|
Screening Colonoscopy (average risk)
|
$112.86 |
$112.86 |
$112.86 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$112.64 |
$112.64 |
$112.64 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$11.88 |
$11.88 |
$11.88 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$30.80 |
$30.80 |
$30.80 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$15.84 |
$15.84 |
$15.84 |
$42.30
|
|
Screening Mammogram
|
$293.28 |
$293.28 |
$293.28 |
$310.20
|
|
Screening pap smear by phys
|
$15.18 |
$15.18 |
$15.18 |
$41.00
|
|
Screening prostate cancer PSA
|
$102.18 |
$102.18 |
$102.18 |
$101.60
|
|
Screen pap by tech w md supv
|
$11.88 |
$11.88 |
$11.88 |
$53.46
|
|
Screw cortex 2.0 x 10mm
|
$1,748.17 |
$1,748.17 |
$1,748.17 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$467.22 |
$467.22 |
$467.22 |
$612.55
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$511.94 |
$511.94 |
$511.94 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,661.86 |
$9,661.86 |
$9,661.86 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$12.76 |
$12.76 |
$12.76 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$14.04 |
$14.04 |
$14.04 |
$42.00
|
|
Segmentectomy 32484
|
$874.94 |
$874.94 |
$874.94 |
$2,915.40
|
|
Self-meas bp 2 readg bid 30d
|
$5.28 |
$5.28 |
$5.28 |
$11.30
|
|
Semen analysis
|
$4.40 |
$4.40 |
$4.40 |
$13.60
|
|
Semen analysis presence/motility
|
$7.92 |
$7.92 |
$7.92 |
$70.40
|
|
Semen analysis w/count
|
$5.72 |
$5.72 |
$5.72 |
$56.44
|
|
Sensorimotor examination
|
$22.44 |
$22.44 |
$22.44 |
$109.50
|
|
Separate eyelid adhesions
|
$240.68 |
$240.68 |
$240.68 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$126.72 |
$126.72 |
$126.72 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$431.20 |
$431.20 |
$431.20 |
$7,807.24
|
|
Sequestrectomy radial h/n
|
$396.88 |
$396.88 |
$396.88 |
$4,499.12
|
|
Sequestrectomy shft/dstl hum
|
$467.72 |
$467.72 |
$467.72 |
$7,913.97
|
|
Serial casting application 97139app
|
$6.82 |
$6.82 |
$6.82 |
$78.39
|
|
Serial tonometry
|
$19.58 |
$19.58 |
$19.58 |
$131.02
|
|
Serpina1 gene
|
$28.60 |
$28.60 |
$28.60 |
$195.65
|
|
Set radiation therapy field
|
$23.32 |
$23.32 |
$23.32 |
$787.50
|
|
Set radiation therapy field
|
$34.98 |
$34.98 |
$34.98 |
$1,183.38
|
|
Set radiation therapy field
|
$51.04 |
$51.04 |
$51.04 |
$1,641.90
|
|
Set up port xray equipment
|
$15.84 |
$15.84 |
$15.84 |
$49.60
|
|
Sever cranial nerve
|
$377.30 |
$377.30 |
$377.30 |
$3,141.46
|
|
Sex chromatin identification
|
$11.88 |
$11.88 |
$11.88 |
$45.60
|
|
Sex chromatin identification
|
$5.28 |
$5.28 |
$5.28 |
$20.80
|
|
Sgmdsc w/band ligation
|
$61.60 |
$61.60 |
$61.60 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$27.72 |
$27.72 |
$27.72 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$38.72 |
$38.72 |
$38.72 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$45.76 |
$45.76 |
$45.76 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$58.74 |
$58.74 |
$58.74 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$23.10 |
$23.10 |
$23.10 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$29.92 |
$29.92 |
$29.92 |
$225.50
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$38.06 |
$38.06 |
$38.06 |
$270.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$42.68 |
$42.68 |
$42.68 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$20.68 |
$20.68 |
$20.68 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$31.68 |
$31.68 |
$31.68 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$36.74 |
$36.74 |
$36.74 |
$289.30
|
|
Shigella antibody
|
$16.28 |
$16.28 |
$16.28 |
$49.60
|
|
Sho arthrs dx +- synovial bx
|
$294.58 |
$294.58 |
$294.58 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$569.14 |
