|
Sedimentation rate erythrocyte automated
|
$4.34 |
$4.34 |
$4.34 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$52.90 |
$52.90 |
$52.90 |
$96.00
|
|
Semen analysis presence/motility
|
$28.01 |
$28.01 |
$28.01 |
$70.40
|
|
Semen analysis w/count
|
$19.68 |
$19.68 |
$19.68 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$279.94 |
$279.94 |
$279.94 |
$316.68
|
|
Serpina1 gene
|
$168.16 |
$168.16 |
$168.16 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$24.58 |
$24.58 |
$24.58 |
$126.43
|
|
Sheath gldlight lasr 12fx50cm
|
$6,711.28 |
$6,711.28 |
$6,711.28 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$49.61 |
$49.61 |
$49.61 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$152.76 |
$152.76 |
$152.76 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$148.47 |
$148.47 |
$148.47 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$1,399.07 |
$1,399.07 |
$1,399.07 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,166.15 |
$1,166.15 |
$1,166.15 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$932.72 |
$932.72 |
$932.72 |
$2,096.84
|
|
Shoulder X-ray
|
$245.49 |
$245.49 |
$245.49 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$106.13 |
$106.13 |
$106.13 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$224.58 |
$224.58 |
$224.58 |
$355.80
|
|
Sickling rbc
|
$43.86 |
$43.86 |
$43.86 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$755.58 |
$755.58 |
$755.58 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$629.58 |
$629.58 |
$629.58 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$503.58 |
$503.58 |
$503.58 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$170.98 |
$170.98 |
$170.98 |
$346.45
|
|
Sinus X-ray (limited)
|
$183.85 |
$183.85 |
$183.85 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$74.23 |
$74.23 |
$74.23 |
$83.85
|
|
Skull X-ray (1 to 3 views)
|
$157.58 |
$157.58 |
$157.58 |
$294.45
|
|
Skull X-ray (complete)
|
$231.02 |
$231.02 |
$231.02 |
$417.50
|
|
Slco1b1 gene com variants
|
$255.15 |
$255.15 |
$255.15 |
$241.24
|
|
Sleep Study (Polysomnography)
|
$3,416.71 |
$3,416.71 |
$3,416.71 |
$3,734.50
|
|
Sleep study unattended
|
$631.55 |
$631.55 |
$631.55 |
$594.00
|
|
Sling suprapubic suburetheral
|
$10,328.15 |
$10,328.15 |
$10,328.15 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$135.22 |
$135.22 |
$135.22 |
$285.09
|
|
Slp ther svc non-spch gen
|
$65.34 |
$65.34 |
$65.34 |
$188.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$212.79 |
$212.79 |
$212.79 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$36.11 |
$36.11 |
$36.11 |
$64.35
|
|
Smear gram stain
|
$68.89 |
$68.89 |
$68.89 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$9.56 |
$9.56 |
$9.56 |
$73.50
|
|
Smear wet mount
|
$28.14 |
$28.14 |
$28.14 |
$67.55
|
|
Sodium 24 hour urine
|
$34.70 |
$34.70 |
$34.70 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$14.94 |
$14.94 |
$14.94 |
$46.26
|
|
Speech and Language Evaluation (comprehensive)
|
$200.56 |
$200.56 |
$200.56 |
$384.80
|
|
Speech evaluation complex
|
$423.98 |
$423.98 |
$423.98 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$105.11 |
$105.11 |
$105.11 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$305.88 |
$305.88 |
$305.88 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$159.19 |
$159.19 |
$159.19 |
$251.00
|
|
Sputum specimen collection
|
$276.30 |
$276.30 |
$276.30 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$151.70 |
$151.70 |
$151.70 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$155.67 |
$155.67 |
$155.67 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$25,187.30 |
$25,187.30 |
$25,187.30 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,327.38 |
$5,327.38 |
$5,327.38 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$20,150.30 |
$20,150.30 |
