|
Sinus CT scan (without contrast)
|
$117.81 |
$117.81 |
$117.81 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$3,486.86 |
$3,486.86 |
$3,486.86 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$97.54 |
$97.54 |
$97.54 |
$345.24
|
|
Sinus X-ray (limited)
|
$97.54 |
$97.54 |
$97.54 |
$214.50
|
|
Sipuleucel-t - su
|
$55,945.97 |
$55,945.97 |
$55,945.97 |
$100,990.51
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$84.53 |
$84.53 |
$84.53 |
$14,361.10
|
|
Skin and muscle repair face
|
$4,055.70 |
$4,055.70 |
$4,055.70 |
$4,332.25
|
|
Skin Biopsy
|
$220.12 |
$220.12 |
$220.12 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$2,379.00
|
|
Skin pedicle flap arms/legs
|
$4,055.70 |
$4,055.70 |
$4,055.70 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$2,501.86
|
|
Skin test unlisted antigen ea
|
$27.13 |
$27.13 |
$27.13 |
$48.57
|
|
Skull X-ray (1 to 3 views)
|
$117.81 |
$117.81 |
$117.81 |
$295.10
|
|
Skull X-ray (complete)
|
$117.81 |
$117.81 |
$117.81 |
$417.50
|
|
Slco1b1 gene com variants
|
$174.81 |
$174.81 |
$174.81 |
$235.20
|
|
Sleep study attended
|
$587.81 |
$587.81 |
$587.81 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,127.09 |
$1,127.09 |
$1,127.09 |
$3,721.41
|
|
Sleep study unattended
|
$173.33 |
$173.33 |
$173.33 |
$594.00
|
|
Slitting of prepuce
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,061.71
|
|
Slitting of prepuce
|
$2,269.38 |
$2,269.38 |
$2,269.38 |
$3,376.23
|
|
Slp stdy unatnd w/anal
|
$65.80 |
$65.80 |
$65.80 |
$285.00
|
|
Sm-153 lexidron ther
|
$4,314.91 |
$4,314.91 |
$4,314.91 |
$7,320.12
|
|
Small animal inoculation
|
$16.84 |
$16.84 |
$16.84 |
$23.24
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$197.21 |
$197.21 |
$197.21 |
$557.70
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,596.41
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,518.10
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$3,265.60
|
|
Small bowel endoscopy
|
$1,038.65 |
$1,038.65 |
$1,038.65 |
$2,088.00
|
|
Small bowel endoscopy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$1,038.65 |
$1,038.65 |
$1,038.65 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$6,594.64 |
$6,594.64 |
$6,594.64 |
$4,992.00
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$5.39 |
$5.39 |
$5.39 |
$64.00
|
|
Smear gram stain
|
$4.27 |
$4.27 |
$4.27 |
$54.03
|
|
Smear nasal eosinophil
|
$5.79 |
$5.79 |
$5.79 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$5.99 |
$5.99 |
$5.99 |
$71.81
|
|
Smear wet mount
|
$5.82 |
$5.82 |
$5.82 |
$66.30
|
|
Smn1 gene full gene sequence
|
$301.35 |
$301.35 |
$301.35 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$185.20 |
$185.20 |
$185.20 |
$255.58
|
|
Smpd1 gene common variants
|
$47.00 |
$47.00 |
$47.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$51.07 |
$51.07 |
$51.07 |
$228.80
|
|
Sodium 24 hour urine
|
$5.06 |
$5.06 |
$5.06 |
$48.68
|
|
Sodium serum/plasma/whole blood
|
$4.81 |
$4.81 |
$4.81 |
$45.60
|
|
Software meas of cardiac vol
|
$97.54 |
$97.54 |
$97.54 |
$97.54
|
|
So gsap cl fr cpy nmbr&mcrst
|
$1,345.31 |
$1,345.31 |
$1,345.31 |
$1,345.31
|
|
So gsap cll fr dna/dna&rna
