|
Slco1b1 gene com variants
|
$136.24 |
$136.24 |
$136.24 |
$235.20
|
|
Sleep study attended
|
$42.38 |
$42.38 |
$42.38 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$85.02 |
$85.02 |
$85.02 |
$3,721.41
|
|
Sleep study unattended
|
$31.72 |
$31.72 |
$31.72 |
$594.00
|
|
Sleeve pneumonectomy
|
$2,191.54 |
$2,191.54 |
$2,191.54 |
$4,314.34
|
|
Sling suprapubic suburetheral
|
$5,767.13 |
$5,767.13 |
$5,767.13 |
$9,679.96
|
|
Slitting of prepuce
|
$81.64 |
$81.64 |
$81.64 |
$4,061.71
|
|
Slitting of prepuce
|
$103.22 |
$103.22 |
$103.22 |
$3,376.23
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$24.18 |
$24.18 |
$24.18 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$65.52 |
$65.52 |
$65.52 |
$285.09
|
|
Slp stdy unatnd w/anal
|
$29.38 |
$29.38 |
$29.38 |
$285.00
|
|
Slp ther svc non-spch gen
|
$52.00 |
$52.00 |
$52.00 |
$188.00
|
|
Small animal inoculation
|
$13.00 |
$13.00 |
$13.00 |
$23.24
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$688.20 |
$688.20 |
$688.20 |
$557.70
|
|
Small bowel endoscopy
|
$103.22 |
$103.22 |
$103.22 |
$2,596.41
|
|
Small bowel endoscopy
|
$146.90 |
$146.90 |
$146.90 |
$2,244.82
|
|
Small bowel endoscopy
|
$172.12 |
$172.12 |
$172.12 |
$2,638.57
|
|
Small bowel endoscopy
|
$176.28 |
$176.28 |
$176.28 |
$2,518.10
|
|
Small bowel endoscopy
|
$204.10 |
$204.10 |
$204.10 |
$2,638.57
|
|
Small bowel endoscopy
|
$275.86 |
$275.86 |
$275.86 |
$3,265.60
|
|
Small bowel endoscopy
|
$53.56 |
$53.56 |
$53.56 |
$2,088.00
|
|
Small bowel endoscopy
|
$110.50 |
$110.50 |
$110.50 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$137.54 |
$137.54 |
$137.54 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$131.04 |
$131.04 |
$131.04 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$114.14 |
$114.14 |
$114.14 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$214.24 |
$214.24 |
$214.24 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$41.86 |
$41.86 |
$41.86 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$60.84 |
$60.84 |
$60.84 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$191.62 |
$191.62 |
$191.62 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$34.78 |
$34.78 |
$34.78 |
$64.00
|
|
Smear gram stain
|
$26.64 |
$26.64 |
$26.64 |
$54.03
|
|
Smear nasal eosinophil
|
$36.26 |
$36.26 |
$36.26 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$37.74 |
$37.74 |
$37.74 |
$71.81
|
|
Smear wet mount
|
$36.26 |
$36.26 |
$36.26 |
$66.30
|
|
Smn1 gene full gene sequence
|
$235.04 |
$235.04 |
$235.04 |
$495.69
|
|
Smn1 gen nown famil seq vrnt
|
$144.56 |
$144.56 |
$144.56 |
$255.58
|
|
Smpd1 gene common variants
|
$132.46 |
$132.46 |
$132.46 |
$133.84
|
|
Snrpn/ube3a gene
|
$143.56 |
$143.56 |
$143.56 |
$228.80
|
|
Sodium 24 hour urine
|
$32.56 |
$32.56 |
$32.56 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$13.65 |
$13.65 |
$13.65 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$5.46 |
$5.46 |
$5.46 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$15.47 |
$15.47 |
$15.47 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$28.94 |
$28.94 |
$28.94 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$115.75 |
$115.75 |
$115.75 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$30.34 |
$30.34 |
$30.34 |
$45.60
|
|
Somatosensory testing
|
$1,094.46 |
$1,094.46 |
$1,094.46 |
$816.00
|
|
So neo gsap dna/dna&rna
|
$8,406.40 |
$8,406.40 |
$8,406.40 |
$2,989.55
|
|
Sp bone agrft morsel add-on
|
$121.68 |
$121.68 |
$121.68 |
$406.40
|
|
Sp bone agrft struct add-on
|
$133.12 |
$133.12 |
