|
Sprchoroidal spc njx rx agt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$447.20
|
|
Sputum specimen collection
|
$73.52 |
$73.52 |
$73.52 |
$180.00
|
|
Srs linear based
|
$10,670.58 |
$10,670.58 |
$10,670.58 |
$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
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$9,276.80
|
|
Stent placemt retro carotid
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$19,765.20
|
|
Stimulation of spinal cord
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,310.83
|
|
Strapping of ankle and/or ft 29540
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$248.05
|
|
Strapping of chest
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$171.00
|
|
Strapping of hand or finger
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$194.40
|
|
Strapping of hip
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$170.08
|
|
Strapping of knee
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$224.80
|
|
Strapping of toes 29550
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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 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
|
|
Stress test pulmonary
|
$215.79 |
$215.79 |
$215.79 |
$327.20
|
|
Stress tte complete
|
$834.44 |
$834.44 |
$834.44 |
$1,964.95
|
|
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
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$819.50
|
|
Subq njx filling matrl 1cc/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$748.14
|
|
Subtalar arthro w/deb
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,594.44
|
|
Subtalar arthro w/exc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,339.00
|
|
Subtalar arthro w/fb rmvl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Subtalar arthro w/fusion
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$8,407.18
|
|
Suction lipectomy head&neck
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,732.48
|
|
Suction lipectomy trunk
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,052.18
|
|
Suction lipectomy upr extrem
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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
|
$64.15 |
$64.15 |
$64.15 |
$184.60
|
|
Support clav 29.6-40.5in med
|
$6.04 |
$6.04 |
$6.04 |
$94.19
|
|
Surg dx exam anorectal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,035.44
|
|
Surgery for urethra pouch
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,081.37
|
|
Surgery to stop leg growth
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,886.74
|
|
Surgery to stop leg growth
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Surgery to stop leg growth
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,886.74
|
|
Surgery to stop leg growth
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Surgical exposure prostate 55860
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,881.00
|
|
Surgical opening of stomach
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,358.04
|
|
Surgical opening of throat
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,870.40
|
|
Surgical pathology level 1 gross examination only
|
$45.61 |
$45.61 |
$45.61 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$67.28 |
$67.28 |
$67.28 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$79.15 |
$79.15 |
$79.15 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$172.26 |
$172.26 |
$172.26 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$269.74 |
$269.74 |
$269.74 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$274.12 |
$274.12 |
$274.12 |
$790.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,817.53
|
|
Svc venogram s&i
|
$1,139.81 |
$1,139.81 |
$1,139.81 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$76.65 |
$76.65 |
$76.65 |
$105.21
|
|
Sympathectomy cervical
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,696.20
|
|
Sympathectomy digital artery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$755.08
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$110.00 |
$110.00 |
$110.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$68.18 |
$68.18 |
$68.18 |
$166.46
|
|
Tca peel dermal 15789
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,276.60
|
|
T-cell depletion of harvest
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$51.68 |
$51.68 |
$51.68 |
$186.00
|
|
T cells absolute cd 4 count
|
$29.46 |
$29.46 |
$29.46 |
$120.25
|
|
T cells total count
|
$41.50 |
$41.50 |
$41.50 |
$124.11
|
|
Telethx isodose plan cplx
|
$1,453.51 |
$1,453.51 |
$1,453.51 |
$1,617.00
|
|
Telethx isodose plan simple
|
$505.12 |
$505.12 |
$505.12 |
$848.72
|
|
Tendon lengthening
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Tendon lngth upr a/e ea tdn
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,671.74
|
|
Tendon shortening
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,594.44
|
|
Tendon transfer with graft
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,821.05
|
|
Tenodesis biceps tdn at elbw
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,594.44
|
|
Tenolysis triceps
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Tenoplasty elbow to sho 1
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,855.00
|
|
Tenosynovectomy radic 26145
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,893.86
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,139.67
|
|
Tert gene targeted seq alys
|
$203.72 |
$203.72 |
$203.72 |
$304.59
|
|
Test for chlorohydrocarbons
|
$6.61 |
$6.61 |
$6.61 |
$71.04
|
