|
Rpl non-tun cvc wo sbq prt/pmp
|
$842.40 |
$842.40 |
$842.40 |
$2,331.08
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$429.94 |
$429.94 |
$429.94 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$2,082.50 |
$2,082.50 |
$2,082.50 |
$4,201.80
|
|
Rsv assay w/optic
|
$48.81 |
$48.81 |
$61.49 |
$73.80
|
|
Rubella antibody igg
|
$44.95 |
$44.95 |
$56.63 |
$73.10
|
|
Rubeola antibody igg
|
$47.90 |
$47.90 |
$60.35 |
$79.68
|
|
Russell viper venom diluted
|
$30.20 |
$30.20 |
$38.04 |
$70.16
|
|
Sargramostim injection
|
$302.82 |
$302.82 |
$302.82 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$11.58 |
$11.58 |
$14.59 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$13.62 |
$13.62 |
$17.16 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$813.12 |
$813.12 |
$1,024.46 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$471.71 |
$471.71 |
$594.31 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$552.98 |
$552.98 |
$696.70 |
$815.66
|
|
Scan duplex extremity veins unilateral/limited study
|
$553.88 |
$553.88 |
$697.84 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$772.49 |
$772.49 |
$973.26 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$455.82 |
$455.82 |
$574.29 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$513.71 |
$513.71 |
$647.22 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$1,372.90 |
$1,372.90 |
$1,372.90 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$3,301.95 |
$3,301.95 |
$3,301.95 |
$4,079.62
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$24.60 |
$24.60 |
$24.60 |
$54.26
|
|
Screening Mammogram
|
$219.74 |
$219.74 |
$276.85 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$1,891.89 |
$1,891.89 |
$21,821.74 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,281.58 |
$2,281.58 |
$2,281.58 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$141.43 |
$141.43 |
$178.18 |
$44.20
|
|
Serpina1 gene
|
$47.45 |
$47.45 |
$59.78 |
$191.73
|
|
Set radiation therapy field
|
$253.97 |
$253.97 |
$253.97 |
$731.50
|
|
Set radiation therapy field
|
$357.50 |
$357.50 |
$357.50 |
$1,636.36
|
|
Sevelamer carbonate pdr 20mg
|
$22.02 |
$22.02 |
$22.02 |
$21.42
|
|
Sheath gldlight lasr 12fx50cm
|
$3,301.95 |
$3,301.95 |
$3,301.95 |
$7,076.25
|
|
Shoe post-op mens m
|
$236.77 |
$236.77 |
$298.30 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$3,362.78 |
$3,362.78 |
$3,362.78 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,964.85 |
$2,964.85 |
$2,964.85 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,984.83 |
$2,984.83 |
$2,984.83 |
$2,051.28
|
|
Shoulder X-ray
|
$563.87 |
$563.87 |
$710.43 |
$367.02
|
|
Shrinker prosth above knee
|
$158.22 |
$158.22 |
$199.35 |
$157.49
|
|
Shrinker prosth below knee
|
$158.22 |
$158.22 |
$199.35 |
$153.13
|
|
Shunt glaucoma baerveldt 350mm
|
$1,282.55 |
$1,282.55 |
$1,282.55 |
$4,709.25
|
|
Sialography s&i
|
$469.33 |
$469.33 |
$469.33 |
$462.40
|
|
Sickling rbc
|
$12.94 |
$12.94 |
$16.31 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$102.15 |
$102.15 |
$102.15 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$2,338.10 |
$2,338.10 |
$2,945.80 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,123.36 |
$2,123.36 |
$2,675.25 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,754.71 |
$1,754.71 |
$2,210.78 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$648.32 |
$648.32 |
$648.32 |
$2,489.25
|
|
Sirolimus, oral
|
$17.48 |
$17.48 |
$17.48 |
$42.11
|
|
Skin Biopsy
|
$178.88 |
$178.88 |
$178.88 |
$382.80
|
|
Sling pelv split sam med
|
$158.22 |
$158.22 |
$199.35 |
$115.20
|
|
Sling suprapubic suburetheral
|
$7,256.74 |
$7,256.74 |
$7,256.74 |
$10,328.15
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$103.54 |
$103.54 |
$103.54 |
$127.28
|
|
Slp eval non-spch gen comm dev
