|
Sewhfo cap desgn w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
|
|
Sewhfo cap design without jnt cf
|
$803.68 |
$803.68 |
$803.68 |
|
|
Sewho airplane without jnts cf
|
$949.10 |
$949.10 |
$949.10 |
|
|
Sewho airplane w/jnt(s) cf
|
$949.10 |
$949.10 |
$949.10 |
|
|
Sewho cap design without jnts cf
|
$803.68 |
$803.68 |
$803.68 |
|
|
Sewho cap design w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
|
|
Sf3b1 gene common variants
|
$228.15 |
$228.15 |
$228.15 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$194.00 |
$284.88 |
$811.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$194.00 |
$284.88 |
$1,116.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$225.00 |
$284.28 |
$1,318.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$343.03 |
$343.03 |
$343.03 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$194.00 |
$315.43 |
$315.43 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$194.00 |
$222.50 |
$974.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$194.00 |
$259.58 |
$1,217.00 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$275.50 |
$290.18 |
$290.18 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$165.70 |
$165.70 |
$513.00 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$184.63 |
$184.63 |
$610.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$194.00 |
$258.65 |
$720.00 |
|
|
Sheath gldlight lasr 12fx50cm
|
$135.00 |
$135.00 |
$2,498.49 |
|
|
Shoe heel new rubber standar
|
$20.70 |
$20.70 |
$20.70 |
|
|
Shoe post-op mens m
|
$47.10 |
$47.10 |
$47.10 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$41.45 |
$41.45 |
$232.05 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$210.68 |
$210.68 |
$524.00 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$195.10 |
$195.10 |
$442.00 |
|
|
Shoulder MRI (with and without contrast)
|
$1,960.00 |
$2,650.10 |
$8,289.00 |
|
|
Shoulder MRI (with contrast)
|
$1,904.00 |
$2,309.30 |
$4,966.00 |
|
|
Shoulder MRI (without contrast)
|
$1,501.50 |
$1,938.28 |
$4,840.00 |
|
|
Shoulder X-ray
|
$279.28 |
$279.28 |
$532.00 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$171.23 |
$171.23 |
$284.00 |
|
|
Shrinker prosth above knee
|
$56.92 |
$56.92 |
$56.92 |
|
|
Shrinker prosth below knee
|
$37.78 |
$37.78 |
$37.78 |
|
|
Shunt glaucoma baerveldt 350mm
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$211.68 |
$211.68 |
$865.73 |
|
|
Sialidase enzyme assay
|
$83.00 |
$83.00 |
$83.00 |
|
|
Sialography s&i
|
$548.50 |
$586.08 |
$586.08 |
|
|
Sialolithotomy 42330
|
$1,511.00 |
$1,511.00 |
$1,511.00 |
|
|
Sickling rbc
|
$62.50 |
$62.55 |
$97.13 |
|
|
Sigmoidoscopy and biopsy
|
$1,059.00 |
$1,351.63 |
$1,351.63 |
|
|
Sigmoidoscopy flex decompression 45337
|
$791.90 |
$791.90 |
$791.90 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,994.75 |
$1,994.75 |
$1,994.75 |
|
|
Sigmoidoscopy w/plcmt stent
|
$2,683.00 |
$2,683.00 |
$2,683.00 |
|
|
Signal avg ecg w or without ecg 93278
|
$555.80 |
$555.80 |
$555.80 |
|
|
Simple cystometrogram 51725
|
$377.00 |
$589.45 |
$589.45 |
|
|
Sincalide 5 mcg solution for injection
|
$307.58 |
$307.58 |
$307.58 |
|
|
Sinus CT scan (with and without contrast)
|
$1,530.00 |
$2,301.08 |
$5,827.00 |
|
|
Sinus CT scan (with contrast)
|
$1,419.18 |
$1,419.18 |
$5,311.00 |
|
|
Sinus CT scan (without contrast)
|
$1,145.38 |
$1,145.38 |
$2,721.00 |
|
|
Sinus/juglr venogram s&i
|
$1,236.90 |
$1,236.90 |