|
$1,195.83 |
$1,195.83 |
$1,195.83 |
$1,195.83
|
|
So gsap cll fr mcrstl ins
|
$3,288.51 |
$3,288.51 |
$3,288.51 |
$3,279.92
|
|
So gsap dna cpy nmbr&mcrstl
|
$1,046.35 |
$1,046.35 |
$1,046.35 |
$1,046.35
|
|
Somatosensory testing
|
$344.98 |
$344.98 |
$344.98 |
$816.00
|
|
Somatropin injection
|
$48.92 |
$48.92 |
$48.92 |
$2,111.40
|
|
So neo gsap dna/dna&rna
|
$2,989.55 |
$2,989.55 |
$2,989.55 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$896.87 |
$896.87 |
$896.87 |
$2,175.00
|
|
Sotalol hydrochloride IV
|
$25.05 |
$25.05 |
$25.05 |
$5,761.57
|
|
Special physics consult
|
$147.09 |
$147.09 |
$147.09 |
$725.00
|
|
Special radiation dosimetry
|
$147.09 |
$147.09 |
$147.09 |
$392.73
|
|
Special radiation treatment
|
$640.84 |
$640.84 |
$640.84 |
$2,045.50
|
|
Special teletx port plan
|
$405.54 |
$405.54 |
$405.54 |
$1,086.99
|
|
Specific gravity body fluid
|
$3.28 |
$3.28 |
$3.28 |
$22.00
|
|
Specimen fat stain
|
$5.88 |
$5.88 |
$5.88 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$292.08 |
$292.08 |
$292.08 |
$380.00
|
|
Speech audiometry complete
|
$65.80 |
$65.80 |
$65.80 |
$109.20
|
|
Speech evaluation complex
|
$267.78 |
$267.78 |
$267.78 |
$527.06
|
|
Speech recep thresh
|
$65.80 |
$65.80 |
$65.80 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$98.27 |
$98.27 |
$98.27 |
$248.84
|
|
Sperm antibody test
|
$10.67 |
$10.67 |
$10.67 |
$57.85
|
|
Sperm evaluation test
|
$19.59 |
$19.59 |
$19.59 |
$27.03
|
|
Sperm identification
|
$59.19 |
$59.19 |
$59.19 |
$101.55
|
|
Sperm isolation complex
|
$59.19 |
$59.19 |
$59.19 |
$176.28
|
|
Sperm isolation simple
|
$59.19 |
$59.19 |
$59.19 |
$126.05
|
|
Sperm washing 58323
|
$222.86 |
$222.86 |
$222.86 |
$238.06
|
|
Sphenoid sinus surgery
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$3,038.07 |
$3,038.07 |
$3,038.07 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$767.19 |
$767.19 |
$767.19 |
$1,474.00
|
|
Spine device implant surgery
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$9,878.40
|
|
Spine X-ray (single view, one level)
|
$97.54 |
$97.54 |
$97.54 |
$251.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$344.98 |
$344.98 |
$344.98 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$173.33 |
$173.33 |
$173.33 |
$242.25
|
|
Spleen imaging
|
$445.16 |
$445.16 |
$445.16 |
$679.00
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,055.70 |
$4,055.70 |
$4,055.70 |
$4,687.20
|
|
Split blood or products
|
$189.84 |
$189.84 |
$189.84 |
$129.50
|
|
Sprchoroidal spc njx rx agt
|
$367.45 |
$367.45 |
$367.45 |
$454.19
|
|
Sputum specimen collection
|
$189.84 |
$189.84 |
$189.84 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$4,146.34 |
$4,146.34 |
$4,146.34 |
$2,515.15
|
|
Srsf2 gene common variants
|
$175.40 |
$175.40 |
$175.40 |
$192.94
|
|
Srs linear based
|
$8,468.72 |
$8,468.72 |
$8,468.72 |
$14,124.25
|
|
Srs multisource
|
$8,468.72 |
$8,468.72 |
$8,468.72 |
$35,192.81
|
|
Staggered spondaic word test
|
$173.33 |
$173.33 |
$173.33 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$140.62 |
$140.62 |
$140.62 |
$295.10
|
|
Staph a dna amp probe
|
$35.09 |
$35.09 |
$35.09 |
$125.00
|