|
Screening hepatitis b non-obstetric high risk
|
$44.40 |
$44.40 |
$44.40 |
$53.04
|
|
Screening Mammogram
|
$181.20 |
$181.20 |
$181.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$204.60 |
$204.60 |
$204.60 |
$98.28
|
|
Screen pap by tech w md supv
|
$79.20 |
$79.20 |
$79.20 |
$53.46
|
|
Screw cortex 2.0 x 10mm
|
$321,503.65 |
$321,503.65 |
$321,503.65 |
$28,563.75
|
|
Sedimentation rate erythrocyte automated
|
$76.20 |
$76.20 |
$76.20 |
$44.20
|
|
Semen analysis presence/motility
|
$162.60 |
$162.60 |
$162.60 |
$75.40
|
|
Semen analysis w/count
|
$76.20 |
$76.20 |
$76.20 |
$56.44
|
|
Serpina1 gene
|
$141.00 |
$141.00 |
$141.00 |
$195.65
|
|
Sewho cap design without jnts cf
|
$4,107.22 |
$4,107.22 |
$4,107.22 |
$1,685.60
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$552.00 |
$552.00 |
$552.00 |
$311.40
|
|
Sheath below knee
|
$43.31 |
$43.31 |
$43.31 |
$43.91
|
|
Sheath gldlight lasr 12fx50cm
|
$9,905.57 |
$9,905.57 |
$9,905.57 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$14,880.70 |
$14,880.70 |
$14,880.70 |
$8,264.23
|
|
Sho arthrs srg bicp tenodsis
|
$21,721.87 |
$21,721.87 |
$21,721.87 |
$4,950.40
|
|
Sho arthrs srg xtnsv dbrdmt
|
$35,411.59 |
$35,411.59 |
$35,411.59 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$133.22 |
$133.22 |
$133.22 |
$117.35
|
|
Shoe dennis browne splint bo
|
$116.21 |
$116.21 |
$116.21 |
$102.37
|
|
Shoe heel new leather standa
|
$109.33 |
$109.33 |
$109.33 |
$96.31
|
|
Shoe heel new rubber standar
|
$92.29 |
$92.29 |
$92.29 |
$58.26
|
|
Shoe heel pad & depress for
|
$167.36 |
$167.36 |
$167.36 |
$147.43
|
|
Shoe heel sach cushion type
|
$283.46 |
$283.46 |
$283.46 |
$233.65
|
|
Shoe heel thomas extend to b
|
$167.36 |
$167.36 |
$167.36 |
$147.43
|
|
Shoe heel thomas with wedge
|
$157.24 |
$157.24 |
$157.24 |
$138.50
|
|
Shoe lift elev heel/sole neo
|
$198.89 |
$198.89 |
$198.89 |
$175.04
|
|
Shoe metatarsal bar between
|
$249.35 |
$249.35 |
$249.35 |
$219.65
|
|
Shoe metatarsal bar wedge ro
|
$109.33 |
$109.33 |
$109.33 |
$69.03
|
|
Shoe outflare wedge
|
$133.22 |
$133.22 |
$133.22 |
$117.35
|
|
Shoe post-op mens m
|
$327.70 |
$327.70 |
$327.70 |
$49.25
|
|
Shoe sole wedge between sole
|
$133.22 |
$133.22 |
$133.22 |
$117.35
|
|
Shoe sole wedge outside sole
|
$95.63 |
$95.63 |
$95.63 |
$84.24
|
|
Shoe wedge sach
|
$228.95 |
$228.95 |
$228.95 |
$201.67
|
|
Sho heel count plast reinfor
|
$430.45 |
$430.45 |
$430.45 |
$379.18
|
|
Sho insert w arch toe filler
|
$1,389.97 |
$1,389.97 |
$1,389.97 |
$1,242.39
|
|
Sho lift taper to metatarsal
|
$140.08 |
$140.08 |
$140.08 |
$111.14
|
|
Shoulder MRI (with and without contrast)
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,332.20 |
$2,332.20 |
$2,332.20 |
$2,110.00
|
|
Shoulder X-ray
|
$388.80 |
$388.80 |
$388.80 |
$343.70
|
|
Shrinker prosth above knee
|
$226.83 |
$226.83 |
$226.83 |
$168.89
|
|
Shrinker prosth below knee
|
$159.56 |
$159.56 |
$159.56 |
$140.56
|
|
Shunt glaucoma baerveldt 350mm
|
$8,639.45 |
$8,639.45 |
$8,639.45 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$341.40 |
$341.40 |
$341.40 |
$345.00
|
|
Sickling rbc
|
$48.60 |
$48.60 |
$48.60 |
$54.00
|
|
Sincalide 5 mcg solution for injection
|
$532.32 |
$532.32 |
$532.32 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,390.00 |
$3,390.00 |
$3,390.00 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$2,947.80 |
$2,947.80 |
$2,947.80 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$1,281.80
|
|
Sio flex pelvisacral custom
|
$717.94 |
$717.94 |
$717.94 |
$632.41
|
|
Sio rig pnl pelv/sac pre ots
|
$475.38 |
$475.38 |
$475.38 |
$475.38
|
|
Skin Biopsy
|
$233.40 |
$233.40 |
$233.40 |
