|
Sleep study unattended
|
$702.00 |
$702.00 |
$702.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$4.49 |
$4.49 |
$4.49 |
$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
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,638.57
|
|
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
|
|
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 |
$64.20
|
|
Smear gram stain
|
$18.85 |
$18.85 |
$18.85 |
$55.42
|
|
Smear nasal eosinophil
|
$26.00 |
$26.00 |
$26.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$26.65 |
$26.65 |
$26.65 |
$73.15
|
|
Smear wet mount
|
$26.00 |
$26.00 |
$26.00 |
$67.49
|
|
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 |
$48.75
|
|
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 |
$46.26
|
|
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
|
|
Spacer bag/reservoir
|
$31.20 |
$31.20 |
$31.20 |
$26.00
|
|
Special casting material
|
$47.45 |
$47.45 |
$47.45 |
$47.45
|
|
Special physics consult
|
$595.40 |
$595.40 |
$595.40 |
$725.00
|
|
Special radiation dosimetry
|
$595.40 |
$595.40 |
$595.40 |
$392.50
|
|
Special radiation treatment
|
$2,594.15 |
$2,594.15 |
$2,594.15 |
$2,052.00
|
|
Special teletx port plan
|
$1,641.90 |
$1,641.90 |
$1,641.90 |
$1,095.05
|
|
Specific gravity body fluid
|
$14.95 |
$14.95 |
$14.95 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$651.30 |
$651.30 |
$651.30 |
$385.00
|
|
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)
|
$307.45 |
$307.45 |
$307.45 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$395.20 |
$395.20 |
$395.20 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$378.30 |
$378.30 |
$378.30 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$52.65 |
$52.65 |
$52.65 |
$71.44
|
|
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 |
$146.88
|
|
Splint finger frog med
|
$27.95 |
$27.95 |
$27.95 |
$38.08
|
|
Splint func pos polyflex ii med
|
$48.10 |
$48.10 |
$48.10 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$35.10 |
$35.10 |
$35.10 |
$99.04
|
|
Split blood or products
|
$768.30 |
$768.30 |
$768.30 |
$129.50
|
|
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
|
|
St analysis behavior qualitative voice/resonance
|
$353.60 |
$353.60 |
$353.60 |
$297.60
|
|
Staph a dna amp probe
|
$157.30 |
$157.30 |
$157.30 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$430.30 |
$430.30 |
$430.30 |
$286.00
|
|
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
|
|
Sterile needle
|
$190.13 |
$190.13 |
$190.13 |
$190.13
|
|
St evaluate speech sound production
|
$372.45 |
$372.45 |
$372.45 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$538.85 |
$538.85 |
$538.85 |
$400.00
|
|
Stimulants synthetic
|
$27.30 |
$27.30 |
$27.30 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,342.00
|
|
Storage/year embryo(s)
|
$455.00 |
$455.00 |
$455.00 |
$236.00
|
|
Storage/year oocyte(s)
|
$325.00 |
$325.00 |
$325.00 |
$236.00
|
|
Storage/year sperm/semen
|
$207.35 |
$207.35 |
$207.35 |
$207.35
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$2,723.50 |
$2,723.50 |
$2,723.50 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$471.90 |
$471.90 |
$471.90 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$177.45 |
$177.45 |
$177.45 |
$157.46
|
|
Strapping of hand or finger
|
$177.45 |
$177.45 |
$177.45 |
$174.82
|
|
Strapping of knee
|
$385.45 |
$385.45 |
$385.45 |
$205.20
|
|
Strep a ag ia
|
$75.40 |
$75.40 |
$75.40 |
$75.40
|
|
Strep b dna amp probe
|
$157.30 |
$157.30 |
$157.30 |
$122.43
|
|
Streptomycin injection
|
$175.50 |
$175.50 |
$175.50 |
$138.30
|
|
Stress test pulmonary
|
$385.45 |
$385.45 |
$385.45 |
$324.00
|
|
Stress tte complete
|
$2,049.45 |
$2,049.45 |
$2,049.45 |
$1,894.20
|
|
Str markers specimen anal
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$751.50
|
|
Subq njx fil matrl 5.1-10cc
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$988.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.54 |
$4.54 |
$4.54 |
$54.80
|
|
Sugars multiple quant
|
$52.00 |
$52.00 |
$52.00 |
$29.60
|
|
Sugars single quant
|
$52.00 |
$52.00 |
$52.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,164,968.00 |
$2,164,968.00 |
$2,164,968.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$2.96 |
$2.96 |
$2.96 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$20.80 |
$20.80 |
$20.80 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,129.07 |
$1,129.07 |
$1,129.07 |
$126.63
|
|
Supply of digital device
|
$334.75 |
$334.75 |
$334.75 |
$280.00
|
|
Support clav 29.6-40.5in med
|
$18.20 |
$18.20 |
$18.20 |
$94.08
|
|
Supprelin la implant
|
$117,424.98 |
$117,424.98 |
$117,424.98 |
$80,935.72
|
|
Surg dx exam anorectal
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,480.50
|
|
Surgical pathology level 1 gross examination only
|
$109.85 |
$109.85 |
$109.85 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$176.15 |
$176.15 |
$176.15 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$239.85 |
$239.85 |
$239.85 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$239.85 |
$239.85 |
$239.85 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$720.75
|
|
Surgical trays
|
$399.75 |
$399.75 |
$399.75 |
$694.80
|
