|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$37,096.44 |
$37,096.44 |
$37,096.44 |
$7,807.24
|
|
Shoulder X-ray
|
$292.80 |
$292.80 |
$292.80 |
$339.50
|
|
Shrinker prosth above knee
|
$199.81 |
$199.81 |
$199.81 |
$168.89
|
|
Shrinker prosth below knee
|
$140.56 |
$140.56 |
$140.56 |
$104.95
|
|
Shunt glaucoma baerveldt 350mm
|
$7,610.24 |
$7,610.24 |
$7,610.24 |
$4,636.80
|
|
Sialography s&i
|
$842.40 |
$842.40 |
$842.40 |
$499.20
|
|
Sickling rbc
|
$28.80 |
$28.80 |
$28.80 |
$57.00
|
|
Sigmoidoscopy and biopsy
|
$5,762.58 |
$5,762.58 |
$5,762.58 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$6,389.65 |
$6,389.65 |
$6,389.65 |
$1,890.00
|
|
Sincalide 5 mcg solution for injection
|
$167.40 |
$167.40 |
$167.40 |
$309.04
|
|
Sinus CT scan (with and without contrast)
|
$1,969.80 |
$1,969.80 |
$1,969.80 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$2,489.25
|
|
Sio flex pelvisacral custom
|
$632.41 |
$632.41 |
$632.41 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$418.75 |
$418.75 |
$418.75 |
$418.75
|
|
Skin Biopsy
|
$606.60 |
$606.60 |
$606.60 |
$360.34
|
|
Sleeve fing rolyan med
|
$459.47 |
$459.47 |
$459.47 |
$203.58
|
|
Sling pelv split sam med
|
$204.01 |
$204.01 |
$204.01 |
$150.00
|
|
Sling suprapubic suburetheral
|
$17,842.81 |
$17,842.81 |
$17,842.81 |
$9,679.96
|
|
Small bowel endoscopy
|
$14,621.84 |
$14,621.84 |
$14,621.84 |
$2,389.40
|
|
Small bowel endoscopy/biopsy
|
$14,621.84 |
$14,621.84 |
$14,621.84 |
$2,413.20
|
|
Smear fluorescent and/or acid fast stain
|
$44.40 |
$44.40 |
$44.40 |
$64.20
|
|
Smear gram stain
|
$36.60 |
$36.60 |
$36.60 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$47.40 |
$47.40 |
$47.40 |
$73.15
|
|
Smear wet mount
|
$37.80 |
$37.80 |
$37.80 |
$66.72
|
|
Smpd1 gene common variants
|
$332.40 |
$332.40 |
$332.40 |
$133.84
|
|
So airplane w/wo joint cf
|
$2,545.34 |
$2,545.34 |
$2,545.34 |
$1,276.80
|
|
So cap design without jnts cf
|
$1,940.30 |
$1,940.30 |
$1,940.30 |
$606.35
|
|
Socket insert without lock mech
|
$1,286.05 |
$1,286.05 |
$1,286.05 |
$1,188.00
|
|
Sock fracture or equal each
|
$71.96 |
$71.96 |
$71.96 |
$74.20
|
|
Sodium 24 hour urine
|
$13.20 |
$13.20 |
$13.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$37.80 |
$37.80 |
$37.80 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$37.80 |
$37.80 |
$37.80 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$37.80 |
$37.80 |
$37.80 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$143.52 |
$143.52 |
$143.52 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$60.60 |
$60.60 |
$60.60 |
$45.50
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.40 |
$8.40 |
$8.40 |
$177.52
|
|
Soft interface below knee se
|
$179.08 |
$179.08 |
$179.08 |
$179.08
|
|
So vest canvas/web pre ots
|
$377.96 |
$377.96 |
$377.96 |
$256.54
|
|
Specific gravity body fluid
|
$14.40 |
$14.40 |
$14.40 |
$22.00
|
|
Specimen fat stain
|
$11.40 |
$11.40 |
$11.40 |
$34.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,251.40 |
$3,251.40 |
$3,251.40 |
$1,439.40
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,091.26 |
$1,091.26 |
$1,091.26 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$141.44 |
$141.44 |
$141.44 |
$68.25
|
|
Splint finger fold over sm
|
$208.00 |
$208.00 |
$208.00 |
$146.88
|
|
Splint finger frog med
|
$211.67 |
$211.67 |
$211.67 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$208.00 |
$208.00 |
$208.00 |
$99.04
|
|
Sputum specimen collection
|
$334.80 |
$334.80 |
$334.80 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$289.20 |
$289.20 |
$289.20 |
$296.00
|
|
Staph a dna amp probe
|
$75.60 |
$75.60 |
$75.60 |
$125.00
|
|
