|
Snrpn/ube3a gene
|
$51.07 |
$51.07 |
$264.00 |
|
|
So cap design without jnts cf
|
$1,745.84 |
$1,745.84 |
$2,148.72 |
|
|
Socket insert below knee
|
$652.18 |
$652.18 |
$802.68 |
|
|
Sock fracture or equal each
|
$76.54 |
$76.54 |
$94.21 |
|
|
Sodium 24 hour urine
|
$5.06 |
$12.00 |
$78.75 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$0.02 |
$4.41 |
$7.63 |
|
|
Sodium chloride 0.9 % IV bolus
|
$4.20 |
$4.20 |
$4.62 |
|
|
Sodium chloride 0.9 % IV bolus
|
$3.27 |
$4.04 |
$122.40 |
|
|
Sodium chloride 3 % ivpb
|
$5.00 |
$5.00 |
$22.80 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$2.92 |
$10.32 |
$97.94 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$321.10 |
$332.50 |
$478.69 |
|
|
Sodium serum/plasma/whole blood
|
$4.81 |
$12.00 |
$86.00 |
|
|
Soft interface below knee se
|
$178.91 |
$178.91 |
$220.20 |
|
|
So gsap cl fr cpy nmbr&mcrst
|
$1,345.31 |
$1,345.31 |
$1,345.31 |
|
|
So gsap cll fr dna/dna&rna
|
$1,195.83 |
$1,195.83 |
$1,195.83 |
|
|
So gsap cll fr mcrstl ins
|
$3,288.51 |
$3,288.51 |
$3,288.51 |
|
|
So gsap dna cpy nmbr&mcrstl
|
$1,046.35 |
$1,046.35 |
$1,046.35 |
|
|
Solid skin barrier 6x6
|
$7.20 |
$7.20 |
$7.20 |
|
|
Somatosensory testing
|
$16.50 |
$368.50 |
$958.00 |
|
|
Somatropin injection
|
$48.92 |
$48.92 |
$48.92 |
|
|
So neo gsap dna/dna&rna
|
$2,989.55 |
$2,989.55 |
$12,005.54 |
|
|
So neo gsap dna mcrstl ins
|
$896.87 |
$896.87 |
$2,438.62 |
|
|
Sotalol hydrochloride IV
|
$22.83 |
$22.83 |
$1,153.60 |
|
|
Sp bone agrft morsel add-on
|
$102.96 |
$102.96 |
$102.96 |
|
|
Sp bone agrft struct add-on
|
$112.64 |
$112.64 |
$112.64 |
|
|
Sp bone algrft morsel add-on
|
$53.68 |
$53.68 |
$53.68 |
|
|
Special casting material
|
$82.73 |
$82.73 |
$82.73 |
|
|
Special physics consult
|
$157.11 |
$157.11 |
$2,375.00 |
|
|
Special radiation dosimetry
|
$28.60 |
$157.11 |
$1,623.00 |
|
|
Special radiation treatment
|
$66.66 |
$684.54 |
$7,083.00 |
|
|
Special supplies phys/qhp
|
$3.96 |
$72.60 |
$286.80 |
|
|
Special teletx port plan
|
$31.02 |
$433.19 |
$3,503.00 |
|
|
Specific gravity body fluid
|
$3.28 |
$3.28 |
$93.00 |
|
|
Specimen fat stain
|
$3.96 |
$5.88 |
$21.22 |
|
|
Speech and Language Evaluation (comprehensive)
|
$169.99 |
$253.75 |
$936.00 |
|
|
Speech audiometry complete
|
$58.80 |
$70.29 |
$70.29 |
|
|
Speech evaluation complex
|
$25.74 |
$286.04 |
$1,239.00 |
|
|
Speech recep thresh
|
$36.00 |
$70.29 |
$70.29 |
|
|
Speech Therapy Session (one-on-one)
|
$83.73 |
$85.34 |
$674.00 |
|
|
Sperm antibody test
|
$7.04 |
$10.67 |
$756.00 |
|
|
Sperm evaluation test
|
$12.76 |
$19.59 |
$19.59 |
|
|
Sperm identification
|
$63.23 |
$63.23 |
$80.30 |
|
|
Sperm isolation complex
|
$37.84 |
$63.23 |
$168.85 |
|
|
Sperm isolation simple
|
$24.20 |
$63.23 |
$63.23 |
|
|
Sperm washing 58323
|
$7.48 |
$238.06 |
$238.06 |
|
|
Sphenoid sinus surgery
|
$420.64 |
$7,000.36 |
$7,000.36 |
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$462.00 |
$3,245.23 |
$3,245.23 |
|
|
Spinal bone allograftstructural 20931
|
$68.20 |
$68.20 |
$68.20 |
|
|
Spinal bone autograftlocal 20936
|
$57.20 |
$57.20 |
$57.20 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$819.50 |
$819.50 |
$6,727.52 |
|
|
Spine device implant surgery
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
|
|
Spine X-ray (single view, one level)
|
$104.19 |
