|
Stereoscopic x-ray guidance
|
$15.08 |
$15.08 |
$15.08 |
$136.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$1,041.30 |
$1,041.30 |
$1,041.30 |
$3,308.00
|
|
Stereotactic radiation trmt
|
$313.30 |
$313.30 |
$313.30 |
$845.60
|
|
Sternal debridement
|
$400.92 |
$400.92 |
$400.92 |
$1,318.40
|
|
St evaluate speech sound production
|
$344.84 |
$344.84 |
$344.84 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$328.56 |
$328.56 |
$328.56 |
$396.90
|
|
Stimulation of spinal cord
|
$425.36 |
$425.36 |
$425.36 |
$2,310.83
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$988.64 |
$988.64 |
$988.64 |
$1,350.05
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$349.96 |
$349.96 |
$349.96 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$443.26 |
$443.26 |
$443.26 |
$223.45
|
|
Strapping of chest
|
$13.00 |
$13.00 |
$13.00 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$167.24 |
$167.24 |
$167.24 |
$157.46
|
|
Strapping of hand or finger
|
$167.24 |
$167.24 |
$167.24 |
$177.45
|
|
Strapping of hip
|
$13.52 |
$13.52 |
$13.52 |
$164.70
|
|
Strapping of knee
|
$362.60 |
$362.60 |
$362.60 |
$205.20
|
|
Strapping of toes 29550
|
$167.24 |
$167.24 |
$167.24 |
$164.70
|
|
Strep a ag ia
|
$13.00 |
$13.00 |
$13.00 |
$75.40
|
|
Strep a dna dir probe
|
$15.60 |
$15.60 |
$15.60 |
$96.72
|
|
Strep a dna quant
|
$32.76 |
$32.76 |
$32.76 |
$75.60
|
|
Strep b assay w/optic
|
$9.88 |
$9.88 |
$9.88 |
$58.95
|
|
Strep b dna amp probe
|
$27.56 |
$27.56 |
$27.56 |
$124.15
|
|
Streptokinase antibody
|
$9.88 |
$9.88 |
$9.88 |
$25.60
|
|
Streptomycin injection
|
$68.25 |
$68.25 |
$68.25 |
$138.30
|
|
Stress test pulmonary
|
$294.52 |
$294.52 |
$294.52 |
$324.00
|
|
Stress tte complete
|
$1,541.42 |
$1,541.42 |
$1,541.42 |
$1,820.70
|
|
Str markers specimen anal
|
$654.90 |
$654.90 |
$654.90 |
$751.50
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$83.46 |
$83.46 |
$83.46 |
$878.24
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$279.24 |
$279.24 |
$279.24 |
$717.60
|
|
Subq njx filling matrl 1cc/<
|
$37.96 |
$37.96 |
$37.96 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$74.10 |
$74.10 |
$74.10 |
$988.00
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$87.10 |
$87.10 |
$87.10 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$83.98 |
$83.98 |
$83.98 |
$216.00
|
|
Subsequent repair of nerve
|
$83.72 |
$83.72 |
$83.72 |
$4,448.60
|
|
Subtalar arthro w/deb
|
$490.62 |
$490.62 |
$490.62 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$379.60 |
$379.60 |
$379.60 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$473.98 |
$473.98 |
$473.98 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$646.10 |
$646.10 |
$646.10 |
$13,158.00
|
|
Subtemporal cranial dcmprn
|
$1,064.44 |
$1,064.44 |
$1,064.44 |
$2,208.33
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$28.43 |
$28.43 |
$28.43 |
$54.80
|
|
Suction lipectomy head&neck
|
$988.00 |
$988.00 |
$988.00 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$1,346.28 |
$1,346.28 |
$1,346.28 |
$4,544.00
|
|
Sugars multiple quant
|
$8.84 |
$8.84 |
$8.84 |
$44.19
|
|
Sugars single quant
|
$73.26 |
$73.26 |
$73.26 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,321.59 |
$2,321.59 |
$2,321.59 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.26 |
$0.26 |
$0.26 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$724.46 |
$724.46 |
$724.46 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$44.59 |
$44.59 |
$44.59 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$2.34 |
$2.34 |
$2.34 |
$54.60
|
|
Suprv interfacilty transport
|
$56.16 |
$56.16 |
$56.16 |
$112.05
|
|
Suprv interfac trnsport addl
|
