|
Rpr aa hrn rcr 3-10 ncr/strn
|
$32,205.67 |
$32,205.67 |
$32,205.67 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$51,890.84 |
$51,890.84 |
$51,890.84 |
$5,419.00
|
|
Rsv assay w/optic
|
$113.40 |
$113.40 |
$113.40 |
$82.68
|
|
Rubella antibody igg
|
$293.40 |
$293.40 |
$293.40 |
$76.86
|
|
Rubeola antibody igg
|
$229.80 |
$229.80 |
$229.80 |
$80.00
|
|
Russell viper venom diluted
|
$122.40 |
$122.40 |
$122.40 |
$72.45
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$10,105.32 |
$10,105.32 |
$10,105.32 |
$5,051.50
|
|
Sarscov coronavirus ag ia
|
$49.20 |
$49.20 |
$49.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$55.80 |
$55.80 |
$55.80 |
$105.00
|
|
Sclerotherapy fluid collection pq w/img
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$2,138.00
|
|
Scope plantar fasciotomy
|
$7,512.28 |
$7,512.28 |
$7,512.28 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$15,351.69 |
$15,351.69 |
$15,351.69 |
$4,705.11
|
|
Scr c/v cyto,thinlayer,rescr
|
$83.40 |
$83.40 |
$83.40 |
$84.80
|
|
Screen cerv/vag thin layer
|
$83.40 |
$83.40 |
$83.40 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$5,083.80 |
$5,083.80 |
$5,083.80 |
$1,700.40
|
|
Screening Colonoscopy (high risk)
|
$4,686.66 |
$4,686.66 |
$4,686.66 |
$1,864.80
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$47.40 |
$56.55
|
|
Screening Mammogram
|
$256.80 |
$256.80 |
$256.80 |
$313.35
|
|
Screening prostate cancer PSA
|
$178.80 |
$178.80 |
$178.80 |
$98.28
|
|
Screen pap by tech w md supv
|
$103.20 |
$103.20 |
$103.20 |
$53.46
|
|
Screw cortex 2.0 x 10mm
|
$283,203.20 |
$283,203.20 |
$283,203.20 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,540.80 |
$4,540.80 |
$4,540.80 |
$4,446.00
|
|
Sedimentation rate erythrocyte automated
|
$28.20 |
$28.20 |
$28.20 |
$43.20
|
|
Semen analysis presence/motility
|
$174.60 |
$174.60 |
$174.60 |
$75.40
|
|
Serpina1 gene
|
$115.80 |
$115.80 |
$115.80 |
$197.00
|
|
Set radiation therapy field
|
$1,792.20 |
$1,792.20 |
$1,792.20 |
$753.60
|
|
Set radiation therapy field
|
$1,327.80 |
$1,327.80 |
$1,327.80 |
$1,149.50
|
|
Set radiation therapy field
|
$1,863.60 |
$1,863.60 |
$1,863.60 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$1.50 |
$1.50 |
$1.50 |
$7.14
|
|
Sewho cap design without jnts cf
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$1,685.60
|
|
Sheath below knee
|
$38.15 |
$38.15 |
$38.15 |
$41.72
|
|
Sheath gldlight lasr 12fx50cm
|
$8,725.53 |
$8,725.53 |
$8,725.53 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$13,107.98 |
$13,107.98 |
$13,107.98 |
$8,264.23
|
|
Sho arthrs srg bicp tenodsis
|
$38,401.82 |
$38,401.82 |
$38,401.82 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$31,276.24 |
$31,276.24 |
$31,276.24 |
$5,886.74
|
|
Sho arthrs srg lss&rescj ads
|
$37,872.91 |
$37,872.91 |
$37,872.91 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$31,276.24 |
$31,276.24 |
$31,276.24 |
$5,855.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$32,649.79 |
$32,649.79 |
$32,649.79 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$117.35 |
$117.35 |
$117.35 |
$117.35
|
|
Shoe dennis browne splint bo
|
$102.37 |
$102.37 |
$102.37 |
$102.37
|
|
Shoe heel new leather standa
|
$96.31 |
$96.31 |
$96.31 |
$96.31
|
|
Shoe heel new rubber standar
|
$81.30 |
$81.30 |
$81.30 |
$63.70
|
|
Shoe heel pad & depress for
|
$147.43 |
$147.43 |
$147.43 |
$149.60
|
|
Shoe heel sach cushion type
|
$249.70 |
$249.70 |
$249.70 |
$228.09
|
|
Shoe heel thomas extend to b
|
$147.43 |
$147.43 |
$147.43 |
$147.43
|
|
Shoe heel thomas with wedge
|
$138.50 |
$138.50 |
$138.50 |
$138.50
|
|
