|
Scan duplex upper extremity arteries unilateral/limited study left
|
$631.20 |
$631.20 |
$631.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$5,014.00 |
$5,014.00 |
$5,014.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$4,246.72 |
$4,246.72 |
$4,246.72 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$164.80 |
$164.80 |
$164.80 |
$85.15
|
|
Screening Mammogram
|
$160.40 |
$160.40 |
$160.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$113.20 |
$113.20 |
$113.20 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$22,680.00 |
$22,680.00 |
$22,680.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$4,377.50
|
|
Semen analysis w/count
|
$14.00 |
$14.00 |
$14.00 |
$56.44
|
|
Serpina1 gene
|
$1,413.20 |
$1,413.20 |
$1,413.20 |
$197.00
|
|
Set radiation therapy field
|
$726.80 |
$726.80 |
$726.80 |
$762.40
|
|
Set radiation therapy field
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,157.38
|
|
Set radiation therapy field
|
$1,843.60 |
$1,843.60 |
$1,843.60 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$4,151.70 |
$4,151.70 |
$4,151.70 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,146.80 |
$1,146.80 |
$1,146.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$974.00 |
$974.00 |
$974.00 |
$2,065.05
|
|
Shoulder X-ray
|
$183.60 |
$183.60 |
$183.60 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$201.60 |
$201.60 |
$201.60 |
$349.20
|
|
Sialidase enzyme assay
|
$42.40 |
$42.40 |
$42.40 |
$54.60
|
|
Sialography s&i
|
$458.00 |
$458.00 |
$458.00 |
$499.20
|
|
Sickling rbc
|
$43.20 |
$43.20 |
$43.20 |
$57.92
|
|
Sim ang w/prs cath rad emb
|
$18,145.20 |
$18,145.20 |
$18,145.20 |
$18,145.20
|
|
Sinus CT scan (with and without contrast)
|
$894.00 |
$894.00 |
$894.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$868.80 |
$868.80 |
$868.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$724.80 |
$724.80 |
$724.80 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,454.80 |
$1,454.80 |
$1,454.80 |
$2,489.25
|
|
Skin Biopsy
|
$642.80 |
$642.80 |
$642.80 |
$360.34
|
|
Sleep study attended
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,168.00 |
$2,168.00 |
$2,168.00 |
$3,607.50
|
|
Sleep study unattended
|
$414.00 |
$414.00 |
$414.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$115.50 |
$115.50 |
$115.50 |
$203.58
|
|
Sling suprapubic suburetheral
|
$10,386.99 |
$10,386.99 |
$10,386.99 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$5,058.40 |
$5,058.40 |
$5,058.40 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$71.20 |
$71.20 |
$71.20 |
$64.20
|
|
Smear gram stain
|
$70.80 |
$70.80 |
$70.80 |
$55.25
|
|
Smear nasal eosinophil
|
$22.00 |
$22.00 |
$22.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$92.00 |
$92.00 |
$92.00 |
$73.15
|
|
Smear wet mount
|
$16.40 |
$16.40 |
$16.40 |
$67.49
|
|
So cap design without jnts cf
|
$487.20 |
$487.20 |
$487.20 |
$606.35
|
|
Sock fracture or equal each
|
$19.74 |
$19.74 |
$19.74 |
$74.51
|
|
Sodium 24 hour urine
|
$31.20 |
$31.20 |
$31.20 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$27.20 |
$27.20 |
$27.20 |
$45.60
|
|
Somatosensory testing
|
$446.00 |
$446.00 |
$446.00 |
$816.00
|
|
Special physics consult
|
$1,733.60 |
$1,733.60 |
$1,733.60 |
$725.00
|
|
Special radiation dosimetry
|
$221.20 |
$221.20 |
$221.20 |
$392.50
|
|
Special radiation treatment
|
$2,562.80 |
$2,562.80 |
$2,562.80 |
$1,986.00
|
|
Special teletx port plan
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$1,086.99
|
|
Specific gravity body fluid
|
$22.00 |
$22.00 |
$22.00 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,276.80 |
$2,276.80 |
$2,276.80 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$184.80 |
$184.80 |
$184.80 |
$543.26
