|
Sigmoidoscopy for bleeding
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,813.80
|
|
Simple cystometrogram 51725
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$742.71 |
$742.71 |
$742.71 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$689.38 |
$689.38 |
$689.38 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$629.23 |
$629.23 |
$629.23 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,198.53 |
$1,198.53 |
$1,198.53 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,592.74
|
|
Sinusotomy sinus remove polyps 31032
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,181.19
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,881.00
|
|
Skeletal muscle relaxant 1/2
|
$61.21 |
$61.21 |
$61.21 |
$85.14
|
|
Skel musc relaxant 3 or more
|
$61.21 |
$61.21 |
$61.21 |
$13.60
|
|
Skin and muscle repair face
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,311.38
|
|
Skin Biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,190.24
|
|
Skin pedicle flap arms/legs
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,052.18
|
|
Skin pedicle flap trunk
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,240.00
|
|
Slco1b1 gene com variants
|
$192.29 |
$192.29 |
$192.29 |
$192.29
|
|
Sleeve fing rolyan med
|
$70.60 |
$70.60 |
$70.60 |
$197.40
|
|
Slitting of prepuce
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,820.84
|
|
Slitting of prepuce
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,983.40
|
|
Small animal inoculation
|
$18.52 |
$18.52 |
$18.52 |
$18.52
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,466.10
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,734.20
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,294.80
|
|
Small bowel endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,104.15
|
|
Smallpox&monkeypox vac 0.5ml
|
$194.97 |
$194.97 |
$194.97 |
$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
|
|
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
|
$418.49 |
$418.49 |
$418.49 |
$700.74
|
|
Special radiation dosimetry
|
$375.19 |
$375.19 |
$375.19 |
$445.50
|
|
Special radiation treatment
|
$1,381.75 |
$1,381.75 |
$1,381.75 |
$1,934.03
|
|
Special teletx port plan
|
$633.50 |
$633.50 |
$633.50 |
$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
|
|
Speech audiometry complete
|
$75.50 |
$75.50 |
$75.50 |
$104.25
|
|
Speech recep thresh
|
$48.63 |
$48.63 |
$48.63 |
$90.60
|
|
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
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$174.22
|
|
Sphenoid sinus surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$301.17 |
$301.17 |
$301.17 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$139.62 |
$139.62 |
$139.62 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$31.95 |
$31.95 |
$31.95 |
$52.65
|
|
Splint finger fold over sm
|
$57.33 |
$57.33 |
$57.33 |
$84.00
|
|
Splint finger frog med
|
$16.72 |
$16.72 |
$16.72 |
$34.58
|
|
Splint rstrc wrst/cmc right med
|
$16.51 |
$16.51 |
$16.51 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,560.66
|
|
Split blood or products
|
$46.07 |
$46.07 |
$46.07 |
$148.98
|
|
Sprchoroidal spc njx rx agt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$447.20
|
|
Srsf2 gene common variants
|
$192.94 |
$192.94 |
$192.94 |
$192.94
|
|
Srs linear based
|
$10,926.71 |
$10,926.71 |
$10,926.71 |
$14,124.25
|
|
Srs multisource
|
$8,947.08 |
$8,947.08 |
$8,947.08 |
$31,800.00
|
|
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
|
|
Stenger test pure tone
|
$42.44 |
$42.44 |
$42.44 |
$70.29
|
|
Stenger test speech
|
$163.81 |
$163.81 |
$163.81 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$19,765.20
|
|
Stimulants synthetic
|
$61.21 |
$61.21 |
$61.21 |
$70.50
|
|
Stimulation of spinal cord
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,310.83
|
|
Strapping of ankle and/or ft 29540
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$248.05
|
|
Strapping of chest
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$171.00
|
|
Strapping of hand or finger
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$194.40
|
|
Strapping of hip
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$170.08
|
|
Strapping of knee
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$224.80
|
