|
Sling suprapubic suburetheral
|
$6,553.44 |
$6,553.44 |
$6,553.44 |
$10,328.15
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$74.21 |
$74.21 |
$74.21 |
$127.28
|
|
Slp eval non-spch gen comm dev
|
$155.39 |
$155.39 |
$155.39 |
$285.09
|
|
Slp ther svc non-spch gen
|
$107.42 |
$107.42 |
$107.42 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$23.17 |
$23.17 |
$23.17 |
$64.20
|
|
Smear gram stain
|
$93.07 |
$93.07 |
$93.07 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$47.77 |
$47.77 |
$47.77 |
$64.35
|
|
Smear wet mount
|
$64.37 |
$64.37 |
$64.37 |
$68.63
|
|
Snrpn/ube3a gene
|
$230.63 |
$230.63 |
$230.63 |
$228.80
|
|
So airplane w/wo joint cf
|
$93.28 |
$93.28 |
$93.28 |
$1,824.44
|
|
Sock fracture or equal each
|
$54.94 |
$54.94 |
$54.94 |
$72.80
|
|
Sodium 24 hour urine
|
$56.17 |
$56.17 |
$56.17 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$11.07 |
$11.07 |
$11.07 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$11.07 |
$11.07 |
$11.07 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$11.07 |
$11.07 |
$11.07 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$11.07 |
$11.07 |
$11.07 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$81.59 |
$81.59 |
$81.59 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$39.16 |
$39.16 |
$39.16 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$98.61 |
$98.61 |
$98.61 |
$195.48
|
|
Soft interface below knee se
|
$163.80 |
$163.80 |
$163.80 |
$209.99
|
|
Somatosensory testing
|
$121.36 |
$121.36 |
$121.36 |
$583.80
|
|
Somatropin injection
|
$920.45 |
$920.45 |
$920.45 |
$2,381.48
|
|
So vest canvas/web pre ots
|
$213.82 |
$213.82 |
$213.82 |
$347.06
|
|
Special pump services
|
$451.21 |
$451.21 |
$451.21 |
$928.00
|
|
Special radiation dosimetry
|
$101.89 |
$101.89 |
$101.89 |
$445.50
|
|
Special radiation treatment
|
$268.35 |
$268.35 |
$268.35 |
$1,934.03
|
|
Specific gravity body fluid
|
$11.69 |
$11.69 |
$11.69 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$453.05 |
$453.05 |
$453.05 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$425.79 |
$425.79 |
$425.79 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$614.59 |
$614.59 |
$614.59 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$34.65 |
$34.65 |
$34.65 |
$52.65
|
|
Splint func pos polyflex ii med
|
$108.65 |
$108.65 |
$108.65 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$41.41 |
$41.41 |
$41.41 |
$101.18
|
|
St analysis behavior qualitative voice/resonance
|
$138.99 |
$138.99 |
$138.99 |
$300.00
|
|
Staph a dna amp probe
|
$27.68 |
$27.68 |
$27.68 |
$116.39
|
|
Static or dynami afo pre ots
|
$278.39 |
$278.39 |
$278.39 |
$217.65
|
|
St cognitve performance testing healthcare professional each hour
|
$35.06 |
$35.06 |
$35.06 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,112.62 |
$13,112.62 |
$13,112.62 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$34,910.48 |
$34,910.48 |
$34,910.48 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,981.93 |
$2,981.93 |
$2,981.93 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$8,519.80 |
$8,519.80 |
$8,519.80 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,665.94 |
$11,665.94 |
$11,665.94 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,899.71 |
$4,899.71 |
$4,899.71 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,359.29 |
$8,359.29 |
$8,359.29 |
$19,765.20
|
|
St evaluate speech sound production
|
$161.75 |
$161.75 |
$161.75 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$206.44 |
$206.44 |
$206.44 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$406.52 |
$406.52 |
$406.52 |
$406.40
|
|
St evaluation swallow function
|
$148.83 |
$148.83 |
$148.83 |
$336.60
|
|
