|
Screening Mammogram
|
$307.80 |
$307.80 |
$307.80 |
$312.55
|
|
Screening prostate cancer PSA
|
$127.80 |
$127.80 |
$127.80 |
$100.63
|
|
Screen pap by tech w md supv
|
$82.20 |
$82.20 |
$82.20 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$285,385.32 |
$285,385.32 |
$285,385.32 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$47.40 |
$47.40 |
$47.40 |
$42.00
|
|
Semen analysis presence/motility
|
$82.80 |
$82.80 |
$82.80 |
$71.05
|
|
Serpina1 gene
|
$126.60 |
$126.60 |
$126.60 |
$197.00
|
|
Sevelamer carbonate 800 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$7.14
|
|
Sewho cap design without jnts cf
|
$3,645.81 |
$3,645.81 |
$3,645.81 |
$1,685.60
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$498.60 |
$498.60 |
$498.60 |
$314.00
|
|
Sheath below knee
|
$72.88 |
$72.88 |
$72.88 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$8,792.77 |
$8,792.77 |
$8,792.77 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$13,208.98 |
$13,208.98 |
$13,208.98 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$26,483.98 |
$26,483.98 |
$26,483.98 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$23,668.32 |
$23,668.32 |
$23,668.32 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$33,306.62 |
$33,306.62 |
$33,306.62 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$224.17 |
$224.17 |
$224.17 |
$111.56
|
|
Shoe dennis browne splint bo
|
$195.55 |
$195.55 |
$195.55 |
$93.52
|
|
Shoe heel new leather standa
|
$183.97 |
$183.97 |
$183.97 |
$88.03
|
|
Shoe heel new rubber standar
|
$155.29 |
$155.29 |
$155.29 |
$63.70
|
|
Shoe heel pad & depress for
|
$263.42 |
$263.42 |
$263.42 |
$149.60
|
|
Shoe heel sach cushion type
|
$446.15 |
$446.15 |
$446.15 |
$228.09
|
|
Shoe heel thomas extend to b
|
$263.42 |
$263.42 |
$263.42 |
$134.68
|
|
Shoe heel thomas with wedge
|
$247.48 |
$247.48 |
$247.48 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$313.03 |
$313.03 |
$313.03 |
$175.04
|
|
Shoe metatarsal bar between
|
$392.46 |
$392.46 |
$392.46 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$183.97 |
$183.97 |
$183.97 |
$69.03
|
|
Shoe outflare wedge
|
$224.17 |
$224.17 |
$224.17 |
$107.24
|
|
Shoe post-op mens m
|
$477.18 |
$477.18 |
$477.18 |
$52.20
|
|
Shoe sole wedge between sole
|
$224.17 |
$224.17 |
$224.17 |
$107.24
|
|
Shoe sole wedge outside sole
|
$160.91 |
$160.91 |
$160.91 |
$77.00
|
|
Shoe wedge sach
|
$360.34 |
$360.34 |
$360.34 |
$171.44
|
|
Sho heel count plast reinfor
|
$626.80 |
$626.80 |
$626.80 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,233.82 |
$1,233.82 |
$1,233.82 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$235.70 |
$235.70 |
$235.70 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$27,737.80 |
$27,737.80 |
$27,737.80 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$5,778.00 |
$5,778.00 |
$5,778.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$5,467.80 |
$5,467.80 |
$5,467.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$5,283.00 |
$5,283.00 |
$5,283.00 |
$2,065.05
|
|
Shoulder X-ray
|
$361.80 |
$361.80 |
$361.80 |
$339.50
|
|
Shrinker prosth above knee
|
$357.01 |
$357.01 |
$357.01 |
$168.89
|
|
Shrinker prosth below knee
|
$251.14 |
$251.14 |
$251.14 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$7,668.88 |
$7,668.88 |
$7,668.88 |
$4,636.80
|
|
Sickling rbc
|
$40.80 |
$40.80 |
$40.80 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$8,742.18 |
$8,742.18 |
$8,742.18 |
$1,351.63
|
|
Sincalide 5 mcg solution for injection
|
$489.24 |
$489.24 |
$489.24 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$1,292.04
|
|
Sio flex pelvisacral custom
|
$886.07 |
$886.07 |
