|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,813.80
|
|
Simple cystometrogram 51725
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$706.08 |
$706.08 |
$706.08 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$561.92 |
$561.92 |
$561.92 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$551.78 |
$551.78 |
$551.78 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$795.65 |
$795.65 |
$795.65 |
$2,489.25
|
|
Sinusotomy maxillary sinus 31020
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,592.74
|
|
Sinusotomy sinus remove polyps 31032
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,181.19
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,881.00
|
|
Skin and muscle repair face
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,311.38
|
|
Skin Biopsy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,190.24
|
|
Skin pedicle flap arms/legs
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,052.18
|
|
Skin pedicle flap trunk
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,240.00
|
|
Skin test unlisted antigen ea
|
$16.73 |
$16.73 |
$16.73 |
$39.77
|
|
Sleep Study (Polysomnography)
|
$1,315.32 |
$1,315.32 |
$1,315.32 |
$3,936.80
|
|
Sleep study unattended
|
$383.46 |
$383.46 |
$383.46 |
$595.50
|
|
Sleeve fing rolyan med
|
$55.94 |
$55.94 |
$55.94 |
$167.31
|
|
Slitting of prepuce
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,820.84
|
|
Slitting of prepuce
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,983.40
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,466.10
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,734.20
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,294.80
|
|
Small bowel endoscopy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,104.15
|
|
Smallpox&monkeypox vac 0.5ml
|
$154.48 |
$154.48 |
$154.48 |
$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
|
$492.12 |
$492.12 |
$492.12 |
$700.74
|
|
Special radiation dosimetry
|
$227.81 |
$227.81 |
$227.81 |
$445.50
|
|
Special radiation treatment
|
$1,043.91 |
$1,043.91 |
$1,043.91 |
$1,934.03
|
|
Special teletx port plan
|
$498.38 |
$498.38 |
$498.38 |
$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 recep thresh
|
$14.36 |
$14.36 |
$14.36 |
$90.60
|
|
Sperm antibody test
|
$11.74 |
$11.74 |
$11.74 |
$56.44
|
|
Sperm washing 58323
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$174.22
|
|
Sphenoid sinus surgery
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,311.00
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,245.23
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$275.63 |
$275.63 |
$275.63 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$110.62 |
$110.62 |
$110.62 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$25.31 |
$25.31 |
$25.31 |
$52.65
|
|
Splint finger fold over sm
|
$45.42 |
$45.42 |
$45.42 |
$84.00
|
|
Splint finger frog med
|
$13.24 |
$13.24 |
$13.24 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$13.08 |
$13.08 |
$13.08 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,560.66
|
|
Split blood or products
|
$36.50 |
$36.50 |
$36.50 |
$148.98
|
|
Sprchoroidal spc njx rx agt
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$447.20
|
|
Sputum specimen collection
|
$88.21 |
$88.21 |
$88.21 |
$180.00
|
|
Srs linear based
|
$4,696.00 |
$4,696.00 |
$4,696.00 |
$14,124.25
|
|
Staggered spondaic word test
|
$41.23 |
$41.23 |
$41.23 |
$185.15
|
|
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
|
$25.18 |
$25.18 |
$25.18 |
$70.29
|
|
Stenger test speech
|
$144.15 |
$144.15 |
$144.15 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$19,765.20
|
|
Stimulation of spinal cord
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,310.83
|
|
Strapping of ankle and/or ft 29540
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$248.05
|
|
Strapping of chest
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$171.00
|
|
Strapping of hand or finger
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$194.40
|
|
Strapping of hip
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$170.08
|
|
Strapping of knee
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$224.80
|
|
Strapping of toes 29550
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$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
|
$147.03 |
$147.03 |
$147.03 |
$327.20
|
|
Stress tte complete
|
$592.34 |
$592.34 |
$592.34 |
$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
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$819.50
|
|
Subq njx filling matrl 1cc/<
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$748.14
|
|
Subtalar arthro w/deb
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,594.44
|
