|
Sclerotherapy fluid collection pq w/img
|
$1,810.50 |
$1,810.50 |
$1,810.50 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$7,863.75 |
$7,863.75 |
$7,863.75 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$2,000.00
|
|
Screening Mammogram
|
$509.25 |
$509.25 |
$509.25 |
$310.20
|
|
Screen/visual acuity/bilat/quant 99173
|
$26.25 |
$26.25 |
$26.25 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$28,563.75 |
$28,563.75 |
$28,563.75 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$735.75 |
$735.75 |
$735.75 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,255.25 |
$8,255.25 |
$8,255.25 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$667.50 |
$667.50 |
$667.50 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$75.00 |
$75.00 |
$75.00 |
$42.00
|
|
Select picture audiometry
|
$67.50 |
$67.50 |
$67.50 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$138.75 |
$138.75 |
$138.75 |
$96.60
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$135.00 |
$135.00 |
$135.00 |
$51.98
|
|
Sensorimotor examination
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Sertraline (zoloft) - sendout
|
$101.25 |
$101.25 |
$101.25 |
$126.43
|
|
Sevelamer carbonate pdr 20mg
|
$638.94 |
$638.94 |
$638.94 |
$21.42
|
|
Sgmdsc w/band ligation
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$987.75 |
$987.75 |
$987.75 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$935.25 |
$935.25 |
$935.25 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$935.25 |
$935.25 |
$935.25 |
$436.64
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$582.75 |
$582.75 |
$582.75 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$219.00 |
$219.00 |
$219.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$231.75 |
$231.75 |
$231.75 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$252.00 |
$252.00 |
$252.00 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$367.50 |
$367.50 |
$367.50 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$311.25 |
$311.25 |
$311.25 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$206.25 |
$206.25 |
$206.25 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$304.50 |
$304.50 |
$304.50 |
$286.89
|
|
Sheath gldlight lasr 12fx50cm
|
$7,076.25 |
$7,076.25 |
$7,076.25 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$11,238.75 |
$11,238.75 |
$11,238.75 |
$7,143.32
|
|
Shoe post-op mens m
|
$29.76 |
$29.76 |
$29.76 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$174.00 |
$174.00 |
$174.00 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$525.75 |
$525.75 |
$525.75 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$255.00 |
$255.00 |
$255.00 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,628.75 |
$2,628.75 |
$2,628.75 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$2,088.20
|
|
Shoulder X-ray
|
$461.25 |
$461.25 |
$461.25 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$244.50 |
$244.50 |
$244.50 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$539.25 |
$539.25 |
$539.25 |
$355.80
|
|
Sialolithotomy 42330
|
$3,732.75 |
$3,732.75 |
$3,732.75 |
$3,837.72
|
|
Sickling rbc
|
$90.75 |
$90.75 |
$90.75 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$2,765.25 |
$2,765.25 |
$2,765.25 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,389.50 |
$2,389.50 |
$2,389.50 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,370.25 |
$1,370.25 |
$1,370.25 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$3,254.25 |
$3,254.25 |
$3,254.25 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$2,502.75 |
$2,502.75 |
$2,502.75 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$4,014.75 |
$4,014.75 |
$4,014.75 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,535.00 |
$2,535.00 |
$2,535.00 |
$1,976.25
|
|
Sig w/tndsc balloon dilation
|
$2,738.25 |
$2,738.25 |
$2,738.25 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$759.00 |
$759.00 |
$759.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$456.17 |
$456.17 |
$456.17 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,576.50 |
$1,576.50 |
$1,576.50 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,303.50 |
$1,303.50 |
$1,303.50 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$629.25 |
$629.25 |
$629.25 |
$347.10
|
|
Sinus X-ray (limited)
|
$444.75 |
$444.75 |
$444.75 |
$215.75
|
|
Sipuleucel-t - su
|
$95,750.46 |
$95,750.46 |
$95,750.46 |
$100,990.51
|
|
Sirolimus, oral
|
$12,667.27 |
$12,667.27 |
$12,667.27 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$375.75 |
$375.75 |
$375.75 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$27.75 |
$27.75 |
$27.75 |
$16.12
|
|
Skin Biopsy
|
$300.00 |
$300.00 |
$300.00 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$377.25 |
$377.25 |
$377.25 |
$294.66
|
|
Skull X-ray (complete)
|
$749.25 |
$749.25 |
$749.25 |
$423.15
|
|
Skyla, 13.5 mg
|
$3,739.59 |
$3,739.59 |
$3,739.59 |
$1,643.47
|
|
Sleep study attended
|
$404.25 |
$404.25 |
$404.25 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$6,070.50 |
$6,070.50 |
$6,070.50 |
$3,734.50
|
|
Sleep study unattended
|
$594.00 |
$594.00 |
$594.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$32.25 |
$32.25 |
$32.25 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$30.35 |
$30.35 |
$30.35 |
$30.35
|
|
Sling suprapubic suburetheral
|
$21,217.50 |
$21,217.50 |
$21,217.50 |
$9,679.96
|
|
Slp pure tone screening
|
$64.50 |
$64.50 |
$64.50 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$709.50 |
$709.50 |
$709.50 |
$557.70
|
|
Small bowel endoscopy
|
$2,597.25 |
$2,597.25 |
$2,597.25 |
$2,596.41
|
|
Small bowel endoscopy
|
$3,657.00 |
$3,657.00 |
$3,657.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$3,970.50 |
$3,970.50 |
$3,970.50 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,175.50 |
$3,175.50 |
$3,175.50 |
$2,518.10
|
|
Small bowel endoscopy
|
$3,048.00 |
$3,048.00 |
$3,048.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,077.00 |
$4,077.00 |
$4,077.00 |
$3,265.60
|
|
Small bowel endoscopy
|
$2,467.50 |
$2,467.50 |
$2,467.50 |
$2,088.00
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$3,096.75 |
$3,096.75 |
$3,096.75 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$4,161.00 |
$4,161.00 |
$4,161.00 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$2,205.75 |
$2,205.75 |
$2,205.75 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,166.75 |
$2,166.75 |
$2,166.75 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$6,607.50 |
$6,607.50 |
$6,607.50 |
$4,992.00
|
|
Smallpox&monkeypox vac 0.5ml
|
$2.43 |
$2.43 |
$2.43 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$81.00 |
$81.00 |
$81.00 |
$64.20
|
|
Smear gram stain
|
$66.00 |
$66.00 |
$66.00 |
$55.42
|
|
Smear nasal eosinophil
|
$46.50 |
$46.50 |
$46.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$52.50 |
$52.50 |
$52.50 |
$73.15
|