$569.14 |
$569.14 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$657.14 |
$657.14 |
$657.14 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$371.14 |
$371.14 |
$371.14 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$338.80 |
$338.80 |
$338.80 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$366.52 |
$366.52 |
$366.52 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$334.40 |
$334.40 |
$334.40 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$366.30 |
$366.30 |
$366.30 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$641.74 |
$641.74 |
$641.74 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$369.82 |
$369.82 |
$369.82 |
$5,148.00
|
|
Shortening of hand tendon
|
$412.94 |
$412.94 |
$412.94 |
$3,839.54
|
|
Shortening of thigh bone
|
$774.18 |
$774.18 |
$774.18 |
$7,413.38
|
|
Shorten/lengthen thighs
|
$831.60 |
$831.60 |
$831.60 |
$869.40
|
|
Shorten radius or ulna
|
$480.70 |
$480.70 |
$480.70 |
$6,609.96
|
|
Shorten radius & ulna
|
$630.96 |
$630.96 |
$630.96 |
$7,907.11
|
|
Shot (Injection into Muscle or Under the Skin)
|
$166.92 |
$166.92 |
$166.92 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$283.14 |
$283.14 |
$283.14 |
$268.80
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$662.86 |
$662.86 |
$662.86 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$342.42 |
$342.42 |
$342.42 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$5,546.58 |
$5,546.58 |
$5,546.58 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$2,060.00
|
|
Shoulder prosthesis removal
|
$660.44 |
$660.44 |
$660.44 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$784.96 |
$784.96 |
$784.96 |
$4,832.80
|
|
Shoulder X-ray
|
$354.12 |
$354.12 |
$354.12 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$283.14 |
$283.14 |
$283.14 |
$260.40
|
|
Shunt as-aort to pulm art
|
$805.64 |
$805.64 |
$805.64 |
$1,900.89
|
|
Shunt central w/prostc graft
|
$805.64 |
$805.64 |
$805.64 |
$1,900.89
|
|
Shunt desc aorta to pulm art
|
$781.44 |
$781.44 |
$781.44 |
$1,833.73
|
|
Shuntogram nonvascular supervision & interpretation
|
$342.42 |
$342.42 |
$342.42 |
$359.55
|
|
Shunt subclavian to pulm art
|
$769.12 |
$769.12 |
$769.12 |
$29,988.00
|
|
Shunt supr v/c p-art 1 lung
|
$811.36 |
$811.36 |
$811.36 |
$1,903.39
|
|
Shunt supr v/c p-art bth lng
|
$865.70 |
$865.70 |
$865.70 |
$2,029.39
|
|
Sialidase enzyme assay
|
$7.92 |
$7.92 |
$7.92 |
$54.99
|
|
Sialography s&i
|
$777.66 |
$777.66 |
$777.66 |
$512.40
|
|
Sialolithotomy 42330
|
$102.30 |
$102.30 |
$102.30 |
$3,864.00
|
|
Sickling rbc
|
$29.64 |
$29.64 |
$29.64 |
$56.99
|
|
Sigmoidoscopy and biopsy
|
$44.44 |
$44.44 |
$44.44 |
$1,550.40
|
|
Sigmoidoscopy flex decompression 45337
|
$69.74 |
$69.74 |
$69.74 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$71.72 |
$71.72 |
$71.72 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$41.36 |
$41.36 |
$41.36 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$97.68 |
$97.68 |
$97.68 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$64.24 |
$64.24 |
$64.24 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$93.72 |
$93.72 |
$93.72 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$120.56 |
$120.56 |
$120.56 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$73.48 |
$73.48 |
$73.48 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$75.68 |
$75.68 |
$75.68 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$103.62 |
$103.62 |
$103.62 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$57.64 |
$57.64 |
$57.64 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$7.70 |
$7.70 |
$7.70 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$47.52 |
$47.52 |
$47.52 |
$2,288.00
|