|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$2,433.60
|
|
Rp loclzj tum spect w/ct 1
|
$2,531.25 |
$2,531.25 |
$2,531.25 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,534.25 |
$2,534.25 |
$2,534.25 |
$2,343.00
|
|
Rpl tun-cvad w subq port
|
$3,880.50 |
$3,880.50 |
$3,880.50 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$2,957.25 |
$2,957.25 |
$2,957.25 |
$4,141.80
|
|
Rubella antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$73.05
|
|
Rubeola antibody igg
|
$171.00 |
$171.00 |
$171.00 |
$83.20
|
|
Russell viper venom diluted
|
$108.00 |
$108.00 |
$108.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$9,478.55 |
$9,478.55 |
$9,478.55 |
$9,478.55
|
|
Salivary gland imaging
|
$585.00 |
$585.00 |
$585.00 |
$569.25
|
|
Salmonella antibody
|
$29.25 |
$29.25 |
$29.25 |
$48.57
|
|
Sargramostim injection
|
$1,092.15 |
$1,092.15 |
$1,092.15 |
$1,092.15
|
|
Sarscov coronavirus ag ia
|
$59.25 |
$59.25 |
$59.25 |
$60.40
|
|
S bowel endoscope w/stent
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,225.50 |
$1,225.50 |
$1,225.50 |
$992.02
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$977.25 |
$977.25 |
$977.25 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$994.50 |
$994.50 |
$994.50 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$724.50 |
$724.50 |
$724.50 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$127.50 |
$127.50 |
$127.50 |
$601.48
|
|
Scan duplex extremity veins unilateral/limited study
|
$999.75 |
$999.75 |
$999.75 |
$766.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$971.41
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$830.25 |
$830.25 |
$830.25 |
$624.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$779.25 |
$779.25 |
$779.25 |
$527.15
|
|
Sclerotherapy fluid collection pq w/img
|
$1,810.50 |
$1,810.50 |
$1,810.50 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$7,863.75 |
$7,863.75 |
$7,863.75 |
$7,863.75
|
|
Screening Colonoscopy (average risk)
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$1,440.00
|
|
Screening Colonoscopy (high risk)
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$2,265.62
|
|
Screening Mammogram
|
$509.25 |
$509.25 |
$509.25 |
$331.50
|
|
Screen/visual acuity/bilat/quant 99173
|
$26.25 |
$26.25 |
$26.25 |
$29.89
|
|
Screw cortex 2.0 x 10mm
|
$28,563.75 |
$28,563.75 |
$28,563.75 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,255.25 |
$8,255.25 |
$8,255.25 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$667.50 |
$667.50 |
$667.50 |
$667.50
|
|
Sedimentation rate erythrocyte automated
|
$75.00 |
$75.00 |
$75.00 |
$41.40
|
|
Select picture audiometry
|
$67.50 |
$67.50 |
$67.50 |
$88.20
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$135.00 |
$135.00 |
$135.00 |
$61.75
|
|
Sensorimotor examination
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Sertraline (zoloft) - sendout
|
$101.25 |
$101.25 |
$101.25 |
$178.33
|
|
Sevelamer carbonate pdr 20mg
|
$638.94 |
$638.94 |
$638.94 |
$638.94
|
|
Sgmdsc w/band ligation
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,523.20
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$987.75 |
$987.75 |
$987.75 |
$292.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$935.25 |
$935.25 |
$935.25 |
$337.60
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$935.25 |
$935.25 |
$935.25 |
$448.00
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$582.75 |
$582.75 |
$582.75 |
$558.97
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$219.00 |
$219.00 |
$219.00 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$231.75 |
$231.75 |
$231.75 |
$232.77
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$252.00 |
$252.00 |
$252.00 |
$259.58
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$367.50 |
$367.50 |
$367.50 |
$415.22
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$311.25 |
