|
Sleep study unattended
|
$967.85 |
$967.85 |
$967.85 |
$594.00
|
|
Sleeve fing rolyan med
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$204.60
|
|
Sling arm deluxe w/pad xs
|
$13.65 |
$13.65 |
$13.65 |
$30.35
|
|
Sling pelv split sam med
|
$56.55 |
$56.55 |
$56.55 |
$150.00
|
|
Sling suprapubic suburetheral
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$9,679.96
|
|
Slitting of prepuce
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,376.23
|
|
Slp pure tone screening
|
$41.60 |
$41.60 |
$41.60 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$798.20 |
$798.20 |
$798.20 |
$557.70
|
|
Small bowel endoscopy
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,596.41
|
|
Small bowel endoscopy
|
$943.80 |
$943.80 |
$943.80 |
$2,244.82
|
|
Small bowel endoscopy
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$2,518.10
|
|
Small bowel endoscopy
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$3,265.60
|
|
Small bowel endoscopy
|
$304.20 |
$304.20 |
$304.20 |
$2,088.00
|
|
Small bowel endoscopy
|
$741.00 |
$741.00 |
$741.00 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$881.40 |
$881.40 |
$881.40 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$834.60 |
$834.60 |
$834.60 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$720.20 |
$720.20 |
$720.20 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$226.20 |
$226.20 |
$226.20 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$358.80 |
$358.80 |
$358.80 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$4,992.00
|
|
Smallpox&monkeypox vac 0.5ml
|
$510.71 |
$510.71 |
$510.71 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$24.05 |
$24.05 |
$24.05 |
$64.00
|
|
Smear gram stain
|
$18.85 |
$18.85 |
$18.85 |
$54.03
|
|
Smear nasal eosinophil
|
$26.00 |
$26.00 |
$26.00 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$26.65 |
$26.65 |
$26.65 |
$71.81
|
|
Smear wet mount
|
$26.00 |
$26.00 |
$26.00 |
$66.30
|
|
Smpd1 gene common variants
|
$210.60 |
$210.60 |
$210.60 |
$133.84
|
|
Snrpn/ube3a gene
|
$228.80 |
$228.80 |
$228.80 |
$228.80
|
|
Sodium 24 hour urine
|
$22.75 |
$22.75 |
$22.75 |
$48.68
|
|
Sodium chloride 0.9 % intravenous solution
|
$12.35 |
$12.35 |
$12.35 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$14.95 |
$14.95 |
$14.95 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$2.93 |
$2.93 |
$2.93 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$0.60 |
$0.60 |
$0.60 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$14.88 |
$14.88 |
$14.88 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$222.30 |
$222.30 |
$222.30 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$21.45 |
$21.45 |
$21.45 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$4.68 |
$4.68 |
$4.68 |
$177.52
|
|
Somatropin injection
|
$2,770.40 |
$2,770.40 |
$2,770.40 |
$2,111.40
|
|
Sotalol hydrochloride IV
|
$771.26 |
$771.26 |
$771.26 |
$5,761.57
|
|
So vest canvas/web pre ots
|
$150.80 |
$150.80 |
$150.80 |
$256.54
|
|
Spacer bag/reservoir
|
$31.20 |
$31.20 |
$31.20 |
$26.00
|
|
Sp bone agrft morsel add-on
|
$725.40 |
$725.40 |
$725.40 |
$406.40
|
|
Sp bone agrft struct add-on
|
$785.20 |
$785.20 |
$785.20 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$498.55 |
$498.55 |
$498.55 |
$498.55
|
|
Special casting material
|
$47.45 |
$47.45 |
$47.45 |
$47.45
|
|
Special physics consult
|
$735.15 |
$735.15 |
$735.15 |
$725.00
|
|
Special radiation dosimetry
|
$844.35 |
$844.35 |
$844.35 |
$392.73
|
|
Special radiation treatment
|
$3,174.60 |
$3,174.60 |
$3,174.60 |
$2,045.50
|
|
Special supplies phys/qhp
|
$31.85 |
$31.85 |
$31.85 |
$60.00