Straight knee joint heavy du
|
$362.24 |
$362.24 |
$362.24 |
$249.20
|
|
Strep b dna amp probe
|
$27.68 |
$27.68 |
$27.68 |
$139.20
|
|
Streptomycin injection
|
$20.91 |
$20.91 |
$20.91 |
$138.30
|
|
Streptozocin injection
|
$385.81 |
$385.81 |
$385.81 |
$943.23
|
|
Stress test pulmonary
|
$152.32 |
$152.32 |
$152.32 |
$327.20
|
|
Str markers specimen anal
|
$89.18 |
$89.18 |
$89.18 |
$835.28
|
|
St treatment speech individual
|
$77.70 |
$77.70 |
$77.70 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$74.01 |
$74.01 |
$74.01 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$15.79 |
$15.79 |
$15.79 |
$49.13
|
|
Sugars single quant
|
$8.00 |
$8.00 |
$8.00 |
$52.47
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$198.03 |
$198.03 |
$198.03 |
$24,392.40
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$10.46 |
$10.46 |
$10.46 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$78.31 |
$78.31 |
$78.31 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$108.65 |
$108.65 |
$108.65 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$7.79 |
$7.79 |
$7.79 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$12.71 |
$12.71 |
$12.71 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$18.45 |
$18.45 |
$18.45 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$378.23 |
$378.23 |
$378.23 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$32.80 |
$32.80 |
$32.80 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$85.08 |
$85.08 |
$85.08 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$26.86 |
$26.86 |
$26.86 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$51.87 |
$51.87 |
$51.87 |
$34.48
|
|
Susceptibility mic per plate
|
$203.98 |
$203.98 |
$203.98 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$79.95 |
$79.95 |
$79.95 |
$48.30
|
|
Svc venogram s&i
|
$575.03 |
$575.03 |
$575.03 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$15.38 |
$15.38 |
$15.38 |
$44.85
|
|
System cardiomems hosp electronics
|
$21,677.11 |
$21,677.11 |
$21,677.11 |
$41,518.75
|
|
System pacing micra av
|
$11,123.92 |
$11,123.92 |
$11,123.92 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$8,519.80 |
$8,519.80 |
$8,519.80 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$12.30 |
$12.30 |
$12.30 |
$89.82
|
|
T3 (triiodothyronine) total
|
$11.48 |
$11.48 |
$11.48 |
$94.90
|
|
T4 (thyroxine) free
|
$177.33 |
$177.33 |
$177.33 |
$81.60
|
|
T4 (thyroxine) total
|
$181.43 |
$181.43 |
$181.43 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$17.02 |
$17.02 |
$17.02 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$166.05 |
$166.05 |
$166.05 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$56.79 |
$56.79 |
$56.79 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,569.48 |
$1,569.48 |
$1,569.48 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,575.02 |
$1,575.02 |
$1,575.02 |
$3,385.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$173.43 |
$173.43 |
$173.43 |
$166.46
|
|
Tc-99m apcitide diag
|
$214.23 |
$214.23 |
$214.23 |
$1,765.30
|
|
Tc-99m arcitumomab
|
$1,883.54 |
$1,883.54 |
$1,883.54 |
$2,159.40
|
|
Tc-99m bicisate
|
$209.31 |
$209.31 |
$209.31 |
$1,969.45
|
|
Tc-99m depreotide
|
$385.40 |
$385.40 |
$385.40 |
$1,937.35
|
|
Tc-99m disofenin
|
$45.72 |
$45.72 |
$45.72 |
$151.32
|
|
Tc-99m exametazime diag
|
$354.24 |
$354.24 |
$354.24 |
$2,166.26
|
|
Tc-99m fanolesomab diag
|
$720.99 |
$720.99 |
$720.99 |
$2,860.65
|
|
Tc-99m labeled rbc
|
$70.73 |
$70.73 |
$70.73 |
$323.01
|
|
Tc-99m maa
|
$43.67 |
$43.67 |
$43.67 |
$312.06
|
|
Tc-99m mebrofenin
|
$58.43 |
$58.43 |
$58.43 |
$169.53
|
|
Tc-99m medronate
|
$65.81 |
$65.81 |
$65.81 |
$122.46
|
|
Tc-99m mertiatide
|
$98.20 |
$98.20 |
$98.20 |
$757.25
|