|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$281.33 |
$281.33 |
$281.33 |
$497.68
|
|
Scan duplex extremity veins unilateral/limited study
|
$370.84 |
$370.84 |
$370.84 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$370.84 |
$370.84 |
$370.84 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$291.05 |
$291.05 |
$291.05 |
$597.35
|
|
Screen cerv/vag thin layer
|
$81.01 |
$81.01 |
$81.01 |
$86.56
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$73.64 |
$73.64 |
$73.64 |
$57.60
|
|
Screening Mammogram
|
$413.20 |
$413.20 |
$413.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$192.96 |
$192.96 |
$192.96 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$32.97 |
$32.97 |
$32.97 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$592.63 |
$592.63 |
$592.63 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$31.69 |
$31.69 |
$31.69 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$97.44 |
$97.44 |
$97.44 |
$96.00
|
|
Semen analysis presence/motility
|
$62.98 |
$62.98 |
$62.98 |
$70.40
|
|
Serpina1 gene
|
$178.23 |
$178.23 |
$178.23 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$175.29 |
$175.29 |
$175.29 |
$126.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$445.44 |
$445.44 |
$445.44 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$172.92 |
$172.92 |
$172.92 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$82.35 |
$82.35 |
$82.35 |
$314.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$410.42 |
$410.42 |
$410.42 |
$289.30
|
|
Shot (Injection into Muscle or Under the Skin)
|
$184.33 |
$184.33 |
$184.33 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$240.99 |
$240.99 |
$240.99 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$286.89 |
$286.89 |
$286.89 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,131.33 |
$3,131.33 |
$3,131.33 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,216.32 |
$2,216.32 |
$2,216.32 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,427.68 |
$2,427.68 |
$2,427.68 |
$2,096.84
|
|
Shoulder X-ray
|
$250.50 |
$250.50 |
$250.50 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$224.39 |
$224.39 |
$224.39 |
$263.25
|
|
Sickling rbc
|
$51.19 |
$51.19 |
$51.19 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$1,615.02 |
$1,615.02 |
$1,615.02 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,386.34 |
$1,386.34 |
$1,386.34 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,078.52 |
$1,078.52 |
$1,078.52 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$297.19 |
$297.19 |
$297.19 |
$346.45
|
|
Sinus X-ray (limited)
|
$228.26 |
$228.26 |
$228.26 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$228.68 |
$228.68 |
$228.68 |
$83.85
|
|
Skin Biopsy
|
$445.44 |
$445.44 |
$445.44 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$282.20 |
$282.20 |
$282.20 |
$294.45
|
|
Skull X-ray (complete)
|
$376.81 |
$376.81 |
$376.81 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,476.51 |
$1,476.51 |
$1,476.51 |
$1,643.47
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$366.56 |
$366.56 |
$366.56 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$40.51 |
$40.51 |
$40.51 |
$64.35
|
|
Smear gram stain
|
$328.85 |
$328.85 |
$328.85 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$72.20 |
$72.20 |
$72.20 |
$73.50
|
|
Smear wet mount
|
$30.59 |
$30.59 |
$30.59 |
$67.55
|
|
Snrpn/ube3a gene
|
$125.40 |
$125.40 |
$125.40 |
$230.63
|
|
Sodium 24 hour urine
|
$65.18 |
$65.18 |
$65.18 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$4.41 |
$4.41 |
$4.41 |
$49.07
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$10.75 |
$10.75 |
$10.75 |
$80.14
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$321.10 |
$321.10 |
$321.10 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$32.79 |