$48.36 |
$48.36 |
$48.36 |
$98.69
|
|
Surg dx exam anorectal
|
$77.48 |
$77.48 |
$77.48 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$596.44 |
$596.44 |
$596.44 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$596.96 |
$596.96 |
$596.96 |
$1,634.40
|
|
Surgery for urethra pouch
|
$311.74 |
$311.74 |
$311.74 |
$4,627.00
|
|
Surgery of pancreatic cyst
|
$839.80 |
$839.80 |
$839.80 |
$1,640.14
|
|
Surgery to stop leg growth
|
$490.62 |
$490.62 |
$490.62 |
$7,907.11
|
|
Surgery to stop leg growth
|
$542.10 |
$542.10 |
$542.10 |
$7,913.97
|
|
Surgery to stop leg growth
|
$676.00 |
$676.00 |
$676.00 |
$7,907.11
|
|
Surgery to stop leg growth
|
$497.38 |
$497.38 |
$497.38 |
$8,412.89
|
|
Surgical exposure prostate 55860
|
$638.04 |
$638.04 |
$638.04 |
$5,626.86
|
|
Surgical opening esophagus
|
$956.02 |
$956.02 |
$956.02 |
$1,913.16
|
|
Surgical opening esophagus
|
$774.28 |
$774.28 |
$774.28 |
$1,550.00
|
|
Surgical opening of stomach
|
$697.06 |
$697.06 |
$697.06 |
$2,320.80
|
|
Surgical opening of stomach 43500
|
$577.46 |
$577.46 |
$577.46 |
$1,477.80
|
|
Surgical opening of throat
|
$544.44 |
$544.44 |
$544.44 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$68.82 |
$68.82 |
$68.82 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$110.26 |
$110.26 |
$110.26 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$150.22 |
$150.22 |
$150.22 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$150.22 |
$150.22 |
$150.22 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,011.58 |
$1,011.58 |
$1,011.58 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,297.70 |
$2,297.70 |
$2,297.70 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$983.84 |
$983.84 |
$983.84 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$1,115.14 |
$1,115.14 |
$1,115.14 |
$2,864.40
|
|
Surgical revision intestine
|
$787.80 |
$787.80 |
$787.80 |
$2,366.76
|
|
Surg tx anal fistula 2nd stage 46285
|
$312.00 |
$312.00 |
$312.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$30.34 |
$30.34 |
$30.34 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$30.34 |
$30.34 |
$30.34 |
$35.70
|
|
Susceptibility mic per plate
|
$54.76 |
$54.76 |
$54.76 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$42.18 |
$42.18 |
$42.18 |
$59.28
|
|
Suspend bowel w/prosthesis
|
$726.70 |
$726.70 |
$726.70 |
$1,351.05
|
|
Suspension of testis
|
$218.14 |
$218.14 |
$218.14 |
$4,055.01
|
|
Suspension of uterus
|
$595.14 |
$595.14 |
$595.14 |
$1,059.58
|
|
Suspension of uterus 58400
|
$336.44 |
$336.44 |
$336.44 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$768.56 |
$768.56 |
$768.56 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$1,007.24 |
$1,007.24 |
$1,007.24 |
$2,559.60
|
|
Svc venogram s&i
|
$6,006.58 |
$6,006.58 |
$6,006.58 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$274.54 |
$274.54 |
$274.54 |
$314.40
|
|
Swallowing Therapy Session
|
$321.90 |
$321.90 |
$321.90 |
$240.50
|
|
Sympathectomy cervical
|
$627.64 |
$627.64 |
$627.64 |
$3,934.40
|
|
Sympathectomy digital artery
|
$563.16 |
$563.16 |
$563.16 |
$2,310.83
|
|
Sympathectomy lumbar
|
$572.00 |
$572.00 |
$572.00 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$583.70 |
$583.70 |
$583.70 |
$3,839.54
|
|
Sympathectomy thoracolumbar
|
$806.78 |
$806.78 |
$806.78 |
$1,681.03
|
|
Synch audio-only est high 40
|
$93.08 |
$93.08 |
$93.08 |
$190.77
|
|
Synch audio-only est low 20
|
$42.64 |
$42.64 |
$42.64 |
$90.60
|
|
Synch audio-only est mod 30
|
$63.18 |
$63.18 |
$63.18 |
$136.64
|
|
Synch audio-only est sf 10
|
$23.40 |
$23.40 |
$23.40 |
$53.20
|
|
Synch audio-only new high 60
|
$114.40 |
$114.40 |
$114.40 |
$207.64
|
