|
Shoe metatarsal bar wedge ro
|
$110.83 |
$110.83 |
$110.83 |
$69.03
|
|
Shoe outflare wedge
|
$135.04 |
$135.04 |
$135.04 |
$107.24
|
|
Shoe post-op mens m
|
$332.17 |
$332.17 |
$332.17 |
$52.20
|
|
Shoe sole wedge between sole
|
$135.04 |
$135.04 |
$135.04 |
$107.24
|
|
Shoe sole wedge outside sole
|
$96.94 |
$96.94 |
$96.94 |
$77.00
|
|
Shoe wedge sach
|
$232.07 |
$232.07 |
$232.07 |
$171.44
|
|
Sho heel count plast reinfor
|
$436.32 |
$436.32 |
$436.32 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,408.92 |
$1,408.92 |
$1,408.92 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$141.99 |
$141.99 |
$141.99 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$63,880.63 |
$63,880.63 |
$63,880.63 |
$7,807.24
|
|
Shoulder X-ray
|
$657.60 |
$657.60 |
$657.60 |
$339.50
|
|
Shrinker prosth above knee
|
$229.93 |
$229.93 |
$229.93 |
$168.89
|
|
Shrinker prosth below knee
|
$161.74 |
$161.74 |
$161.74 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$8,757.25 |
$8,757.25 |
$8,757.25 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$990.60 |
$990.60 |
$990.60 |
$349.20
|
|
Sialography s&i
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$499.20
|
|
Sickling rbc
|
$112.80 |
$112.80 |
$112.80 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$17,425.50 |
$17,425.50 |
$17,425.50 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$5,187.83 |
$5,187.83 |
$5,187.83 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$10,570.56 |
$10,570.56 |
$10,570.56 |
$1,444.83
|
|
Sigmoidoscopy w/tumr remove
|
$16,558.15 |
$16,558.15 |
$16,558.15 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$17,919.42 |
$17,919.42 |
$17,919.42 |
$1,740.57
|
|
Sincalide 5 mcg solution for injection
|
$2,371.86 |
$2,371.86 |
$2,371.86 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,933.40 |
$2,933.40 |
$2,933.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$3,558.60 |
$3,558.60 |
$3,558.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,218.80 |
$2,218.80 |
$2,218.80 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$3,802.80 |
$3,802.80 |
$3,802.80 |
$2,489.25
|
|
Sio flex pelvisacral custom
|
$727.73 |
$727.73 |
$727.73 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$481.86 |
$481.86 |
$481.86 |
$418.75
|
|
Sipuleucel-t - su
|
$187,807.50 |
$187,807.50 |
$187,807.50 |
$100,990.51
|
|
Sirolimus, oral
|
$126.36 |
$126.36 |
$126.36 |
$41.25
|
|
Skin Biopsy
|
$35,709.30 |
$35,709.30 |
$35,709.30 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$51,652.87 |
$51,652.87 |
$51,652.87 |
$1,793.40
|
|
Sleeve fing rolyan med
|
$528.73 |
$528.73 |
$528.73 |
$203.58
|
|
Sling pelv split sam med
|
$234.76 |
$234.76 |
$234.76 |
$150.00
|
|
Sling suprapubic suburetheral
|
$20,532.06 |
$20,532.06 |
$20,532.06 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$839.40 |
$839.40 |
$839.40 |
$285.09
|
|
Slp ther svc non-spch gen
|
$294.00 |
$294.00 |
$294.00 |
$188.50
|
|
Small bowel endoscopy
|
$7,961.34 |
$7,961.34 |
$7,961.34 |
$2,463.36
|
|
Small bowel endoscopy
|
$7,768.92 |
$7,768.92 |
$7,768.92 |
$1,620.78
|
|
Small bowel endoscopy/biopsy
|
$13,075.13 |
$13,075.13 |
$13,075.13 |
$2,413.20
|
|
Small bowel endoscopy br/wa
|
$17,670.09 |
$17,670.09 |
$17,670.09 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$144.00 |
$144.00 |
$144.00 |
$64.20
|
|
Smear gram stain
|
$115.20 |
$115.20 |
$115.20 |
$55.25
|
|
Smear nasal eosinophil
|
$112.80 |
$112.80 |
$112.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$102.60 |
$102.60 |
$102.60 |
$73.15
|
|
Smear wet mount
|
$102.60 |
$102.60 |
$102.60 |
$67.49
|
|
Smpd1 gene common variants
|
$145.20 |
$145.20 |
$145.20 |
$133.84
|
|
Snrpn/ube3a gene
|
$247.20 |
$247.20 |
$247.20 |
$231.85
|
|
So airplane w/wo joint cf
|
$2,928.97 |
$2,928.97 |
$2,928.97 |
$1,276.80
|
|
