|
Semen analysis presence/motility
|
$12.05 |
$12.05 |
$12.05 |
$70.40
|
|
Semen analysis w/count
|
$8.61 |
$8.61 |
$8.61 |
$56.44
|
|
Sensorimotor examination
|
$70.29 |
$70.29 |
$70.29 |
$109.50
|
|
Sensorineural acuity lvl tst
|
$46.45 |
$46.45 |
$46.45 |
$129.36
|
|
Separate eyelid adhesions
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$192.00 |
$192.00 |
$192.00 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Sequestrectomy radial h/n
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,499.12
|
|
Sequestrectomy shft/dstl hum
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,913.97
|
|
Serpina1 gene
|
$43.65 |
$43.65 |
$43.65 |
$195.65
|
|
Set radiation therapy field
|
$157.11 |
$157.11 |
$157.11 |
$787.50
|
|
Set radiation therapy field
|
$433.19 |
$433.19 |
$433.19 |
$1,183.38
|
|
Set radiation therapy field
|
$433.19 |
$433.19 |
$433.19 |
$1,641.90
|
|
Set-up cardiovert-defibrill
|
$354.90 |
$354.90 |
$354.90 |
$373.29
|
|
Sever cranial nerve
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,141.46
|
|
Sex chromatin identification
|
$17.98 |
$17.98 |
$17.98 |
$45.60
|
|
Sex chromatin identification
|
$7.99 |
$7.99 |
$7.99 |
$20.80
|
|
Sex transformation f to m
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,846.99
|
|
Sex transformation m to f
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
$5,841.60
|
|
Sf3b1 gene common variants
|
$193.25 |
$193.25 |
$193.25 |
$248.10
|
|
Sgmdsc w/band ligation
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$235.13 |
$235.13 |
$235.13 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$235.13 |
$235.13 |
$235.13 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$472.79 |
$472.79 |
$472.79 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$472.79 |
$472.79 |
$472.79 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$235.13 |
$235.13 |
$235.13 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$235.13 |
$235.13 |
$235.13 |
$225.50
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$235.13 |
$235.13 |
$235.13 |
$270.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$472.79 |
$472.79 |
$472.79 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$472.79 |
$472.79 |
$472.79 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$235.13 |
$235.13 |
$235.13 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$235.13 |
$235.13 |
$235.13 |
$289.30
|
|
Shigella antibody
|
$24.48 |
$24.48 |
$24.48 |
$49.60
|
|
Sho arthrs dx +- synovial bx
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,148.00
|
|
Shortening of hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Shorten radius or ulna
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,609.96
|
|
Shorten radius & ulna
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Shot (Injection into Muscle or Under the Skin)
|
$84.22 |
$84.22 |
$84.22 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$104.19 |
$104.19 |
$104.19 |
$268.80
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$125.84 |
$125.84 |
$125.84 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$422.61 |
$422.61 |
$422.61 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$934.93 |
$934.93 |
$934.93 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$286.04 |
$286.04 |
$286.04 |
$2,060.00
|
|
Shoulder prosthesis removal
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,870.38
|
|
Shoulder X-ray
|
$104.19 |
$104.19 |
$104.19 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$104.19 |
$104.19 |
$104.19 |
$260.40
|
|
Shuntogram nonvascular supervision & interpretation
|
$125.84 |
$125.84 |
$125.84 |
$359.55
|
|
Sialidase enzyme assay
|
$12.22 |
$12.22 |
$12.22 |
$54.99
|
|
Sialography s&i
|
$286.04 |
$286.04 |
$286.04 |
$512.40
|
|
Sialolithotomy 42330
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,864.00
|
|
Sickling rbc
|
$5.51 |
$5.51 |
$5.51 |
$56.99
|
|
Sigmoidoscopy and biopsy
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,550.40
|
|
Sigmoidoscopy flex decompression 45337
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$7,044.32 |
$7,044.32 |
$7,044.32 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$70.29 |
$70.29 |
$70.29 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$287.81 |
$287.81 |
$287.81 |
$614.00
|
|
Single energy x-ray study
|
$125.84 |
$125.84 |
$125.84 |
$125.84
|
|
Sinus CT scan (with and without contrast)
|
$210.66 |
$210.66 |
$210.66 |
$1,788.60
|
|
Sinus CT scan (with contrast)
|
$210.66 |
$210.66 |
$210.66 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$125.84 |
$125.84 |
$125.84 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$104.19 |
$104.19 |
$104.19 |
$345.24
|
|
Sinus X-ray (limited)
|
$104.19 |
$104.19 |
$104.19 |
$214.50
|
|
Sipuleucel-t - su
|
$55,015.23 |
$55,015.23 |
$55,015.23 |
$100,990.51
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$114.21 |
$114.21 |
$114.21 |
$14,361.10
|
|
Skin and muscle repair face
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,332.25
|
|
Skin Biopsy
|
$235.13 |
$235.13 |
$235.13 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,379.00
|
|
Skin pedicle flap arms/legs
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,501.86
|
|
Skin test unlisted antigen ea
|
$28.98 |
$28.98 |
$28.98 |
$48.57
|
|
Skull X-ray (1 to 3 views)
|
$125.84 |
$125.84 |
$125.84 |
$297.00
|
|
Skull X-ray (complete)
|
$125.84 |
$125.84 |
$125.84 |
$417.50
|
|
Slco1b1 gene com variants
|
$174.81 |
$174.81 |
$174.81 |
$235.20
|
|
Sleep study attended
|
$627.89 |
$627.89 |
$627.89 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$3,721.41
|
|
Sleep study unattended
|
$185.15 |
$185.15 |
$185.15 |
$594.00
|
