|
Sigmoidoscopy w/tumr remove
|
$9,776.46 |
$9,776.46 |
$9,776.46 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$9,776.46 |
$9,776.46 |
$9,776.46 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$6,129.96 |
$6,129.96 |
$6,129.96 |
$2,106.60
|
|
Sincalide 5 mcg solution for injection
|
$665.40 |
$665.40 |
$665.40 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,489.25
|
|
Sio flex pelvisacral custom
|
$957.62 |
$957.62 |
$957.62 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$634.08 |
$634.08 |
$634.08 |
$418.75
|
|
Sirolimus, oral
|
$29.04 |
$29.04 |
$29.04 |
$41.25
|
|
Skin Biopsy
|
$267.60 |
$267.60 |
$267.60 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$5,219.40 |
$5,219.40 |
$5,219.40 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$695.75 |
$695.75 |
$695.75 |
$203.58
|
|
Sling pelv split sam med
|
$308.92 |
$308.92 |
$308.92 |
$150.00
|
|
Sling suprapubic suburetheral
|
$27,018.16 |
$27,018.16 |
$27,018.16 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$64.20
|
|
Smear gram stain
|
$24.00 |
$24.00 |
$24.00 |
$55.25
|
|
Smear nasal eosinophil
|
$25.80 |
$25.80 |
$25.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$132.60 |
$132.60 |
$132.60 |
$73.15
|
|
Smear wet mount
|
$39.60 |
$39.60 |
$39.60 |
$67.49
|
|
Smpd1 gene common variants
|
$330.60 |
$330.60 |
$330.60 |
$133.84
|
|
Snrpn/ube3a gene
|
$248.40 |
$248.40 |
$248.40 |
$231.85
|
|
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 |
$606.35
|
|
Socket insert without lock mech
|
$1,947.38 |
$1,947.38 |
$1,947.38 |
$1,192.50
|
|
Sock fracture or equal each
|
$351.00 |
$351.00 |
$351.00 |
$74.51
|
|
Sodium 24 hour urine
|
$51.60 |
$51.60 |
$51.60 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$24.00 |
$24.00 |
$24.00 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$33.18 |
$33.18 |
$33.18 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$162.18 |
$162.18 |
$162.18 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,117.26 |
$1,117.26 |
$1,117.26 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$29.40 |
$29.40 |
$29.40 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$9.48 |
$9.48 |
$9.48 |
$177.52
|
|
Soft interface below knee se
|
$271.16 |
$271.16 |
$271.16 |
$179.08
|
|
So neo gsap dna mcrstl ins
|
$2,152.20 |
$2,152.20 |
$2,152.20 |
$2,296.00
|
|
So vest canvas/web pre ots
|
$572.33 |
$572.33 |
$572.33 |
$256.54
|
|
Special physics consult
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$725.00
|
|
Special radiation dosimetry
|
$556.80 |
$556.80 |
$556.80 |
$392.50
|
|
Special radiation treatment
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$1,986.00
|
|
Special teletx port plan
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$22.80 |
$22.80 |
$22.80 |
$22.00
|
|
Specimen fat stain
|
$24.00 |
$24.00 |
$24.00 |
$35.10
|
|
Sperm antibody test
|
$86.40 |
$86.40 |
$86.40 |
$57.85
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,652.42 |
$1,652.42 |
$1,652.42 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$214.18 |
$214.18 |
$214.18 |
$68.25
|
|
Splint finger fold over sm
|
$314.95 |
$314.95 |
$314.95 |
$146.88
|
|
Splint finger frog med
|
$320.52 |
$320.52 |
$320.52 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$314.95 |
$314.95 |
$314.95 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$5,788.26 |
$5,788.26 |
$5,788.26 |
$4,619.65
|
|
Srsf2 gene common variants
|
$331.80 |
$331.80 |
$331.80 |
$227.66
|
|
Staph a dna amp probe
|
$165.60 |
$165.60 |
$165.60 |
$125.00
|
|
Static or dynami afo pre ots
|
$993.42 |
$993.42 |
$993.42 |
$284.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$71,680.02 |
$71,680.02 |
$71,680.02 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$57,618.36 |
$57,618.36 |
$57,618.36 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$62,585.46 |
$62,585.46 |
$62,585.46 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,390.79 |
$1,390.79 |
$1,390.79 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$24.00 |
$24.00 |
$24.00 |
$13.32
|
|
Sternal pad
|
$359.50 |
$359.50 |
$359.50 |
$216.89
|
|
Stimulants synthetic
|
$185.40 |
$185.40 |
$185.40 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$56.03 |
$56.03 |
$56.03 |
$31.58
|
|
Straight knee joint heavy du
|
$526.47 |
$526.47 |
$526.47 |
$317.69
|
|
Strep a ag ia
|
$10.80 |
$10.80 |
$10.80 |
$75.40
|
|
Strep b assay w/optic
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$80.16
|
|
Strep b dna amp probe
|
$94.80 |
$94.80 |
$94.80 |
$120.90
|
|
Str markers specimen anal
|
$948.00 |
$948.00 |
$948.00 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$52.31
|
|
Suction lipectomy lwr extrem
|
$40,666.80 |
$40,666.80 |
$40,666.80 |
$5,339.00
|
|
Suction lipectomy trunk
|
$34,059.44 |
$34,059.44 |
$34,059.44 |
$4,332.25
|
|
Suction lipectomy upr extrem
|
$40,666.80 |
$40,666.80 |
$40,666.80 |
$4,544.00
|
|
Sugars single quant
|
$338.40 |
$338.40 |
$338.40 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$7,950.48 |
$7,950.48 |
$7,950.48 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$63.96 |
$63.96 |
$63.96 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$907.15 |
$907.15 |
$907.15 |
$94.19
|
|
Surg dx exam anorectal
|
$10,211.93 |
$10,211.93 |
$10,211.93 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$37.20 |
$37.20 |
$37.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$52.80 |
$52.80 |
$52.80 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$97.80 |
$97.80 |
$97.80 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$91.80 |
$91.80 |
$91.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$456.00 |
$456.00 |
$456.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$96.60 |
$96.60 |
$96.60 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$298.20 |
$298.20 |
$298.20 |
$35.70
|
|
Susceptibility mic per plate
|
$321.60 |
$321.60 |
$321.60 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$63.60 |
$63.60 |
$63.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$380.64 |
$380.64 |
$380.64 |
$251.38
|
|
Svc venogram s&i
|
$2,668.20 |
$2,668.20 |
$2,668.20 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$85.20 |
$85.20 |
$85.20 |
$125.40
|
|
Synvisc or synvisc-one
|
$2,150.34 |
$2,150.34 |
$2,150.34 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$49.80 |
$49.80 |
$49.80 |
$41.60
|
|
System cardiomems hosp electronics
|
$75,499.92 |
$75,499.92 |
$75,499.92 |
$39,037.95
|
|
System pacing micra av
|
$66,360.46 |
$66,360.46 |
$66,360.46 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$32,063.62 |
$32,063.62 |
$32,063.62 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$18,041.51 |
$18,041.51 |
$18,041.51 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$37.20 |
$37.20 |
$37.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$36.00 |
$36.00 |
$36.00 |
$93.52
|
|
T4 (thyroxine) free
|
$65.40 |
$65.40 |
$65.40 |
$85.20
|
|
T4 (thyroxine) total
|
$88.80 |
$88.80 |
$88.80 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.72 |
$9.72 |
$9.72 |
$9.84
|
