|
Smpd1 gene common variants
|
$51.70 |
$51.70 |
$51.70 |
$140.00
|
|
Snrpn/ube3a gene
|
$56.18 |
$56.18 |
$56.18 |
$228.80
|
|
Sodium 24 hour urine
|
$5.57 |
$5.57 |
$5.57 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$5.29 |
$5.29 |
$5.29 |
$42.70
|
|
Special physics consult
|
$324.72 |
$324.72 |
$324.72 |
$700.74
|
|
Special radiation dosimetry
|
$179.81 |
$179.81 |
$179.81 |
$445.50
|
|
Special radiation treatment
|
$1,208.60 |
$1,208.60 |
$1,208.60 |
$1,934.03
|
|
Special teletx port plan
|
$536.07 |
$536.07 |
$536.07 |
$1,046.65
|
|
Specific gravity body fluid
|
$3.61 |
$3.61 |
$3.61 |
$23.63
|
|
Specimen fat stain
|
$6.47 |
$6.47 |
$6.47 |
$32.76
|
|
Sperm antibody test
|
$11.74 |
$11.74 |
$11.74 |
$56.44
|
|
Sperm evaluation test
|
$21.55 |
$21.55 |
$21.55 |
$21.55
|
|
Sperm washing 58323
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$174.22
|
|
Sphenoid sinus surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$270.47 |
$270.47 |
$270.47 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$122.86 |
$122.86 |
$122.86 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$28.11 |
$28.11 |
$28.11 |
$52.65
|
|
Splint finger fold over sm
|
$50.45 |
$50.45 |
$50.45 |
$84.00
|
|
Splint finger frog med
|
$14.71 |
$14.71 |
$14.71 |
$34.58
|
|
Splint rstrc wrst/cmc right med
|
$14.53 |
$14.53 |
$14.53 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,560.66
|
|
Split blood or products
|
$40.54 |
$40.54 |
$40.54 |
$148.98
|
|
Sprchoroidal spc njx rx agt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$447.20
|
|
Srsf2 gene common variants
|
$192.94 |
$192.94 |
$192.94 |
$192.94
|
|
Srs linear based
|
$4,147.41 |
$4,147.41 |
$4,147.41 |
$14,124.25
|
|
Staph a dna amp probe
|
$38.60 |
$38.60 |
$38.60 |
$116.39
|
|
Stem cells total count
|
$85.56 |
$85.56 |
$85.56 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$17,281.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$19,765.20
|
|
Stimulants synthetic
|
$53.86 |
$53.86 |
$53.86 |
$70.50
|
|
Stimulation of spinal cord
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Strapping of ankle and/or ft 29540
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$248.05
|
|
Strapping of chest
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$171.00
|
|
Strapping of hand or finger
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$194.40
|
|
Strapping of hip
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$170.08
|
|
Strapping of knee
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$224.80
|
|
Strapping of toes 29550
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$185.36
|
|
Strep a ag ia
|
$18.49 |
$18.49 |
$18.49 |
$75.40
|
|
Strep a dna dir probe
|
$22.06 |
$22.06 |
$22.06 |
$50.40
|
|
Strep a dna quant
|
$45.94 |
$45.94 |
$45.94 |
$45.94
|
|
Strep b assay w/optic
|
$14.00 |
$14.00 |
$14.00 |
$32.00
|
|
Strep b dna amp probe
|
$38.60 |
$38.60 |
$38.60 |
$139.20
|
|
Streptokinase antibody
|
$13.93 |
$13.93 |
$13.93 |
$13.93
|
|
Str markers spec anal addl
|
$335.29 |
$335.29 |
$335.29 |
$468.00
|
|
Str markers specimen anal
|
$256.38 |
$256.38 |
$256.38 |
$835.28
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$819.50
|
|
Subq njx filling matrl 1cc/<
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$748.14
|
|
Subtalar arthro w/deb
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Subtalar arthro w/exc
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Subtalar arthro w/fb rmvl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,786.00
|
|
Subtalar arthro w/fusion
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,407.18
|
|
Suction lipectomy head&neck
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,732.48
|
|
Suction lipectomy trunk
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,052.18
|
|
Suction lipectomy upr extrem
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,986.00
|
|
Sugars multiple quant
|
$12.68 |
$12.68 |
$12.68 |
$26.95
|
|
Sugars single quant
|
$12.68 |
$12.68 |
$12.68 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$39.41 |
$39.41 |
$39.41 |
$184.60
|
|
Support clav 29.6-40.5in med
|
$7.62 |
$7.62 |
$7.62 |
$94.19
|
|
Surg dx exam anorectal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,035.44
|
|
Surgery for urethra pouch
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,081.37
|
|
Surgery to stop leg growth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Surgery to stop leg growth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Surgery to stop leg growth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Surgery to stop leg growth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Surgical exposure prostate 55860
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,881.00
|
|
Surgical opening of stomach
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,358.04
|
|
Surgical opening of throat
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,870.40
|
|
Surgical pathology level 1 gross examination only
|
$27.59 |
$27.59 |
$27.59 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$42.79 |
$42.79 |
$42.79 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$64.00 |
$64.00 |
$64.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$80.52 |
$80.52 |
$80.52 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$287.18 |
$287.18 |
$287.18 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$291.87 |
$291.87 |
$291.87 |
$790.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$5.23 |
$5.23 |
$5.23 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$5.23 |
$5.23 |
$5.23 |
$34.48
|
|
Susceptibility mic per plate
|
$9.52 |
$9.52 |
$9.52 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$7.30 |
$7.30 |
$7.30 |
$48.30
|
|
Suspension of testis
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,817.53
|
|
Svc venogram s&i
|
$1,389.16 |
$1,389.16 |
$1,389.16 |
$1,908.00
|
|
Sympathectomy cervical
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,696.20
|
|
Sympathectomy digital artery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$4.84 |
$4.84 |
$4.84 |
$44.85
|
|
T3 (triiodothyronine) free
|
$18.63 |
$18.63 |
$18.63 |
$89.82
|
|
T3 (triiodothyronine) total
|
$15.60 |
$15.60 |
$15.60 |
$94.90
|
|
T4 (thyroxine) free
|
$9.92 |
$9.92 |
$9.92 |
$81.60
|
|
T4 (thyroxine) total
|
$7.56 |
$7.56 |
$7.56 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$15.10 |
$15.10 |
$15.10 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$835.48 |
$835.48 |
$835.48 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,211.56 |
$3,211.56 |
$3,211.56 |
$3,385.00
|
|
Target gsa panel organ neop
|
$657.70 |
$657.70 |
$657.70 |
$1,913.00
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$755.08
|
|
Tbp gene detc abnor alleles
|
$150.70 |
$150.70 |
$150.70 |
$150.70
|