$357.00
|
|
Sleep Study (Polysomnography)
|
$4,838.40 |
$4,838.40 |
$4,838.40 |
$3,659.20
|
|
Sleeve fing rolyan med
|
$521.62 |
$521.62 |
$521.62 |
$197.40
|
|
Sling pelv split sam med
|
$231.59 |
$231.59 |
$231.59 |
$144.21
|
|
Sling suprapubic suburetheral
|
$20,255.87 |
$20,255.87 |
$20,255.87 |
$8,764.02
|
|
Smear fluorescent and/or acid fast stain
|
$75.00 |
$75.00 |
$75.00 |
$64.35
|
|
Smear gram stain
|
$60.60 |
$60.60 |
$60.60 |
$55.35
|
|
Smear nasal eosinophil
|
$51.60 |
$51.60 |
$51.60 |
$45.57
|
|
Smear special stain inclusion bodies/parasites
|
$93.60 |
$93.60 |
$93.60 |
$68.85
|
|
Smear wet mount
|
$88.80 |
$88.80 |
$88.80 |
$66.30
|
|
Smpd1 gene common variants
|
$327.60 |
$327.60 |
$327.60 |
$140.00
|
|
Snrpn/ube3a gene
|
$250.20 |
$250.20 |
$250.20 |
$228.80
|
|
So airplane w/wo joint cf
|
$2,889.57 |
$2,889.57 |
$2,889.57 |
$1,276.80
|
|
So cap design without jnts cf
|
$2,202.70 |
$2,202.70 |
$2,202.70 |
$694.40
|
|
Socket insert without lock mech
|
$1,459.98 |
$1,459.98 |
$1,459.98 |
$1,286.05
|
|
Sock fracture or equal each
|
$81.69 |
$81.69 |
$81.69 |
$76.65
|
|
Sodium 24 hour urine
|
$87.00 |
$87.00 |
$87.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$30.00 |
$30.00 |
$30.00 |
$44.34
|
|
Sodium chloride 0.9 % IV bolus
|
$46.20 |
$46.20 |
$46.20 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$30.00 |
$30.00 |
$30.00 |
$42.25
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$129.78 |
$129.78 |
$129.78 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$57.00 |
$57.00 |
$57.00 |
$45.00
|
|
Soft interface below knee se
|
$203.30 |
$203.30 |
$203.30 |
$181.69
|
|
So vest canvas/web pre ots
|
$429.08 |
$429.08 |
$429.08 |
$289.44
|
|
Specific gravity body fluid
|
$13.20 |
$13.20 |
$13.20 |
$21.55
|
|
Sperm antibody test
|
$107.40 |
$107.40 |
$107.40 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,941.20 |
$2,941.20 |
$2,941.20 |
$1,439.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$567.00 |
$567.00 |
$567.00 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$647.40 |
$647.40 |
$647.40 |
$536.34
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,238.84 |
$1,238.84 |
$1,238.84 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$160.57 |
$160.57 |
$160.57 |
$67.76
|
|
Splint finger fold over sm
|
$236.12 |
$236.12 |
$236.12 |
$106.50
|
|
Splint finger frog med
|
$240.29 |
$240.29 |
$240.29 |
$32.50
|
|
Splint rstrc wrst/cmc right med
|
$236.12 |
$236.12 |
$236.12 |
$96.88
|
|
Sputum specimen collection
|
$271.80 |
$271.80 |
$271.80 |
$171.52
|
|
St analysis behavior qualitative voice/resonance
|
$310.20 |
$310.20 |
$310.20 |
$295.10
|
|
Staph a dna amp probe
|
$164.40 |
$164.40 |
$164.40 |
$129.00
|
|
Static or dynami afo pre ots
|
$744.78 |
$744.78 |
$744.78 |
$292.87
|
|
Stent axios caut enh 15x10mm electrocaut
|
$53,739.45 |
$53,739.45 |
$53,739.45 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$43,197.24 |
$43,197.24 |
$43,197.24 |
$1,741.50
|
|
Stent bili rx wallflx 10x80 uncvr
|
$46,921.14 |
$46,921.14 |
$46,921.14 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$1,042.69 |
$1,042.69 |
$1,042.69 |
$4,604.83
|
|
Sterile water/saline, 10 ml
|
$30.00 |
$30.00 |
$30.00 |
$13.32
|
|
Sternal pad
|
$269.52 |
$269.52 |
$269.52 |
$237.41
|
|
St evaluate speech sound production
|
$310.20 |
$310.20 |
$310.20 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$310.20 |
$310.20 |
$310.20 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$321.60 |
$321.60 |
$321.60 |
$373.50
|
|
St evaluation swallow function
|
$447.60 |
$447.60 |
$447.60 |
$311.36
|
|
Stimulants synthetic
|
$167.40 |
$167.40 |
$167.40 |
$80.08
|
