|
Sialography s&i
|
$1,578.85 |
$1,578.85 |
$1,578.85 |
$462.40
|
|
Sickling rbc
|
$213.20 |
$213.20 |
$213.20 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$3,539.25 |
$3,539.25 |
$3,539.25 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$3,737.50 |
$3,737.50 |
$3,737.50 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,481.40 |
$3,481.40 |
$3,481.40 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$4,323.80 |
$4,323.80 |
$4,323.80 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,592.55 |
$3,592.55 |
$3,592.55 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$4,323.80 |
$4,323.80 |
$4,323.80 |
$4,379.25
|
|
Sigmoidoscopy w/tumr remove
|
$3,284.45 |
$3,284.45 |
$3,284.45 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$3,352.70 |
$3,352.70 |
$3,352.70 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$4,323.80 |
$4,323.80 |
$4,323.80 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$3,625.70 |
$3,625.70 |
$3,625.70 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$3,879.20 |
$3,879.20 |
$3,879.20 |
$1,813.80
|
|
Sincalide 5 mcg solution for injection
|
$422.50 |
$422.50 |
$422.50 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,342.90 |
$1,342.90 |
$1,342.90 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,207.70 |
$1,207.70 |
$1,207.70 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$1,279.50
|
|
Skin Biopsy
|
$226.20 |
$226.20 |
$226.20 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$4,984.85 |
$4,984.85 |
$4,984.85 |
$3,936.80
|
|
Sleep study unattended
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$595.50
|
|
Sleeve fing rolyan med
|
$415.29 |
$415.29 |
$415.29 |
$167.31
|
|
Slp pure tone screening
|
$70.85 |
$70.85 |
$70.85 |
$67.60
|
|
Small bowel endoscopy
|
$2,371.85 |
$2,371.85 |
$2,371.85 |
$2,466.10
|
|
Small bowel endoscopy
|
$2,482.35 |
$2,482.35 |
$2,482.35 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,868.45 |
$2,868.45 |
$2,868.45 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,445.95 |
$2,445.95 |
$2,445.95 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,876.90 |
$2,876.90 |
$2,876.90 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,495.70 |
$3,495.70 |
$3,495.70 |
$2,734.20
|
|
Small bowel endoscopy
|
$3,191.50 |
$3,191.50 |
$3,191.50 |
$1,294.80
|
|
Small bowel endoscopy
|
$3,278.60 |
$3,278.60 |
$3,278.60 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,902.25 |
$2,902.25 |
$2,902.25 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$2,412.15 |
$2,412.15 |
$2,412.15 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,442.70 |
$2,442.70 |
$2,442.70 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$3,152.50 |
$3,152.50 |
$3,152.50 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,605.20 |
$2,605.20 |
$2,605.20 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$2,760.55 |
$2,760.55 |
$2,760.55 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$4,839.90 |
$4,839.90 |
$4,839.90 |
$6,104.15
|
|
Smear fluorescent and/or acid fast stain
|
$103.35 |
$103.35 |
$103.35 |
$64.20
|
|
Smear gram stain
|
$77.35 |
$77.35 |
$77.35 |
$57.85
|
|
Smear nasal eosinophil
|
$140.40 |
$140.40 |
$140.40 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$438.10 |
$438.10 |
$438.10 |
$64.35
|
|
Smear wet mount
|
$173.55 |
$173.55 |
$173.55 |
$68.63
|
|
Smn1 gene full gene sequence
|
$1,537.90 |
$1,537.90 |
$1,537.90 |
$495.69
|
|
Smpd1 gene common variants
|
$906.10 |
$906.10 |
$906.10 |
$140.00
|
|
Snrpn/ube3a gene
|
$768.30 |
$768.30 |
$768.30 |
$228.80
|
|
Sodium 24 hour urine
|
$74.10 |
$74.10 |
$74.10 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$45.40 |
$45.40 |
$45.40 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$44.34 |
