|
Scan duplex extremity veins unilateral/limited study
|
$938.40 |
$938.40 |
$1,036.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$833.52 |
$833.52 |
$852.50 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$566.72 |
$566.72 |
$750.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$258.50 |
$258.50 |
$300.84 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,843.00 |
$2,843.00 |
$2,843.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$1,552.50 |
$1,552.50 |
$1,687.50 |
$4,490.64
|
|
Screening Mammogram
|
$274.00 |
$274.00 |
$274.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$111.50 |
$111.50 |
$111.50 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$14,076.58 |
$14,076.58 |
$15,300.63 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$63.50 |
$63.50 |
$63.50 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$565.50 |
$565.50 |
$3,100.86 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$178.00 |
$178.00 |
$178.00 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$17.94 |
$17.94 |
$61.50 |
$42.00
|
|
Set radiation therapy field
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$762.40
|
|
Set radiation therapy field
|
$1,231.50 |
$1,231.50 |
$1,231.50 |
$1,157.38
|
|
Set radiation therapy field
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$161.00 |
$161.00 |
$175.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$188.60 |
$188.60 |
$205.00 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$4,200.59 |
$4,200.59 |
$4,565.85 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,551.50 |
$1,551.50 |
$1,551.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,303.50 |
$1,303.50 |
$1,303.50 |
$2,065.05
|
|
Shoulder X-ray
|
$276.92 |
$276.92 |
$310.50 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,641.32 |
$2,641.32 |
$2,871.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$570.50 |
$570.50 |
$570.50 |
$349.20
|
|
Sialography s&i
|
$388.50 |
$388.50 |
$388.50 |
$499.20
|
|
Sickling rbc
|
$42.00 |
$42.00 |
$42.00 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$272.00 |
$272.00 |
$272.00 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$89.24 |
$89.24 |
$180.50 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,423.00 |
$1,423.00 |
$1,800.90 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,132.52 |
$1,132.52 |
$1,401.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$928.28 |
$928.28 |
$1,094.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$398.00 |
$398.00 |
$694.60 |
$2,489.25
|
|
Sirolimus, oral
|
$13.65 |
$13.65 |
$14.83 |
$41.25
|
|
Skin Biopsy
|
$144.50 |
$144.50 |
$144.50 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$418.72 |
$418.72 |
$455.12 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$2,255.38 |
$2,255.38 |
$2,276.50 |
$3,607.50
|
|
Sleep study unattended
|
$200.56 |
$200.56 |
$214.00 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$7.93 |
$7.93 |
$8.61 |
$30.35
|
|
Sling suprapubic suburetheral
|
$4,341.37 |
$4,341.37 |
$4,718.88 |
$9,679.96
|
|
Slitting of prepuce
|
$2,086.00 |
$2,086.00 |
$2,086.00 |
$3,365.50
|
|
Slp pure tone screening
|
$99.36 |
$99.36 |
$111.00 |
$60.48
|
|
Sm-153 lexidron ther
|
$5,278.50 |
$5,278.50 |
$5,278.50 |
$7,320.12
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$30.82 |
$30.82 |
$70.50 |
$64.20
|
|
Smear gram stain
|
$18.86 |
$18.86 |
$59.00 |
$55.25
|
|
Smear nasal eosinophil
|
$18.40 |
$18.40 |
$31.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$110.00 |
$110.00 |
$110.00 |
$73.15
|
|
Smear wet mount
|
$80.00 |
$80.00 |
$80.00 |
$67.49
|
|
Sock fracture or equal each
|
$19.73 |
$19.73 |
$21.45 |
$74.51
|
|
Sodium 24 hour urine
|
$30.82 |
$30.82 |
$54.50 |
$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
|
$2.68 |
$2.68 |
$2.91 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$41.60 |
$41.60 |
$45.21 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$58.00 |
$58.00 |
$61.64 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$0.92 |
$0.92 |
$0.99 |
$177.52
|
|
Somatropin injection
|
$128.74 |
$128.74 |
$139.93 |
$2,381.48
|
|
Special physics consult
|
$1,021.50 |
$1,021.50 |
$1,021.50 |
$725.00
|
|
Special radiation dosimetry
|
$444.50 |
$444.50 |
$444.50 |
$392.50
|
|
Special radiation treatment
|
$2,045.50 |
$2,045.50 |
$2,045.50 |
$1,986.00
|
|
Special teletx port plan
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$9.66 |
$9.66 |
$24.00 |
$22.00
|
|
Specimen fat stain
|
$18.40 |
$18.40 |
$19.00 |
$35.10
|
|
Speech evaluation complex
|
$196.00 |
$196.00 |
$196.00 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$532.68 |
$532.68 |
$674.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$247.50 |
$247.50 |
$261.74 |
$543.26
|
|
Split blood or products
|
$136.00 |
$136.00 |
$136.00 |
$127.48
|
|
Sr-89 stront chlor ther / mci
|
$3,910.00 |
$3,910.00 |
$3,910.00 |
$2,667.94
|
|
Srs linear based
|
$12,748.00 |
$12,748.00 |
$12,748.00 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$82.34 |
$82.34 |
$244.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$136.00 |
$136.00 |
$136.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$12,264.50 |
$12,264.50 |
$16,869.58 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$14,182.49 |
$14,182.49 |
$15,415.75 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,717.91 |
$2,717.91 |
$2,954.25 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$14,193.80 |
$14,193.80 |
$15,428.04 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$453.10 |
$453.10 |
$492.50 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,154.50 |
$9,154.50 |
$30,536.64 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,832.00 |
$5,832.00 |
$19,543.56 |
$9,008.54
|
|
Stent placemt retro carotid
|
$2,698.36 |
$2,698.36 |
$2,698.36 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,540.70 |
$5,540.70 |
$5,791.50 |
$17,271.50
|
|
St evaluate speech sound production
|
$80.04 |
$80.04 |
$138.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$184.46 |
$184.46 |
$213.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$248.86 |
$248.86 |
$270.50 |
$399.60
|
|
St evaluation swallow function
|
$159.62 |
$159.62 |
$184.00 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$127.50 |
$127.50 |
$127.50 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$171.00 |
$171.00 |
$171.00 |
$154.70
|
|
Strapping of hand or finger
|
$174.50 |
$174.50 |
$174.50 |
$174.82
|
|
Strapping of knee
|
$71.50 |
$71.50 |
$71.50 |
$205.20
|
|
Strapping of toes 29550
|
$61.00 |
$61.00 |
$61.00 |
$164.70
|
|
Strep b dna amp probe
|
$67.00 |
$67.00 |
$67.00 |
$120.90
|
|
Stress test pulmonary
|
$319.24 |
$319.24 |
$371.50 |
$322.85
|
|
Stress tte complete
|
$1,304.50 |
$1,304.50 |
$2,531.38 |
$1,870.50
|
|
St treatment speech individual
|
$172.50 |
$172.50 |
$197.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$159.62 |
$159.62 |
$193.00 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$8.12 |
$8.12 |
$8.83 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$3,223.39 |
$3,223.39 |
$3,503.68 |
$7,345.98
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$140.04 |
$140.04 |
$152.21 |
$114.88
|