|
|
Special teletx port plan
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$1,086.99
|
|
Specific gravity body fluid
|
$14.95 |
$14.95 |
$14.95 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$998.40 |
$998.40 |
$998.40 |
$380.00
|
|
Speech audiometry complete
|
$154.70 |
$154.70 |
$154.70 |
$109.20
|
|
Speech recep thresh
|
$154.70 |
$154.70 |
$154.70 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$338.00 |
$338.00 |
$338.00 |
$248.84
|
|
Sperm washing 58323
|
$59.80 |
$59.80 |
$59.80 |
$238.06
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$470.60 |
$470.60 |
$470.60 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$707.85 |
$707.85 |
$707.85 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$436.80 |
$436.80 |
$436.80 |
$251.40
|
|
Spirometry up to 2 yrs old
|
$455.00 |
$455.00 |
$455.00 |
$242.25
|
|
Splenectomy total open 38100
|
$5,083.00 |
$5,083.00 |
$5,083.00 |
$2,166.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$378.30 |
$378.30 |
$378.30 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$52.65 |
$52.65 |
$52.65 |
$67.76
|
|
Splint finger 4 prong foam sm
|
$20.80 |
$20.80 |
$20.80 |
$34.00
|
|
Splint finger fold over sm
|
$60.45 |
$60.45 |
$60.45 |
$151.34
|
|
Splint finger frog med
|
$27.95 |
$27.95 |
$27.95 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$5.85 |
$5.85 |
$5.85 |
$5.60
|
|
Splint func pos polyflex ii med
|
$48.10 |
$48.10 |
$48.10 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$65.00 |
$65.00 |
$65.00 |
$100.00
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,639.00 |
$2,639.00 |
$2,639.00 |
$4,687.20
|
|
Split blood or products
|
$768.30 |
$768.30 |
$768.30 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$520.00 |
$520.00 |
$520.00 |
$1,612.78
|
|
Spontaneous nystagmus study
|
$681.20 |
$681.20 |
$681.20 |
$130.65
|
|
Sprchoroidal spc njx rx agt
|
$991.90 |
$991.90 |
$991.90 |
$454.19
|
|
Sputum specimen collection
|
$768.30 |
$768.30 |
$768.30 |
$180.00
|
|
Srs cranial lesion complex
|
$5,161.00 |
$5,161.00 |
$5,161.00 |
$3,244.00
|
|
Srs cranial lesion simple
|
$3,621.80 |
$3,621.80 |
$3,621.80 |
$3,145.05
|
|
Srs cran les complex addl
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$711.20
|
|
Srs cran les simple addl
|
$904.80 |
$904.80 |
$904.80 |
$719.20
|
|
Srs spinal lesion
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$2,631.20
|
|
Srs spinal lesion addl
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$591.20
|
|
St analysis behavior qualitative voice/resonance
|
$499.20 |
$499.20 |
$499.20 |
$295.10
|
|
Staph a dna amp probe
|
$157.30 |
$157.30 |
$157.30 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$442.00 |
$442.00 |
$442.00 |
$281.00
|
|
Stenger test speech
|
$93.60 |
$93.60 |
$93.60 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,823.05 |
$6,823.05 |
$6,823.05 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$487.50 |
$487.50 |
$487.50 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$20,962.50 |
$20,962.50 |
$20,962.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$212.06 |
$212.06 |
$212.06 |
$4,631.82
|
|
Stent placemt retro carotid
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$5,328.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$5,155.80 |
$5,155.80 |
$5,155.80 |
$3,308.00
|
|
Sterile needle
|
$190.13 |
$190.13 |
$190.13 |
$190.13
|
|
Sternal debridement
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$1,318.40
|
|
St evaluate speech sound production
|
$499.20 |
$499.20 |
$499.20 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$538.85 |
$538.85 |
$538.85 |
$396.90
|
