|
Shigella antibody
|
$26.93 |
$26.93 |
$26.93 |
$26.93
|
|
Sho arthrs dx +- synovial bx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Sho arthrs srg capsulorraphy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Sho arthrs srg compl synvct
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,741.00
|
|
Sho arthrs srg rmvl loose/fb
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Shortening of hand tendon
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,594.44
|
|
Shorten radius or ulna
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,609.96
|
|
Shorten radius & ulna
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,839.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,839.00
|
|
Shoulder prosthesis removal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,870.38
|
|
Shuntogram nonvascular supervision & interpretation
|
$172.68 |
$172.68 |
$172.68 |
$345.00
|
|
Sialidase enzyme assay
|
$13.44 |
$13.44 |
$13.44 |
$49.44
|
|
Sialolithotomy 42330
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,837.72
|
|
Sickling rbc
|
$6.06 |
$6.06 |
$6.06 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,813.80
|
|
Simple cystometrogram 51725
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$725.30 |
$725.30 |
$725.30 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$673.22 |
$673.22 |
$673.22 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$614.48 |
$614.48 |
$614.48 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,170.43 |
$1,170.43 |
$1,170.43 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,592.74
|
|
Sinusotomy sinus remove polyps 31032
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,181.19
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,881.00
|
|
Skin and muscle repair face
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,311.38
|
|
Skin Biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,190.24
|
|
Skin pedicle flap arms/legs
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,052.18
|
|
Skin pedicle flap trunk
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,240.00
|
|
Skin test unlisted antigen ea
|
$20.62 |
$20.62 |
$20.62 |
$39.77
|
|
Sleep study attended
|
$593.65 |
$593.65 |
$593.65 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$1,621.19 |
$1,621.19 |
$1,621.19 |
$3,936.80
|
|
Sleep study unattended
|
$636.56 |
$636.56 |
$636.56 |
$595.50
|
|
Sleeve fing rolyan med
|
$49.24 |
$49.24 |
$49.24 |
$167.31
|
|
Slitting of prepuce
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,820.84
|
|
Slitting of prepuce
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,983.40
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,466.10
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,734.20
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,294.80
|
|
Small bowel endoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,104.15
|
|
Smallpox&monkeypox vac 0.5ml
|
$136.00 |
$136.00 |
$136.00 |
$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
|
|
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
|
$408.68 |
$408.68 |
$408.68 |
$700.74
|
|
Special radiation dosimetry
|
$366.39 |
$366.39 |
$366.39 |
$445.50
|
|
Special radiation treatment
|
$1,349.36 |
$1,349.36 |
$1,349.36 |
$1,934.03
|
|
Special teletx port plan
|
$618.65 |
$618.65 |
$618.65 |
$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
|
$73.73 |
$73.73 |
$73.73 |
$104.25
|
|
Speech recep thresh
|
$47.49 |
$47.49 |
$47.49 |
$90.60
|
|
Sperm antibody test
|
$11.74 |
$11.74 |
$11.74 |
$56.44
|
|
Sperm washing 58323
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$174.22
|
|
Sphenoid sinus surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$294.11 |
$294.11 |
$294.11 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$97.39 |
$97.39 |
$97.39 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$22.28 |
$22.28 |
$22.28 |
$52.65
|
|
Splint finger fold over sm
|
$39.99 |
$39.99 |
$39.99 |
$84.00
|
|
Splint finger frog med
|
$11.66 |
$11.66 |
$11.66 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$11.51 |
$11.51 |
$11.51 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,560.66
|
|
Split blood or products
|
$44.99 |
$44.99 |
$44.99 |
$148.98
|
