|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$473.20 |
$473.20 |
$473.20 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$572.00 |
$572.00 |
$572.00 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,149.85 |
$1,149.85 |
$1,149.85 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$893.10 |
$893.10 |
$893.10 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$897.00 |
$897.00 |
$897.00 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$565.50 |
$565.50 |
$565.50 |
$527.80
|
|
Scan proc cranial extra
|
$12,604.29 |
$12,604.29 |
$12,604.29 |
$909.35
|
|
Scan proc cranial intra 61781
|
$23,273.07 |
$23,273.07 |
$23,273.07 |
$552.80
|
|
Sclerotherapy fluid collection pq w/img
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$6,701.14 |
$6,701.14 |
$6,701.14 |
$3,185.60
|
|
Scope uretscp lithovue dig disp
|
$5,679.70 |
$5,679.70 |
$5,679.70 |
$5,679.70
|
|
Scr c/v cyto,thinlayer,rescr
|
$79.30 |
$79.30 |
$79.30 |
$76.70
|
|
Screening Mammogram
|
$396.50 |
$396.50 |
$396.50 |
$287.12
|
|
Screening prostate cancer PSA
|
$137.80 |
$137.80 |
$137.80 |
$96.00
|
|
Screw cortex 2.0 x 10mm
|
$20,506.20 |
$20,506.20 |
$20,506.20 |
$22,380.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$33,514.00 |
$33,514.00 |
$33,514.00 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$405.60 |
$405.60 |
$405.60 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$12.35 |
$12.35 |
$12.35 |
$37.80
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$46.80 |
$46.80 |
$46.80 |
$59.89
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$78.00 |
$78.00 |
$78.00 |
$31.92
|
|
Semen analysis presence/motility
|
$455.00 |
$455.00 |
$455.00 |
$79.92
|
|
Sertraline (zoloft) - sendout
|
$228.80 |
$228.80 |
$228.80 |
$178.33
|
|
Set radiation therapy field
|
$41,018.25 |
$41,018.25 |
$41,018.25 |
$709.00
|
|
Set radiation therapy field
|
$42,805.75 |
$42,805.75 |
$42,805.75 |
$1,029.00
|
|
Set radiation therapy field
|
$32,940.70 |
$32,940.70 |
$32,940.70 |
$1,601.60
|
|
Sho arthrs srg bicp tenodsis
|
$15,264.24 |
$15,264.24 |
$15,264.24 |
$4,523.20
|
|
Sho arthrs srg lmtd dbrdmt
|
$9,822.99 |
$9,822.99 |
$9,822.99 |
$3,594.44
|
|
Sho arthrs srg lss&rescj ads
|
$7,864.82 |
$7,864.82 |
$7,864.82 |
$3,594.44
|
|
Sho arthrs srg rmvl loose/fb
|
$10,501.82 |
$10,501.82 |
$10,501.82 |
$3,594.44
|
|
Sho arthrs srg xtnsv dbrdmt
|
$10,351.64 |
$10,351.64 |
$10,351.64 |
$3,705.22
|
|
Shoe post-op mens m
|
$17.55 |
$17.55 |
$17.55 |
$29.76
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$13,811.32 |
$13,811.32 |
$13,811.32 |
$5,272.00
|
|
Shoulder MRI (with and without contrast)
|
$3,324.10 |
$3,324.10 |
$3,324.10 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$4,455.75 |
$4,455.75 |
$4,455.75 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,993.25 |
$2,993.25 |
$2,993.25 |
$1,938.28
|
|
Shoulder X-ray
|
$698.10 |
$698.10 |
$698.10 |
$307.20
|
|
Shrinker prosth below knee
|
$351.00 |
$351.00 |
$351.00 |
$90.54
|
|
Shunt glaucoma baerveldt 350mm
|
$3,168.75 |
$3,168.75 |
$3,168.75 |
$4,050.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$350.35 |
$350.35 |
$350.35 |
$342.54
|
|
Sialography s&i
|
$838.50 |
$838.50 |
$838.50 |
$403.70
|
|
Sialolithotomy 42330
|
$5,631.57 |
$5,631.57 |
$5,631.57 |
$3,424.00
|
|
Sickling rbc
|
$76.70 |
$76.70 |
$76.70 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$2,844.76 |
$2,844.76 |
$2,844.76 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$2,713.72 |
$2,713.72 |
$2,713.72 |
$1,594.50
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,427.22 |
$3,427.22 |
$3,427.22 |
$1,278.72
|
|
Sigmoidoscopy w/ablation
|
$3,364.21 |
$3,364.21 |
$3,364.21 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$5,258.76 |
$5,258.76 |
