|
Shoulder X-ray
|
$104.19 |
$133.80 |
$1,147.00 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$102.60 |
$104.19 |
$854.00 |
|
|
Shrinker prosth below knee
|
$103.41 |
$103.41 |
$127.27 |
|
|
Shunt as-aort to pulm art
|
$805.64 |
$805.64 |
$805.64 |
|
|
Shunt central w/prostc graft
|
$805.64 |
$805.64 |
$805.64 |
|
|
Shunt desc aorta to pulm art
|
$781.44 |
$781.44 |
$781.44 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$125.84 |
$125.84 |
$1,310.00 |
|
|
Shunt subclavian to pulm art
|
$769.12 |
$769.12 |
$769.12 |
|
|
Shunt supr v/c p-art 1 lung
|
$811.36 |
$811.36 |
$811.36 |
|
|
Shunt supr v/c p-art bth lng
|
$865.70 |
$865.70 |
$865.70 |
|
|
Sialidase enzyme assay
|
$7.92 |
$12.22 |
$12.22 |
|
|
Sialography s&i
|
$286.04 |
$286.04 |
$1,096.00 |
|
|
Sialolithotomy 42330
|
$102.30 |
$3,837.72 |
$6,419.65 |
|
|
Sickling rbc
|
$5.51 |
$13.20 |
$128.12 |
|
|
Sigmoidoscopy and biopsy
|
$44.44 |
$1,078.88 |
$4,371.22 |
|
|
Sigmoidoscopy flex decompression 45337
|
$69.74 |
$1,078.88 |
$1,078.88 |
|
|
Sigmoidoscopy for bleeding
|
$71.72 |
$1,395.28 |
$1,395.28 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$41.36 |
$1,078.88 |
$1,078.88 |
|
|
Sigmoidoscopy w/ablation
|
$97.68 |
$1,395.28 |
$1,395.28 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$64.24 |
$1,395.28 |
$1,395.28 |
|
|
Sigmoidoscopy w/plcmt stent
|
$93.72 |
$7,044.32 |
$7,044.32 |
|
|
Sigmoidoscopy w/resection
|
$120.56 |
$3,245.23 |
$3,245.23 |
|
|
Sigmoidoscopy w/tumr remove
|
$73.48 |
$1,395.28 |
$1,395.28 |
|
|
Sigmoidoscopy w/ultrasound
|
$75.68 |
$1,078.88 |
$1,078.88 |
|
|
Sigmoidoscopy w/us guide bx
|
$103.62 |
$1,395.28 |
$1,395.28 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$57.64 |
$1,078.88 |
$1,078.88 |
|
|
Signal avg ecg w or without ecg 93278
|
$7.70 |
$70.29 |
$70.29 |
|
|
Sig w/tndsc balloon dilation
|
$47.52 |
$1,395.28 |
$3,186.98 |
|
|
Simple cystometrogram 51725
|
$46.20 |
$287.81 |
$1,989.00 |
|
|
Sincalide 5 mcg solution for injection
|
$100.46 |
$426.94 |
$492.00 |
|
|
Single energy x-ray study
|
$6.82 |
$125.84 |
$125.84 |
|
|
Single transfer toe-hand
|
$2,011.24 |
$7,413.38 |
$7,413.38 |
|
|
Sinus CT scan (with and without contrast)
|
$210.66 |
$795.00 |
$6,228.00 |
|
|
Sinus CT scan (with contrast)
|
$210.66 |
$652.20 |
$4,163.00 |
|
|
Sinus CT scan (without contrast)
|
$125.84 |
$489.02 |
$3,321.00 |
|
|
Sinus/juglr venogram s&i
|
$33.22 |
$3,724.63 |
$6,758.34 |
|
|
Sinusotomy maxillary sinus 31020
|
$209.44 |
$3,837.72 |
$3,837.72 |
|
|
Sinusotomy sinus remove polyps 31032
|
$363.88 |
$7,000.36 |
$7,000.36 |
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$314.82 |
$7,000.36 |
$7,000.36 |
|
|
Sinus X-ray (complete)
|
$104.19 |
$181.80 |
$1,084.00 |
|
|
Sinus X-ray (limited)
|
$50.40 |
$104.19 |
$372.00 |
|
|
Sipuleucel-t - su
|
$1,023.15 |
$55,015.23 |
$55,015.23 |
|
|
Sirolimus, oral
|
$11.00 |
$35.72 |
$35.72 |
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$114.21 |
$114.21 |
$23,744.00 |
|
|
Skeletal muscle relaxant 1/2
|
$139.67 |
$139.67 |
$228.68 |
|
|
Skin and muscle repair face
|
$656.70 |
$4,332.25 |
$4,332.25 |
|
|
Skin Biopsy
|
$235.13 |
$415.32 |
$857.00 |
|
|
Skin full graft 20sq cm less 15200
|
$415.14 |
$2,164.64 |
$2,164.64 |
|
|
Skin full graft add-on 15241
|
$65.56 |
$65.56 |
$65.56 |
