|
Speech audiometry complete
|
$64.92 |
$69.95 |
$107.67 |
|
|
Speech evaluation complex
|
$264.17 |
$267.55 |
$284.66 |
|
|
Speech recep thresh
|
$14.36 |
$64.92 |
$69.95 |
|
|
Speech Therapy Session (one-on-one)
|
$98.27 |
$98.27 |
$250.50 |
|
|
Sperm antibody test
|
$10.67 |
$11.74 |
$11.74 |
|
|
Sperm evaluation test
|
$19.59 |
$21.55 |
$21.55 |
|
|
Sperm identification
|
$58.39 |
$59.14 |
$62.92 |
|
|
Sperm isolation complex
|
$58.39 |
$59.14 |
$62.92 |
|
|
Sperm isolation simple
|
$58.39 |
$59.14 |
$62.92 |
|
|
Sperm washing 58323
|
$219.85 |
$3,986.00 |
$6,839.00 |
|
|
Sphenoid sinus surgery
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Spine device implant surgery
|
$14,061.89 |
$14,241.77 |
$15,152.74 |
|
|
Spine X-ray (single view, one level)
|
$59.31 |
$94.47 |
$121.00 |
|
|
Spirmtry w/brnchdil inf-2 yr
|
$340.32 |
$344.68 |
$366.72 |
|
|
Spirometry up to 2 yrs old
|
$170.99 |
$173.18 |
$184.26 |
|
|
Spleen imaging
|
$204.33 |
$444.77 |
$473.22 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$84.44 |
$99.07 |
$139.62 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$19.32 |
$22.67 |
$31.95 |
|
|
Splint finger fold over sm
|
$34.67 |
$40.68 |
$57.33 |
|
|
Splint finger frog med
|
$10.11 |
$11.86 |
$16.72 |
|
|
Splint rstrc wrst/cmc right med
|
$9.98 |
$11.71 |
$16.51 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Split blood or products
|
$27.86 |
$46.07 |
$201.80 |
|
|
Sprchoroidal spc njx rx agt
|
$362.50 |
$3,986.00 |
$6,839.00 |
|
|
Sputum specimen collection
|
$73.52 |
$189.67 |
$201.80 |
|
|
Sr-89 stront chlor ther / mci
|
$1,740.72 |
$4,146.34 |
$4,146.34 |
|
|
Srsf2 gene common variants
|
$175.40 |
$192.94 |
$192.94 |
|
|
Srs linear based
|
$4,147.41 |
$8,461.38 |
$10,926.71 |
|
|
Srs multisource
|
$8,354.51 |
$8,468.72 |
$9,004.05 |
|
|
Staggered spondaic word test
|
$41.23 |
$173.18 |
$184.26 |
|
|
St analysis behavior qualitative voice/resonance
|
$140.62 |
$140.62 |
$267.50 |
|
|
Staph a dna amp probe
|
$35.09 |
$38.60 |
$120.50 |
|
|
St cognitve performance testing healthcare professional each hour
|
$129.95 |
$129.95 |
$129.95 |
|
|
Stem cells total count
|
$77.78 |
$85.56 |
$85.56 |
|
|
Stenger test pure tone
|
$25.18 |
$65.75 |
$69.95 |
|
|
Stenger test speech
|
$144.15 |
$587.30 |
$624.87 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$3,786.00 |
$6,311.00 |
$21,146.91 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,786.00 |
$4,881.00 |
$6,311.00 |
|
|
Stent placemt retro carotid
|
$4,350.00 |
$4,881.00 |
$5,419.00 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$3,786.00 |
$6,311.00 |
$21,146.91 |
|
|
St evaluate speech sound production
|
$142.56 |
$142.56 |
$428.00 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$113.53 |
$113.53 |
$113.53 |
|
|
Stimulants synthetic
|
$47.03 |
$59.63 |
$62.79 |
|
|
Stimulation of spinal cord
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$324.56 |
$473.22 |
$1,007.50 |
|
|
Storage/year embryo(s)
|
$187.28 |
$189.67 |
$201.80 |
|
|
Storage/year oocyte(s)
|
$187.28 |
$189.67 |
$201.80 |
|
|
Storage/year reprod tissue
|
$187.28 |
$189.67 |
$201.80 |
|
|
Storage/year sperm/semen
|
$187.28 |
$189.67 |
$201.80 |
|
|
Strapping of ankle and/or ft 29540
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Strapping of chest
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Strapping of elbow or wrist 29260
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Strapping of hand or finger
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Strapping of hip
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Strapping of knee
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Strapping of toes 29550
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Strep a ag ia
|
$16.81 |
$18.49 |
$18.49 |
|
|
Strep a dna dir probe
|
$20.05 |
$22.06 |
$22.06 |
|
|
Strep a dna quant
|
$41.76 |
$45.94 |
$45.94 |
|
|
Strep b assay w/optic
|
$12.73 |
$14.00 |
$14.00 |
|
|
Strep b dna amp probe
|
$35.09 |
$38.60 |
$38.60 |
|
|
Streptokinase antibody
|
$12.66 |
$13.93 |
$13.93 |
|
|
Stress test pulmonary
|
$112.23 |
$147.03 |
$241.50 |
|
|
Stress tte complete
|
$574.46 |
$645.71 |
$994.29 |
|
|
Str markers spec anal addl
|
$304.81 |
$335.29 |
$335.29 |
|
|
Str markers specimen anal
|
$233.07 |
$256.38 |
$256.38 |
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Subq njx filling matrl 1cc/<
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Subq njx fil matrl 5.1-10cc
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Subtalar arthro w/deb
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Subtalar arthro w/exc
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Subtalar arthro w/fb rmvl
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Subtalar arthro w/fusion
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$12.67 |
$12.67 |
$12.67 |
|
|
Suction lipectomy head&neck
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Suction lipectomy lwr extrem
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Suction lipectomy trunk
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Suction lipectomy upr extrem
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Sugars multiple quant
|
$11.53 |
$12.68 |
$12.68 |
|
|
Sugars single quant
|
$11.53 |
$12.68 |
$40.00 |
|
|
Sulfonylurea screen qn-sendout
|
$39.41 |
$57.01 |
$87.91 |
|
|
Sup of prep of antigen # of vials 95144
|
$50.43 |
$51.07 |
$54.34 |
|
|
Supply of digital device
|
$140.84 |
$142.64 |
$151.77 |
|
|
Support clav 29.6-40.5in med
|
$5.23 |
$6.14 |
$8.65 |
|
|
Supprelin la implant
|
$45,350.22 |
$45,560.39 |
$45,560.39 |
|
|
Surg dx exam anorectal
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Surgery for urethra pouch
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Surgery to stop leg growth
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Surgery to stop leg growth
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Surgery to stop leg growth
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Surgery to stop leg growth
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Surgical exposure prostate 55860
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Surgical opening of stomach
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Surgical opening of throat
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Surgical pathology level 1 gross examination only
|
$23.34 |
$28.84 |
$46.71 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$34.31 |
$44.95 |
$68.89 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$58.39 |
$64.00 |
$86.86 |
|