$5,258.76 |
$1,370.25
|
|
Sigmoidoscopy w/resection
|
$5,057.72 |
$5,057.72 |
$5,057.72 |
$3,035.44
|
|
Sigmoidoscopy w/tumr remove
|
$4,170.47 |
$4,170.47 |
$4,170.47 |
$1,350.83
|
|
Sigmoidoscopy w/ultrasound
|
$2,879.47 |
$2,879.47 |
$2,879.47 |
$1,233.60
|
|
Sigmoidoscopy w/us guide bx
|
$4,710.27 |
$4,710.27 |
$4,710.27 |
$1,388.56
|
|
Sig w/tndsc balloon dilation
|
$4,398.21 |
$4,398.21 |
$4,398.21 |
$1,364.66
|
|
Sildenafil citrate, 25 mg
|
$244.36 |
$244.36 |
$244.36 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$570.71 |
$570.71 |
$570.71 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,845.35 |
$1,845.35 |
$1,845.35 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$2,835.95 |
$2,835.95 |
$2,835.95 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$3,342.30 |
$3,342.30 |
$3,342.30 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$4,063.15 |
$4,063.15 |
$4,063.15 |
$2,052.67
|
|
Sipuleucel-t - su
|
$228,722.68 |
$228,722.68 |
$228,722.68 |
$55,945.97
|
|
Sirolimus, oral
|
$98.07 |
$98.07 |
$98.07 |
$19.16
|
|
Skin Biopsy
|
$896.35 |
$896.35 |
$896.35 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$5,398.90 |
$5,398.90 |
$5,398.90 |
$4,043.20
|
|
Sleep study unattended
|
$588.90 |
$588.90 |
$588.90 |
$631.55
|
|
Sling suprapubic suburetheral
|
$10,439.00 |
$10,439.00 |
$10,439.00 |
$7,586.40
|
|
Slp stdy unatnd w/anal
|
$536.25 |
$536.25 |
$536.25 |
$402.15
|
|
Sm-153 lexidron ther
|
$30,588.35 |
$30,588.35 |
$30,588.35 |
$11,993.80
|
|
Small bowel endoscopy
|
$4,478.67 |
$4,478.67 |
$4,478.67 |
$2,200.46
|
|
Small bowel endoscopy
|
$3,536.10 |
$3,536.10 |
$3,536.10 |
$2,101.52
|
|
Small bowel endoscopy
|
$4,008.62 |
$4,008.62 |
$4,008.62 |
$2,455.20
|
|
Small bowel endoscopy
|
$6,142.99 |
$6,142.99 |
$6,142.99 |
$1,104.13
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$5,625.48 |
$5,625.48 |
$5,625.48 |
$2,101.52
|
|
Small bowel endoscopy/biopsy
|
$3,858.47 |
$3,858.47 |
$3,858.47 |
$2,178.16
|
|
Small bowel endoscopy br/wa
|
$8,047.07 |
$8,047.07 |
$8,047.07 |
$1,247.13
|
|
Small bowel endoscopy br/wa
|
$3,763.27 |
$3,763.27 |
$3,763.27 |
$2,218.50
|
|
Smear fluorescent and/or acid fast stain
|
$68.90 |
$68.90 |
$68.90 |
$50.70
|
|
Smear gram stain
|
$85.80 |
$85.80 |
$85.80 |
$48.00
|
|
Smear nasal eosinophil
|
$62.40 |
$62.40 |
$62.40 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$109.85 |
$109.85 |
$109.85 |
$60.00
|
|
Smear wet mount
|
$156.00 |
$156.00 |
$156.00 |
$56.13
|
|
Snrpn/ube3a gene
|
$532.35 |
$532.35 |
$532.35 |
$228.80
|
|
Sodium 24 hour urine
|
$124.15 |
$124.15 |
$124.15 |
$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
|
$139.11 |
$139.11 |
$139.11 |
$28.46
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$831.15 |
$831.15 |
$831.15 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$51.35 |
$51.35 |
$51.35 |
$42.43
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$12.60 |
$12.60 |
$12.60 |
$8.89
|
|
Special physics consult
|
$32,940.70 |
$32,940.70 |
$32,940.70 |
$688.05
|
|
Special radiation dosimetry
|
$18,529.55 |
$18,529.55 |
$18,529.55 |
$482.08
|
|
Special radiation treatment
|
$46,255.32 |
$46,255.32 |
$46,255.32 |
$1,945.00
|
|
Special teletx port plan
|
$17,465.50 |
$17,465.50 |
$17,465.50 |
$975.60
|
|
Specific gravity body fluid
|
$42.90 |
$42.90 |
$42.90 |
$21.55
|
|
Specimen fat stain
|
$73.45 |
$73.45 |
$73.45 |
$40.00
|
|
Speech evaluation complex
|
$684.45 |
$684.45 |
$684.45 |
$409.97
|
|
Sperm antibody test
|
$107.25 |
$107.25 |
$107.25 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,848.30 |
$2,848.30 |
$2,848.30 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$887.25 |
$887.25 |
$887.25 |
$526.80
|
|
Splint finger frog med
|
$4.55 |
$4.55 |
$4.55 |
$73.50
|
