|
Sperm isolation complex
|
$39.56 |
$39.56 |
$39.56 |
$176.28
|
|
Sperm isolation simple
|
$25.30 |
$25.30 |
$25.30 |
$126.05
|
|
Sperm washing 58323
|
$7.82 |
$7.82 |
$7.82 |
$238.06
|
|
Sphenoid sinus surgery
|
$439.76 |
$439.76 |
$439.76 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$483.00 |
$483.00 |
$483.00 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$71.30 |
$71.30 |
$71.30 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$59.80 |
$59.80 |
$59.80 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$354.20 |
$354.20 |
$354.20 |
$251.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$88.32 |
$88.32 |
$88.32 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$54.28 |
$54.28 |
$54.28 |
$242.25
|
|
Spleen imaging
|
$10.58 |
$10.58 |
$10.58 |
$679.00
|
|
Splenectomy total open 38100
|
$743.13 |
$743.13 |
$743.13 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$1,494.31 |
$1,494.31 |
$1,494.31 |
$2,547.00
|
|
Splicing of ureters
|
$742.44 |
$742.44 |
$742.44 |
$1,493.66
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$445.74 |
$445.74 |
$445.74 |
$4,687.20
|
|
Split blood or products
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$83.95 |
$83.95 |
$83.95 |
$1,612.78
|
|
Sputum specimen collection
|
$407.33 |
$407.33 |
$407.33 |
$180.00
|
|
Srs cranial lesion complex
|
$901.60 |
$901.60 |
$901.60 |
$3,244.00
|
|
Srs cranial lesion simple
|
$667.46 |
$667.46 |
$667.46 |
$3,145.05
|
|
Srs cran les complex addl
|
$195.04 |
$195.04 |
$195.04 |
$711.20
|
|
Srs cran les simple addl
|
$141.45 |
$141.45 |
$141.45 |
$719.20
|
|
Srs spinal lesion
|
$737.15 |
$737.15 |
$737.15 |
$2,631.20
|
|
Srs spinal lesion addl
|
$162.61 |
$162.61 |
$162.61 |
$591.20
|
|
St analysis behavior qualitative voice/resonance
|
$344.19 |
$344.19 |
$344.19 |
$295.10
|
|
Staph a dna amp probe
|
$24.38 |
$24.38 |
$24.38 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$462.00 |
$462.00 |
$462.00 |
$281.00
|
|
Stem cells total count
|
$53.82 |
$53.82 |
$53.82 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$52,541.72 |
$52,541.72 |
$52,541.72 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,733.76 |
$3,733.76 |
$3,733.76 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$79.38 |
$79.38 |
$79.38 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$971.75 |
$971.75 |
$971.75 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$33,182.38 |
$33,182.38 |
$33,182.38 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$24,887.17 |
$24,887.17 |
$24,887.17 |
$8,985.00
|
|
Stent placemt retro carotid
|
$685.40 |
$685.40 |
$685.40 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$52,541.72 |
$52,541.72 |
$52,541.72 |
$17,892.00
|
|
Stereoscopic x-ray guidance
|
$13.34 |
$13.34 |
$13.34 |
$136.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$921.15 |
$921.15 |
$921.15 |
$3,308.00
|
|
Stereotactic radiation trmt
|
$277.15 |
$277.15 |
$277.15 |
$845.60
|
|
Sternal debridement
|
$354.66 |
$354.66 |
$354.66 |
$1,318.40
|
|
St evaluate speech sound production
|
$358.82 |
$358.82 |
$358.82 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$341.88 |
$341.88 |
$341.88 |
$396.90
|
|
Stimulation of spinal cord
|
$376.28 |
$376.28 |
$376.28 |
$2,310.83
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,350.05
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$309.58 |
$309.58 |
$309.58 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$461.23 |
$461.23 |
$461.23 |
$223.45
|
|
Strapping of chest
|
$11.50 |
$11.50 |
$11.50 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$174.02 |
$174.02 |
$174.02 |
$157.46
|
|
Strapping of hand or finger
|
$174.02 |
$174.02 |
$174.02 |
$177.45
