|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$7,264.20 |
$7,264.20 |
$7,264.20 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$490.20 |
$490.20 |
$490.20 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$33.00 |
$33.00 |
$33.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$64.80 |
$64.80 |
$64.80 |
$96.00
|
|
Semen analysis w/count
|
$55.80 |
$55.80 |
$55.80 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$627.00 |
$627.00 |
$627.00 |
$316.68
|
|
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)
|
$121.20 |
$121.20 |
$121.20 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$154.80 |
$154.80 |
$154.80 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$118.20 |
$118.20 |
$118.20 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,815.40 |
$3,815.40 |
$3,815.40 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,449.80 |
$2,449.80 |
$2,449.80 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$2,096.84
|
|
Shoulder X-ray
|
$118.20 |
$118.20 |
$118.20 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$96.00 |
$96.00 |
$96.00 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$4,636.80 |
$4,636.80 |
$4,636.80 |
$4,538.82
|
|
Sickling rbc
|
$54.00 |
$54.00 |
$54.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$1,446.90
|
|
Sigmoidoscopy w/tumr remove
|
$1,558.80 |
$1,558.80 |
$1,558.80 |
$1,645.43
|
|
Signal avg ecg w or without ecg 93278
|
$408.60 |
$408.60 |
$408.60 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$475.20 |
$475.20 |
$475.20 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$194.40 |
$194.40 |
$194.40 |
$346.45
|
|
Sinus X-ray (limited)
|
$222.00 |
$222.00 |
$222.00 |
$215.40
|
|
Skin Biopsy
|
$658.20 |
$658.20 |
$658.20 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$154.80 |
$154.80 |
$154.80 |
$294.45
|
|
Skull X-ray (complete)
|
$218.40 |
$218.40 |
$218.40 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,426.80 |
$1,426.80 |
$1,426.80 |
$1,643.47
|
|
Sling arm deluxe w/pad xs
|
$91.80 |
$91.80 |
$91.80 |
$30.35
|
|
Sling suprapubic suburetheral
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$268.20 |
$268.20 |
$268.20 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$24.00 |
$24.00 |
$24.00 |
$64.35
|
|
Smear gram stain
|
$28.80 |
$28.80 |
$28.80 |
$55.55
|
|
Smear nasal eosinophil
|
$27.00 |
$27.00 |
$27.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$33.00 |
$33.00 |
$33.00 |
$73.50
|
|
Smear wet mount
|
$33.00 |
$33.00 |
$33.00 |
$67.55
|
|
Sodium 24 hour urine
|
$34.80 |
$34.80 |
$34.80 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$58.40 |
$58.40 |
$58.40 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$40.40 |
$40.40 |
$40.40 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$52.20 |
$52.20 |
$52.20 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$25.80 |
$25.80 |
$25.80 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$61.20 |
$61.20 |
$61.20 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$34.80 |
$34.80 |
$34.80 |
$46.26
|
|
Special physics consult
|
$564.00 |
$564.00 |
$564.00 |
$725.00
|
|
Special radiation dosimetry
|
$320.40 |
$320.40 |
$320.40 |
$392.50
|
|
Special radiation treatment
|
$3,791.40 |
$3,791.40 |
$3,791.40 |
$2,052.00
|
|
Special teletx port plan
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,095.05
|
|
Specific gravity body fluid
|
$16.80 |
$16.80 |
$16.80 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$404.40 |
$404.40 |
$404.40 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$173.40 |
$173.40 |
$173.40 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$105.00 |
$105.00 |
$105.00 |
$251.00
|
|
Splint rstrc wrst/cmc right med
|
$97.20 |
$97.20 |
$97.20 |
$99.04
|
|
St analysis behavior qualitative voice/resonance
|
$404.40 |
$404.40 |
$404.40 |
$297.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$54,766.80 |
$54,766.80 |
$54,766.80 |
$21,249.26
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,290.60 |
$4,290.60 |
$4,290.60 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$712.20 |
$712.20 |
$712.20 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,802.20 |
$3,802.20 |
$3,802.20 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$21,381.00 |
$21,381.00 |
$21,381.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$16,307.40 |
$16,307.40 |
$16,307.40 |
$8,925.76
|
|
Sterile gauze <= 16 sq in
|
$0.60 |
$0.60 |
$0.60 |
$1.52
|
|
Sterile needle
|
$256.80 |
$256.80 |
$256.80 |
$190.13
|
|
Sterile water/saline, 10 ml
|
$36.40 |
$36.40 |
$36.40 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$24.00 |
$24.00 |
$24.00 |
$28.11
|
|
St evaluate speech sound production
|
$404.40 |
$404.40 |
$404.40 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$455.40 |
$455.40 |
$455.40 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$896.40 |
$896.40 |
$896.40 |
$1,345.40
|
|
Strep a ag ia
|
$106.20 |
$106.20 |
$106.20 |
$75.40
|
|
Strep b dna amp probe
|
$505.80 |
$505.80 |
$505.80 |
$124.15
|
|
Stress test pulmonary
|
$281.40 |
$281.40 |
$281.40 |
$324.00
|
|
Str markers specimen anal
|
$265.20 |
$265.20 |
$265.20 |
$756.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.60 |
$7.60 |
$7.60 |
$54.80
|
|
Sugars single quant
|
$104.40 |
$104.40 |
$104.40 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$14,672.40 |
$14,672.40 |
$14,672.40 |
$7,487.55
|
|
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
|
$476.80 |
$476.80 |
$476.80 |
$129.89
|
|
Supp non-insulin inf cath/wk
|
$15.00 |
$15.00 |
$15.00 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$165.00 |
$165.00 |
$165.00 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$36.00 |
$36.00 |
$36.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$67.20 |
$67.20 |
$67.20 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$74.40 |
$74.40 |
$74.40 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$169.20 |
$169.20 |
$169.20 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$360.60 |
$360.60 |
$360.60 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$691.20 |
$691.20 |
$691.20 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$34.80 |
$34.80 |
$34.80 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$78.60 |
$78.60 |
$78.60 |
$35.89
|
|
Susceptibility mic per plate
|
$42.00 |
$42.00 |
$42.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$115.80 |
$115.80 |
$115.80 |
$59.28
|
|
Swallowing Evaluation (Bedside)
|
$463.80 |
$463.80 |
$463.80 |
$316.80
|
|
Swallowing Therapy Session
|
$130.20 |
$130.20 |
$130.20 |
$232.56
|
|
Sweat collection by iontophoresis
|
$80.40 |
$80.40 |
$80.40 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$65.40 |
$65.40 |
$65.40 |
$42.24
|
|
System pacing micra av
|
$6,175.20 |
$6,175.20 |
$6,175.20 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,169.40 |
$7,169.40 |
$7,169.40 |
$12,003.00
|
|
System sealant biosentry tract
|
$888.00 |
$888.00 |
$888.00 |
$889.35
|
