|
Sequestrectomy shft/dstl hum
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,311.00
|
|
Serpina1 gene
|
$43.65 |
$43.65 |
$43.65 |
$191.73
|
|
Set radiation therapy field
|
$146.96 |
$146.96 |
$146.96 |
$731.50
|
|
Set radiation therapy field
|
$405.19 |
$405.19 |
$405.19 |
$1,102.40
|
|
Set radiation therapy field
|
$405.19 |
$405.19 |
$405.19 |
$1,636.36
|
|
Set-up cardiovert-defibrill
|
$331.96 |
$331.96 |
$331.96 |
$354.90
|
|
Sever cranial nerve
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$2,310.83
|
|
Sex transformation f to m
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$4,081.37
|
|
Sex transformation m to f
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$5,813.46
|
|
Sgmdsc w/band ligation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,645.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$219.93 |
$219.93 |
$219.93 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$219.93 |
$219.93 |
$219.93 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$442.22 |
$442.22 |
$442.22 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$442.22 |
$442.22 |
$442.22 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$219.93 |
$219.93 |
$219.93 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$219.93 |
$219.93 |
$219.93 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$219.93 |
$219.93 |
$219.93 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$442.22 |
$442.22 |
$442.22 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$442.22 |
$442.22 |
$442.22 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$219.93 |
$219.93 |
$219.93 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$219.93 |
$219.93 |
$219.93 |
$302.55
|
|
Shigella antibody
|
$24.48 |
$24.48 |
$24.48 |
$26.93
|
|
Sho arthrs dx +- synovial bx
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,419.00
|
|
Sho arthrs srg capsulorraphy
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,419.00
|
|
Sho arthrs srg compl synvct
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,741.00
|
|
Sho arthrs srg rmvl loose/fb
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Shortening of hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,594.44
|
|
Shorten radius or ulna
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,609.96
|
|
Shorten radius & ulna
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,839.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$395.29 |
$395.29 |
$395.29 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$874.49 |
$874.49 |
$874.49 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$267.55 |
$267.55 |
$267.55 |
$2,051.28
|
|
Shoulder prosthesis removal
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,870.38
|
|
Shoulder X-ray
|
$97.46 |
$97.46 |
$97.46 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$117.70 |
$117.70 |
$117.70 |
$345.00
|
|
Sialidase enzyme assay
|
$12.22 |
$12.22 |
$12.22 |
$49.44
|
|
Sialography s&i
|
$267.55 |
$267.55 |
$267.55 |
$462.40
|
|
Sialolithotomy 42330
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,837.72
|
|
Sickling rbc
|
$5.51 |
$5.51 |
$5.51 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$65.75 |
$65.75 |
$65.75 |
$309.52
|
|
Sig w/tndsc balloon dilation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,813.80
|
|
Sim ang w/prs cath rad emb
|
$12,552.42 |
$12,552.42 |
$12,552.42 |
$22,490.60
|
|
Simple cystometrogram 51725
|
$269.20 |
$269.20 |
$269.20 |
$589.45
|
|
Single energy x-ray study
|
$117.70 |
$117.70 |
$117.70 |
$125.84
|
|
Sinus CT scan (with and without contrast)
|
$197.04 |
$197.04 |
$197.04 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$197.04 |
$197.04 |
$197.04 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$117.70 |
$117.70 |
$117.70 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$3,483.84 |
$3,483.84 |
$3,483.84 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,592.74
|
|
Sinusotomy sinus remove polyps 31032
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$5,181.19
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$4,881.00
|
|
Sipuleucel-t - su
|
$55,945.97 |
$55,945.97 |
$55,945.97 |
$55,945.97
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$84.53 |
$84.53 |
$84.53 |
$114.21
|
|
Skin and muscle repair face
|
$4,052.18 |
$4,052.18 |
$4,052.18 |
$4,311.38
|
|
Skin Biopsy
|
$219.93 |
$219.93 |
$219.93 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,190.24
|
|
Skin pedicle flap arms/legs
|
$4,052.18 |
$4,052.18 |
$4,052.18 |
$4,052.18
|
|
Skin pedicle flap trunk
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,240.00
|
|
Skin test unlisted antigen ea
|
$27.11 |
$27.11 |
$27.11 |
$39.77
|
|
Sleep study attended
|
$587.30 |
$587.30 |
$587.30 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$1,126.11 |
$1,126.11 |
$1,126.11 |
$3,936.80
|
|
Sleep study unattended
|
$173.18 |
$173.18 |
$173.18 |
$595.50
|
|
Slitting of prepuce
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$3,820.84
|
|
Slitting of prepuce
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$2,983.40
|
|
Slp stdy unatnd w/anal
|
$65.75 |
$65.75 |
$65.75 |
$307.50
|
|
Sm-153 lexidron ther
|
$4,314.91 |
$4,314.91 |
$4,314.91 |
$11,563.30
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,466.10
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,734.20
|
|
Small bowel endoscopy
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,294.80
|
|
Small bowel endoscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$6,104.15
|
