|
Sigmoidoscopy and biopsy
|
$46.46 |
$46.46 |
$46.46 |
$1,550.40
|
|
Sigmoidoscopy flex decompression 45337
|
$72.91 |
$72.91 |
$72.91 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$74.98 |
$74.98 |
$74.98 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$43.24 |
$43.24 |
$43.24 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$102.12 |
$102.12 |
$102.12 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$67.16 |
$67.16 |
$67.16 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$97.98 |
$97.98 |
$97.98 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$126.04 |
$126.04 |
$126.04 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$76.82 |
$76.82 |
$76.82 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$79.12 |
$79.12 |
$79.12 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$108.33 |
$108.33 |
$108.33 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$60.26 |
$60.26 |
$60.26 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$8.05 |
$8.05 |
$8.05 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$49.68 |
$49.68 |
$49.68 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$48.30 |
$48.30 |
$48.30 |
$614.00
|
|
Sincalide 5 mcg solution for injection
|
$109.99 |
$109.99 |
$109.99 |
$309.14
|
|
Single energy x-ray study
|
$7.13 |
$7.13 |
$7.13 |
$125.84
|
|
Single transfer toe-hand
|
$2,102.66 |
$2,102.66 |
$2,102.66 |
$7,413.38
|
|
Sinus CT scan (with and without contrast)
|
$2,360.82 |
$2,360.82 |
$2,360.82 |
$1,788.60
|
|
Sinus CT scan (with contrast)
|
$1,888.04 |
$1,888.04 |
$1,888.04 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$34.73 |
$34.73 |
$34.73 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$218.96 |
$218.96 |
$218.96 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$380.42 |
$380.42 |
$380.42 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$329.13 |
$329.13 |
$329.13 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$442.75 |
$442.75 |
$442.75 |
$345.24
|
|
Sinus X-ray (limited)
|
$354.20 |
$354.20 |
$354.20 |
$214.50
|
|
Skin and muscle repair face
|
$686.55 |
$686.55 |
$686.55 |
$4,332.25
|
|
Skin Biopsy
|
$581.35 |
$581.35 |
$581.35 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$434.01 |
$434.01 |
$434.01 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$68.54 |
$68.54 |
$68.54 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$475.87 |
$475.87 |
$475.87 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$470.12 |
$470.12 |
$470.12 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$70.84 |
$70.84 |
$70.84 |
$1,793.40
|
|
Skull base/brainstem surgery
|
$1,630.70 |
$1,630.70 |
$1,630.70 |
$3,770.91
|
|
Skull base/brainstem surgery
|
$2,708.02 |
$2,708.02 |
$2,708.02 |
$6,428.85
|
|
Skull X-ray (1 to 3 views)
|
$428.12 |
$428.12 |
$428.12 |
$297.00
|
|
Skull X-ray (complete)
|
$534.38 |
$534.38 |
$534.38 |
$417.50
|
|
Slco1b1 gene com variants
|
$120.52 |
$120.52 |
$120.52 |
$235.20
|
|
Sleep study attended
|
$1,940.40 |
$1,940.40 |
$1,940.40 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,721.41 |
$3,721.41 |
$3,721.41 |
$3,721.41
|
|
Sleep study unattended
|
$572.11 |
$572.11 |
$572.11 |
$594.00
|
|
Sleeve pneumonectomy
|
$1,938.67 |
$1,938.67 |
$1,938.67 |
$4,314.34
|
|
Sling suprapubic suburetheral
|
$5,101.69 |
$5,101.69 |
$5,101.69 |
$9,679.96
|
|
Slitting of prepuce
|
$72.22 |
$72.22 |
$72.22 |
$4,061.71
|
|
Slitting of prepuce
|
$91.31 |
$91.31 |
$91.31 |
$3,376.23
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$21.39 |
$21.39 |
$21.39 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$57.96 |
$57.96 |
$57.96 |
$285.09
|
|
Slp stdy unatnd w/anal
|
$25.99 |
$25.99 |
