|
Shrinker upper limb
|
$363.62 |
$363.62 |
$363.62 |
$73.50
|
|
Shunt glaucoma baerveldt 350mm
|
$1,723.08 |
$1,723.08 |
$6,462.26 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$179.30 |
$179.30 |
$435.78 |
$345.00
|
|
Sialolithotomy 42330
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,837.72
|
|
Sickling rbc
|
$39.60 |
$39.60 |
$67.65 |
$53.55
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,326.60 |
$1,326.60 |
$1,326.60 |
$1,395.28
|
|
Signal avg ecg w or without ecg 93278
|
$889.90 |
$889.90 |
$889.90 |
$309.52
|
|
Sinus CT scan (with and without contrast)
|
$1,796.30 |
$1,796.30 |
$2,030.60 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,290.85 |
$1,290.85 |
$1,501.50 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$660.00 |
$660.00 |
$880.00 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,782.55 |
$1,782.55 |
$2,111.40 |
$2,489.25
|
|
Skeletal muscle relaxant 1/2
|
$147.40 |
$147.40 |
$147.40 |
$74.23
|
|
Skin Biopsy
|
$378.95 |
$378.95 |
$615.45 |
$382.80
|
|
Skin test unlisted antigen ea
|
$18.15 |
$18.15 |
$18.15 |
$39.77
|
|
Sleep study attended
|
$1,763.40 |
$1,763.40 |
$1,763.40 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$2,948.55 |
$2,948.55 |
$2,948.55 |
$3,936.80
|
|
Sleep study unattended
|
$901.18 |
$901.18 |
$901.18 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$108.05 |
$108.05 |
$108.05 |
$25.55
|
|
Sling suprapubic suburetheral
|
$2,292.05 |
$2,292.05 |
$2,292.05 |
$10,328.15
|
|
Slitting of prepuce
|
$3,296.70 |
$3,296.70 |
$3,376.23 |
$2,983.40
|
|
Slp pure tone screening
|
$94.38 |
$94.38 |
$94.38 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$44.00 |
$44.00 |
$63.25 |
$64.20
|
|
Smear gram stain
|
$26.40 |
$26.40 |
$38.50 |
$57.85
|
|
Smear nasal eosinophil
|
$46.75 |
$46.75 |
$46.75 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$35.20 |
$35.20 |
$379.50 |
$64.35
|
|
Smear wet mount
|
$17.16 |
$17.16 |
$106.70 |
$68.63
|
|
Smpd1 gene common variants
|
$245.30 |
$245.30 |
$245.30 |
$140.00
|
|
Snrpn/ube3a gene
|
$701.80 |
$701.80 |
$701.80 |
$228.80
|
|
Sodium 24 hour urine
|
$33.00 |
$33.00 |
$34.10 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$30.80 |
$30.80 |
$66.00 |
$42.70
|
|
Special physics consult
|
$1,830.95 |
$1,830.95 |
$1,870.00 |
$700.74
|
|
Special radiation dosimetry
|
$360.80 |
$360.80 |
$379.50 |
$445.50
|
|
Special radiation treatment
|
$2,300.10 |
$2,300.10 |
$4,187.15 |
$1,934.03
|
|
Special supplies phys/qhp
|
$6,495.47 |
$6,495.47 |
$6,495.47 |
$60.00
|
|
Special teletx port plan
|
$1,046.65 |
$1,046.65 |
$1,046.65 |
$1,046.65
|
|
Specific gravity body fluid
|
$29.15 |
$29.15 |
$29.15 |
$23.63
|
|
Specimen fat stain
|
$37.40 |
$37.40 |
$37.40 |
$32.76
|
|
Speech audiometry complete
|
$41.58 |
$41.58 |
$82.22 |
$104.25
|
|
Speech evaluation complex
|
$314.60 |
$314.60 |
$572.20 |
$527.06
|
|
Speech recep thresh
|
$27.06 |
$27.06 |
$94.38 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,859.00 |
$1,859.00 |
$2,228.05 |
$1,502.08
|
|
Spine device implant surgery
|
$12,975.05 |
$12,975.05 |
$12,975.05 |
$15,226.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$457.60 |
$457.60 |
$470.80 |
$559.96
|
|
Spirometry up to 2 yrs old
|
$326.04 |
$326.04 |
$326.04 |
$185.15
|
|
Spleen imaging
|
$494.45 |
$494.45 |
$494.45 |
$539.70
|
|
Splint extn xsm w sof-stretch rolyan
|
$40.80 |
$40.80 |
$40.80 |
$52.65
|
|
Splint rstrc wrst/cmc right med
|
$57.35 |
$57.35 |
$57.35 |
$101.18
|
|
Split blood or products
|
$121.00 |
$121.00 |
$161.15 |
$148.98
|
|
Srs linear based
|
$21,459.90 |
$21,459.90 |
$21,459.90 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$324.50 |
$324.50 |
$400.40 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$234.30 |
$234.30 |