Shoe lift elev heel/sole neo
|
$175.19 |
$175.19 |
$175.19 |
$175.19
|
|
Shoe metatarsal bar between
|
$219.65 |
$219.65 |
$219.65 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$96.31 |
$96.31 |
$96.31 |
$75.46
|
|
Shoe outflare wedge
|
$117.35 |
$117.35 |
$117.35 |
$113.50
|
|
Shoe post-op mens m
|
$288.67 |
$288.67 |
$288.67 |
$49.25
|
|
Shoe sole wedge between sole
|
$117.35 |
$117.35 |
$117.35 |
$107.24
|
|
Shoe sole wedge outside sole
|
$84.24 |
$84.24 |
$84.24 |
$77.00
|
|
Shoe wedge sach
|
$201.67 |
$201.67 |
$201.67 |
$184.24
|
|
Sho heel count plast reinfor
|
$379.18 |
$379.18 |
$379.18 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,224.38 |
$1,224.38 |
$1,224.38 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$123.39 |
$123.39 |
$123.39 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$37,872.91 |
$37,872.91 |
$37,872.91 |
$6,311.00
|
|
Shoulder X-ray
|
$466.20 |
$466.20 |
$466.20 |
$344.38
|
|
Shrinker prosth above knee
|
$199.81 |
$199.81 |
$199.81 |
$168.89
|
|
Shrinker prosth below knee
|
$140.56 |
$140.56 |
$140.56 |
$120.89
|
|
Shunt glaucoma baerveldt 350mm
|
$7,610.24 |
$7,610.24 |
$7,610.24 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$355.80
|
|
Sialography s&i
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$512.40
|
|
Sickling rbc
|
$54.00 |
$54.00 |
$54.00 |
$57.00
|
|
Sigmoidoscopy and biopsy
|
$4,685.34 |
$4,685.34 |
$4,685.34 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$5,648.24 |
$5,648.24 |
$5,648.24 |
$1,836.00
|
|
Sincalide 5 mcg solution for injection
|
$618.42 |
$618.42 |
$618.42 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$1,463.40 |
$1,463.40 |
$1,463.40 |
$1,547.59
|
|
Sinus CT scan (without contrast)
|
$1,300.20 |
$1,300.20 |
$1,300.20 |
$1,296.85
|
|
Sinus/juglr venogram s&i
|
$2,747.40 |
$2,747.40 |
$2,747.40 |
$2,500.80
|
|
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 |
$475.38
|
|
Sirolimus, oral
|
$16.20 |
$16.20 |
$16.20 |
$41.25
|
|
Skin Biopsy
|
$500.40 |
$500.40 |
$500.40 |
$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 |
$144.21
|
|
Sling suprapubic suburetheral
|
$17,842.81 |
$17,842.81 |
$17,842.81 |
$9,015.22
|
|
Small bowel endoscopy
|
$4,473.18 |
$4,473.18 |
$4,473.18 |
$2,371.85
|
|
Small bowel endoscopy/biopsy
|
$7,292.82 |
$7,292.82 |
$7,292.82 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$73.20 |
$73.20 |
$73.20 |
$64.48
|
|
Smear gram stain
|
$84.60 |
$84.60 |
$84.60 |
$55.20
|
|
Smear nasal eosinophil
|
$54.60 |
$54.60 |
$54.60 |
$46.50
|
|
Smear special stain inclusion bodies/parasites
|
$39.60 |
$39.60 |
$39.60 |
$72.00
|
|
Smear wet mount
|
$55.20 |
$55.20 |
$55.20 |
$67.49
|
|
Smpd1 gene common variants
|
$330.60 |
$330.60 |
$330.60 |
$140.00
|
|
Snrpn/ube3a gene
|
$252.60 |
$252.60 |
$252.60 |
$228.80
|
|
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 |
$864.00
|
|
Socket insert without lock mech
|
$1,286.05 |
$1,286.05 |
$1,286.05 |
$1,286.05
|
|
Sock fracture or equal each
|
$71.96 |
$71.96 |
$71.96 |
$74.51
|
|
Sodium 24 hour urine
|
$57.60 |
$57.60 |
$57.60 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$34.68 |
$34.68 |
$34.68 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$46.20 |
$46.20 |
$46.20 |
$44.34
|
|
Sodium chloride 0.9 % IV bolus
|
$72.60 |
$72.60 |
$72.60 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$36.30 |
$36.30 |
$36.30 |
$38.85
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$150.78 |
$150.78 |
$150.78 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$40.80 |
$40.80 |
$40.80 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.82 |
$8.82 |
$8.82 |
$177.52
|
