|
Scan duplex abd/pelvis/retroperitoneal complete
|
$560.78 |
$560.78 |
$560.78 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$239.58 |
$239.58 |
$239.58 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$485.51 |
$485.51 |
$485.51 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$434.31 |
$434.31 |
$434.31 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$542.18 |
$542.18 |
$542.18 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,821.05
|
|
Scr c/v cyto, automated sys
|
$19.54 |
$19.54 |
$19.54 |
$19.54
|
|
Scr c/v cyto, autosys, rescr
|
$35.13 |
$35.13 |
$35.13 |
$35.13
|
|
Scr c/v cyto,thinlayer,rescr
|
$48.37 |
$48.37 |
$48.37 |
$48.37
|
|
Scr c/v cyto,thinlayer,rescr
|
$29.14 |
$29.14 |
$29.14 |
$78.00
|
|
Scr c/v cyto,thinlayer,rescr
|
$29.76 |
$29.76 |
$29.76 |
$29.76
|
|
Screen cerv/vag thin layer
|
$22.29 |
$22.29 |
$22.29 |
$61.20
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$19.86 |
$19.86 |
$19.86 |
$54.26
|
|
Screening hepatitis b non-obstetric high risk
|
$31.10 |
$31.10 |
$31.10 |
$56.55
|
|
Screening hepatitis c antibody high risk
|
$50.99 |
$50.99 |
$50.99 |
$85.80
|
|
Screening HIV antigen/antibody combination assay
|
$26.49 |
$26.49 |
$26.49 |
$28.90
|
|
Screening Mammogram
|
$138.71 |
$138.71 |
$138.71 |
$303.55
|
|
Screening prostate cancer PSA
|
$21.24 |
$21.24 |
$21.24 |
$100.80
|
|
Screen pap by tech w md supv
|
$19.54 |
$19.54 |
$19.54 |
$41.80
|
|
Sedimentation rate erythrocyte automated
|
$2.97 |
$2.97 |
$2.97 |
$44.20
|
|
Semen analysis
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Semen analysis presence/motility
|
$13.26 |
$13.26 |
$13.26 |
$70.85
|
|
Semen analysis w/count
|
$9.47 |
$9.47 |
$9.47 |
$56.44
|
|
Separate eyelid adhesions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,760.73
|
|
Sept9 promoter methylation analysis
|
$211.20 |
$211.20 |
$211.20 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Sequestrectomy radial h/n
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Sequestrectomy shft/dstl hum
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Serpina1 gene
|
$48.02 |
$48.02 |
$48.02 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$46.16 |
$46.16 |
$46.16 |
$173.16
|
|
Set radiation therapy field
|
$530.80 |
$530.80 |
$530.80 |
$731.50
|
|
Set radiation therapy field
|
$817.21 |
$817.21 |
$817.21 |
$1,102.40
|
|
Set radiation therapy field
|
$981.75 |
$981.75 |
$981.75 |
$1,636.36
|
|
Sever cranial nerve
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$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
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Sex transformation m to f
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,813.46
|
|
Sf3b1 gene common variants
|
$212.58 |
$212.58 |
$212.58 |
$212.58
|
|
Sgmdsc w/band ligation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,645.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$302.55
|
|
Shigella antibody
|
$26.93 |
$26.93 |
$26.93 |
$26.93
|
|
Sho arthrs dx +- synovial bx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Sho arthrs srg capsulorraphy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Sho arthrs srg compl synvct
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,741.00
|
|
Sho arthrs srg rmvl loose/fb
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Shortening of hand tendon
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Shorten radius or ulna
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,609.96
|
|
Shorten radius & ulna
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Shoulder prosthesis removal
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,870.38
|
|
Shuntogram nonvascular supervision & interpretation
|
$211.36 |
$211.36 |
$211.36 |
$345.00
|
|
Sialidase enzyme assay
|
$13.44 |
$13.44 |
$13.44 |
$49.44
|
|
Sialolithotomy 42330
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
Sickling rbc
|
$6.06 |
$6.06 |
$6.06 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,813.80
|
|
Simple cystometrogram 51725
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$736.91 |
$736.91 |
$736.91 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$612.42 |
$612.42 |
$612.42 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$457.72 |
$457.72 |
$457.72 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,030.11 |
$1,030.11 |
$1,030.11 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,592.74
|
|
Sinusotomy sinus remove polyps 31032
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,181.19
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,881.00
|
|
Skeletal muscle relaxant 1/2
|
$62.79 |
$62.79 |
$62.79 |
$85.14
|
|
Skel musc relaxant 3 or more
|
$62.79 |
$62.79 |
$62.79 |
$13.60
|
|
Skin and muscle repair face
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,311.38
|
|
Skin Biopsy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,190.24
|
|
Skin pedicle flap arms/legs
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,052.18
|
|
Skin pedicle flap trunk
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,240.00
|