$1,666.00 |
|
|
Sinus X-ray (complete)
|
$324.53 |
$324.53 |
$825.00 |
|
|
Sinus X-ray (limited)
|
$172.98 |
$172.98 |
$791.00 |
|
|
Sirolimus, oral
|
$6,388.60 |
$6,388.60 |
$6,388.60 |
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$15,969.58 |
$15,969.58 |
$15,969.58 |
|
|
Skeletal muscle relaxant 1/2
|
$25.38 |
$25.38 |
$25.38 |
|
|
Skel musc relaxant 3 or more
|
$12.35 |
$12.35 |
$12.35 |
|
|
Skin Biopsy
|
$206.55 |
$206.55 |
$476.00 |
|
|
Skin full graft 20sq cm less 15200
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
|
|
Skin full graft add-on 15241
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
|
|
Skull X-ray (1 to 3 views)
|
$291.78 |
$291.78 |
$538.00 |
|
|
Skull X-ray (complete)
|
$492.33 |
$492.33 |
$807.00 |
|
|
Skyla, 13.5 mg
|
$2,022.78 |
$2,022.78 |
$2,022.78 |
|
|
Sleep Study (Polysomnography)
|
$2,033.00 |
$3,182.88 |
$3,828.00 |
|
|
Sleep study unattended
|
$359.00 |
$359.00 |
$1,257.00 |
|
|
Sleeve fing rolyan med
|
$24.32 |
$114.50 |
$114.50 |
|
|
Sling arm deluxe w/pad xs
|
$37.78 |
$180.00 |
$180.00 |
|
|
Sling pelv split sam med
|
$54.34 |
$54.34 |
$54.34 |
|
|
Slitting of prepuce
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
|
|
Slp pure tone screening
|
$28.93 |
$28.93 |
$96.50 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$313.50 |
$511.38 |
$907.31 |
|
|
Smallpox&monkeypox vac 0.5ml
|
$654.75 |
$654.75 |
$654.75 |
|
|
Smear fluorescent and/or acid fast stain
|
$25.50 |
$98.05 |
$98.05 |
|
|
Smear gram stain
|
$37.50 |
$82.08 |
$102.00 |
|
|
Smear nasal eosinophil
|
$61.50 |
$69.75 |
$69.75 |
|
|
Smear special stain inclusion bodies/parasites
|
$23.50 |
$129.90 |
$129.90 |
|
|
Smear wet mount
|
$41.00 |
$82.65 |
$142.00 |
|
|
Snrpn/ube3a gene
|
$332.50 |
$354.53 |
$488.00 |
|
|
So airplane w/wo joint cf
|
$650.50 |
$650.50 |
$650.50 |
|
|
So cap design without jnts cf
|
$176.00 |
$176.00 |
$248.92 |
|
|
Socket insert without lock mech
|
$477.66 |
$477.66 |
$477.66 |
|
|
Sock fracture or equal each
|
$30.02 |
$30.02 |
$30.02 |
|
|
Sock wool above knee
|
$21.22 |
$21.22 |
$21.22 |
|
|
Sodium 24 hour urine
|
$32.50 |
$47.30 |
$82.85 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.31 |
$21.31 |
$21.82 |
|
|
Sodium chloride 3 % ivpb
|
$63.58 |
$87.50 |
$87.50 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$95.40 |
$95.40 |
$194.55 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$548.25 |
$548.25 |
$910.48 |
|
|
Sodium serum/plasma/whole blood
|
$42.43 |
$42.43 |
$79.80 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$247.50 |
$247.50 |
$247.50 |
|
|
Soft interface below knee se
|
$69.86 |
$69.86 |
$69.86 |
|
|
Somatropin injection
|
$2,381.48 |
$2,381.48 |
$2,381.48 |
|
|
So neo gsap dna mcrstl ins
|
$2,332.88 |
$2,332.88 |
$2,332.88 |
|
|
Sotalol hydrochloride IV
|
$7,258.50 |
$7,258.50 |
$7,258.50 |
|
|
So vest canvas/web pre ots
|
$94.70 |
$94.70 |
$94.70 |
|
|
Spacer bag/reservoir
|
$20.18 |
$20.18 |
$20.18 |
|
|
Special physics consult
|
$404.00 |
$738.73 |
$738.73 |
|
|
Special radiation dosimetry
|
$154.00 |
$482.08 |
$482.08 |
|
|
Special radiation treatment
|
$667.50 |
$2,052.00 |
$2,052.00 |
|
|
Special supplies phys/qhp
|
$18.63 |
$18.63 |
$18.63 |
|
|
Special teletx port plan
|
$270.00 |
$1,121.40 |
$1,121.40 |
|
|
Specific gravity body fluid
|
$21.55 |
$21.55 |
$36.50 |
|
|
Speech and Language Evaluation (comprehensive)
|
$376.23 |
$376.23 |
$640.00 |
|