|
$216.79 |
$216.79 |
$216.79 |
$285.09
|
|
Slp ther svc non-spch gen
|
$118.95 |
$118.95 |
$149.87 |
$186.40
|
|
Sm-153 lexidron ther
|
$4,149.56 |
$4,149.56 |
$5,228.08 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$25.66 |
$25.66 |
$32.32 |
$64.20
|
|
Smear gram stain
|
$103.06 |
$103.06 |
$129.85 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$52.90 |
$52.90 |
$66.64 |
$64.35
|
|
Smear wet mount
|
$71.28 |
$71.28 |
$89.81 |
$68.63
|
|
Snrpn/ube3a gene
|
$255.38 |
$255.38 |
$321.75 |
$228.80
|
|
Sodium 24 hour urine
|
$62.20 |
$62.20 |
$78.37 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$12.26 |
$12.26 |
$15.45 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$12.26 |
$12.26 |
$15.45 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$12.26 |
$12.26 |
$15.45 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$1.43 |
$1.43 |
$12.26 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$49.20 |
$49.20 |
$90.35 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$43.36 |
$43.36 |
$54.63 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$109.19 |
$109.19 |
$109.19 |
$195.48
|
|
Somatosensory testing
|
$134.39 |
$134.39 |
$169.32 |
$583.80
|
|
Somatropin injection
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$2,381.48
|
|
Special radiation dosimetry
|
$142.15 |
$142.15 |
$142.15 |
$445.50
|
|
Special radiation treatment
|
$297.15 |
$297.15 |
$374.38 |
$1,934.03
|
|
Specific gravity body fluid
|
$12.94 |
$12.94 |
$16.31 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$501.67 |
$501.67 |
$632.06 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$471.48 |
$471.48 |
$594.03 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$680.55 |
$680.55 |
$857.43 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$38.37 |
$38.37 |
$48.34 |
$52.65
|
|
Splint func pos polyflex ii med
|
$120.31 |
$120.31 |
$151.58 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$45.86 |
$45.86 |
$57.78 |
$101.18
|
|
Sr-89 stront chlor ther / mci
|
$2,128.58 |
$2,128.58 |
$2,681.83 |
$4,588.65
|
|
St analysis behavior qualitative voice/resonance
|
$153.91 |
$153.91 |
$193.91 |
$300.00
|
|
Staph a dna amp probe
|
$30.65 |
$30.65 |
$38.61 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$38.82 |
$38.82 |
$48.91 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$14,519.83 |
$14,519.83 |
$14,519.83 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$11,886.16 |
$11,886.16 |
$38,656.97 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$505.37 |
$505.37 |
$3,301.95 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$9,434.12 |
$9,434.12 |
$11,886.16 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,917.89 |
$12,917.89 |
$12,917.89 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,425.53 |
$5,425.53 |
$5,425.53 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$9,256.38 |
$9,256.38 |
$9,256.38 |
$19,765.20
|
|
St evaluate speech sound production
|
$179.11 |
$179.11 |
$225.66 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$228.59 |
$228.59 |
$288.01 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$450.15 |
$450.15 |
$567.14 |
$406.40
|
|
St evaluation swallow function
|
$164.81 |
$164.81 |
$207.64 |
$336.60
|
|
Strep b dna amp probe
|
$30.65 |
$30.65 |
$38.61 |
$139.20
|
|
Streptomycin injection
|
$23.16 |
$23.16 |
$23.16 |
$138.30
|
|
Streptozocin injection
|
$427.22 |
$427.22 |
$427.22 |
$943.23
|
|
Stress test pulmonary
|
$168.67 |
$168.67 |
$212.50 |
$327.20
|
|
Str markers specimen anal
|
$98.75 |
$98.75 |
$124.41 |
$835.28
|
|
St treatment speech individual
|
$86.04 |
$86.04 |
$108.40 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$81.95 |
$81.95 |
$103.25 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$12.59 |
$12.59 |
$17.48 |
$49.13
|