|
Scope uretscp lithovue dig disp
|
$1,207.10 |
$1,207.10 |
$1,207.10 |
$5,235.51
|
|
Screen cerv/vag thin layer
|
$87.29 |
$87.29 |
$87.29 |
$47.04
|
|
Screening HIV antigen/antibody combination assay
|
$78.36 |
$78.36 |
$78.36 |
$26.49
|
|
Screening Mammogram
|
$275.25 |
$275.25 |
$275.25 |
$303.55
|
|
Screening prostate cancer PSA
|
$80.84 |
$80.84 |
$80.84 |
$81.31
|
|
Screen pap by tech w md supv
|
$50.59 |
$50.59 |
$50.59 |
$27.65
|
|
Screw cortex 2.0 x 10mm
|
$4,017.04 |
$4,017.04 |
$4,017.04 |
$28,440.67
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$100.18 |
$100.18 |
$100.18 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,118.91 |
$3,118.91 |
$3,118.91 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$53.07 |
$53.07 |
$53.07 |
$44.20
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$108.61 |
$108.61 |
$108.61 |
$60.18
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$115.56 |
$115.56 |
$115.56 |
$32.86
|
|
Serpina1 gene
|
$328.31 |
$328.31 |
$328.31 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$76.38 |
$76.38 |
$76.38 |
$173.16
|
|
Set radiation therapy field
|
$1,031.54 |
$1,031.54 |
$1,031.54 |
$731.50
|
|
Set radiation therapy field
|
$1,547.31 |
$1,547.31 |
$1,547.31 |
$1,102.40
|
|
Set radiation therapy field
|
$1,778.41 |
$1,778.41 |
$1,778.41 |
$1,636.36
|
|
Sialography s&i
|
$343.68 |
$343.68 |
$343.68 |
$462.40
|
|
Sickling rbc
|
$63.98 |
$63.98 |
$63.98 |
$53.55
|
|
Simple cystometrogram 51725
|
$168.62 |
$168.62 |
$168.62 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$171.10 |
$171.10 |
$171.10 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,154.53 |
$1,154.53 |
$1,154.53 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$940.78 |
$940.78 |
$940.78 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$790.52 |
$790.52 |
$790.52 |
$1,279.50
|
|
Skin Biopsy
|
$120.02 |
$120.02 |
$120.02 |
$382.80
|
|
Sleep study attended
|
$1,484.82 |
$1,484.82 |
$1,484.82 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$2,972.61 |
$2,972.61 |
$2,972.61 |
$3,936.80
|
|
Sling suprapubic suburetheral
|
$1,833.46 |
$1,833.46 |
$1,833.46 |
$10,395.47
|
|
Slp pure tone screening
|
$54.56 |
$54.56 |
$54.56 |
$67.60
|
|
Sm-153 lexidron ther
|
$5,890.17 |
$5,890.17 |
$5,890.17 |
$11,563.30
|
|
Small bowel endoscopy br/wa
|
$464.20 |
$464.20 |
$464.20 |
$1,261.31
|
|
Smear fluorescent and/or acid fast stain
|
$59.52 |
$59.52 |
$59.52 |
$64.20
|
|
Smear gram stain
|
$52.57 |
$52.57 |
$52.57 |
$57.85
|
|
Smear nasal eosinophil
|
$45.63 |
$45.63 |
$45.63 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$146.30 |
$146.30 |
$146.30 |
$64.35
|
|
Smpd1 gene common variants
|
$332.28 |
$332.28 |
$332.28 |
$140.00
|
|
Snrpn/ube3a gene
|
$312.94 |
$312.94 |
$312.94 |
$228.80
|
|
Sodium 24 hour urine
|
$53.57 |
$53.57 |
$53.57 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$36.21 |
$36.21 |
$36.21 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$38.19 |
$38.19 |
$38.19 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$36.21 |
$36.21 |
$36.21 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$11.41 |
$11.41 |
$11.41 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$41.17 |
$41.17 |
$41.17 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$322.36 |
$322.36 |
$322.36 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$40.18 |
$40.18 |
$40.18 |
$42.70
|
|
Somatropin injection
|
$155.73 |
$155.73 |
$155.73 |
$339.59
|
|
Special physics consult
|
$479.57 |
$479.57 |
$479.57 |
$700.74
|
|
Special radiation dosimetry
|
$222.68 |
$222.68 |
$222.68 |
$445.50
|
|
Special radiation treatment
|
$954.17 |
$954.17 |
$954.17 |
$1,934.03
|
|
Special teletx port plan
|
$524.20 |
$524.20 |
$524.20 |
$1,046.65
|
|
Specific gravity body fluid
