|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$432.60 |
$507.00 |
$1,762.05 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$203.28 |
$389.50 |
$1,033.35 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$249.78 |
$528.36 |
$1,194.25 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$726.18 |
$938.40 |
$1,216.34 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$565.11 |
$640.50 |
$1,045.80 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$258.50 |
$318.78 |
$1,071.53 |
|
|
Sclerotherapy fluid collection pq w/img
|
$849.24 |
$849.24 |
$2,843.00 |
|
|
Scope plantar fasciotomy
|
$1,561.23 |
$1,580.04 |
$1,598.85 |
|
|
Scope uretscp lithovue dig disp
|
$1,417.50 |
$1,552.50 |
$2,868.75 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$81.06 |
$81.06 |
$136.00 |
|
|
Screening Colonoscopy (average risk)
|
$1,794.24 |
$1,794.24 |
$1,815.60 |
|
|
Screening Colonoscopy (high risk)
|
$819.84 |
$819.84 |
$829.60 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$63.00 |
$63.75 |
$76.86 |
|
|
Screening Mammogram
|
$128.10 |
$241.56 |
$411.68 |
|
|
Screening prostate cancer PSA
|
$87.84 |
$98.28 |
$178.50 |
|
|
Screen pap by tech w md supv
|
$10.08 |
$10.08 |
$10.08 |
|
|
Screw cortex 2.0 x 10mm
|
$12,852.53 |
$15,300.63 |
$87,383.66 |
|
|
Scrotal (Testicle) Ultrasound
|
$416.22 |
$508.50 |
$814.81 |
|
|
Sc ther infusion reset pump
|
$52.08 |
$52.08 |
$89.06 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$565.50 |
$3,190.74 |
$3,190.74 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$39.06 |
$39.06 |
$178.00 |
|
|
Sedimentation rate erythrocyte automated
|
$5.42 |
$53.76 |
$95.20 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$46.00 |
$52.50 |
$243.95 |
|
|
Semen analysis presence/motility
|
$50.40 |
$50.40 |
$231.80 |
|
|
Semen analysis w/count
|
$16.98 |
$172.87 |
$215.90 |
|
|
Sept9 promoter methylation analysis
|
$424.51 |
$424.51 |
$424.51 |
|
|
Serial casting application 97139app
|
$60.90 |
$60.90 |
$60.90 |
|
|
Sertraline (zoloft) - sendout
|
$164.22 |
$164.22 |
$283.90 |
|
|
Set radiation therapy field
|
$798.00 |
$798.00 |
$1,297.47 |
|
|
Set radiation therapy field
|
$1,196.58 |
$1,196.58 |
$1,598.81 |
|
|
Set radiation therapy field
|
$1,534.26 |
$1,534.26 |
$2,294.21 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$43.84 |
$236.04 |
$238.85 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$159.60 |
$178.92 |
$181.05 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$352.80 |
$357.00 |
$363.54 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$175.56 |
$175.56 |
$177.65 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$37.06 |
$116.76 |
$259.25 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$47.46 |
$1,039.92 |
$1,052.30 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$61.02 |
$1,145.76 |
$1,159.40 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$69.16 |
$69.16 |
$69.16 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$32.54 |
$407.40 |
$412.25 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$49.27 |
$170.52 |
$205.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$57.86 |
$125.58 |
$640.90 |
|
|
Sheath gldlight lasr 12fx50cm
|
$3,835.32 |
$4,565.85 |
$7,761.95 |
|
|
Sheath laser cavaclear 14f
|
$2,830.28 |
$2,830.28 |
$2,830.28 |
|
|
Sho arthrs srg bicp tenodsis
|
$740.36 |
$740.36 |
$740.36 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$740.36 |
$740.36 |
$740.36 |
|
|
Sho arthrs srg rpr slap les
|
$2,343.92 |
$2,343.92 |
$2,343.92 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$4,163.28 |