$20,150.30 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,327.38 |
$5,327.38 |
$5,327.38 |
$4,631.82
|
|
St evaluate speech sound production
|
$156.24 |
$156.24 |
$156.24 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$167.60 |
$167.60 |
$167.60 |
$400.00
|
|
Stimulants synthetic
|
$77.12 |
$77.12 |
$77.12 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,038.42 |
$1,038.42 |
$1,038.42 |
$1,345.40
|
|
Strep b dna amp probe
|
$56.29 |
$56.29 |
$56.29 |
$124.15
|
|
Stress test pulmonary
|
$199.02 |
$199.02 |
$199.02 |
$324.00
|
|
Str markers specimen anal
|
$693.52 |
$693.52 |
$693.52 |
$756.60
|
|
Sulfonylurea screen qn-sendout
|
$85.80 |
$85.80 |
$85.80 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$23.32 |
$23.32 |
$23.32 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$36.96 |
$36.96 |
$36.96 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$50.16 |
$50.16 |
$50.16 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$50.16 |
$50.16 |
$50.16 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$335.28 |
$335.28 |
$335.28 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$753.28 |
$753.28 |
$753.28 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$135.40 |
$135.40 |
$135.40 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$29.74 |
$29.74 |
$29.74 |
$35.89
|
|
Susceptibility mic per plate
|
$151.40 |
$151.40 |
$151.40 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$61.07 |
$61.07 |
$61.07 |
$59.28
|
|
Swallowing Evaluation (Bedside)
|
$135.79 |
$135.79 |
$135.79 |
$316.80
|
|
Swallowing Therapy Session
|
$115.90 |
$115.90 |
$115.90 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$29.95 |
$29.95 |
$29.95 |
$42.24
|
|
System pacing micra av
|
$19,910.25 |
$19,910.25 |
$19,910.25 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$62,214.70 |
$62,214.70 |
$62,214.70 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$34.22 |
$34.22 |
$34.22 |
$100.32
|
|
T3 (triiodothyronine) total
|
$20.73 |
$20.73 |
$20.73 |
$93.52
|
|
T4 (thyroxine) free
|
$45.79 |
$45.79 |
$45.79 |
$89.60
|
|
T4 (thyroxine) total
|
$26.99 |
$26.99 |
$26.99 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$30.85 |
$30.85 |
$30.85 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$151.15 |
$151.15 |
$151.15 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$1,163.97 |
$1,163.97 |
$1,163.97 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,256.87 |
$4,256.87 |
$4,256.87 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$172.80 |
$172.80 |
$172.80 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$107.14 |
$107.14 |
$107.14 |
$179.95
|
|
Tc-99m bicisate
|
$888.62 |
$888.62 |
$888.62 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$977.86 |
$977.86 |
$977.86 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$382.80 |
$382.80 |
$382.80 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$424.51 |
$424.51 |
$424.51 |
$306.00
|
|
Tc-99m maa
|
$90.82 |
$90.82 |
$90.82 |
$312.06
|
|
Tc-99m mebrofenin
|
$497.38 |
$497.38 |
$497.38 |
$157.65
|
|
Tc-99m medronate
|
$187.07 |
$187.07 |
$187.07 |
$111.01
|
|
Tc-99m mertiatide
|
$218.06 |
$218.06 |
$218.06 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$135.70 |
$135.70 |
$135.70 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$225.09 |
$225.09 |
$225.09 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$61.25 |
$61.25 |
$61.25 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$95.04 |
$95.04 |
$95.04 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$146.73 |
$146.73 |
$146.73 |
$287.20
|
|
Tc-99m sulfur colloid
|
$90.82 |
$90.82 |
$90.82 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$105.60 |
$105.60 |
$105.60 |
$193.28
|
|
T cells absolute cd4/cd8 including ratio
|
$81.22 |
$81.22 |
$81.22 |
$184.00
|