$311.25 |
$311.25 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$206.25 |
$206.25 |
$206.25 |
$266.02
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$304.50 |
$304.50 |
$304.50 |
$342.00
|
|
Sheath gldlight lasr 12fx50cm
|
$7,076.25 |
$7,076.25 |
$7,076.25 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$11,238.75 |
$11,238.75 |
$11,238.75 |
$6,108.01
|
|
Shoe post-op mens m
|
$29.76 |
$29.76 |
$29.76 |
$29.76
|
|
Shoulder MRI (with and without contrast)
|
$2,628.75 |
$2,628.75 |
$2,628.75 |
$2,650.10
|
|
Shoulder MRI (with contrast)
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$2,713.80
|
|
Shoulder MRI (without contrast)
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$1,938.28
|
|
Shoulder X-ray
|
$461.25 |
$461.25 |
$461.25 |
$307.20
|
|
Shunt glaucoma baerveldt 350mm
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$4,050.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$539.25 |
$539.25 |
$539.25 |
$382.20
|
|
Sialolithotomy 42330
|
$3,732.75 |
$3,732.75 |
$3,732.75 |
$3,283.01
|
|
Sickling rbc
|
$90.75 |
$90.75 |
$90.75 |
$54.00
|
|
Sigmoidoscopy and biopsy
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$996.39
|
|
Sigmoidoscopy for bleeding
|
$2,765.25 |
$2,765.25 |
$2,765.25 |
$1,645.43
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,389.50 |
$2,389.50 |
$2,389.50 |
$1,374.60
|
|
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 |
$1,374.75
|
|
Sigmoidoscopy w/plcmt stent
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$3,254.25 |
$3,254.25 |
$3,254.25 |
$2,712.75
|
|
Sigmoidoscopy w/tumr remove
|
$2,502.75 |
$2,502.75 |
$2,502.75 |
$1,364.66
|
|
Sigmoidoscopy w/ultrasound
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$1,278.72
|
|
Sigmoidoscopy w/us guide bx
|
$4,014.75 |
$4,014.75 |
$4,014.75 |
$1,645.43
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,535.00 |
$2,535.00 |
$2,535.00 |
$1,278.72
|
|
Sig w/tndsc balloon dilation
|
$2,738.25 |
$2,738.25 |
$2,738.25 |
$1,645.43
|
|
Simple cystometrogram 51725
|
$759.00 |
$759.00 |
$759.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$456.17 |
$456.17 |
$456.17 |
$456.17
|
|
Sinus CT scan (with and without contrast)
|
$1,576.50 |
$1,576.50 |
$1,576.50 |
$1,823.88
|
|
Sinus CT scan (with contrast)
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,303.50 |
$1,303.50 |
$1,303.50 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,117.88
|
|
Sipuleucel-t - su
|
$95,750.46 |
$95,750.46 |
$95,750.46 |
$95,750.46
|
|
Sirolimus, oral
|
$12,667.27 |
$12,667.27 |
$12,667.27 |
$180.00
|
|
Skin Biopsy
|
$300.00 |
$300.00 |
$300.00 |
$361.20
|
|
Skyla, 13.5 mg
|
$3,739.59 |
$3,739.59 |
$3,739.59 |
$3,739.59
|
|
Sleep study attended
|
$404.25 |
$404.25 |
$404.25 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$6,070.50 |
$6,070.50 |
$6,070.50 |
$4,141.60
|
|
Sleep study unattended
|
$594.00 |
$594.00 |
$594.00 |
$653.00
|
|
Sleeve fing rolyan med
|
$32.25 |
$32.25 |
$32.25 |
$32.25
|
|
Sling arm deluxe w/pad xs
|
$30.35 |
$30.35 |
$30.35 |
$37.70
|
|
Sling suprapubic suburetheral
|
$21,217.50 |
$21,217.50 |
$21,217.50 |
$21,217.50
|
|
Slp pure tone screening
|
$64.50 |
$64.50 |
$64.50 |
$64.50
|
|
Small bowel endoscopy
|
$2,597.25 |
$2,597.25 |
$2,597.25 |
$2,451.00
|
|
Small bowel endoscopy
|
$3,657.00 |
$3,657.00 |
$3,657.00 |
$2,133.00
|
|
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 |
$2,200.46
|
|
Small bowel endoscopy
|
$3,048.00 |
$3,048.00 |
$3,048.00 |
$2,234.01
|
|
Small bowel endoscopy
|
$4,077.00 |
$4,077.00 |
$4,077.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,467.50 |
$2,467.50 |
$2,467.50 |
$1,048.28
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$3,096.75 |
$3,096.75 |
$3,096.75 |
$2,178.16
|
|
Small bowel endoscopy 44365
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$2,040.75
|