So cap design without jnts cf
|
$2,232.74 |
$2,232.74 |
$2,232.74 |
$606.35
|
|
Socket insert without lock mech
|
$1,479.88 |
$1,479.88 |
$1,479.88 |
$1,192.50
|
|
Sock fracture or equal each
|
$82.80 |
$82.80 |
$82.80 |
$74.51
|
|
Sodium 24 hour urine
|
$133.20 |
$133.20 |
$133.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$66.00 |
$66.00 |
$66.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$88.20 |
$88.20 |
$88.20 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$138.60 |
$138.60 |
$138.60 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$483.96 |
$483.96 |
$483.96 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$578.16 |
$578.16 |
$578.16 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$128.40 |
$128.40 |
$128.40 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$33.78 |
$33.78 |
$33.78 |
$177.52
|
|
Soft interface below knee se
|
$206.07 |
$206.07 |
$206.07 |
$179.08
|
|
So vest canvas/web pre ots
|
$434.93 |
$434.93 |
$434.93 |
$256.54
|
|
Sp bone algrft morsel add-on
|
$104,060.59 |
$104,060.59 |
$104,060.59 |
$498.55
|
|
Special physics consult
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$725.00
|
|
Special radiation dosimetry
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$392.50
|
|
Special radiation treatment
|
$381.60 |
$381.60 |
$381.60 |
$1,986.00
|
|
Special teletx port plan
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$1,086.99
|
|
Specific gravity body fluid
|
$67.80 |
$67.80 |
$67.80 |
$22.00
|
|
Sperm antibody test
|
$95.40 |
$95.40 |
$95.40 |
$57.85
|
|
Spinal bone allograftstructural 20931
|
$69,423.67 |
$69,423.67 |
$69,423.67 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$106,952.75 |
$106,952.75 |
$106,952.75 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,142.20 |
$3,142.20 |
$3,142.20 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$697.20 |
$697.20 |
$697.20 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,255.73 |
$1,255.73 |
$1,255.73 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$162.76 |
$162.76 |
$162.76 |
$68.25
|
|
Splint finger fold over sm
|
$239.35 |
$239.35 |
$239.35 |
$146.88
|
|
Splint finger frog med
|
$243.57 |
$243.57 |
$243.57 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$239.35 |
$239.35 |
$239.35 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$20,143.98 |
$20,143.98 |
$20,143.98 |
$4,619.65
|
|
Sputum specimen collection
|
$132.60 |
$132.60 |
$132.60 |
$180.00
|
|
Srs linear based
|
$16,900.20 |
$16,900.20 |
$16,900.20 |
$13,585.00
|
|
Srs multisource
|
$14,880.60 |
$14,880.60 |
$14,880.60 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$297.60
|
|
Staph a dna amp probe
|
$156.00 |
$156.00 |
$156.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$754.94 |
$754.94 |
$754.94 |
$284.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$90,876.77 |
$90,876.77 |
$90,876.77 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$54,472.18 |
$54,472.18 |
$54,472.18 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$43,786.23 |
$43,786.23 |
$43,786.23 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$47,560.91 |
$47,560.91 |
$47,560.91 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,056.91 |
$1,056.91 |
$1,056.91 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$92,315.63 |
$92,315.63 |
$92,315.63 |
$14,356.50
|
|
Stent placemt retro carotid
|
$19,841.40 |
$19,841.40 |
$19,841.40 |
$5,328.00
|
|
Sterile water/saline, 10 ml
|
$63.00 |
$63.00 |
$63.00 |
$13.32
|
|
Sternal pad
|
$273.20 |
$273.20 |
$273.20 |
$216.89
|
|
St evaluate speech sound production
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$399.60
|
|
St evaluation swallow function
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$314.40
|
|
Stimulants synthetic
|
$145.20 |
$145.20 |
$145.20 |
$80.08
|