|
|
Spleen imaging
|
$628.80 |
$628.80 |
$628.80 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$240.24 |
$240.24 |
$240.24 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$30.24 |
$30.24 |
$30.24 |
$68.25
|
|
Splint finger frog med
|
$51.66 |
$51.66 |
$51.66 |
$38.08
|
|
Splint func pos polyflex ii med
|
$32.34 |
$32.34 |
$32.34 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$52.92 |
$52.92 |
$52.92 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,612.00 |
$4,612.00 |
$4,612.00 |
$4,619.65
|
|
Sr-89 stront chlor ther / mci
|
$3,343.20 |
$3,343.20 |
$3,343.20 |
$2,667.94
|
|
Srs linear based
|
$7,806.00 |
$7,806.00 |
$7,806.00 |
$13,585.00
|
|
Srs multisource
|
$34,165.20 |
$34,165.20 |
$34,165.20 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$146.80 |
$146.80 |
$146.80 |
$297.60
|
|
Staph a dna amp probe
|
$90.40 |
$90.40 |
$90.40 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$369.60 |
$369.60 |
$369.60 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,362.40 |
$11,362.40 |
$11,362.40 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$23,381.82 |
$23,381.82 |
$23,381.82 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$15,183.00 |
$15,183.00 |
$15,183.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$29,358.00 |
$29,358.00 |
$29,358.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,626.47 |
$4,626.47 |
$4,626.47 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,536.80 |
$8,536.80 |
$8,536.80 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,196.00 |
$4,196.00 |
$4,196.00 |
$9,008.54
|
|
Stent placemt retro carotid
|
$3,469.20 |
$3,469.20 |
$3,469.20 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,461.20 |
$8,461.20 |
$8,461.20 |
$17,271.50
|
|
Sterile needle
|
$57.12 |
$57.12 |
$57.12 |
$190.13
|
|
St evaluate speech sound production
|
$140.00 |
$140.00 |
$140.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$289.60 |
$289.60 |
$289.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$412.40 |
$412.40 |
$412.40 |
$399.60
|
|
St evaluation swallow function
|
$355.20 |
$355.20 |
$355.20 |
$314.40
|
|
Strep b dna amp probe
|
$99.60 |
$99.60 |
$99.60 |
$120.90
|
|
Stress test pulmonary
|
$495.20 |
$495.20 |
$495.20 |
$322.85
|
|
Stress tte complete
|
$2,234.00 |
$2,234.00 |
$2,234.00 |
$1,870.50
|
|
Str markers specimen anal
|
$432.00 |
$432.00 |
$432.00 |
$751.50
|
|
St treatment speech individual
|
$191.60 |
$191.60 |
$191.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$213.60 |
$213.60 |
$213.60 |
$240.31
|
|
Support clav 29.6-40.5in med
|
$10.50 |
$10.50 |
$10.50 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$157.60 |
$157.60 |
$157.60 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$157.60 |
$157.60 |
$157.60 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$145.60 |
$145.60 |
$145.60 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$134.80 |
$134.80 |
$134.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$171.20 |
$171.20 |
$171.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$358.00 |
$358.00 |
$358.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$156.00 |
$156.00 |
$156.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$60.00 |
$60.00 |
$60.00 |
$35.70
|
|
Susceptibility mic per plate
|
$2,317.60 |
$2,317.60 |
$2,317.60 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$323.20 |
$323.20 |
$323.20 |
$59.28
|
|
Svc venogram s&i
|
$1,709.20 |
$1,709.20 |
$1,709.20 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$180.40 |
$180.40 |
$180.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$26,428.50 |
$26,428.50 |
$26,428.50 |
$39,037.95
|
|
System pacing micra av
|
$15,435.00 |
$15,435.00 |
$15,435.00 |
$24,577.07
|
