|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$60.40 |
$60.40 |
$60.40 |
$60.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,731.30 |
$2,731.30 |
$2,731.30 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,069.25 |
$1,069.25 |
$1,069.25 |
$1,283.66
|
|
Rpl tun-cvad w subq port
|
$7,939.10 |
$7,939.10 |
$7,939.10 |
$4,341.66
|
|
Rpl tun cvc wo subq port
|
$6,474.00 |
$6,474.00 |
$6,474.00 |
$4,115.61
|
|
Rpr aa hrn 1st > 10 rdc
|
$18,776.91 |
$18,776.91 |
$18,776.91 |
$4,000.83
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$19,024.82 |
$19,024.82 |
$19,024.82 |
$3,849.30
|
|
Rpr aa hrn 1st 3-10 rdc
|
$18,091.21 |
$18,091.21 |
$18,091.21 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$8,080.66 |
$8,080.66 |
$8,080.66 |
$4,000.83
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$16,991.02 |
$16,991.02 |
$16,991.02 |
$6,397.53
|
|
Rsv assay w/optic
|
$167.70 |
$167.70 |
$167.70 |
$64.13
|
|
Rtm 1st set-up&pt educaj eqp
|
$211.90 |
$211.90 |
$211.90 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$69.55 |
$69.55 |
$69.55 |
$78.65
|
|
Rubella antibody igg
|
$86.45 |
$86.45 |
$86.45 |
$73.05
|
|
Rubeola antibody igg
|
$100.75 |
$100.75 |
$100.75 |
$80.00
|
|
Russell viper venom diluted
|
$94.25 |
$94.25 |
$94.25 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,654.71 |
$7,654.71 |
$7,654.71 |
$1,441.80
|
|
Sarscov coronavirus ag ia
|
$65.00 |
$65.00 |
$65.00 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$138.45 |
$138.45 |
$138.45 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,663.35 |
$1,663.35 |
$1,663.35 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,142.70 |
$1,142.70 |
$1,142.70 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$848.90 |
$848.90 |
$848.90 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$579.80 |
$579.80 |
$579.80 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$355.55 |
$355.55 |
$355.55 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$826.80 |
$826.80 |
$826.80 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$941.85 |
$941.85 |
$941.85 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$514.15 |
$514.15 |
$514.15 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$484.25 |
$484.25 |
$484.25 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$1,599.65 |
$1,599.65 |
$1,599.65 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$971.75 |
$971.75 |
$971.75 |
$5,679.70
|
|
Scr c/v cyto,thinlayer,rescr
|
$103.35 |
$103.35 |
$103.35 |
$76.70
|
|
Screening Mammogram
|
$378.95 |
$378.95 |
$378.95 |
$287.12
|
|
Screening prostate cancer PSA
|
$144.30 |
$144.30 |
$144.30 |
$96.00
|
|
Screw cortex 2.0 x 10mm
|
$9,668.10 |
$9,668.10 |
$9,668.10 |
$22,380.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$21,678.15 |
$21,678.15 |
$21,678.15 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$105.30 |
$105.30 |
$105.30 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$12.35 |
$12.35 |
$12.35 |
$37.80
|
|
Semen analysis presence/motility
|
$97.50 |
$97.50 |
$97.50 |
$79.92
|
|
Serial casting application 97139app
|
$52.00 |
$52.00 |
$52.00 |
$67.42
|
|
Sertraline (zoloft) - sendout
|
$167.05 |
$167.05 |
$167.05 |
$178.33
|
|
Set radiation therapy field
|
$34,757.45 |
$34,757.45 |
$34,757.45 |
$709.00
|
|
Set radiation therapy field
|
$1,387.75 |
$1,387.75 |
$1,387.75 |
$1,029.00
|
|
Set radiation therapy field
|
$34,758.54 |
$34,758.54 |
$34,758.54 |
$1,601.60
|
|
Sho arthrs srg lmtd dbrdmt
|
$15,968.34 |
$15,968.34 |
$15,968.34 |
$3,594.44
|
|
Sho arthrs srg xtnsv dbrdmt
|
$16,325.78 |
$16,325.78 |
$16,325.78 |
$3,705.22
|
|
Shoe post-op mens m
|
$83.85 |
$83.85 |
$83.85 |
$29.76
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$20,328.18 |
$20,328.18 |
