|
Screw cortex 2.0 x 10mm
|
$9,606.60 |
$9,606.60 |
$9,606.60 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$880.20 |
$880.20 |
$880.20 |
$608.90
|
|
Sedimentation rate erythrocyte automated
|
$49.80 |
$49.80 |
$49.80 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$145.80 |
$145.80 |
$145.80 |
$96.60
|
|
Semen analysis presence/motility
|
$74.40 |
$74.40 |
$74.40 |
$70.40
|
|
Serpina1 gene
|
$345.60 |
$345.60 |
$345.60 |
$197.00
|
|
Set radiation therapy field
|
$794.40 |
$794.40 |
$794.40 |
$782.61
|
|
Set radiation therapy field
|
$1,485.60 |
$1,485.60 |
$1,485.60 |
$1,636.36
|
|
Shot (Injection into Muscle or Under the Skin)
|
$122.40 |
$122.40 |
$122.40 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$431.40 |
$431.40 |
$431.40 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$4,192.80 |
$4,192.80 |
$4,192.80 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$4,192.80 |
$4,192.80 |
$4,192.80 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$4,192.80 |
$4,192.80 |
$4,192.80 |
$2,088.20
|
|
Shoulder X-ray
|
$444.60 |
$444.60 |
$444.60 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$299.40 |
$299.40 |
$299.40 |
$264.00
|
|
Sialidase enzyme assay
|
$123.00 |
$123.00 |
$123.00 |
$54.99
|
|
Sickling rbc
|
$34.80 |
$34.80 |
$34.80 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$1,446.90
|
|
Sigmoidoscopy for bleeding
|
$1,829.40 |
$1,829.40 |
$1,829.40 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$2,539.80 |
$2,539.80 |
$2,539.80 |
$2,604.00
|
|
Sigmoidoscopy w/tumr remove
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$1,645.43
|
|
Sincalide 5 mcg solution for injection
|
$296.80 |
$296.80 |
$296.80 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,528.20 |
$1,528.20 |
$1,528.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$622.80 |
$622.80 |
$622.80 |
$347.10
|
|
Sinus X-ray (limited)
|
$297.00 |
$297.00 |
$297.00 |
$215.75
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$153.00 |
$153.00 |
$153.00 |
$14,361.10
|
|
Skin Biopsy
|
$823.80 |
$823.80 |
$823.80 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$380.40 |
$380.40 |
$380.40 |
$294.66
|
|
Skull X-ray (complete)
|
$790.20 |
$790.20 |
$790.20 |
$423.15
|
|
Skyla, 13.5 mg
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,986.40 |
$3,986.40 |
$3,986.40 |
$3,734.50
|
|
Sleep study unattended
|
$1,057.80 |
$1,057.80 |
$1,057.80 |
$594.00
|
|
Sling arm deluxe w/pad xs
|
$209.40 |
$209.40 |
$209.40 |
$30.35
|
|
Sling suprapubic suburetheral
|
$4,053.60 |
$4,053.60 |
$4,053.60 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$20,766.60 |
$20,766.60 |
$20,766.60 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$464.40 |
$464.40 |
$464.40 |
$557.70
|
|
Small bowel endoscopy
|
$3,080.40 |
$3,080.40 |
$3,080.40 |
$2,638.57
|
|
Small bowel endoscopy/biopsy
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,490.15
|
|
Smear fluorescent and/or acid fast stain
|
$66.00 |
$66.00 |
$66.00 |
$64.20
|
|
Smear gram stain
|
$36.60 |
$36.60 |
$36.60 |
$55.42
|
|
Smear nasal eosinophil
|
$52.20 |
$52.20 |
$52.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$85.20 |
$85.20 |
$85.20 |
$73.15
|
|
Smear wet mount
|
$67.80 |
$67.80 |
$67.80 |
$67.49
|
|
Sodium 24 hour urine
|
$54.60 |
$54.60 |
$54.60 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$43.40 |
$43.40 |
$43.40 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$268.80 |
$268.80 |
$268.80 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$55.40 |
$55.40 |
$55.40 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$22.80 |
$22.80 |
$22.80 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$56.20 |
$56.20 |
$56.20 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$32.40 |
$32.40 |
$32.40 |
$46.26
|
|
Special physics consult
|
$456.60 |
$456.60 |
$456.60 |
$725.00
|
|
Special radiation dosimetry
|
$250.80 |
$250.80 |
$250.80 |
$392.50
|
|
Special radiation treatment
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$2,052.00
|
|
Specific gravity body fluid
|
$16.80 |
$16.80 |
$16.80 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$404.40 |
$404.40 |
$404.40 |
$385.00
|
|
Speech Therapy Session (one-on-one)
|
$383.40 |
$383.40 |
$383.40 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$285.00 |
$285.00 |
$285.00 |
$251.00
|
|
Splint rstrc wrst/cmc right med
|
$128.40 |
$128.40 |
$128.40 |
$99.04
|
|
Split blood or products
|
$109.20 |
$109.20 |
$109.20 |
$129.50
|
|
Srs linear based
|
$6,391.80 |
$6,391.80 |
$6,391.80 |
$14,124.25
|
|
Stent bili dbl pgtl 10fx5cm
|
$379.80 |
$379.80 |
$379.80 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,408.60 |
$3,408.60 |
$3,408.60 |
$20,962.50
|
|
Sterile gauze <= 16 sq in
|
$0.60 |
$0.60 |
$0.60 |
$1.52
|
|
Sterile water/saline, 10 ml
|
$33.40 |
$33.40 |
$33.40 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$25.20 |
$25.20 |
$25.20 |
$28.11
|
|
St evaluate speech sound production
|
$404.40 |
$404.40 |
$404.40 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$580.20 |
$580.20 |
$580.20 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$576.60 |
$576.60 |
$576.60 |
$1,342.00
|
|
Strep a ag ia
|
$80.40 |
$80.40 |
$80.40 |
$75.40
|
|
Strep b dna amp probe
|
$318.00 |
$318.00 |
$318.00 |
$122.43
|
|
Str markers specimen anal
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$11.40 |
$11.40 |
$11.40 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$25,164.00 |
$25,164.00 |
$25,164.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.40 |
$0.40 |
$0.40 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$704.00 |
$704.00 |
$704.00 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$128.40 |
$128.40 |
$128.40 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$108.60 |
$108.60 |
$108.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$142.20 |
$142.20 |
$142.20 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$276.00 |
$276.00 |
$276.00 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$228.60 |
$228.60 |
$228.60 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$338.40 |
$338.40 |
$338.40 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$456.60 |
$456.60 |
$456.60 |
$720.75
|
|
Surgical trays
|
$350.40 |
$350.40 |
$350.40 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$72.00 |
$72.00 |
$72.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$44.40 |
$44.40 |
$44.40 |
$35.75
|
|
Susceptibility mic per plate
|
$142.20 |
$142.20 |
$142.20 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$72.60 |
$72.60 |
$72.60 |
$59.28
|
|
Svc venogram s&i
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$463.80 |
$463.80 |
$463.80 |
$316.55
|
|
Swallowing Therapy Session
|
$459.60 |
$459.60 |
$459.60 |
$240.31
|
|
Synvisc or synvisc-one
|
$60.60 |
$60.60 |
$60.60 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$67.80 |
$67.80 |
$67.80 |
$41.60
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,763.80 |
$6,763.80 |
$6,763.80 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$91.20 |
$91.20 |
$91.20 |
$100.32
|
