|
Srs cranial lesion simple
|
$638.44 |
$638.44 |
$638.44 |
$3,145.05
|
|
Srs cran les complex addl
|
$186.56 |
$186.56 |
$186.56 |
$711.20
|
|
Srs cran les simple addl
|
$135.30 |
$135.30 |
$135.30 |
$719.20
|
|
Srs spinal lesion
|
$705.10 |
$705.10 |
$705.10 |
$2,631.20
|
|
Srs spinal lesion addl
|
$155.54 |
$155.54 |
$155.54 |
$591.20
|
|
Staph a dna amp probe
|
$23.32 |
$23.32 |
$23.32 |
$125.00
|
|
Stem cells total count
|
$51.48 |
$51.48 |
$51.48 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$42,018.60 |
$42,018.60 |
$42,018.60 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,571.42 |
$3,571.42 |
$3,571.42 |
$32,403.15
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,537.16 |
$26,537.16 |
$26,537.16 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$19,903.26 |
$19,903.26 |
$19,903.26 |
$8,985.00
|
|
Stent placemt retro carotid
|
$655.60 |
$655.60 |
$655.60 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$42,018.60 |
$42,018.60 |
$42,018.60 |
$17,892.00
|
|
Stereoscopic x-ray guidance
|
$12.76 |
$12.76 |
$12.76 |
$136.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$881.10 |
$881.10 |
$881.10 |
$3,308.00
|
|
Stereotactic radiation trmt
|
$265.10 |
$265.10 |
$265.10 |
$845.60
|
|
Sternal debridement
|
$339.24 |
$339.24 |
$339.24 |
$1,318.40
|
|
Stimulation of spinal cord
|
$359.92 |
$359.92 |
$359.92 |
$2,310.83
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$822.90 |
$822.90 |
$822.90 |
$1,350.05
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$296.12 |
$296.12 |
$296.12 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$10.78 |
$10.78 |
$10.78 |
$223.45
|
|
Strapping of chest
|
$11.00 |
$11.00 |
$11.00 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$11.66 |
$11.66 |
$11.66 |
$157.46
|
|
Strapping of hand or finger
|
$12.10 |
$12.10 |
$12.10 |
$177.45
|
|
Strapping of hip
|
$11.44 |
$11.44 |
$11.44 |
$164.70
|
|
Strapping of knee
|
$11.22 |
$11.22 |
$11.22 |
$205.20
|
|
Strapping of toes 29550
|
$139.62 |
$139.62 |
$139.62 |
$164.70
|
|
Strep a ag ia
|
$88.14 |
$88.14 |
$88.14 |
$75.40
|
|
Strep a dna dir probe
|
$13.20 |
$13.20 |
$13.20 |
$96.72
|
|
Strep a dna quant
|
$27.72 |
$27.72 |
$27.72 |
$75.60
|
|
Strep b assay w/optic
|
$8.36 |
$8.36 |
$8.36 |
$58.95
|
|
Strep b dna amp probe
|
$23.32 |
$23.32 |
$23.32 |
$124.15
|
|
Streptokinase antibody
|
$8.36 |
$8.36 |
$8.36 |
$25.60
|
|
Stress test pulmonary
|
$13.42 |
$13.42 |
$13.42 |
$324.00
|
|
Stress tte complete
|
$1,283.10 |
$1,283.10 |
$1,283.10 |
$1,820.70
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$70.62 |
$70.62 |
$70.62 |
$878.24
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$236.28 |
$236.28 |
$236.28 |
$717.60
|
|
Subq njx filling matrl 1cc/<
|
$32.12 |
$32.12 |
$32.12 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$62.70 |
$62.70 |
$62.70 |
$988.00
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$73.70 |
$73.70 |
$73.70 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$71.06 |
$71.06 |
$71.06 |
$216.00
|
|
Subsequent repair of nerve
|
$70.84 |
$70.84 |
$70.84 |
$4,448.60
|
|
Subtalar arthro w/deb
|
$415.14 |
$415.14 |
$415.14 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$321.20 |
$321.20 |
$321.20 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$401.06 |
$401.06 |
$401.06 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$546.70 |
$546.70 |
$546.70 |
$13,158.00
|
|
Subtemporal cranial dcmprn
|
$900.68 |
$900.68 |
$900.68 |
$2,208.33
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$14.92 |
$14.92 |
$14.92 |
$54.80
|
|
Suction lipectomy head&neck
|
$836.00 |
$836.00 |
$836.00 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$880.00 |
$880.00 |
$880.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$1,449.80 |
