|
Sewho cap design without jnts cf
|
$803.68 |
$803.68 |
$803.68 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
$1,890.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$194.00 |
$194.00 |
$194.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$194.00 |
$194.00 |
$194.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$225.00 |
$225.00 |
$225.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$194.00 |
$194.00 |
$194.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$194.00 |
$194.00 |
$194.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$194.00 |
$194.00 |
$194.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$275.50 |
$275.50 |
$275.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$194.00 |
$194.00 |
$194.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$194.00 |
$194.00 |
$194.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$194.00 |
$194.00 |
$194.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$2,498.49 |
$2,498.49 |
$2,498.49 |
$6,570.70
|
|
Shoe heel new rubber standar
|
$20.70 |
$20.70 |
$20.70 |
$63.70
|
|
Shoe post-op mens m
|
$47.10 |
$47.10 |
$47.10 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,065.05
|
|
Shoulder X-ray
|
$288.00 |
$288.00 |
$288.00 |
$339.50
|
|
Shrinker prosth above knee
|
$56.92 |
$56.92 |
$56.92 |
$168.89
|
|
Shrinker prosth below knee
|
$37.78 |
$37.78 |
$37.78 |
$105.12
|
|
Sialography s&i
|
$548.50 |
$548.50 |
$548.50 |
$499.20
|
|
Sialolithotomy 42330
|
$1,511.00 |
$1,511.00 |
$1,511.00 |
$3,837.72
|
|
Sickling rbc
|
$62.50 |
$62.50 |
$62.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,351.63
|
|
Sigmoidoscopy w/plcmt stent
|
$2,683.00 |
$2,683.00 |
$2,683.00 |
$3,692.00
|
|
Simple cystometrogram 51725
|
$377.00 |
$377.00 |
$377.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,229.50 |
$1,229.50 |
$1,229.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,666.00 |
$1,666.00 |
$1,666.00 |
$2,489.25
|
|
Skin Biopsy
|
$310.50 |
$310.50 |
$310.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$2,371.50
|
|
Skin full graft add-on 15241
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$675.58
|
|
Sleep Study (Polysomnography)
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$3,607.50
|
|
Sleep study unattended
|
$481.00 |
$481.00 |
$481.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$24.32 |
$24.32 |
$24.32 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$37.78 |
$37.78 |
$37.78 |
$30.35
|
|
Sling pelv split sam med
|
$54.34 |
$54.34 |
$54.34 |
$150.00
|
|
Slitting of prepuce
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$3,365.50
|
|
Slp pure tone screening
|
$96.50 |
$96.50 |
$96.50 |
$60.48
|
|
Smear fluorescent and/or acid fast stain
|
$25.50 |
$25.50 |
$25.50 |
$64.20
|
|
Smear gram stain
|
$37.50 |
$37.50 |
$37.50 |
$55.25
|
|
Smear nasal eosinophil
|
$61.50 |
$61.50 |
$61.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$23.50 |
$23.50 |
$23.50 |
$73.15
|
|
Smear wet mount
|
$41.00 |
$41.00 |
$41.00 |
$67.49
|
|
Snrpn/ube3a gene
|
$332.50 |
$332.50 |
$332.50 |
$231.85
|
|
So airplane w/wo joint cf
|
$650.50 |
$650.50 |
$650.50 |
$1,276.80
|
|
So cap design without jnts cf
|
$248.92 |
$248.92 |
$248.92 |
$606.35
|
|
Socket insert without lock mech
|
$477.66 |
$477.66 |
$477.66 |
$1,192.50
|
|
Sock fracture or equal each
|
$30.02 |
$30.02 |
$30.02 |
$74.51
|
|
Sock wool above knee
|
$21.22 |
$21.22 |
$21.22 |
$51.18
|
|
Sodium 24 hour urine
|
$32.50 |
$32.50 |
$32.50 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$51.00 |
$51.00 |
$51.00 |
$45.60
|
|
Soft interface below knee se
|
$69.86 |
$69.86 |
$69.86 |
$179.08
|
|
So vest canvas/web pre ots
|
$94.70 |
$94.70 |
$94.70 |
$256.54
|
|
Spacer bag/reservoir
|
$20.18 |
$20.18 |
$20.18 |
$26.00
|
|
Special physics consult
|
$404.00 |
$404.00 |
$404.00 |
$725.00
|
|
Special radiation dosimetry
|
$154.00 |
$154.00 |
$154.00 |
$392.50
|
|
Special radiation treatment
|
$667.50 |
$667.50 |
$667.50 |
$1,986.00
|
|
Special supplies phys/qhp
|
$18.63 |
$18.63 |
$18.63 |
$60.00
|
|
Special teletx port plan
|
$270.00 |
$270.00 |
$270.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$36.50 |
$36.50 |
$36.50 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,465.00 |
$1,465.00 |
$1,465.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$382.50 |
$382.50 |
$382.50 |
$543.26
|
|
Spleen imaging
|
$726.50 |
$726.50 |
$726.50 |
$679.00
|
|
Splint arm vnyl coated padded lft med
|
$28.98 |
$28.98 |
$28.98 |
$45.60
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$211.14 |
$211.14 |
$211.14 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$25.88 |
$25.88 |
$25.88 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$34.16 |
$34.16 |
$34.16 |
$34.00
|
|
Splint finger fold over sm
|
$75.00 |
$75.00 |
$75.00 |
$146.88
|
|
Splint finger frog med
|
$18.63 |
$18.63 |
$18.63 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$8.28 |
$8.28 |
$8.28 |
$5.60
|
|
Splint func pos polyflex ii med
|
$32.60 |
$32.60 |
$32.60 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$63.66 |
$63.66 |
$63.66 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,703.00 |
$4,703.00 |
$4,703.00 |
$4,619.65
|
|
Split blood or products
|
$95.00 |
$95.00 |
$95.00 |
$127.48
|
|
Srs linear based
|
$10,508.50 |
$10,508.50 |
$10,508.50 |
$13,585.00
|
|
Srs multisource
|
$14,869.00 |
$14,869.00 |
$14,869.00 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$264.00 |
$264.00 |
$264.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$251.50 |
$251.50 |
$251.50 |
$286.00
|
|
Stem cells total count
|
$92.50 |
$92.50 |
$92.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$29,685.00 |
$29,685.00 |
$29,685.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,726.33 |
$4,726.33 |
$4,726.33 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$323.44 |
$323.44 |
$323.44 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$5,016.64 |
$5,016.64 |
$5,016.64 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$16,694.50 |
$16,694.50 |
$16,694.50 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,236.50 |
$8,236.50 |
$8,236.50 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$25,903.00 |
$25,903.00 |
$25,903.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$264.00 |
$264.00 |
$264.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$430.50 |
$430.50 |
$430.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$373.50 |
$373.50 |
$373.50 |
$399.60
|
|
St evaluation swallow function
|
$306.00 |
$306.00 |
$306.00 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$319.00 |
$319.00 |
$319.00 |
$223.45
|
|
Strapping of chest
|
$145.50 |
$145.50 |
$145.50 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$331.00 |
$331.00 |
$331.00 |
$154.70
|
|
Strapping of hand or finger
|
$413.50 |
$413.50 |
$413.50 |
$174.82
|
|
Strapping of hip
|
$120.00 |
$120.00 |
$120.00 |
$164.70
|
|
Strapping of knee
|
$277.00 |
$277.00 |
$277.00 |
$205.20
|
|
Strapping of toes 29550
|
$326.50 |
$326.50 |
$326.50 |
$164.70
|
