|
Sleep study attended
|
$9,195.35 |
$9,195.35 |
$9,195.35 |
|
|
Sleep Study (Polysomnography)
|
$4,570.35 |
$4,570.35 |
$4,570.35 |
|
|
Sleeve fing rolyan med
|
$285.45 |
$285.45 |
$285.45 |
|
|
Sling arm deluxe w/pad xs
|
$226.30 |
$226.30 |
$226.30 |
|
|
Sling suprapubic suburetheral
|
$7,555.00 |
$7,555.00 |
$7,555.00 |
|
|
Slitting of prepuce
|
$3,644.50 |
$3,644.50 |
$3,644.50 |
|
|
Slp eval non-spch gen comm dev
|
$636.15 |
$636.15 |
$636.15 |
|
|
Slp pure tone screening
|
$259.60 |
$259.60 |
$259.60 |
|
|
Slp ther svc non-spch gen
|
$535.60 |
$535.60 |
$535.60 |
|
|
Sm-153 lexidron ther
|
$21,300.25 |
$21,300.25 |
$21,300.25 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,054.10 |
$1,054.10 |
$1,054.10 |
|
|
Smear fluorescent and/or acid fast stain
|
$123.50 |
$123.50 |
$123.50 |
|
|
Smear gram stain
|
$106.05 |
$106.05 |
$106.05 |
|
|
Smear nasal eosinophil
|
$87.50 |
$87.50 |
$87.50 |
|
|
Smear special stain inclusion bodies/parasites
|
$175.50 |
$175.50 |
$175.50 |
|
|
Smear wet mount
|
$83.50 |
$83.50 |
$83.50 |
|
|
Smpd1 gene common variants
|
$379.05 |
$379.05 |
$379.05 |
|
|
Sodium 24 hour urine
|
$87.50 |
$87.50 |
$87.50 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$217.57 |
$217.57 |
$217.57 |
|
|
Sodium chloride 0.9 % IV bolus
|
$21.48 |
$21.48 |
$21.48 |
|
|
Sodium chloride 0.9 % IV bolus
|
$170.02 |
$170.02 |
$170.02 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$323.71 |
$323.71 |
$323.71 |
|
|
Sodium serum/plasma/whole blood
|
$87.50 |
$87.50 |
$87.50 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$824.54 |
$824.54 |
$824.54 |
|
|
Sotalol hydrochloride IV
|
$7,406.79 |
$7,406.79 |
$7,406.79 |
|
|
Special physics consult
|
$991.85 |
$991.85 |
$991.85 |
|
|
Special radiation dosimetry
|
$861.30 |
$861.30 |
$861.30 |
|
|
Special radiation treatment
|
$2,618.55 |
$2,618.55 |
$2,618.55 |
|
|
Special teletx port plan
|
$842.65 |
$842.65 |
$842.65 |
|
|
Specific gravity body fluid
|
$48.95 |
$48.95 |
$48.95 |
|
|
Speech and Language Evaluation (comprehensive)
|
$680.25 |
$680.25 |
$680.25 |
|
|
Speech evaluation complex
|
$756.60 |
$756.60 |
$756.60 |
|
|
Speech Therapy Session (one-on-one)
|
$329.75 |
$329.75 |
$329.75 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,292.65 |
$1,292.65 |
$1,292.65 |
|
|
Spine X-ray (single view, one level)
|
$365.75 |
$365.75 |
$365.75 |
|
|
Spleen imaging
|
$654.25 |
$654.25 |
$654.25 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$641.65 |
$641.65 |
$641.65 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$156.85 |
$156.85 |
$156.85 |
|
|
Splint finger frog med
|
$89.50 |
$89.50 |
$89.50 |
|
|
Splint func pos polyflex ii med
|
$118.70 |
$118.70 |
$118.70 |
|
|
Splint rstrc wrst/cmc right med
|
$221.80 |
$221.80 |
$221.80 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$9,427.65 |
$9,427.65 |
$9,427.65 |
|
|
Split blood or products
|
$410.50 |
$410.50 |
$410.50 |
|
|
Sr-89 stront chlor ther / mci
|
$4,303.90 |
$4,303.90 |
$4,303.90 |
|
|
Srs linear based
|
$9,701.35 |
$9,701.35 |
$9,701.35 |
|
|
St analysis behavior qualitative voice/resonance
|
$680.25 |
$680.25 |
$680.25 |
|
|
Static or dynami afo pre ots
|
$83.80 |
$83.80 |
$83.80 |
|
|
St cognitve performance testing healthcare professional each hour
|
$478.85 |
$478.85 |
$478.85 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$82,998.40 |
$82,998.40 |
$82,998.40 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$54,531.60 |
$54,531.60 |
$54,531.60 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$597.25 |