$4,163.28 |
$4,163.28 |
|
|
Shoe post-op mens m
|
$94.42 |
$94.42 |
$128.27 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$50.60 |
$109.62 |
$215.94 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$175.96 |
$204.54 |
$308.05 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,410.17 |
$1,410.17 |
$1,410.17 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$192.42 |
$203.70 |
$353.19 |
|
|
Shoulder MRI (with and without contrast)
|
$1,490.16 |
$1,655.50 |
$3,861.99 |
|
|
Shoulder MRI (with contrast)
|
$1,396.50 |
$1,551.50 |
$3,403.83 |
|
|
Shoulder MRI (without contrast)
|
$1,173.48 |
$1,303.50 |
$2,952.05 |
|
|
Shoulder X-ray
|
$214.62 |
$292.99 |
$346.92 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$147.66 |
$167.50 |
$314.50 |
|
|
Shrinker prosth below knee
|
$90.63 |
$90.63 |
$90.63 |
|
|
Shunt glaucoma baerveldt 350mm
|
$2,411.64 |
$2,641.32 |
$4,880.70 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$276.78 |
$364.74 |
$774.08 |
|
|
Sialography s&i
|
$297.36 |
$297.36 |
$512.40 |
|
|
Sialolithotomy 42330
|
$1,367.10 |
$1,367.10 |
$1,367.10 |
|
|
Sickling rbc
|
$15.86 |
$25.20 |
$98.60 |
|
|
Sigmoidoscopy and biopsy
|
$693.88 |
$1,871.52 |
$1,893.80 |
|
|
Sigmoidoscopy flex decompression 45337
|
$264.77 |
$267.96 |
$271.15 |
|
|
Sigmoidoscopy for bleeding
|
$1,205.16 |
$1,219.68 |
$1,234.20 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$705.50 |
$714.00 |
$722.50 |
|
|
Sigmoidoscopy w/ablation
|
$5,700.44 |
$5,769.12 |
$5,837.80 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$665.66 |
$673.68 |
$681.70 |
|
|
Sigmoidoscopy w/plcmt stent
|
$356.07 |
$360.36 |
$364.65 |
|
|
Sigmoidoscopy w/tumr remove
|
$719.61 |
$728.28 |
$736.95 |
|
|
Sigmoidoscopy w/ultrasound
|
$287.18 |
$290.64 |
$294.10 |
|
|
Sigmoidoscopy w/us guide bx
|
$392.59 |
$397.32 |
$402.05 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$795.14 |
$1,900.08 |
$1,922.70 |
|
|
Signal avg ecg w or without ecg 93278
|
$195.30 |
$195.30 |
$331.84 |
|
|
Sig w/tndsc balloon dilation
|
$1,118.84 |
$1,132.32 |
$1,145.80 |
|
|
Sincalide 5 mcg solution for injection
|
$74.25 |
$255.59 |
$517.26 |
|
|
Sinus CT scan (with and without contrast)
|
$1,050.84 |
$1,787.11 |
$2,998.80 |
|
|
Sinus CT scan (with contrast)
|
$1,034.46 |
$1,401.00 |
$2,546.60 |
|
|
Sinus CT scan (without contrast)
|
$808.50 |
$1,094.50 |
$2,380.00 |
|
|
Sinus/juglr venogram s&i
|
$398.00 |
$1,055.88 |
$2,362.36 |
|
|
Sinus X-ray (complete)
|
$242.76 |
$282.00 |
$390.93 |
|
|
Sinus X-ray (limited)
|
$177.62 |
$207.48 |
$264.74 |
|
|
Sirolimus, oral
|
$13.65 |
$4,982.38 |
$10,083.38 |
|
|
Skeletal muscle relaxant 1/2
|
$94.40 |
$94.40 |
$94.40 |
|
|
Skin Biopsy
|
$132.30 |
$132.30 |
$232.40 |
|
|
Skin split graft addl 100sq cm 15101
|
$1,793.40 |
$1,793.40 |
$2,629.10 |
|
|
Skull X-ray (1 to 3 views)
|
$139.00 |
$143.64 |
$337.45 |
|
|
Skull X-ray (complete)
|
$243.18 |
$338.90 |
$463.15 |
|
|
Skyla, 13.5 mg
|
$418.72 |
$1,529.21 |
$3,094.82 |
|
|
Slco1b1 gene com variants
|
$386.92 |
$386.92 |
$386.92 |
|
|
Sleep study attended
|
$824.04 |
$824.04 |
$1,879.95 |
|
|
Sleep Study (Polysomnography)
|
$1,991.22 |
$2,255.38 |
$4,548.35 |
|
|
Sleep study unattended
|
$200.56 |
$320.88 |
$561.25 |
|
|
Sling arm deluxe w/pad xs
|
$7.93 |
$44.59 |
$82.62 |
|
|
Sling suprapubic suburetheral
|
$3,963.86 |
$4,718.88 |
$11,944.73 |
|
|
Slitting of prepuce
|
$2,086.00 |
$2,086.00 |
$2,086.00 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$74.76 |
$74.76 |
$227.80 |
|
|
Slp eval non-spch gen comm dev
|
$125.16 |
$125.16 |
$297.14 |
|