$44.34 |
$44.34 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$46.12 |
$46.12 |
$46.12 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$45.01 |
$45.01 |
$45.01 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$47.58 |
$47.58 |
$47.58 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$9.75 |
$9.75 |
$9.75 |
$42.70
|
|
So gsap cl fr cpy nmbr&mcrst
|
$7,220.20 |
$7,220.20 |
$7,220.20 |
$1,345.31
|
|
So neo gsap dna/dna&rna
|
$9,627.15 |
$9,627.15 |
$9,627.15 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$7,621.25 |
$7,621.25 |
$7,621.25 |
$2,332.88
|
|
Specimen fat stain
|
$50.05 |
$50.05 |
$50.05 |
$32.76
|
|
Sperm antibody test
|
$395.20 |
$395.20 |
$395.20 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,016.95 |
$2,016.95 |
$2,016.95 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$949.00 |
$949.00 |
$949.00 |
$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
|
$13.31 |
$13.31 |
$13.31 |
$21.50
|
|
Splint rstrc wrst/cmc right med
|
$130.44 |
$130.44 |
$130.44 |
$73.11
|
|
Split blood or products
|
$263.25 |
$263.25 |
$263.25 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$100.10 |
$100.10 |
$100.10 |
$300.00
|
|
Staph a dna amp probe
|
$278.20 |
$278.20 |
$278.20 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$170.95 |
$170.95 |
$170.95 |
$313.96
|
|
Stem cells total count
|
$293.80 |
$293.80 |
$293.80 |
$130.90
|
|
Stent bili dbl pgtl 10fx5cm
|
$212.30 |
$212.30 |
$212.30 |
$1,206.15
|
|
St evaluate speech sound production
|
$97.50 |
$97.50 |
$97.50 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$202.80 |
$202.80 |
$202.80 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$265.20 |
$265.20 |
$265.20 |
$406.40
|
|
St evaluation swallow function
|
$252.20 |
$252.20 |
$252.20 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$963.30 |
$963.30 |
$963.30 |
$248.05
|
|
Strapping of hand or finger
|
$774.80 |
$774.80 |
$774.80 |
$194.40
|
|
Strapping of toes 29550
|
$700.70 |
$700.70 |
$700.70 |
$185.36
|
|
Strep a dna dir probe
|
$201.50 |
$201.50 |
$201.50 |
$50.40
|
|
Strep b dna amp probe
|
$72.15 |
$72.15 |
$72.15 |
$139.20
|
|
Stress test pulmonary
|
$429.00 |
$429.00 |
$429.00 |
$327.20
|
|
Str markers spec anal addl
|
$432.90 |
$432.90 |
$432.90 |
$468.00
|
|
Str markers specimen anal
|
$1,314.95 |
$1,314.95 |
$1,314.95 |
$835.28
|
|
St treatment speech individual
|
$254.15 |
$254.15 |
$254.15 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$225.55 |
$225.55 |
$225.55 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$26.62 |
$26.62 |
$26.62 |
$49.13
|
|
Sugars single quant
|
$276.25 |
$276.25 |
$276.25 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.22 |
$59.22 |
$59.22 |
$71.09
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$34.75 |
$34.75 |
$34.75 |
$91.67
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$68.54
|
|
Surgical pathology level 1 gross examination only
|
$134.55 |
$134.55 |
$134.55 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$273.00 |
$273.00 |
$273.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$316.55 |
$316.55 |
$316.55 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$590.20 |
$590.20 |
$590.20 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$571.35 |
$571.35 |
$571.35 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$595.40 |
$595.40 |
$595.40 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$89.70 |
$89.70 |
$89.70 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$52.65 |
$52.65 |
$52.65 |
$34.48
|
|
Susceptibility mic per plate
|
$229.45 |
$229.45 |
$229.45 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$375.70 |
$375.70 |
$375.70 |
$48.30
|
|
Svc venogram s&i
|
$3,406.65 |
$3,406.65 |
$3,406.65 |
$1,908.00
|