$32.79 |
$32.79 |
$46.26
|
|
Special radiation treatment
|
$1,412.13 |
$1,412.13 |
$1,412.13 |
$2,052.00
|
|
Specimen fat stain
|
$12.49 |
$12.49 |
$12.49 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$366.30 |
$366.30 |
$366.30 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$99.93 |
$99.93 |
$99.93 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$283.47 |
$283.47 |
$283.47 |
$251.00
|
|
Sputum specimen collection
|
$291.90 |
$291.90 |
$291.90 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$177.11 |
$177.11 |
$177.11 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$198.74 |
$198.74 |
$198.74 |
$286.00
|
|
St evaluate speech sound production
|
$348.02 |
$348.02 |
$348.02 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$219.64 |
$219.64 |
$219.64 |
$400.00
|
|
Stimulants synthetic
|
$127.90 |
$127.90 |
$127.90 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,208.81 |
$1,208.81 |
$1,208.81 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$359.55 |
$359.55 |
$359.55 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$113.65 |
$113.65 |
$113.65 |
$157.46
|
|
Strapping of hand or finger
|
$123.92 |
$123.92 |
$123.92 |
$177.45
|
|
Strapping of knee
|
$194.02 |
$194.02 |
$194.02 |
$205.20
|
|
Strapping of toes 29550
|
$180.03 |
$180.03 |
$180.03 |
$164.70
|
|
Strep a ag ia
|
$41.63 |
$41.63 |
$41.63 |
$75.40
|
|
Stress test pulmonary
|
$161.88 |
$161.88 |
$161.88 |
$324.00
|
|
Stress tte complete
|
$1,629.72 |
$1,629.72 |
$1,629.72 |
$1,900.96
|
|
Sulfonylurea screen qn-sendout
|
$123.45 |
$123.45 |
$123.45 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$52.94 |
$52.94 |
$52.94 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$68.86 |
$68.86 |
$68.86 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$107.92 |
$107.92 |
$107.92 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$115.64 |
$115.64 |
$115.64 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$139.21 |
$139.21 |
$139.21 |
$480.60
|
|
Susceptibility enzyme detection per enzyme
|
$10.09 |
$10.09 |
$10.09 |
$35.89
|
|
Susceptibility mic per plate
|
$73.64 |
$73.64 |
$73.64 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$352.54 |
$352.54 |
$352.54 |
$316.80
|
|
Swallowing Therapy Session
|
$96.92 |
$96.92 |
$96.92 |
$232.56
|
|
Synch audio-only est high 40
|
$190.77 |
$190.77 |
$190.77 |
$196.80
|
|
Synch audio-only est low 20
|
$138.14 |
$138.14 |
$138.14 |
$93.60
|
|
Synch audio-only est mod 30
|
$155.60 |
$155.60 |
$155.60 |
$136.64
|
|
Synch audio-only est sf 10
|
$134.14 |
$134.14 |
$134.14 |
$53.20
|
|
Synch audio-only new high 60
|
$200.30 |
$200.30 |
$200.30 |
$207.64
|
|
Synch audio-only new low 30
|
$145.05 |
$145.05 |
$145.05 |
$120.80
|
|
Synch audio-only new mod 45
|
$163.38 |
$163.38 |
$163.38 |
$176.70
|
|
Synch audio-only new sf 15
|
$140.85 |
$140.85 |
$140.85 |
$71.20
|
|
Synvisc or synvisc-one
|
$47.53 |
$47.53 |
$47.53 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$31.69 |
$31.69 |
$31.69 |
$42.24
|
|
T3 (triiodothyronine) free
|
$238.99 |
$238.99 |
$238.99 |
$100.32
|
|
T3 (triiodothyronine) total
|
$139.21 |
$139.21 |
$139.21 |
$93.52
|
|
T4 (thyroxine) free
|
$136.24 |
$136.24 |
$136.24 |
$89.60
|
|
T4 (thyroxine) total
|
$60.05 |
$60.05 |
$60.05 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$230.14 |
$230.14 |
$230.14 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$273.21 |
$273.21 |
$273.21 |
$289.20
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$188.18 |
$188.18 |
$188.18 |
$179.95
|
|
Tc-99m labeled rbc
|
$358.42 |
$358.42 |
$358.42 |
$306.00
|
|
Tc-99m mebrofenin
|
$61.89 |
$61.89 |
$61.89 |
$157.65
|
|
Tc-99m medronate
|
$181.40 |
$181.40 |
$181.40 |
$111.01
|
|
Tc-99m pentetate dtpa aerosol
|
$635.21 |
$635.21 |
$635.21 |
$191.50
|