$1,449.80 |
$1,449.80 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$1,139.16 |
$1,139.16 |
$1,139.16 |
$4,544.00
|
|
Sugars multiple quant
|
$7.48 |
$7.48 |
$7.48 |
$44.19
|
|
Sugars single quant
|
$60.84 |
$60.84 |
$60.84 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.22 |
$0.22 |
$0.22 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$37.73 |
$37.73 |
$37.73 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$1.98 |
$1.98 |
$1.98 |
$54.60
|
|
Suprv interfacilty transport
|
$47.52 |
$47.52 |
$47.52 |
$112.05
|
|
Suprv interfac trnsport addl
|
$40.92 |
$40.92 |
$40.92 |
$98.69
|
|
Surg dx exam anorectal
|
$65.56 |
$65.56 |
$65.56 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$504.68 |
$504.68 |
$504.68 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$505.12 |
$505.12 |
$505.12 |
$1,634.40
|
|
Surgery for urethra pouch
|
$263.78 |
$263.78 |
$263.78 |
$4,627.00
|
|
Surgery of pancreatic cyst
|
$710.60 |
$710.60 |
$710.60 |
$1,640.14
|
|
Surgery to stop leg growth
|
$415.14 |
$415.14 |
$415.14 |
$7,907.11
|
|
Surgery to stop leg growth
|
$458.70 |
$458.70 |
$458.70 |
$7,913.97
|
|
Surgery to stop leg growth
|
$572.00 |
$572.00 |
$572.00 |
$7,907.11
|
|
Surgery to stop leg growth
|
$420.86 |
$420.86 |
$420.86 |
$8,412.89
|
|
Surgical exposure prostate 55860
|
$539.88 |
$539.88 |
$539.88 |
$5,626.86
|
|
Surgical opening esophagus
|
$808.94 |
$808.94 |
$808.94 |
$1,913.16
|
|
Surgical opening esophagus
|
$655.16 |
$655.16 |
$655.16 |
$1,550.00
|
|
Surgical opening of stomach
|
$589.82 |
$589.82 |
$589.82 |
$2,320.80
|
|
Surgical opening of stomach 43500
|
$488.62 |
$488.62 |
$488.62 |
$1,477.80
|
|
Surgical opening of throat
|
$460.68 |
$460.68 |
$460.68 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$57.72 |
$57.72 |
$57.72 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$92.04 |
$92.04 |
$92.04 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$125.58 |
$125.58 |
$125.58 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$125.58 |
$125.58 |
$125.58 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$841.62 |
$841.62 |
$841.62 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,911.78 |
$1,911.78 |
$1,911.78 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$832.48 |
$832.48 |
$832.48 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$943.58 |
$943.58 |
$943.58 |
$2,864.40
|
|
Surgical revision intestine
|
$666.60 |
$666.60 |
$666.60 |
$2,366.76
|
|
Surg tx anal fistula 2nd stage 46285
|
$264.00 |
$264.00 |
$264.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$24.96 |
$24.96 |
$24.96 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$24.96 |
$24.96 |
$24.96 |
$35.70
|
|
Susceptibility mic per plate
|
$46.02 |
$46.02 |
$46.02 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$4.40 |
$4.40 |
$4.40 |
$59.28
|
|
Suspend bowel w/prosthesis
|
$614.90 |
$614.90 |
$614.90 |
$1,351.05
|
|
Suspension of testis
|
$184.58 |
$184.58 |
$184.58 |
$4,055.01
|
|
Suspension of uterus
|
$503.58 |
$503.58 |
$503.58 |
$1,059.58
|
|
Suspension of uterus 58400
|
$284.68 |
$284.68 |
$284.68 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$650.32 |
$650.32 |
$650.32 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$852.28 |
$852.28 |
$852.28 |
$2,559.60
|
|
Svc venogram s&i
|
$4,998.24 |
$4,998.24 |
$4,998.24 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$43.78 |
$43.78 |
$43.78 |
$314.40
|
|
Sympathectomy cervical
|
$531.08 |
$531.08 |
$531.08 |
$3,934.40
|
|
Sympathectomy digital artery
|
$476.52 |
$476.52 |
$476.52 |
$2,310.83
|
|
Sympathectomy lumbar
|
$484.00 |
$484.00 |
$484.00 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$493.90 |
$493.90 |
$493.90 |
$3,839.54
|