$234.30 |
$313.96
|
|
Stem cells total count
|
$130.90 |
$130.90 |
$203.50 |
$130.90
|
|
Stenger test pure tone
|
$91.52 |
$91.52 |
$91.52 |
$70.29
|
|
Stenger test speech
|
$33.00 |
$33.00 |
$525.52 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$25,896.75 |
$25,896.75 |
$33,690.98 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$8,199.46 |
$8,199.46 |
$8,553.47 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$378.52 |
$378.52 |
$1,808.63 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$5,839.20 |
$5,839.20 |
$7,326.66 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,000.00 |
$11,000.00 |
$11,503.46 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,034.78 |
$6,034.78 |
$8,250.00 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$15,950.00 |
$15,950.00 |
$24,424.26 |
$19,765.20
|
|
Sterile needle
|
$279.41 |
$279.41 |
$279.41 |
$262.50
|
|
St evaluate speech sound production
|
$338.80 |
$338.80 |
$374.87 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$708.40 |
$708.40 |
$1,741.88 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$326.70 |
$326.70 |
$336.05 |
$406.40
|
|
St evaluation swallow function
|
$300.85 |
$300.85 |
$396.55 |
$336.60
|
|
Stimulants synthetic
|
$414.15 |
$414.15 |
$414.15 |
$36.32
|
|
Strapping of ankle and/or ft 29540
|
$423.28 |
$423.28 |
$423.28 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$489.78 |
$489.78 |
$489.78 |
$171.00
|
|
Strapping of hand or finger
|
$418.99 |
$418.99 |
$418.99 |
$194.40
|
|
Strapping of hip
|
$275.28 |
$275.28 |
$275.28 |
$170.08
|
|
Strapping of knee
|
$201.85 |
$201.85 |
$304.59 |
$224.80
|
|
Strapping of toes 29550
|
$303.88 |
$303.88 |
$303.88 |
$185.36
|
|
Strep a ag ia
|
$18.70 |
$18.70 |
$18.70 |
$75.40
|
|
Strep b assay w/optic
|
$100.65 |
$100.65 |
$100.65 |
$32.00
|
|
Stress test pulmonary
|
$209.50 |
$209.50 |
$283.25 |
$327.20
|
|
Str markers specimen anal
|
$1,176.45 |
$1,176.45 |
$1,266.65 |
$835.28
|
|
St treatment speech individual
|
$275.00 |
$275.00 |
$338.80 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$273.35 |
$273.35 |
$335.50 |
$261.60
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$1,482.91 |
$1,482.91 |
$1,482.91 |
$819.50
|
|
Subq njx filling matrl 1cc/<
|
$413.27 |
$413.27 |
$413.27 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$735.02 |
$735.02 |
$735.02 |
$748.14
|
|
Sugars multiple quant
|
$133.10 |
$133.10 |
$133.10 |
$26.95
|
|
Sugars single quant
|
$77.00 |
$77.00 |
$251.90 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$105.60 |
$105.60 |
$345.95 |
$184.60
|
|
Support clav 29.6-40.5in med
|
$108.05 |
$108.05 |
$108.05 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$79.20 |
$79.20 |
$111.10 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$178.20 |
$178.20 |
$203.50 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$107.25 |
$107.25 |
$289.30 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$215.05 |
$215.05 |
$283.25 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$422.40 |
$422.40 |
$603.90 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$552.75 |
$552.75 |
$862.40 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$27.50 |
$27.50 |
$64.35 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$12.65 |
$12.65 |
$16.50 |
$34.48
|
|
Susceptibility mic per plate
|
$62.70 |
$62.70 |
$100.10 |
$94.38
|
|
Svc venogram s&i
|
$2,327.32 |
$2,327.32 |
$2,681.25 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$125.40 |
$125.40 |
$147.95 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$51.70 |
$51.70 |
$55.00 |
$44.85
|
|
System cardiomems hosp electronics
|
$60,396.19 |
$60,396.19 |
$60,396.19 |
$41,518.75
|
|
System pacing micra av
|
$6,728.92 |
$6,728.92 |
$28,437.06 |
$24,469.57
|