Static or dynami afo pre ots
|
$656.06 |
$656.06 |
$656.06 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$146.40 |
$146.40 |
$146.40 |
$286.00
|
|
Stem cells total count
|
$311.40 |
$311.40 |
$311.40 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,337.52 |
$47,337.52 |
$47,337.52 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$38,051.19 |
$38,051.19 |
$38,051.19 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,331.47 |
$41,331.47 |
$41,331.47 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$918.48 |
$918.48 |
$918.48 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$37.80 |
$37.80 |
$37.80 |
$13.32
|
|
Sternal pad
|
$237.41 |
$237.41 |
$237.41 |
$216.89
|
|
St evaluate speech sound production
|
$289.20 |
$289.20 |
$289.20 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$228.60 |
$228.60 |
$228.60 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$183.60 |
$183.60 |
$183.60 |
$395.28
|
|
St evaluation swallow function
|
$225.00 |
$225.00 |
$225.00 |
$310.50
|
|
Stimulants synthetic
|
$192.60 |
$192.60 |
$192.60 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$37.00 |
$37.00 |
$37.00 |
$31.58
|
|
Straight knee joint heavy du
|
$347.68 |
$347.68 |
$347.68 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$442.20 |
$442.20 |
$442.20 |
$223.45
|
|
Strapping of chest
|
$312.00 |
$312.00 |
$312.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$74.40 |
$74.40 |
$74.40 |
$154.50
|
|
Strapping of hand or finger
|
$74.40 |
$74.40 |
$74.40 |
$174.82
|
|
Strapping of hip
|
$283.80 |
$283.80 |
$283.80 |
$164.70
|
|
Strapping of knee
|
$246.60 |
$246.60 |
$246.60 |
$205.20
|
|
Strapping of toes 29550
|
$129.60 |
$129.60 |
$129.60 |
$164.70
|
|
Strep b dna amp probe
|
$241.80 |
$241.80 |
$241.80 |
$120.90
|
|
Str markers specimen anal
|
$557.40 |
$557.40 |
$557.40 |
$751.50
|
|
St treatment speech individual
|
$222.60 |
$222.60 |
$222.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$121.80 |
$121.80 |
$121.80 |
$232.20
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$52.31
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$56.64 |
$56.64 |
$56.64 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$599.08 |
$599.08 |
$599.08 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$79.20 |
$79.20 |
$79.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$146.40 |
$146.40 |
$146.40 |
$141.33
|
|
Surgical pathology level 3 gross & microscopic examination
|
$239.40 |
$239.40 |
$239.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$221.40 |
$221.40 |
$221.40 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$507.00 |
$507.00 |
$507.00 |
$477.24
|
|
Surgical pathology level 6 gross & microscopic examination
|
$564.00 |
$564.00 |
$564.00 |
$716.00
|
|
Susceptibility agar dilution per agent
|
$52.20 |
$52.20 |
$52.20 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$35.40 |
$35.40 |
$35.40 |
$35.70
|
|
Susceptibility mic per plate
|
$66.60 |
$66.60 |
$66.60 |
$106.20
|
|
Suspension sleeve lower ext
|
$251.38 |
$251.38 |
$251.38 |
$251.38
|
|
Svc venogram s&i
|
$3,228.60 |
$3,228.60 |
$3,228.60 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.00 |
$9.00 |
$9.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$49,860.18 |
$49,860.18 |
$49,860.18 |
$39,037.95
|
|
System pacing micra av
|
$43,824.47 |
$43,824.47 |
$43,824.47 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,174.83 |
$21,174.83 |
$21,174.83 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$18,041.51 |
$18,041.51 |
$18,041.51 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$156.60 |
$156.60 |
$156.60 |
$98.80
|
|
T4 (thyroxine) free
|
$27.60 |
$27.60 |
$27.60 |
$85.20
|