$25.99 |
$285.00
|
|
Slp ther svc non-spch gen
|
$165.55 |
$165.55 |
$165.55 |
$188.00
|
|
Small animal inoculation
|
$11.50 |
$11.50 |
$11.50 |
$23.24
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$716.10 |
$716.10 |
$716.10 |
$557.70
|
|
Small bowel endoscopy
|
$91.31 |
$91.31 |
$91.31 |
$2,596.41
|
|
Small bowel endoscopy
|
$129.95 |
$129.95 |
$129.95 |
$2,244.82
|
|
Small bowel endoscopy
|
$152.26 |
$152.26 |
$152.26 |
$2,638.57
|
|
Small bowel endoscopy
|
$155.94 |
$155.94 |
$155.94 |
$2,518.10
|
|
Small bowel endoscopy
|
$180.55 |
$180.55 |
$180.55 |
$2,638.57
|
|
Small bowel endoscopy
|
$244.03 |
$244.03 |
$244.03 |
$3,265.60
|
|
Small bowel endoscopy
|
$47.38 |
$47.38 |
$47.38 |
$2,088.00
|
|
Small bowel endoscopy
|
$97.75 |
$97.75 |
$97.75 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$121.67 |
$121.67 |
$121.67 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$115.92 |
$115.92 |
$115.92 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$100.97 |
$100.97 |
$100.97 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$189.52 |
$189.52 |
$189.52 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$37.03 |
$37.03 |
$37.03 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$53.82 |
$53.82 |
$53.82 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$169.51 |
$169.51 |
$169.51 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$36.19 |
$36.19 |
$36.19 |
$64.00
|
|
Smear gram stain
|
$27.72 |
$27.72 |
$27.72 |
$54.03
|
|
Smear nasal eosinophil
|
$37.73 |
$37.73 |
$37.73 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$39.27 |
$39.27 |
$39.27 |
$71.81
|
|
Smear wet mount
|
$37.73 |
$37.73 |
$37.73 |
$66.30
|
|
Smn1 gene full gene sequence
|
$207.92 |
$207.92 |
$207.92 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$127.88 |
$127.88 |
$127.88 |
$255.58
|
|
Smpd1 gene common variants
|
$32.66 |
$32.66 |
$32.66 |
$133.84
|
|
Sodium 24 hour urine
|
$33.88 |
$33.88 |
$33.88 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.38 |
$7.38 |
$7.38 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$3.22 |
$3.22 |
$3.22 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$41.06 |
$41.06 |
$41.06 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$6.16 |
$6.16 |
$6.16 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$102.40 |
$102.40 |
$102.40 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$31.57 |
$31.57 |
$31.57 |
$45.60
|
|
Somatosensory testing
|
$17.25 |
$17.25 |
$17.25 |
$816.00
|
|
So neo gsap dna/dna&rna
|
$8,747.20 |
$8,747.20 |
$8,747.20 |
$2,989.55
|
|
Sp bone agrft morsel add-on
|
$107.64 |
$107.64 |
$107.64 |
$406.40
|
|
Sp bone agrft struct add-on
|
$117.76 |
$117.76 |
$117.76 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$56.12 |
$56.12 |
$56.12 |
$498.55
|
|
Special physics consult
|
$582.89 |
$582.89 |
$582.89 |
$725.00
|
|
Special radiation dosimetry
|
$29.90 |
$29.90 |
$29.90 |
$392.73
|
|
Special radiation treatment
|
$2,538.69 |
$2,538.69 |
$2,538.69 |
$2,045.50
|
|
Special supplies phys/qhp
|
$4.14 |
$4.14 |
$4.14 |
$60.00
|
|
Special teletx port plan
|
$32.43 |
$32.43 |
$32.43 |
$1,086.99
|
|
Specific gravity body fluid
|
$22.33 |
$22.33 |
$22.33 |
$22.00
|
|
Specimen fat stain
|
$4.14 |
$4.14 |
$4.14 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$770.77 |
$770.77 |
$770.77 |
$380.00
|
|
Speech evaluation complex
|
$26.91 |
$26.91 |
$26.91 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$307.23 |
$307.23 |
$307.23 |
$248.84
|
|
Sperm antibody test
|
$70.07 |
$70.07 |
$70.07 |
$57.85
|
|
Sperm evaluation test
|
$13.34 |
$13.34 |
$13.34 |
$27.03
|
|
Sperm identification
|
$83.95 |
$83.95 |
$83.95 |
$101.55
|