|
Slp pure tone screening
|
$29.40 |
$102.90 |
$197.54 |
|
|
Slp stdy unatnd w/anal
|
$68.88 |
$68.88 |
$69.70 |
|
|
Slp ther svc non-spch gen
|
$89.99 |
$224.70 |
$588.20 |
|
|
Sm-153 lexidron ther
|
$5,278.50 |
$20,913.90 |
$35,977.10 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$328.44 |
$402.36 |
$869.84 |
|
|
Small bowel endoscopy
|
$332.00 |
$336.00 |
$340.00 |
|
|
Small bowel endoscopy
|
$472.27 |
$477.96 |
$483.65 |
|
|
Small bowel endoscopy
|
$555.27 |
$561.96 |
$568.65 |
|
|
Small bowel endoscopy
|
$568.55 |
$575.40 |
$582.25 |
|
|
Small bowel endoscopy
|
$658.19 |
$666.12 |
$674.05 |
|
|
Small bowel endoscopy
|
$891.42 |
$902.16 |
$912.90 |
|
|
Small bowel endoscopy
|
$725.42 |
$734.16 |
$742.90 |
|
|
Small bowel endoscopy
|
$356.07 |
$360.36 |
$364.65 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$443.22 |
$448.56 |
$453.90 |
|
|
Small bowel endoscopy 44365
|
$420.81 |
$425.88 |
$430.95 |
|
|
Small bowel endoscopy/biopsy
|
$366.86 |
$371.28 |
$375.70 |
|
|
Small bowel endoscopy/biopsy
|
$692.22 |
$700.56 |
$708.90 |
|
|
Small bowel endoscopy br/wa
|
$468.95 |
$474.60 |
$480.25 |
|
|
Small bowel endoscopy/stent 44370
|
$616.69 |
$624.12 |
$631.55 |
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
|
|
Smear fluorescent and/or acid fast stain
|
$30.82 |
$61.74 |
$166.60 |
|
|
Smear gram stain
|
$18.86 |
$51.66 |
$98.60 |
|
|
Smear nasal eosinophil
|
$18.40 |
$46.20 |
$79.05 |
|
|
Smear special stain inclusion bodies/parasites
|
$12.37 |
$54.60 |
$215.90 |
|
|
Smear wet mount
|
$24.40 |
$70.56 |
$120.70 |
|
|
Sock fracture or equal each
|
$18.02 |
$19.73 |
$36.46 |
|
|
Sodium 24 hour urine
|
$30.82 |
$47.46 |
$83.30 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$86.84 |
$86.84 |
$175.74 |
|
|
Sodium chloride 0.9 % IV bolus
|
$0.01 |
$86.84 |
$175.74 |
|
|
Sodium chloride 0.9 % IV bolus
|
$0.01 |
$41.79 |
$84.58 |
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$86.84 |
$175.74 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$2.68 |
$61.09 |
$123.62 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$41.60 |
$379.75 |
$768.53 |
|
|
Sodium serum/plasma/whole blood
|
$17.69 |
$53.76 |
$102.85 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$0.92 |
$207.90 |
$420.75 |
|
|
Soft interface below knee se
|
$109.63 |
$109.63 |
$109.63 |
|
|
Somatosensory testing
|
$526.26 |
$526.26 |
$526.26 |
|
|
Somatropin injection
|
$128.74 |
$587.69 |
$1,189.37 |
|
|
Special physics consult
|
$702.24 |
$702.24 |
$1,331.63 |
|
|
Special radiation dosimetry
|
$362.46 |
$362.46 |
$444.50 |
|
|
Special radiation treatment
|
$1,855.14 |
$1,855.14 |
$2,770.64 |
|
|
Special teletx port plan
|
$1,107.12 |
$1,107.12 |
$1,484.74 |
|
|
Specific gravity body fluid
|
$6.13 |
$19.74 |
$38.25 |
|
|
Specimen fat stain
|
$18.40 |
$18.48 |
$62.54 |
|
|
Speech and Language Evaluation (comprehensive)
|
$184.46 |
$213.00 |
$505.75 |
|
|
Speech audiometry complete
|
$57.12 |
$57.12 |
$57.80 |
|
|
Speech evaluation complex
|
$196.00 |
$240.66 |
$489.70 |
|
|
Speech recep thresh
|
$57.12 |
$57.12 |
$57.80 |
|
|
Speech Therapy Session (one-on-one)
|
$162.12 |
$168.49 |
$1,320.05 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$532.68 |
$647.64 |
$915.09 |
|
|
Spine X-ray (single view, one level)
|
$170.94 |
$216.00 |
$295.59 |
|
|
Splenectomy total open 38100
|
$2,564.70 |
$2,595.60 |
$2,626.50 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$85.98 |