$886.07 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$638.38 |
$638.38 |
$638.38 |
$418.75
|
|
Sirolimus, oral
|
$22.26 |
$22.26 |
$22.26 |
$41.25
|
|
Skin Biopsy
|
$241.80 |
$241.80 |
$241.80 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$4,635.60 |
$4,635.60 |
$4,635.60 |
$3,607.50
|
|
Sleep study unattended
|
$613.80 |
$613.80 |
$613.80 |
$580.87
|
|
Sleeve fing rolyan med
|
$700.47 |
$700.47 |
$700.47 |
$203.58
|
|
Sling pelv split sam med
|
$364.51 |
$364.51 |
$364.51 |
$150.00
|
|
Sling suprapubic suburetheral
|
$17,980.29 |
$17,980.29 |
$17,980.29 |
$9,679.96
|
|
Slitting of prepuce
|
$7,957.44 |
$7,957.44 |
$7,957.44 |
$3,365.50
|
|
Smear fluorescent and/or acid fast stain
|
$124.20 |
$124.20 |
$124.20 |
$64.20
|
|
Smear gram stain
|
$66.00 |
$66.00 |
$66.00 |
$55.25
|
|
Smear nasal eosinophil
|
$28.20 |
$28.20 |
$28.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$153.60 |
$153.60 |
$153.60 |
$73.15
|
|
Smear wet mount
|
$52.20 |
$52.20 |
$52.20 |
$67.49
|
|
Smpd1 gene common variants
|
$152.40 |
$152.40 |
$152.40 |
$133.84
|
|
Snrpn/ube3a gene
|
$328.20 |
$328.20 |
$328.20 |
$231.85
|
|
So airplane w/wo joint cf
|
$2,564.95 |
$2,564.95 |
$2,564.95 |
$1,276.80
|
|
So cap design without jnts cf
|
$1,955.24 |
$1,955.24 |
$1,955.24 |
$606.35
|
|
Socket insert without lock mech
|
$1,295.96 |
$1,295.96 |
$1,295.96 |
$1,192.50
|
|
Sock fracture or equal each
|
$137.45 |
$137.45 |
$137.45 |
$74.51
|
|
Sodium 24 hour urine
|
$103.20 |
$103.20 |
$103.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$9.30 |
$9.30 |
$9.30 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$9.00 |
$9.00 |
$9.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$9.00 |
$9.00 |
$9.00 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$28.74 |
$28.74 |
$28.74 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$119.28 |
$119.28 |
$119.28 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$49.80 |
$49.80 |
$49.80 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$177.52
|
|
Soft interface below knee se
|
$319.97 |
$319.97 |
$319.97 |
$179.08
|
|
So vest canvas/web pre ots
|
$624.80 |
$624.80 |
$624.80 |
$256.54
|
|
Specific gravity body fluid
|
$19.20 |
$19.20 |
$19.20 |
$22.00
|
|
Sperm antibody test
|
$82.20 |
$82.20 |
$82.20 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$1,439.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$571.20 |
$571.20 |
$571.20 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$756.00 |
$756.00 |
$756.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,099.66 |
$1,099.66 |
$1,099.66 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$252.73 |
$252.73 |
$252.73 |
$68.25
|
|
Splint finger fold over sm
|
$371.64 |
$371.64 |
$371.64 |
$146.88
|
|
Splint finger frog med
|
$378.20 |
$378.20 |
$378.20 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$371.64 |
$371.64 |
$371.64 |
$99.04
|
|
Sputum specimen collection
|
$156.00 |
$156.00 |
$156.00 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$358.20 |
$358.20 |
$358.20 |
$297.60
|
|
Staph a dna amp probe
|
$256.80 |
$256.80 |
$256.80 |
$125.00
|
|
Static or dynami afo pre ots
|
$828.11 |
$828.11 |
$828.11 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$171.00 |
$171.00 |
$171.00 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,702.26 |
$47,702.26 |
$47,702.26 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$38,344.38 |
$38,344.38 |
$38,344.38 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,649.93 |
$41,649.93 |
$41,649.93 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,043.62 |
$1,043.62 |
$1,043.62 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$9.00 |
$9.00 |
$9.00 |
$13.32
|