|
|
Skin pedicle flap arms/legs
|
$455.18 |
$4,332.25 |
$4,332.25 |
|
|
Skin pedicle flap trunk
|
$449.68 |
$2,164.64 |
$2,164.64 |
|
|
Skin split graft addl 100sq cm 15101
|
$67.76 |
$67.76 |
$67.76 |
|
|
Skin test unlisted antigen ea
|
$28.98 |
$28.98 |
$29.55 |
|
|
Skull base/brainstem surgery
|
$1,559.80 |
$1,559.80 |
$1,559.80 |
|
|
Skull base/brainstem surgery
|
$2,590.28 |
$2,590.28 |
$2,590.28 |
|
|
Skull X-ray (1 to 3 views)
|
$125.84 |
$155.40 |
$778.00 |
|
|
Skull X-ray (complete)
|
$125.84 |
$200.40 |
$1,095.00 |
|
|
Skyla, 13.5 mg
|
$1,345.80 |
$2,136.54 |
$3,371.27 |
|
|
Slco1b1 gene com variants
|
$115.28 |
$174.81 |
$900.00 |
|
|
Sleep study attended
|
$35.86 |
$627.89 |
$6,631.00 |
|
|
Sleep Study (Polysomnography)
|
$1,188.00 |
$1,203.94 |
$11,097.00 |
|
|
Sleep study unattended
|
$26.84 |
$213.60 |
$4,106.00 |
|
|
Sleeve fing rolyan med
|
$413.35 |
$413.35 |
$508.74 |
|
|
Sleeve pneumonectomy
|
$1,854.38 |
$1,854.38 |
$1,854.38 |
|
|
Sling arm deluxe w/pad xs
|
$4.88 |
$4.88 |
$144.60 |
|
|
Sling suprapubic suburetheral
|
$3,118.20 |
$3,118.20 |
$3,118.20 |
|
|
Slitting of prepuce
|
$69.08 |
$4,081.37 |
$4,081.37 |
|
|
Slitting of prepuce
|
$87.34 |
$2,424.12 |
$6,576.00 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$20.46 |
$20.46 |
$20.46 |
|
|
Slp eval non-spch gen comm dev
|
$55.44 |
$55.44 |
$375.00 |
|
|
Slp pure tone screening
|
$23.86 |
$37.84 |
$66.90 |
|
|
Slp stdy unatnd w/anal
|
$24.86 |
$70.29 |
$70.29 |
|
|
Slp ther svc non-spch gen
|
$44.00 |
$44.00 |
$44.00 |
|
|
Sm-153 lexidron ther
|
$4,314.91 |
$4,314.91 |
$53,776.45 |
|
|
Small animal inoculation
|
$11.00 |
$16.84 |
$16.84 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$210.66 |
$222.80 |
$1,621.00 |
|
|
Small bowel endoscopy
|
$87.34 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy
|
$124.30 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy
|
$145.64 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy
|
$149.16 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy
|
$172.70 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy
|
$233.42 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy
|
$45.32 |
$1,109.47 |
$1,109.47 |
|
|
Small bowel endoscopy
|
$93.50 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$116.38 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy 44365
|
$110.88 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy/biopsy
|
$96.58 |
$2,244.82 |
$2,413.20 |
|
|
Small bowel endoscopy/biopsy
|
$181.28 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy br/wa
|
$35.42 |
$1,109.47 |
$1,109.47 |
|
|
Small bowel endoscopy br/wa
|
$51.48 |
$2,244.82 |
$2,244.82 |
|
|
Small bowel endoscopy/stent 44370
|
$162.14 |
$7,044.32 |
$7,044.32 |
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$1,833.30 |
|
|
Smear fluorescent and/or acid fast stain
|
$5.39 |
$13.20 |
$156.00 |
|
|
Smear gram stain
|
$4.27 |
$10.20 |
$328.85 |
|
|
Smear nasal eosinophil
|
$3.96 |
$5.79 |
$96.00 |
|
|
Smear special stain inclusion bodies/parasites
|
$5.99 |
$14.40 |
$190.00 |
|
|
Smear wet mount
|
$5.82 |
$5.82 |
$140.00 |
|
|
Smn1 gene full gene sequence
|
$198.88 |
$301.35 |
$301.35 |
|
|
Smn1 gen nown famil seq vrnt
|
$122.32 |
$185.20 |
$185.20 |
|
|
Smpd1 gene common variants
|
$31.24 |
$47.00 |
$965.00 |
|