$133.12 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$63.44 |
$63.44 |
$63.44 |
$498.55
|
|
Special physics consult
|
$560.18 |
$560.18 |
$560.18 |
$725.00
|
|
Special radiation dosimetry
|
$33.80 |
$33.80 |
$33.80 |
$392.73
|
|
Special radiation treatment
|
$2,439.78 |
$2,439.78 |
$2,439.78 |
$2,045.50
|
|
Special supplies phys/qhp
|
$4.68 |
$4.68 |
$4.68 |
$60.00
|
|
Special teletx port plan
|
$36.66 |
$36.66 |
$36.66 |
$1,086.99
|
|
Specific gravity body fluid
|
$21.46 |
$21.46 |
$21.46 |
$22.00
|
|
Specimen fat stain
|
$4.68 |
$4.68 |
$4.68 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$740.74 |
$740.74 |
$740.74 |
$380.00
|
|
Speech evaluation complex
|
$30.42 |
$30.42 |
$30.42 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$295.26 |
$295.26 |
$295.26 |
$248.84
|
|
Sperm antibody test
|
$8.32 |
$8.32 |
$8.32 |
$57.85
|
|
Sperm evaluation test
|
$15.08 |
$15.08 |
$15.08 |
$27.03
|
|
Sperm identification
|
$94.90 |
$94.90 |
$94.90 |
$101.55
|
|
Sperm isolation complex
|
$44.72 |
$44.72 |
$44.72 |
$176.28
|
|
Sperm isolation simple
|
$28.60 |
$28.60 |
$28.60 |
$126.05
|
|
Sperm washing 58323
|
$8.84 |
$8.84 |
$8.84 |
$238.06
|
|
Sphenoid sinus surgery
|
$497.12 |
$497.12 |
$497.12 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$546.00 |
$546.00 |
$546.00 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$80.60 |
$80.60 |
$80.60 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$67.60 |
$67.60 |
$67.60 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$340.40 |
$340.40 |
$340.40 |
$251.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$99.84 |
$99.84 |
$99.84 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$61.36 |
$61.36 |
$61.36 |
$242.25
|
|
Spleen imaging
|
$11.96 |
$11.96 |
$11.96 |
$679.00
|
|
Splenectomy total open 38100
|
$840.06 |
$840.06 |
$840.06 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$1,689.22 |
$1,689.22 |
$1,689.22 |
$2,547.00
|
|
Splicing of ureters
|
$839.28 |
$839.28 |
$839.28 |
$1,493.66
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$503.88 |
$503.88 |
$503.88 |
$4,687.20
|
|
Split blood or products
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$94.90 |
$94.90 |
$94.90 |
$1,612.78
|
|
Sputum specimen collection
|
$391.46 |
$391.46 |
$391.46 |
$180.00
|
|
Srs cranial lesion complex
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$3,244.00
|
|
Srs cranial lesion simple
|
$754.52 |
$754.52 |
$754.52 |
$3,145.05
|
|
Srs cran les complex addl
|
$220.48 |
$220.48 |
$220.48 |
$711.20
|
|
Srs cran les simple addl
|
$159.90 |
$159.90 |
$159.90 |
$719.20
|
|
Srs spinal lesion
|
$833.30 |
$833.30 |
$833.30 |
$2,631.20
|
|
Srs spinal lesion addl
|
$183.82 |
$183.82 |
$183.82 |
$591.20
|
|
St analysis behavior qualitative voice/resonance
|
$330.78 |
$330.78 |
$330.78 |
$295.10
|
|
Staph a dna amp probe
|
$27.56 |
$27.56 |
$27.56 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$444.00 |
$444.00 |
$444.00 |
$281.00
|
|
Stem cells total count
|
$60.84 |
$60.84 |
$60.84 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,220.78 |
$4,220.78 |
$4,220.78 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$190.61 |
$190.61 |
$190.61 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,047.06 |
$4,047.06 |
$4,047.06 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$31,889.56 |
$31,889.56 |
$31,889.56 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$23,917.54 |
$23,917.54 |
$23,917.54 |
$8,985.00
|
|
Stent placemt retro carotid
|
$774.80 |
$774.80 |
$774.80 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$17,892.00
|