|
|
Strapping of hip
|
$11.96 |
$11.96 |
$11.96 |
$164.70
|
|
Strapping of knee
|
$377.30 |
$377.30 |
$377.30 |
$205.20
|
|
Strapping of toes 29550
|
$174.02 |
$174.02 |
$174.02 |
$164.70
|
|
Strep a ag ia
|
$11.50 |
$11.50 |
$11.50 |
$75.40
|
|
Strep a dna dir probe
|
$13.80 |
$13.80 |
$13.80 |
$96.72
|
|
Strep a dna quant
|
$28.98 |
$28.98 |
$28.98 |
$75.60
|
|
Strep b assay w/optic
|
$8.74 |
$8.74 |
$8.74 |
$58.95
|
|
Strep b dna amp probe
|
$24.38 |
$24.38 |
$24.38 |
$124.15
|
|
Streptokinase antibody
|
$8.74 |
$8.74 |
$8.74 |
$25.60
|
|
Stress test pulmonary
|
$306.46 |
$306.46 |
$306.46 |
$324.00
|
|
Stress tte complete
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$1,820.70
|
|
Str markers specimen anal
|
$681.45 |
$681.45 |
$681.45 |
$751.50
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$73.83 |
$73.83 |
$73.83 |
$878.24
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$247.02 |
$247.02 |
$247.02 |
$717.60
|
|
Subq njx filling matrl 1cc/<
|
$33.58 |
$33.58 |
$33.58 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$65.55 |
$65.55 |
$65.55 |
$988.00
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$77.05 |
$77.05 |
$77.05 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$74.29 |
$74.29 |
$74.29 |
$216.00
|
|
Subsequent repair of nerve
|
$74.06 |
$74.06 |
$74.06 |
$4,448.60
|
|
Subtalar arthro w/deb
|
$434.01 |
$434.01 |
$434.01 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$335.80 |
$335.80 |
$335.80 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$419.29 |
$419.29 |
$419.29 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$571.55 |
$571.55 |
$571.55 |
$13,158.00
|
|
Subtemporal cranial dcmprn
|
$941.62 |
$941.62 |
$941.62 |
$2,208.33
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$25.15 |
$25.15 |
$25.15 |
$54.80
|
|
Suction lipectomy head&neck
|
$874.00 |
$874.00 |
$874.00 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$920.00 |
$920.00 |
$920.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$1,515.70 |
$1,515.70 |
$1,515.70 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$1,190.94 |
$1,190.94 |
$1,190.94 |
$4,544.00
|
|
Sugars multiple quant
|
$7.82 |
$7.82 |
$7.82 |
$44.19
|
|
Sugars single quant
|
$7.82 |
$7.82 |
$7.82 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,053.72 |
$2,053.72 |
$2,053.72 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.23 |
$0.23 |
$0.23 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$753.83 |
$753.83 |
$753.83 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$39.45 |
$39.45 |
$39.45 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$2.07 |
$2.07 |
$2.07 |
$54.60
|
|
Suprv interfacilty transport
|
$49.68 |
$49.68 |
$49.68 |
$112.05
|
|
Suprv interfac trnsport addl
|
$42.78 |
$42.78 |
$42.78 |
$98.69
|
|
Surg dx exam anorectal
|
$68.54 |
$68.54 |
$68.54 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$527.62 |
$527.62 |
$527.62 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$528.08 |
$528.08 |
$528.08 |
$1,634.40
|
|
Surgery for urethra pouch
|
$275.77 |
$275.77 |
$275.77 |
$4,627.00
|
|
Surgery of pancreatic cyst
|
$742.90 |
$742.90 |
$742.90 |
$1,640.14
|
|
Surgery to stop leg growth
|
$434.01 |
$434.01 |
$434.01 |
$7,907.11
|
|
Surgery to stop leg growth
|
$479.55 |
$479.55 |
$479.55 |
$7,913.97
|
|
Surgery to stop leg growth
|
$598.00 |
$598.00 |
$598.00 |
$7,907.11
|
|
Surgery to stop leg growth
|
$439.99 |
$439.99 |
$439.99 |
$8,412.89
|
|
Surgical exposure prostate 55860
|
$564.42 |
$564.42 |
$564.42 |
$5,626.86
|
|
Surgical opening esophagus
|
$845.71 |
$845.71 |
$845.71 |
$1,913.16
|
|
Surgical opening esophagus
|
$684.94 |
$684.94 |
$684.94 |
$1,550.00
|