|
Sigmoidoscopy and biopsy
|
$3,156.60 |
$3,156.60 |
$3,156.60 |
$1,446.90
|
|
Sigmoidoscopy for bleeding
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,156.60 |
$3,156.60 |
$3,156.60 |
$1,650.75
|
|
Sigmoidoscopy w/tumr remove
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$1,645.43
|
|
Signal avg ecg w or without ecg 93278
|
$448.20 |
$448.20 |
$448.20 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$3,097.80 |
$3,097.80 |
$3,097.80 |
$2,288.00
|
|
Sincalide 5 mcg solution for injection
|
$516.00 |
$516.00 |
$516.00 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,590.60 |
$1,590.60 |
$1,590.60 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,438.80 |
$1,438.80 |
$1,438.80 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$448.80 |
$448.80 |
$448.80 |
$347.10
|
|
Sinus X-ray (limited)
|
$318.60 |
$318.60 |
$318.60 |
$215.75
|
|
Sirolimus, oral
|
$180.00 |
$180.00 |
$180.00 |
$41.70
|
|
Skin Biopsy
|
$300.00 |
$300.00 |
$300.00 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$364.20 |
$364.20 |
$364.20 |
$294.66
|
|
Skull X-ray (complete)
|
$440.40 |
$440.40 |
$440.40 |
$423.15
|
|
Skyla, 13.5 mg
|
$532.80 |
$532.80 |
$532.80 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$5,466.60 |
$5,466.60 |
$5,466.60 |
$3,734.50
|
|
Sling arm deluxe w/pad xs
|
$201.60 |
$201.60 |
$201.60 |
$30.35
|
|
Sling suprapubic suburetheral
|
$3,847.20 |
$3,847.20 |
$3,847.20 |
$9,679.96
|
|
Slitting of prepuce
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$3,376.23
|
|
Slp pure tone screening
|
$70.20 |
$70.20 |
$70.20 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$669.60 |
$669.60 |
$669.60 |
$557.70
|
|
Small bowel endoscopy
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,596.41
|
|
Small bowel endoscopy
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,518.10
|
|
Small bowel endoscopy
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$2,088.00
|
|
Small bowel endoscopy/biopsy
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,490.15
|
|
Small bowel endoscopy br/wa
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$91.80 |
$91.80 |
$91.80 |
$64.20
|
|
Smear gram stain
|
$60.60 |
$60.60 |
$60.60 |
$55.42
|
|
Smear nasal eosinophil
|
$101.40 |
$101.40 |
$101.40 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$194.40 |
$194.40 |
$194.40 |
$73.15
|
|
Smear wet mount
|
$111.60 |
$111.60 |
$111.60 |
$67.49
|
|
Sodium 24 hour urine
|
$52.20 |
$52.20 |
$52.20 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$26.00 |
$26.00 |
$26.00 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$22.20 |
$22.20 |
$22.20 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$32.40 |
$32.40 |
$32.40 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$26.40 |
$26.40 |
$26.40 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$39.40 |
$39.40 |
$39.40 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$480.00 |
$480.00 |
$480.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$39.60 |
$39.60 |
$39.60 |
$46.26
|
|
Somatropin injection
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$2,111.40
|
|
Special physics consult
|
$732.00 |
$732.00 |
$732.00 |
$725.00
|
|
Special radiation dosimetry
|
$471.00 |
$471.00 |
$471.00 |
$392.50
|
|
Special radiation treatment
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$2,052.00
|
|
Special teletx port plan
|
$975.60 |
$975.60 |
$975.60 |
$1,095.05
|
|
Specific gravity body fluid
|
$42.60 |
$42.60 |
$42.60 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$310.20 |
$310.20 |
$310.20 |
$385.00
|
|
Speech Therapy Session (one-on-one)
|
$180.00 |
$180.00 |
$180.00 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$309.60 |
$309.60 |
$309.60 |
$251.00
|
|
Splint finger 4 prong foam sm
|
$2.40 |
$2.40 |
$2.40 |
$34.00
|
|
Splint rstrc wrst/cmc right med
|
$106.20 |
$106.20 |
$106.20 |
$99.04
|
|
Srs linear based
|
$19,502.40 |
$19,502.40 |
$19,502.40 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$310.20 |
$310.20 |
$310.20 |
$297.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$15,054.60 |
$15,054.60 |
$15,054.60 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$32,602.80 |
$32,602.80 |
$32,602.80 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,894.80 |
$1,894.80 |
$1,894.80 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$33,391.20 |
$33,391.20 |
$33,391.20 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,938.80 |
$5,938.80 |
$5,938.80 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,724.80 |
$6,724.80 |
$6,724.80 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,915.20 |
$7,915.20 |
$7,915.20 |
$8,948.40
|
|
Sterile needle
|
$394.20 |
$394.20 |
$394.20 |
$190.13
|
|
Sterile water/saline, 10 ml
|
$51.20 |
$51.20 |
$51.20 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$3.60 |
$3.60 |
$3.60 |
$28.11
|
|
St evaluate speech sound production
|
$310.20 |
$310.20 |
$310.20 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$249.60 |
$249.60 |
$249.60 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$1,342.00
|
|
Strapping of knee
|
$243.60 |
$243.60 |
$243.60 |
$205.20
|
|
Strep a ag ia
|
$76.80 |
$76.80 |
$76.80 |
$75.40
|
|
Strep b dna amp probe
|
$107.40 |
$107.40 |
$107.40 |
$122.43
|
|
Streptozocin injection
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$785.95
|
|
Stress test pulmonary
|
$652.80 |
$652.80 |
$652.80 |
$324.00
|
|
Stress tte complete
|
$1,989.60 |
$1,989.60 |
$1,989.60 |
$1,894.20
|
|
Str markers specimen anal
|
$258.60 |
$258.60 |
$258.60 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$16.20 |
$16.20 |
$16.20 |
$54.80
|
|
Sugars single quant
|
$150.00 |
$150.00 |
$150.00 |
$64.28
|
|
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
|
$148.00 |
$148.00 |
$148.00 |
$126.63
|
|
Supp non-insulin inf cath/wk
|
$55.20 |
$55.20 |
$55.20 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$180.60 |
$180.60 |
$180.60 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$48.00 |
$48.00 |
$48.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$189.00 |
$189.00 |
$189.00 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$212.40 |
$212.40 |
$212.40 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$250.20 |
$250.20 |
$250.20 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$408.00 |
$408.00 |
$408.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$619.20 |
$619.20 |
$619.20 |
$720.75
|
|
Surgical trays
|
$36.60 |
$36.60 |
$36.60 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$91.80 |
$91.80 |
$91.80 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$16.80 |
$16.80 |
$16.80 |
$35.75
|
|
Susceptibility mic per plate
|
$186.00 |
$186.00 |
$186.00 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$87.00 |
$87.00 |
$87.00 |
$59.28
|
|
Svc venogram s&i
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$249.60 |
$249.60 |
$249.60 |
$316.55
|
|
Swallowing Therapy Session
|
$179.40 |
$179.40 |
$179.40 |
$240.31
|
|
Sweat collection by iontophoresis
|
$73.80 |
$73.80 |
$73.80 |
$123.78
|
|
Synvisc or synvisc-one
|
$73.20 |
$73.20 |
$73.20 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$76.80 |
$76.80 |
$76.80 |
$41.60
|
