|
Skin Biopsy
|
$188.50 |
$188.50 |
$188.50 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$3,593.20 |
$3,593.20 |
$3,593.20 |
$3,936.80
|
|
Sleep study unattended
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$595.50
|
|
Sleeve fing rolyan med
|
$401.32 |
$401.32 |
$401.32 |
$167.31
|
|
Sling arm deluxe w/pad xs
|
$18.64 |
$18.64 |
$18.64 |
$25.55
|
|
Sling pelv split sam med
|
$86.52 |
$86.52 |
$86.52 |
$115.20
|
|
Sling suprapubic suburetheral
|
$4,499.24 |
$4,499.24 |
$4,499.24 |
$10,328.15
|
|
Slp pure tone screening
|
$67.60 |
$67.60 |
$67.60 |
$67.60
|
|
Small bowel endoscopy
|
$2,466.10 |
$2,466.10 |
$2,466.10 |
$2,466.10
|
|
Small bowel endoscopy
|
$2,554.50 |
$2,554.50 |
$2,554.50 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,951.65 |
$2,951.65 |
$2,951.65 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,518.10 |
$2,518.10 |
$2,518.10 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,961.40 |
$2,961.40 |
$2,961.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,265.60 |
$3,265.60 |
$3,265.60 |
$2,734.20
|
|
Small bowel endoscopy
|
$2,815.15 |
$2,815.15 |
$2,815.15 |
$1,294.80
|
|
Small bowel endoscopy
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,984.80 |
$2,984.80 |
$2,984.80 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$2,481.70 |
$2,481.70 |
$2,481.70 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,490.15 |
$2,490.15 |
$2,490.15 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,681.25 |
$2,681.25 |
$2,681.25 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$4,980.30 |
$4,980.30 |
$4,980.30 |
$6,104.15
|
|
Smear fluorescent and/or acid fast stain
|
$108.55 |
$108.55 |
$108.55 |
$64.20
|
|
Smear gram stain
|
$81.90 |
$81.90 |
$81.90 |
$57.85
|
|
Smear nasal eosinophil
|
$155.35 |
$155.35 |
$155.35 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$417.95 |
$417.95 |
$417.95 |
$64.35
|
|
Smear wet mount
|
$192.40 |
$192.40 |
$192.40 |
$68.63
|
|
Smn1 gene full gene sequence
|
$1,309.10 |
$1,309.10 |
$1,309.10 |
$495.69
|
|
Smpd1 gene common variants
|
$770.25 |
$770.25 |
$770.25 |
$140.00
|
|
Snrpn/ube3a gene
|
$678.60 |
$678.60 |
$678.60 |
$228.80
|
|
Sodium 24 hour urine
|
$74.10 |
$74.10 |
$74.10 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$46.38 |
$46.38 |
$46.38 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$57.26 |
$57.26 |
$57.26 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$45.01 |
$45.01 |
$45.01 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$11.66 |
$11.66 |
$11.66 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$9.75 |
$9.75 |
$9.75 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$2.79 |
$2.79 |
$2.79 |
$195.48
|
|
So gsap cl fr cpy nmbr&mcrst
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$1,345.31
|
|
So neo gsap dna/dna&rna
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$7,410.00 |
$7,410.00 |
$7,410.00 |
$2,332.88
|
|
Special physics consult
|
$3,096.60 |
$3,096.60 |
$3,096.60 |
$700.74
|
|
Special radiation dosimetry
|
$1,058.20 |
$1,058.20 |
$1,058.20 |
$445.50
|
|
Special radiation treatment
|
$4,132.70 |
$4,132.70 |
$4,132.70 |
$1,934.03
|
|
Special teletx port plan
|
$7,567.30 |
$7,567.30 |
$7,567.30 |
$1,046.65
|
|
Specimen fat stain
|
$35.10 |
$35.10 |
$35.10 |
$32.76
|
|
Sperm antibody test
|
$279.50 |
$279.50 |
$279.50 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$632.45 |
$632.45 |
$632.45 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$952.38 |
$952.38 |
$952.38 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$28.62 |
$28.62 |
$28.62 |
$52.65
|
|
Splint finger fold over sm
|
$30.62 |
$30.62 |
$30.62 |
$84.00
|
|
Splint finger frog med
|
$12.64 |
$12.64 |
$12.64 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$181.02 |
$181.02 |
$181.02 |
$101.18
|
|
Split blood or products
|
$225.55 |
$225.55 |
$225.55 |
$148.98
|
|
Srs linear based
|
$7,036.90 |
$7,036.90 |
$7,036.90 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$128.05 |
$128.05 |
$128.05 |
$300.00
|
|
Staph a dna amp probe
|
$213.85 |
$213.85 |
$213.85 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$215.15 |
$215.15 |
$215.15 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$40,493.70 |
$40,493.70 |
$40,493.70 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,132.97 |
$4,132.97 |
$4,132.97 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$309.20 |
$309.20 |
$309.20 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$8,799.56 |
$8,799.56 |
$8,799.56 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$30,936.10 |
$30,936.10 |
$30,936.10 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,123.60 |
$4,123.60 |
$4,123.60 |
$9,276.80
|
|
Stent placemt retro carotid
|
$28,271.10 |
$28,271.10 |
$28,271.10 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$39,973.70 |
$39,973.70 |
$39,973.70 |
$19,765.20
|
|
St evaluate speech sound production
|
$124.15 |
$124.15 |
$124.15 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$254.15 |
$254.15 |
$254.15 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$334.75 |
$334.75 |
$334.75 |
$406.40
|
|
St evaluation swallow function
|
$316.55 |
$316.55 |
$316.55 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$652.60 |
$652.60 |
$652.60 |
$248.05
|
|
Strapping of hand or finger
|
$969.80 |
$969.80 |
$969.80 |
$194.40
|
|
Strapping of toes 29550
|
$214.50 |
$214.50 |
$214.50 |
$185.36
|
|
Strep a dna dir probe
|
$165.10 |
$165.10 |
$165.10 |
$50.40
|
|
Strep b dna amp probe
|
$179.40 |
$179.40 |
$179.40 |
$139.20
|
|
Stress test pulmonary
|
$399.75 |
$399.75 |
$399.75 |
$327.20
|
|
Str markers spec anal addl
|
$345.80 |
$345.80 |
$345.80 |
$468.00
|
|
Str markers specimen anal
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$835.28
|
|
St treatment speech individual
|
$303.55 |
$303.55 |
$303.55 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$282.10 |
$282.10 |
$282.10 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$26.62 |
$26.62 |
$26.62 |
$49.13
|
|
Sugars single quant
|
$203.45 |
$203.45 |
$203.45 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$134.81 |
$134.81 |
$134.81 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$206.05 |
$206.05 |
$206.05 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$39.40 |
$39.40 |
$39.40 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$103.16 |
$103.16 |
$103.16 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$143.00 |
$143.00 |
$143.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$232.05 |
$232.05 |
$232.05 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$268.45 |
$268.45 |
$268.45 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$590.20 |
$590.20 |
$590.20 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$494.00 |
$494.00 |
$494.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$631.15 |
$631.15 |
$631.15 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$72.15 |
$72.15 |
$72.15 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$50.70 |
$50.70 |
$50.70 |
$34.48
|
|
Susceptibility mic per plate
|
$248.30 |
$248.30 |
$248.30 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$308.75 |
$308.75 |
$308.75 |
$48.30
|
|
Svc venogram s&i
|
$2,289.30 |
$2,289.30 |
$2,289.30 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,232.66
|