$597.25 |
$597.25 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$73,360.00 |
$73,360.00 |
$73,360.00 |
|
|
Stent bronch dumon sil 10x40mm
|
$6,739.30 |
$6,739.30 |
$6,739.30 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$16,834.30 |
$16,834.30 |
$16,834.30 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$11,899.40 |
$11,899.40 |
$11,899.40 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$29,817.20 |
$29,817.20 |
$29,817.20 |
|
|
Sterile needle
|
$293.60 |
$293.60 |
$293.60 |
|
|
St evaluate speech sound production
|
$680.25 |
$680.25 |
$680.25 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$771.95 |
$771.95 |
$771.95 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$2,713.45 |
$2,713.45 |
$2,713.45 |
|
|
Strapping of ankle and/or ft 29540
|
$271.50 |
$271.50 |
$271.50 |
|
|
Strapping of elbow or wrist 29260
|
$356.20 |
$356.20 |
$356.20 |
|
|
Strapping of hand or finger
|
$116.50 |
$116.50 |
$116.50 |
|
|
Strapping of hip
|
$140.00 |
$140.00 |
$140.00 |
|
|
Strapping of knee
|
$335.80 |
$335.80 |
$335.80 |
|
|
Strapping of toes 29550
|
$290.80 |
$290.80 |
$290.80 |
|
|
Strep a ag ia
|
$162.50 |
$162.50 |
$162.50 |
|
|
Stress test pulmonary
|
$793.00 |
$793.00 |
$793.00 |
|
|
Stress tte complete
|
$1,668.05 |
$1,668.05 |
$1,668.05 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$393.95 |
$393.95 |
$393.95 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$399.90 |
$399.90 |
$399.90 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$19.72 |
$19.72 |
$19.72 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$24,339.44 |
$24,339.44 |
$24,339.44 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$127.65 |
$127.65 |
$127.65 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$122.16 |
$122.16 |
$122.16 |
|
|
Supprelin la implant
|
$55,483.23 |
$55,483.23 |
$55,483.23 |
|
|
Surgical opening of throat
|
$5,035.40 |
$5,035.40 |
$5,035.40 |
|
|
Surgical pathology level 1 gross examination only
|
$147.85 |
$147.85 |
$147.85 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$338.90 |
$338.90 |
$338.90 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$427.80 |
$427.80 |
$427.80 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$550.80 |
$550.80 |
$550.80 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$860.85 |
$860.85 |
$860.85 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,184.05 |
$1,184.05 |
$1,184.05 |
|
|
Susceptibility agar dilution per agent
|
$224.15 |
$224.15 |
$224.15 |
|
|
Susceptibility enzyme detection per enzyme
|
$36.95 |
$36.95 |
$36.95 |
|
|
Susceptibility mic per plate
|
$227.30 |
$227.30 |
$227.30 |
|
|
Svc venogram s&i
|
$2,449.45 |
$2,449.45 |
$2,449.45 |
|
|
Swallowing Evaluation (Bedside)
|
$788.40 |
$788.40 |
$788.40 |
|
|
Swallowing Therapy Session
|
$367.00 |
$367.00 |
$367.00 |
|
|
Sweat collection by iontophoresis
|
$276.75 |
$276.75 |
$276.75 |
|
|
Synch audio-only est high 40
|
$178.70 |
$178.70 |
$178.70 |
|
|
Synch audio-only est low 20
|
$82.00 |
$82.00 |
$82.00 |
|
|
Synch audio-only est mod 30
|
$120.85 |
$120.85 |
$120.85 |
|
|
Synch audio-only est sf 10
|
$44.90 |
$44.90 |
$44.90 |
|
|
Synch audio-only new high 60
|
$219.60 |
$219.60 |
$219.60 |
|
|
Synch audio-only new low 30
|
$106.10 |
$106.10 |
$106.10 |
|
|
Synch audio-only new mod 45
|
$166.70 |
$166.70 |
$166.70 |
|
|
Synch audio-only new sf 15
|
$61.20 |
$61.20 |
$61.20 |
|
|
Synvisc or synvisc-one
|
$5,079.95 |
$5,079.95 |
$5,079.95 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$96.45 |
$96.45 |
$96.45 |
|