|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$9,478.55 |
$9,478.55 |
$9,478.55 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$459.75 |
$459.75 |
$459.75 |
$320.40
|
|
Salivary gland imaging
|
$569.25 |
$569.25 |
$569.25 |
$585.00
|
|
Salmonella antibody
|
$29.25 |
$29.25 |
$29.25 |
$37.58
|
|
Sargramostim injection
|
$1,092.15 |
$1,092.15 |
$1,092.15 |
$552.52
|
|
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 aorta/ivc/iliac or bypass grafts complete
|
$1,227.75 |
$1,227.75 |
$1,227.75 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,205.25 |
$1,205.25 |
$1,205.25 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$127.50 |
$127.50 |
$127.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,461.75 |
$1,461.75 |
$1,461.75 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,322.25 |
$1,322.25 |
$1,322.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$979.50 |
$979.50 |
$979.50 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$838.50 |
$838.50 |
$838.50 |
$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
|
$377.25 |
$377.25 |
$377.25 |
$311.50
|
|
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 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,255.25 |
$8,255.25 |
$8,255.25 |
$4,380.00
|
|
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)
|
$122.25 |
$122.25 |
$122.25 |
$96.85
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$135.00 |
$135.00 |
$135.00 |
$51.98
|
|
Semen analysis presence/motility
|
$197.25 |
$197.25 |
$197.25 |
$70.40
|
|
Sensorimotor examination
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Sertraline (zoloft) - sendout
|
$226.50 |
$226.50 |
$226.50 |
$126.43
|
|
Set radiation therapy field
|
$1,714.50 |
$1,714.50 |
$1,714.50 |
$787.50
|
|
Set radiation therapy field
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,180.38
|
|
Set radiation therapy field
|
$2,862.00 |
$2,862.00 |
$2,862.00 |
$1,641.90
|
|
Set-up cardiovert-defibrill
|
$467.25 |
$467.25 |
$467.25 |
$373.29
|
|
Sevelamer carbonate pdr 20mg
|
$638.94 |
$638.94 |
$638.94 |
$21.42
|
|
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 |
$442.22
|
|
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/<
|
$153.00 |
$153.00 |
$153.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$201.75 |
$201.75 |
$201.75 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$810.00 |
$810.00 |
$810.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$319.50 |
$319.50 |
$319.50 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$311.25 |
$311.25 |
$311.25 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$206.25 |
$206.25 |
$206.25 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$304.50 |
$304.50 |
$304.50 |
$289.30
|
|
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)
|
$154.50 |
$154.50 |
$154.50 |
$138.00
|
|
Shoulder AC Joint X-ray (both sides)
|
$394.50 |
$394.50 |
$394.50 |
$270.69
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$287.25 |
$287.25 |
$287.25 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$2,928.75 |
$2,928.75 |
$2,928.75 |
$2,825.55
|
|
Shoulder MRI (with contrast)
|
$2,438.25 |
$2,438.25 |
$2,438.25 |
$2,511.20
|
|
Shoulder MRI (without contrast)
|
$2,370.75 |
$2,370.75 |
$2,370.75 |
$2,102.80
|
|
Shoulder X-ray
|
$394.50 |
$394.50 |
$394.50 |
$343.70
|
|
Shoulder X-ray (single view, both shoulders)
|
$234.75 |
$234.75 |
$234.75 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$467.25 |
$467.25 |
$467.25 |
$359.55
|
|
Sialolithotomy 42330
|
$3,732.75 |
$3,732.75 |
$3,732.75 |
$3,864.00
|
|
Sickling rbc
|
$67.50 |
$67.50 |
$67.50 |
$59.15
|
|
Sigmoidoscopy and biopsy
|
$2,026.50 |
$2,026.50 |
$2,026.50 |
$1,459.20
|
|
Sigmoidoscopy flex decompression 45337
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$2,044.50 |
$2,044.50 |
$2,044.50 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$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
|
$2,237.25 |
$2,237.25 |
$2,237.25 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
$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
|
$892.50 |
$892.50 |
$892.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$456.17 |
$456.17 |
$456.17 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,279.50 |
$1,279.50 |
$1,279.50 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,565.12
|
|
Sinus X-ray (complete)
|
$459.75 |
$459.75 |
$459.75 |
$347.31
|
|
Sinus X-ray (limited)
|
$387.00 |
$387.00 |
$387.00 |
$216.00
|
|
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
|
$303.75 |
$303.75 |
$303.75 |
$362.40
|
|
Skull X-ray (1 to 3 views)
|
$428.25 |
$428.25 |
$428.25 |
$295.10
|
|
Skull X-ray (complete)
|
$640.50 |
$640.50 |
$640.50 |
$424.80
|
|
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
|
$684.00 |
$684.00 |
$684.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$32.25 |
$32.25 |
$32.25 |
$206.00
|
|
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)
|
$561.75 |
$561.75 |
$561.75 |
$561.60
|
|
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
|
