|
Semen analysis presence/motility
|
$120.36 |
$120.36 |
$120.36 |
$71.05
|
|
Semen analysis w/count
|
$172.87 |
$172.87 |
$172.87 |
$56.44
|
|
Set radiation therapy field
|
$1,277.35 |
$1,277.35 |
$1,277.35 |
$762.40
|
|
Set radiation therapy field
|
$1,473.23 |
$1,473.23 |
$1,473.23 |
$1,157.38
|
|
Set radiation therapy field
|
$2,241.41 |
$2,241.41 |
$2,241.41 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$5,387.71 |
$5,387.71 |
$5,387.71 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$3,050.30 |
$3,050.30 |
$3,050.30 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,847.34 |
$2,847.34 |
$2,847.34 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,406.61 |
$2,406.61 |
$2,406.61 |
$2,065.05
|
|
Shoulder X-ray
|
$346.92 |
$346.92 |
$346.92 |
$339.50
|
|
Shrinker prosth below knee
|
$90.63 |
$90.63 |
$90.63 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$3,387.78 |
$3,387.78 |
$3,387.78 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$774.08 |
$774.08 |
$774.08 |
$349.20
|
|
Sialography s&i
|
$458.43 |
$458.43 |
$458.43 |
$499.20
|
|
Sickling rbc
|
$24.78 |
$24.78 |
$24.78 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$212.99 |
$212.99 |
$212.99 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,787.11 |
$1,787.11 |
$1,787.11 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,746.99 |
$1,746.99 |
$1,746.99 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,370.57 |
$1,370.57 |
$1,370.57 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,362.36 |
$2,362.36 |
$2,362.36 |
$2,489.25
|
|
Sirolimus, oral
|
$17.50 |
$17.50 |
$17.50 |
$41.25
|
|
Skyla, 13.5 mg
|
$537.05 |
$537.05 |
$537.05 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,156.50 |
$3,156.50 |
$3,156.50 |
$3,607.50
|
|
Sleep study unattended
|
$361.08 |
$361.08 |
$361.08 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$10.16 |
$10.16 |
$10.16 |
$30.35
|
|
Sling suprapubic suburetheral
|
$5,568.28 |
$5,568.28 |
$5,568.28 |
$9,679.96
|
|
Slp pure tone screening
|
$127.44 |
$127.44 |
$127.44 |
$60.48
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$69.62 |
$69.62 |
$69.62 |
$64.20
|
|
Smear gram stain
|
$45.43 |
$45.43 |
$45.43 |
$55.25
|
|
Smear nasal eosinophil
|
$22.42 |
$22.42 |
$22.42 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$73.16 |
$73.16 |
$73.16 |
$73.15
|
|
Smear wet mount
|
$70.21 |
$70.21 |
$70.21 |
$67.49
|
|
Sock fracture or equal each
|
$31.86 |
$31.86 |
$31.86 |
$74.51
|
|
Sodium 24 hour urine
|
$47.79 |
$47.79 |
$47.79 |
$48.60
|
|
Sodium chloride 0.9 % IV bolus
|
$0.01 |
$0.01 |
$0.01 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$0.01 |
$0.01 |
$0.01 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$0.01 |
$0.01 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$3.44 |
$3.44 |
$3.44 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$53.35 |
$53.35 |
$53.35 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$34.22 |
$34.22 |
$34.22 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1.17 |
$1.17 |
$1.17 |
$177.52
|
|
Soft interface below knee se
|
$109.63 |
$109.63 |
$109.63 |
$179.08
|
|
Somatropin injection
|
$165.12 |
$165.12 |
$165.12 |
$2,381.48
|
|
Special physics consult
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$725.00
|
|
Special radiation treatment
|
$2,770.64 |
$2,770.64 |
$2,770.64 |
$1,986.00
|
|
Special teletx port plan
|
$1,436.06 |
$1,436.06 |
$1,436.06 |
$1,086.99
|
|
Specimen fat stain
|
$62.54 |
$62.54 |
$62.54 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$915.09 |
$915.09 |
$915.09 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$550.47 |
$550.47 |
$550.47 |
$543.26
|
|
Sr-89 stront chlor ther / mci
|
$6,718.33 |
$6,718.33 |
$6,718.33 |
$2,667.94
|
|
Srs linear based
|
$15,042.64 |
$15,042.64 |