$85.98 |
$87.00 |
|
|
Splint finger 4 prong foam sm
|
$61.28 |
$61.28 |
$111.61 |
|
|
Split blood or products
|
$103.74 |
$103.74 |
$150.67 |
|
|
Sputum specimen collection
|
$224.63 |
$224.63 |
$224.63 |
|
|
Sr-89 stront chlor ther / mci
|
$3,910.00 |
$13,815.06 |
$13,815.06 |
|
|
Srs cranial lesion simple
|
$1,411.00 |
$1,411.00 |
$1,411.00 |
|
|
Srs linear based
|
$10,717.14 |
$10,717.14 |
$15,552.56 |
|
|
Srs multisource
|
$8,909.88 |
$8,909.88 |
$8,909.88 |
|
|
St analysis behavior qualitative voice/resonance
|
$82.34 |
$244.00 |
$1,023.40 |
|
|
St cognitve performance testing healthcare professional each hour
|
$121.80 |
$136.00 |
$1,023.40 |
|
|
Stem cells total count
|
$874.44 |
$2,215.50 |
$2,215.50 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$12,264.50 |
$12,498.36 |
$20,433.78 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$12,949.23 |
$15,415.75 |
$29,129.66 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,481.57 |
$2,954.25 |
$6,161.23 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$14,193.80 |
$15,428.04 |
$26,227.67 |
|
|
Stent bronch dumon sil 10x40mm
|
$413.70 |
$492.50 |
$6,161.23 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$7,175.28 |
$7,175.28 |
$30,536.64 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,811.96 |
$5,811.96 |
$19,543.56 |
|
|
Stent placemt retro carotid
|
$2,698.36 |
$3,451.14 |
$3,451.14 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,540.70 |
$10,139.64 |
$11,837.66 |
|
|
Sternal debridement
|
$1,225.91 |
$1,240.68 |
$1,255.45 |
|
|
St evaluate speech sound production
|
$80.04 |
$152.04 |
$1,023.40 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$248.86 |
$297.78 |
$1,023.40 |
|
|
Stimulants synthetic
|
$98.08 |
$98.08 |
$98.08 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$291.18 |
$1,189.50 |
$2,243.15 |
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$85.05 |
$85.05 |
$86.07 |
|
|
Strapping of ankle and/or ft 29540
|
$93.24 |
$93.24 |
$289.67 |
|
|
Strapping of chest
|
$131.76 |
$189.42 |
$302.95 |
|
|
Strapping of elbow or wrist 29260
|
$69.72 |
$136.08 |
$366.35 |
|
|
Strapping of hand or finger
|
$68.89 |
$127.26 |
$204.85 |
|
|
Strapping of hip
|
$89.04 |
$89.04 |
$349.35 |
|
|
Strapping of knee
|
$71.50 |
$98.28 |
$255.85 |
|
|
Strapping of toes 29550
|
$61.00 |
$89.04 |
$255.85 |
|
|
Strep a ag ia
|
$50.15 |
$70.14 |
$141.10 |
|
|
Strep b dna amp probe
|
$53.76 |
$53.76 |
$93.50 |
|
|
Stress test pulmonary
|
$155.40 |
$276.78 |
$444.69 |
|
|
Stress tte complete
|
$1,304.50 |
$1,762.32 |
$2,681.75 |
|
|
Str markers specimen anal
|
$1,051.70 |
$1,051.70 |
$1,051.70 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$8.12 |
$86.84 |
$175.74 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$3,223.39 |
$14,715.46 |
$29,781.28 |
|
|
Sulfonylurea screen qn-sendout
|
$4.72 |
$224.70 |
$409.70 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$140.04 |
$319.65 |
$646.90 |
|
|
Support clav 29.6-40.5in med
|
$9.36 |
$28.06 |
$30.66 |
|
|
Surg dx exam anorectal
|
$239.04 |
$241.92 |
$244.80 |
|
|
Surgical pathology level 1 gross examination only
|
$20.24 |
$65.52 |
$136.85 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$48.76 |
$94.92 |
$157.25 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$27.14 |
$115.08 |
$235.45 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$43.24 |
$186.06 |
$341.70 |
|