$108.60 |
$1,696.00 |
|
|
Spirmtry w/brnchdil inf-2 yr
|
$84.48 |
$368.50 |
$1,137.00 |
|
|
Spirometry up to 2 yrs old
|
$51.92 |
$185.15 |
$624.00 |
|
|
Spleen imaging
|
$10.12 |
$475.51 |
$2,091.00 |
|
|
Splenectomy total open 38100
|
$710.82 |
$710.82 |
$710.82 |
|
|
Splice spleen/kidney veins
|
$1,429.34 |
$1,429.34 |
$1,429.34 |
|
|
Splicing of ureters
|
$710.16 |
$710.16 |
$710.16 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$814.88 |
$814.88 |
$1,002.93 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$86.65 |
$86.65 |
$106.65 |
|
|
Splint finger 4 prong foam sm
|
$112.50 |
$112.50 |
$112.50 |
|
|
Splint finger fold over sm
|
$152.70 |
$152.70 |
$187.94 |
|
|
Splint finger frog med
|
$59.55 |
$59.55 |
$73.29 |
|
|
Splint fing stax assort 1-7in
|
$2.89 |
$2.89 |
$3.56 |
|
|
Splint rstrc wrst/cmc right med
|
$121.20 |
$152.70 |
$187.94 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$426.36 |
$4,332.25 |
$8,183.90 |
|
|
Split blood or products
|
$56.00 |
$202.78 |
$390.47 |
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$80.30 |
$80.30 |
$80.30 |
|
|
Sprchoroidal spc njx rx agt
|
$392.51 |
$392.51 |
$392.51 |
|
|
Sputum specimen collection
|
$202.78 |
$202.78 |
$961.42 |
|
|
Sr-89 stront chlor ther / mci
|
$1,740.72 |
$1,740.72 |
$1,740.72 |
|
|
Srs cranial lesion complex
|
$862.40 |
$862.40 |
$862.40 |
|
|
Srs cranial lesion simple
|
$638.44 |
$638.44 |
$638.44 |
|
|
Srs cran les complex addl
|
$186.56 |
$186.56 |
$186.56 |
|
|
Srs cran les simple addl
|
$135.30 |
$135.30 |
$135.30 |
|
|
Srsf2 gene common variants
|
$175.40 |
$175.40 |
$175.40 |
|
|
Srs linear based
|
$9,046.18 |
$9,046.18 |
$38,726.00 |
|
|
Srs multisource
|
$9,046.18 |
$9,046.18 |
$35,207.00 |
|
|
Srs spinal lesion
|
$705.10 |
$705.10 |
$705.10 |
|
|
Srs spinal lesion addl
|
$155.54 |
$155.54 |
$155.54 |
|
|
Staggered spondaic word test
|
$185.15 |
$185.15 |
$185.15 |
|
|
St analysis behavior qualitative voice/resonance
|
$118.98 |
$122.91 |
$1,136.00 |
|
|
Staph a dna amp probe
|
$23.32 |
$35.09 |
$442.00 |
|
|
St cognitve performance testing healthcare professional each hour
|
$111.40 |
$116.11 |
$664.00 |
|
|
Stem cells total count
|
$51.48 |
$77.78 |
$467.00 |
|
|
Stenger test pure tone
|
$70.29 |
$70.29 |
$70.29 |
|
|
Stenger test speech
|
$627.89 |
$627.89 |
$627.89 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$12,528.60 |
$21,249.26 |
$42,018.60 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,571.42 |
$8,620.80 |
$16,528.80 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$189.67 |
$195.62 |
$293.40 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,703.00 |
$7,820.21 |
$17,189.25 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$3,420.60 |
$13,419.98 |
$26,537.16 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,420.60 |
$10,582.23 |
$19,903.26 |
|
|
Stent placemt retro carotid
|
$655.60 |
$7,052.90 |
$8,680.49 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$21,249.26 |
$21,249.26 |
$42,018.60 |
|
|
Stereoscopic x-ray guidance
|
$12.76 |
$12.76 |
$12.76 |
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$881.10 |
$881.10 |
$881.10 |
|
|
Stereotactic radiation trmt
|
$265.10 |
$265.10 |
$265.10 |
|
|
Sterile gauze <= 16 sq in
|
$1.80 |
$1.80 |
$1.80 |
|
|
Sterile needle
|
$13.23 |
$41.67 |
$2,119.80 |
|
