|
Set radiation therapy field
|
$455.36 |
$455.36 |
$455.36 |
$731.50
|
|
Set radiation therapy field
|
$701.05 |
$701.05 |
$701.05 |
$1,102.40
|
|
Set radiation therapy field
|
$842.20 |
$842.20 |
$842.20 |
$1,636.36
|
|
Sever cranial nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Sex chromatin identification
|
$19.78 |
$19.78 |
$19.78 |
$25.35
|
|
Sex chromatin identification
|
$8.79 |
$8.79 |
$8.79 |
$8.79
|
|
Sex transformation f to m
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,081.37
|
|
Sex transformation m to f
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,813.46
|
|
Sf3b1 gene common variants
|
$212.58 |
$212.58 |
$212.58 |
$212.58
|
|
Sgmdsc w/band ligation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,645.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$302.55
|
|
Shigella antibody
|
$26.93 |
$26.93 |
$26.93 |
$26.93
|
|
Sho arthrs dx +- synovial bx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Sho arthrs srg capsulorraphy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Sho arthrs srg compl synvct
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Sho arthrs srg rmvl loose/fb
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Shortening of hand tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Shorten radius or ulna
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,609.96
|
|
Shorten radius & ulna
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Shoulder prosthesis removal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,870.38
|
|
Shuntogram nonvascular supervision & interpretation
|
$181.31 |
$181.31 |
$181.31 |
$345.00
|
|
Sialidase enzyme assay
|
$13.44 |
$13.44 |
$13.44 |
$49.44
|
|
Sialolithotomy 42330
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Sickling rbc
|
$6.06 |
$6.06 |
$6.06 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,813.80
|
|
Simple cystometrogram 51725
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$632.17 |
$632.17 |
$632.17 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$525.37 |
$525.37 |
$525.37 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$392.66 |
$392.66 |
$392.66 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$883.69 |
$883.69 |
$883.69 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,592.74
|
|
Sinusotomy sinus remove polyps 31032
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,181.19
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,881.00
|
|
Skeletal muscle relaxant 1/2
|
$53.86 |
$53.86 |
$53.86 |
$85.14
|
|
Skel musc relaxant 3 or more
|
$53.86 |
$53.86 |
$53.86 |
$13.60
|
|
Skin and muscle repair face
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,311.38
|
|
Skin Biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,190.24
|
|
Skin pedicle flap arms/legs
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,052.18
|
|
Skin pedicle flap trunk
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,240.00
|
|
Slco1b1 gene com variants
|
$192.29 |
$192.29 |
$192.29 |
$192.29
|
|
Sleep study attended
|
$542.26 |
$542.26 |
$542.26 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$1,460.86 |
$1,460.86 |
$1,460.86 |
$3,936.80
|
|
Sleep study unattended
|
$524.24 |
$524.24 |
$524.24 |
$595.50
|
|
Sleeve fing rolyan med
|
$62.13 |
$62.13 |
$62.13 |
$197.40
|
|
Slitting of prepuce
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,820.84
|
|
Slitting of prepuce
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,983.40
|
|
Small animal inoculation
|
$18.52 |
$18.52 |
$18.52 |
$18.52
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,466.10
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,734.20
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,294.80
|
|
Small bowel endoscopy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,104.15
|
|
Smallpox&monkeypox vac 0.5ml
|
$318.64 |
$318.64 |
$318.64 |
$318.64
|
|
Smear fluorescent and/or acid fast stain
|
$5.93 |
$5.93 |
$5.93 |
$64.20
|
|
Smear gram stain
|
$4.70 |
$4.70 |
$4.70 |
$57.85
|
|
Smear nasal eosinophil
|
$6.37 |
$6.37 |
$6.37 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$6.59 |
$6.59 |
$6.59 |
$64.35
|
|
Smear wet mount
|
$6.40 |
$6.40 |
$6.40 |
$68.63
|
|
Smn1 gene full gene sequence
|
$331.49 |
$331.49 |
$331.49 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$203.72 |
$203.72 |
$203.72 |
$203.72
|
