|
Salpingostomy 58770
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Same day nb discharge 99463
|
$140.84 |
$142.64 |
$151.77 |
|
|
Sargramostim injection
|
$56.09 |
$56.09 |
$60.28 |
|
|
Sars-cov-2 antb quantitative
|
$51.43 |
$56.57 |
$56.57 |
|
|
Sarscov coronavirus ag ia
|
$35.33 |
$38.86 |
$57.50 |
|
|
Sarscov & inf vir a&b ag ia
|
$70.29 |
$77.32 |
$77.32 |
|
|
S bowel endoscope w/stent
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Sbrt w/positron emission del
|
$4,098.85 |
$4,151.28 |
$4,416.81 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$170.50 |
$170.50 |
$170.50 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$67.50 |
$67.50 |
$67.50 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$86.50 |
$86.50 |
$86.50 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$46.50 |
$46.50 |
$46.50 |
|
|
Sbsq psyc collab care mgmt
|
$101.09 |
$102.38 |
$108.93 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$264.17 |
$304.36 |
$546.47 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$87.59 |
$125.23 |
$471.83 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$91.94 |
$117.81 |
$293.55 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$116.22 |
$125.23 |
$810.54 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$116.22 |
$117.70 |
$125.23 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$116.22 |
$117.70 |
$125.23 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Scope plantar fasciotomy
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Scr c/v cyto, automated sys
|
$18.19 |
$19.54 |
$19.54 |
|
|
Scr c/v cyto, autosys, rescr
|
$31.94 |
$35.13 |
$35.13 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$43.97 |
$48.37 |
$48.37 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$26.49 |
$29.14 |
$29.14 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$27.05 |
$29.76 |
$29.76 |
|
|
Screen cerv/vag thin layer
|
$20.26 |
$22.29 |
$22.29 |
|
|
Screening Colonoscopy (average risk)
|
$996.39 |
$1,009.14 |
$1,073.68 |
|
|
Screening Colonoscopy (high risk)
|
$996.39 |
$1,009.14 |
$1,073.68 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$18.05 |
$19.86 |
$39.60 |
|
|
Screening hepatitis b non-obstetric high risk
|
$28.27 |
$31.10 |
$31.10 |
|
|
Screening hepatitis c antibody high risk
|
$46.35 |
$50.99 |
$50.99 |
|
|
Screening HIV antigen/antibody combination assay
|
$24.08 |
$26.49 |
$26.49 |
|
|
Screening Mammogram
|
$81.78 |
$150.70 |
$169.06 |
|
|
Screening prostate cancer PSA
|
$19.31 |
$21.24 |
$21.24 |
|
|
Screen pap by tech w md supv
|
$18.19 |
$19.54 |
$19.54 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$9.81 |
$9.81 |
$9.81 |
|
|
Scrotal (Testicle) Ultrasound
|
$116.22 |
$177.50 |
$273.68 |
|
|
Sc ther infusion reset pump
|
$43.17 |
$78.78 |
$83.81 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,786.00 |
$4,881.00 |
$6,311.00 |
|
|
Sedimentation rate erythrocyte automated
|
$2.70 |
$2.97 |
$32.40 |
|
|
Select picture audiometry
|
$36.54 |
$65.75 |
$69.95 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$40.79 |
$40.79 |
$78.40 |
|
|
Self-meas bp pt educaj/train
|
$26.76 |
$27.11 |
$28.84 |
|
|
Semen analysis
|
$6.50 |
$7.15 |
$7.15 |
|
|
Semen analysis presence/motility
|
$12.05 |
$13.26 |
$13.26 |
|
|
Semen analysis w/count
|
$8.61 |
$9.47 |
$9.47 |
|
|
Sensorimotor examination
|
$64.92 |
$65.75 |
$69.95 |
|
|
Sensorineural acuity lvl tst
|
$42.90 |
$43.44 |
$46.22 |
|
|
Separate eyelid adhesions
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Sept9 promoter methylation analysis
|
$192.00 |
$211.20 |
$211.20 |
|
|
Sequestrectomy olecrn proces
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Sequestrectomy radial h/n
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Sequestrectomy shft/dstl hum
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Serpina1 gene
|
$43.65 |
$48.02 |
$48.02 |
|
|
Sertraline (zoloft) - sendout
|
$27.21 |
$43.84 |
$200.00 |
|
|
Set radiation therapy field
|
$145.10 |
$331.56 |
$530.80 |
|
|
Set radiation therapy field
|
$400.07 |
$435.15 |
$817.21 |
|
|
Set radiation therapy field
|
$400.07 |
$724.11 |
$1,059.24 |
|
|
Set-up cardiovert-defibrill
|
$327.77 |
$331.96 |
$353.19 |
|
|
Sever cranial nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Sex chromatin identification
|
$17.98 |
$19.78 |
$19.78 |
|
|
Sex chromatin identification
|
$7.99 |
$8.79 |
$8.79 |
|
|
Sex transformation f to m
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Sex transformation m to f
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Sf3b1 gene common variants
|
$193.25 |
$212.58 |
$212.58 |
|
|
Sgmdsc w/band ligation
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Shigella antibody
|
$24.48 |
$26.93 |
$26.93 |
|
|
Sho arthrs dx +- synovial bx
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Sho arthrs srg bicp tenodsis
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Sho arthrs srg capsulorraphy
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Sho arthrs srg compl synvct
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Sho arthrs srg lss&rescj ads
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Sho arthrs srg prtl synvct
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Sho arthrs srg rmvl loose/fb
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Sho arthrs srg rpr slap les
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Shortening of hand tendon
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Shorten radius or ulna
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Shorten radius & ulna
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$25.00 |
$78.78 |
$150.70 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$59.34 |
$97.54 |
$173.28 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$116.22 |
$117.70 |
$167.00 |
|
|
Shoulder MRI (with and without contrast)
|
$390.30 |
$395.29 |
$420.58 |
|
|
Shoulder MRI (with contrast)
|
$863.44 |
$874.49 |
$930.42 |
|
|
Shoulder MRI (without contrast)
|
$264.17 |
$267.55 |
$284.66 |
|
|
Shoulder prosthesis removal
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