$20,328.18 |
$5,272.00
|
|
Shoulder MRI (with and without contrast)
|
$4,520.10 |
$4,520.10 |
$4,520.10 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$4,248.40 |
$4,248.40 |
$4,248.40 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$4,181.45 |
$4,181.45 |
$4,181.45 |
$1,938.28
|
|
Shoulder X-ray
|
$577.85 |
$577.85 |
$577.85 |
$307.20
|
|
Shunt glaucoma baerveldt 350mm
|
$2,535.00 |
$2,535.00 |
$2,535.00 |
$4,050.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$274.95 |
$274.95 |
$274.95 |
$342.54
|
|
Sialography s&i
|
$583.70 |
$583.70 |
$583.70 |
$403.70
|
|
Sickling rbc
|
$60.45 |
$60.45 |
$60.45 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$3,423.52 |
$3,423.52 |
$3,423.52 |
$1,351.63
|
|
Sigmoidoscopy w/tumr remove
|
$2,340.13 |
$2,340.13 |
$2,340.13 |
$1,350.83
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$605.14 |
$605.14 |
$605.14 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,614.95 |
$2,614.95 |
$2,614.95 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$2,395.90 |
$2,395.90 |
$2,395.90 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$3,022.50 |
$3,022.50 |
$3,022.50 |
$2,052.67
|
|
Skin Biopsy
|
$336.70 |
$336.70 |
$336.70 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$5,136.95 |
$5,136.95 |
$5,136.95 |
$4,043.20
|
|
Sleep study unattended
|
$1,271.40 |
$1,271.40 |
$1,271.40 |
$631.55
|
|
Sling suprapubic suburetheral
|
$7,410.00 |
$7,410.00 |
$7,410.00 |
$7,586.40
|
|
Small bowel endoscopy br/wa
|
$1,735.50 |
$1,735.50 |
$1,735.50 |
$1,247.13
|
|
Smear fluorescent and/or acid fast stain
|
$97.50 |
$97.50 |
$97.50 |
$50.70
|
|
Smear gram stain
|
$79.95 |
$79.95 |
$79.95 |
$48.00
|
|
Smear nasal eosinophil
|
$65.65 |
$65.65 |
$65.65 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$98.80 |
$98.80 |
$98.80 |
$60.00
|
|
Smear wet mount
|
$79.30 |
$79.30 |
$79.30 |
$56.13
|
|
Snrpn/ube3a gene
|
$490.10 |
$490.10 |
$490.10 |
$228.80
|
|
Sodium 24 hour urine
|
$45.50 |
$45.50 |
$45.50 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$42.25 |
$42.25 |
$42.25 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$155.02 |
$155.02 |
$155.02 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$40.30 |
$40.30 |
$40.30 |
$42.43
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$14.04 |
$14.04 |
$14.04 |
$8.89
|
|
Special physics consult
|
$32,664.45 |
$32,664.45 |
$32,664.45 |
$688.05
|
|
Special radiation dosimetry
|
$906.75 |
$906.75 |
$906.75 |
$482.08
|
|
Special radiation treatment
|
$37,642.68 |
$37,642.68 |
$37,642.68 |
$1,945.00
|
|
Special teletx port plan
|
$21,500.70 |
$21,500.70 |
$21,500.70 |
$975.60
|
|
Specific gravity body fluid
|
$29.90 |
$29.90 |
$29.90 |
$21.55
|
|
Specimen fat stain
|
$58.50 |
$58.50 |
$58.50 |
$40.00
|
|
Speech evaluation complex
|
$642.85 |
$642.85 |
$642.85 |
$409.97
|
|
Sperm antibody test
|
$146.25 |
$146.25 |
$146.25 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,102.45 |
$3,102.45 |
$3,102.45 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$598.00 |
$598.00 |
$598.00 |
$526.80
|
|
Splint func pos polyflex ii med
|
$455.00 |
$455.00 |
$455.00 |
$149.40
|
|
Split blood or products
|
$100.75 |
$100.75 |
$100.75 |
$143.64
|
|
St analysis behavior qualitative voice/resonance
|
$429.00 |
$429.00 |
$429.00 |
$295.10
|
|
Staph a dna amp probe
|
$74.75 |
$74.75 |
$74.75 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$533.00 |
$533.00 |
$533.00 |
$313.96
|
|
Stent axios caut enh 15x10mm electrocaut
|
$8,447.40 |
$8,447.40 |
$8,447.40 |
$30,010.80
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,445.00 |
$3,445.00 |
$3,445.00 |
$1,512.00
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,270.80 |
$3,270.80 |
$3,270.80 |
$23,887.50
|
