|
Sigmoidoscopy w/ablation
|
$2,397.20 |
$2,397.20 |
$2,397.20 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,941.55 |
$1,941.55 |
$1,941.55 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$2,001.35 |
$2,001.35 |
$2,001.35 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$1,930.50 |
$1,930.50 |
$1,930.50 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,001.35 |
$2,001.35 |
$2,001.35 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$448.50 |
$448.50 |
$448.50 |
$309.52
|
|
Sig w/tndsc balloon dilation
|
$1,901.90 |
$1,901.90 |
$1,901.90 |
$1,813.80
|
|
Sincalide 5 mcg solution for injection
|
$229.84 |
$229.84 |
$229.84 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,706.25 |
$1,706.25 |
$1,706.25 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,550.90 |
$1,550.90 |
$1,550.90 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,409.85 |
$1,409.85 |
$1,409.85 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$3,420.30 |
$3,420.30 |
$3,420.30 |
$2,489.25
|
|
Sirolimus, oral
|
$16.02 |
$16.02 |
$16.02 |
$31.60
|
|
Skin Biopsy
|
$250.25 |
$250.25 |
$250.25 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$3,206.45 |
$3,206.45 |
$3,206.45 |
$3,936.80
|
|
Sleep study unattended
|
$306.80 |
$306.80 |
$306.80 |
$595.50
|
|
Sleeve fing rolyan med
|
$415.29 |
$415.29 |
$415.29 |
$167.31
|
|
Sling pelv split sam med
|
$52.36 |
$52.36 |
$52.36 |
$124.80
|
|
Sling suprapubic suburetheral
|
$3,046.00 |
$3,046.00 |
$3,046.00 |
$10,395.47
|
|
Slp pure tone screening
|
$79.30 |
$79.30 |
$79.30 |
$67.60
|
|
Small bowel endoscopy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,466.10
|
|
Small bowel endoscopy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,734.20
|
|
Small bowel endoscopy
|
$2,231.45 |
$2,231.45 |
$2,231.45 |
$1,294.80
|
|
Small bowel endoscopy
|
$2,343.25 |
$2,343.25 |
$2,343.25 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,124.85 |
$2,124.85 |
$2,124.85 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$2,343.25 |
$2,343.25 |
$2,343.25 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$6,104.15
|
|
Smear fluorescent and/or acid fast stain
|
$42.90 |
$42.90 |
$42.90 |
$64.20
|
|
Smear gram stain
|
$30.55 |
$30.55 |
$30.55 |
$57.85
|
|
Smear nasal eosinophil
|
$82.55 |
$82.55 |
$82.55 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$30.55 |
$30.55 |
$30.55 |
$64.35
|
|
Smear wet mount
|
$35.10 |
$35.10 |
$35.10 |
$68.63
|
|
Smn1 gene full gene sequence
|
$1,095.25 |
$1,095.25 |
$1,095.25 |
$495.69
|
|
Smpd1 gene common variants
|
$640.90 |
$640.90 |
$640.90 |
$140.00
|
|
Snrpn/ube3a gene
|
$678.60 |
$678.60 |
$678.60 |
$228.80
|
|
Sodium 24 hour urine
|
$41.60 |
$41.60 |
$41.60 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$51.80 |
$51.80 |
$51.80 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$54.54 |
$54.54 |
$54.54 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$60.00 |
$60.00 |
$60.00 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$62.01 |
$62.01 |
$62.01 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$56.11 |
$56.11 |
$56.11 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$33.15 |
$33.15 |
$33.15 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$345.74 |
$345.74 |
$345.74 |
$223.86
|
|
So gsap cl fr cpy nmbr&mcrst
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$1,345.31
|
|
So neo gsap dna/dna&rna
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$7,410.00 |
$7,410.00 |
$7,410.00 |
$2,332.88
|
|
Special physics consult
|
$290.55 |
$290.55 |
$290.55 |
$700.74
|
|
Special radiation dosimetry
|
$290.55 |
$290.55 |
$290.55 |
$445.50
|
|
Special radiation treatment
|
$1,038.05 |
$1,038.05 |
$1,038.05 |
$1,934.03
|
|
Special teletx port plan
|
$714.35 |
$714.35 |
$714.35 |
$1,046.65
|
|
Specimen fat stain
|
$18.85 |
$18.85 |
$18.85 |
$32.76
|
|
Sperm antibody test
|
$144.95 |
$144.95 |
$144.95 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$757.90 |
$757.90 |
$757.90 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$493.35 |
$493.35 |
$493.35 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$986.99 |
$986.99 |
$986.99 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$29.95 |
$29.95 |
$29.95 |
$41.58
|
|
Splint finger frog med
|
$1.77 |
$1.77 |
$1.77 |
$21.50
|
|
Splint rstrc wrst/cmc right med
|
$130.44 |
$130.44 |
$130.44 |
$73.11
|
|
Split blood or products
|
$186.55 |
$186.55 |
$186.55 |
$148.98
|
|
Srs linear based
|
$3,019.25 |
$3,019.25 |
$3,019.25 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$188.50 |
$188.50 |
$188.50 |
$300.00
|
|
Staph a dna amp probe
|
$81.25 |
$81.25 |
$81.25 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$340.60 |
$340.60 |
$340.60 |
$313.96
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,213.13 |
$4,213.13 |
$4,213.13 |
$18,472.24
|
|
St evaluate speech sound production
|
$180.70 |
$180.70 |
$180.70 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$290.55 |
$290.55 |
$290.55 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$265.85 |
$265.85 |
$265.85 |
$406.40
|
|
St evaluation swallow function
|
$230.75 |
$230.75 |
$230.75 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$630.50 |
$630.50 |
$630.50 |
$248.05
|
|
Strapping of hand or finger
|
$487.50 |
$487.50 |
$487.50 |
$194.40
|
|
Strapping of toes 29550
|
$427.70 |
$427.70 |
$427.70 |
$185.36
|
|
Strep a dna dir probe
|
$141.05 |
$141.05 |
$141.05 |
$50.40
|
|
Strep b dna amp probe
|
$187.85 |
$187.85 |
$187.85 |
$139.20
|
|
Stress test pulmonary
|
$198.90 |
$198.90 |
$198.90 |
$327.20
|
|
Str markers spec anal addl
|
$464.10 |
$464.10 |
$464.10 |
$468.00
|
|
Str markers specimen anal
|
$925.60 |
$925.60 |
$925.60 |
$835.28
|
|
St treatment speech individual
|
$162.50 |
$162.50 |
$162.50 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$162.50 |
$162.50 |
$162.50 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$24.54 |
$24.54 |
$24.54 |
$49.13
|
|
Sugars single quant
|
$113.10 |
$113.10 |
$113.10 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$40.40 |
$40.40 |
$40.40 |
$71.09
|
|
Sulfonylurea screen qn-sendout
|
$189.15 |
$189.15 |
$189.15 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$39.52 |
$39.52 |
$39.52 |
$91.67
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$68.54
|
|
Surgical pathology level 1 gross examination only
|
$73.45 |
$73.45 |
$73.45 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$122.20 |
$122.20 |
$122.20 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$178.10 |
$178.10 |
$178.10 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$531.05 |
$531.05 |
$531.05 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$402.35 |
$402.35 |
$402.35 |
$494.00
|