|
$22.32 |
$22.32 |
$22.32 |
$23.63
|
|
Specimen fat stain
|
$27.28 |
$27.28 |
$27.28 |
$32.76
|
|
Speech audiometry complete
|
$59.52 |
$59.52 |
$59.52 |
$104.25
|
|
Speech recep thresh
|
$37.20 |
$37.20 |
$37.20 |
$90.60
|
|
Sperm antibody test
|
$467.67 |
$467.67 |
$467.67 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$957.15 |
$957.15 |
$957.15 |
$1,502.08
|
|
Spleen imaging
|
$433.94 |
$433.94 |
$433.94 |
$539.70
|
|
Split blood or products
|
$104.15 |
$104.15 |
$104.15 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$6,002.75 |
$6,002.75 |
$6,002.75 |
$4,588.65
|
|
Stenger test speech
|
$80.84 |
$80.84 |
$80.84 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$12,407.19 |
$12,407.19 |
$12,407.19 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$9,801.08 |
$9,801.08 |
$9,801.08 |
$39,270.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$463.70 |
$463.70 |
$463.70 |
$1,206.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,079.03 |
$4,079.03 |
$4,079.03 |
$18,472.24
|
|
Stent bronch dumon sil 10x40mm
|
$548.50 |
$548.50 |
$548.50 |
$6,285.56
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,168.76 |
$9,168.76 |
$9,168.76 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,168.76 |
$9,168.76 |
$9,168.76 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,790.25 |
$11,790.25 |
$11,790.25 |
$19,765.20
|
|
Strapping of ankle and/or ft 29540
|
$84.81 |
$84.81 |
$84.81 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$23.31 |
$23.31 |
$23.31 |
$171.00
|
|
Strapping of hand or finger
|
$23.31 |
$23.31 |
$23.31 |
$194.40
|
|
Strapping of knee
|
$99.69 |
$99.69 |
$99.69 |
$224.80
|
|
Strapping of toes 29550
|
$99.69 |
$99.69 |
$99.69 |
$185.36
|
|
Streptomycin injection
|
$22.32 |
$22.32 |
$22.32 |
$100.00
|
|
Stress tte complete
|
$1,132.21 |
$1,132.21 |
$1,132.21 |
$1,964.95
|
|
Str markers specimen anal
|
$507.34 |
$507.34 |
$507.34 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$17.86 |
$17.86 |
$17.86 |
$49.13
|
|
Sugars single quant
|
$258.88 |
$258.88 |
$258.88 |
$52.47
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$21.83 |
$21.83 |
$21.83 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$113.08 |
$113.08 |
$113.08 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$129.94 |
$129.94 |
$129.94 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$146.80 |
$146.80 |
$146.80 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$168.62 |
$168.62 |
$168.62 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$197.39 |
$197.39 |
$197.39 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$224.17 |
$224.17 |
$224.17 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$104.15 |
$104.15 |
$104.15 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$38.69 |
$38.69 |
$38.69 |
$34.48
|
|
Susceptibility mic per plate
|
$102.17 |
$102.17 |
$102.17 |
$94.38
|
|
Svc venogram s&i
|
$1,531.44 |
$1,531.44 |
$1,531.44 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$97.70 |
$97.70 |
$97.70 |
$105.21
|
|
Synvisc or synvisc-one
|
$833.17 |
$833.17 |
$833.17 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$38.19 |
$38.19 |
$38.19 |
$44.85
|
|
System pacing micra av
|
$8,484.38 |
$8,484.38 |
$8,484.38 |
$22,733.55
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$2,635.38 |
$2,635.38 |
$2,635.38 |
$9,363.28
|
|
System sealant biosentry tract
|
$325.83 |
$325.83 |
$325.83 |
$888.00
|
|
T3 (triiodothyronine) free
|
$126.47 |
$126.47 |
$126.47 |
$89.82
|
|
T3 (triiodothyronine) total
|
$126.47 |
$126.47 |
$126.47 |
$94.90
|
|
T4 (thyroxine) free
|
$104.15 |
$104.15 |
$104.15 |
$81.60
|
|
T4 (thyroxine) total
|
$65.96 |
$65.96 |
$65.96 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$90.26 |
$90.26 |
$90.26 |
$122.40
|