal muscle relaxant 1/2
|
$38.50 |
$38.50 |
$38.50 |
$86.39
|
|
Skel musc relaxant 3 or more
|
$17.60 |
$17.60 |
$17.60 |
$13.60
|
|
Skin Biopsy
|
$960.30 |
$960.30 |
$960.30 |
$382.80
|
|
Sleep study attended
|
$1,539.45 |
$1,539.45 |
$1,539.45 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$3,877.50 |
$3,877.50 |
$3,877.50 |
$3,936.80
|
|
Sleep study unattended
|
$924.55 |
$924.55 |
$924.55 |
$595.50
|
|
Sling suprapubic suburetheral
|
$1,009.55 |
$1,009.55 |
$1,009.55 |
$10,328.15
|
|
Slitting of prepuce
|
$2,602.60 |
$2,602.60 |
$2,602.60 |
$2,983.40
|
|
Sm-153 lexidron ther
|
$21,377.40 |
$21,377.40 |
$21,377.40 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$108.90 |
$108.90 |
$108.90 |
$64.20
|
|
Smear gram stain
|
$40.70 |
$40.70 |
$40.70 |
$57.85
|
|
Smear nasal eosinophil
|
$45.10 |
$45.10 |
$45.10 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$86.35 |
$86.35 |
$86.35 |
$64.35
|
|
Smear wet mount
|
$154.00 |
$154.00 |
$154.00 |
$68.63
|
|
Smpd1 gene common variants
|
$230.45 |
$230.45 |
$230.45 |
$140.00
|
|
Snrpn/ube3a gene
|
$339.90 |
$339.90 |
$339.90 |
$228.80
|
|
Sodium 24 hour urine
|
$31.35 |
$31.35 |
$31.35 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$33.55 |
$33.55 |
$33.55 |
$42.70
|
|
Somatosensory testing
|
$400.40 |
$400.40 |
$400.40 |
$583.80
|
|
Special physics consult
|
$1,077.45 |
$1,077.45 |
$1,077.45 |
$700.74
|
|
Special radiation dosimetry
|
$219.45 |
$219.45 |
$219.45 |
$445.50
|
|
Special radiation treatment
|
$1,829.30 |
$1,829.30 |
$1,829.30 |
$1,934.03
|
|
Special teletx port plan
|
$646.25 |
$646.25 |
$646.25 |
$1,046.65
|
|
Specific gravity body fluid
|
$24.75 |
$24.75 |
$24.75 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$737.55 |
$737.55 |
$737.55 |
$559.96
|
|
Spleen imaging
|
$495.55 |
$495.55 |
$495.55 |
$539.70
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,461.15 |
$3,461.15 |
$3,461.15 |
$4,560.66
|
|
Split blood or products
|
$83.60 |
$83.60 |
$83.60 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$4,588.65 |
$4,588.65 |
$4,588.65 |
$4,588.65
|
|
Srs linear based
|
$13,585.00 |
$13,585.00 |
$13,585.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$287.10 |
$287.10 |
$287.10 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$172.70 |
$172.70 |
$172.70 |
$313.96
|