$15,042.64 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$287.92 |
$287.92 |
$287.92 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$160.48 |
$160.48 |
$160.48 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$17,590.26 |
$17,590.26 |
$17,590.26 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$18,190.59 |
$18,190.59 |
$18,190.59 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,486.02 |
$3,486.02 |
$3,486.02 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$18,205.09 |
$18,205.09 |
$18,205.09 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$581.15 |
$581.15 |
$581.15 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$14,322.84 |
$14,322.84 |
$14,322.84 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,114.32 |
$9,114.32 |
$9,114.32 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,162.75 |
$10,162.75 |
$10,162.75 |
$17,271.50
|
|
St evaluate speech sound production
|
$174.64 |
$174.64 |
$174.64 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$260.78 |
$260.78 |
$260.78 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$302.08 |
$302.08 |
$302.08 |
$399.60
|
|
St evaluation swallow function
|
$214.76 |
$214.76 |
$214.76 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$150.45 |
$150.45 |
$150.45 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$158.12 |
$158.12 |
$158.12 |
$154.70
|
|
Strapping of hand or finger
|
$187.03 |
$187.03 |
$187.03 |
$174.82
|
|
Strapping of hip
|
$161.07 |
$161.07 |
$161.07 |
$164.70
|
|
Strapping of knee
|
$145.73 |
$145.73 |
$145.73 |
$205.20
|
|
Strapping of toes 29550
|
$71.98 |
$71.98 |
$71.98 |
$164.70
|
|
Strep a ag ia
|
$50.15 |
$50.15 |
$50.15 |
$75.40
|
|
Strep b dna amp probe
|
$70.80 |
$70.80 |
$70.80 |
$120.90
|
|
Stress test pulmonary
|
$434.24 |
$434.24 |
$434.24 |
$322.85
|
|
Stress tte complete
|
$1,563.50 |
$1,563.50 |
$1,563.50 |
$1,870.50
|
|
St treatment speech individual
|
$244.26 |
$244.26 |
$244.26 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$214.76 |
$214.76 |
$214.76 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$10.42 |
$10.42 |
$10.42 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$4,134.35 |
$4,134.35 |
$4,134.35 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$4.72 |
$4.72 |
$4.72 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$179.61 |
$179.61 |
$179.61 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$12.01 |
$12.01 |
$12.01 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$53.69 |
$53.69 |
$53.69 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$143.96 |
$143.96 |
$143.96 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$173.46 |
$173.46 |
$173.46 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$243.67 |
$243.67 |
$243.67 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$821.28 |
$821.28 |
$821.28 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$404.74 |
$404.74 |
$404.74 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$10.62 |
$10.62 |
$10.62 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$51.33 |
$51.33 |
$51.33 |
$35.70
|
|
Susceptibility mic per plate
|
$111.51 |
$111.51 |
$111.51 |
$106.00
|
|
Svc venogram s&i
|
$1,571.76 |
$1,571.76 |
$1,571.76 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$40.48 |
$40.48 |
$40.48 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$47.20 |
$47.20 |
$47.20 |
$41.60
|
|
System cardiomems hosp electronics
|
$24,532.20 |
$24,532.20 |
$24,532.20 |
$39,037.95
|
|
System pacing micra av
|
$24,293.25 |
$24,293.25 |
$24,293.25 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,336.85 |
$11,336.85 |
$11,336.85 |
$12,003.00
|
|
System sealant biosentry tract
|
$617.79 |
$617.79 |
$617.79 |
$889.35
|
|
T3 (triiodothyronine) free
|
$112.10 |
$112.10 |
$112.10 |
$99.20
|
