|
Scan proc cranial extra
|
$111.32 |
$125.84 |
$839.25 |
|
|
Scan proc cranial intra 61781
|
$152.26 |
$152.26 |
$172.12 |
|
|
Scan proc spinal
|
$149.27 |
$168.74 |
$5,062.50 |
|
|
Sclerotherapy fluid collection pq w/img
|
$76.36 |
$2,643.60 |
$18,498.60 |
|
|
Scope plantar fasciotomy
|
$286.81 |
$324.22 |
$706.80 |
|
|
Scope uretscp lithovue dig disp
|
$3,816.00 |
$4,270.00 |
$5,652.00 |
|
|
Scr c/v cyto, automated sys
|
$12.42 |
$12.42 |
$14.04 |
|
|
Scr c/v cyto,autosys and md
|
$15.87 |
$15.87 |
$17.94 |
|
|
Scr c/v cyto, autosys, rescr
|
$22.08 |
$22.08 |
$24.96 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$30.36 |
$30.36 |
$34.32 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$74.74 |
$78.00 |
$189.60 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$18.86 |
$18.86 |
$21.32 |
|
|
Screen cerv/vag thin layer
|
$50.50 |
$61.20 |
$145.20 |
|
|
Screen c/v thin layer by md
|
$15.87 |
$76.20 |
$95.40 |
|
|
Screening Colonoscopy (average risk)
|
$117.99 |
$1,440.00 |
$1,800.00 |
|
|
Screening Colonoscopy (high risk)
|
$117.76 |
$1,500.00 |
$2,000.00 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$100.20 |
$100.20 |
$292.00 |
|
|
Screening hepatitis b non-obstetric high risk
|
$42.60 |
$63.00 |
$178.34 |
|
|
Screening hepatitis c antibody high risk
|
$32.20 |
$108.00 |
$293.04 |
|
|
Screening HIV antigen/antibody combination assay
|
$76.20 |
$91.00 |
$158.62 |
|
|
Screening Mammogram
|
$26.52 |
$225.00 |
$399.60 |
|
|
Screening pap smear by phys
|
$15.87 |
$17.94 |
$75.60 |
|
|
Screening prostate cancer PSA
|
$45.00 |
$96.00 |
$129.60 |
|
|
Screen pap by tech w md supv
|
$12.42 |
$55.20 |
$55.20 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$20.40 |
$33.00 |
$357.00 |
|
|
Screw cortex 2.0 x 10mm
|
$1,387.20 |
$9,606.60 |
$53,770.80 |
|
|
Scrotal (Testicle) Ultrasound
|
$249.00 |
$645.60 |
$1,770.60 |
|
|
Sc ther infusion reset pump
|
$148.20 |
$148.20 |
$477.60 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$535.21 |
$2,139.60 |
$13,372.80 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$976.50 |
$12,577.80 |
$20,158.80 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$11.40 |
$15.08 |
$244.00 |
|
|
Sedimentation rate erythrocyte automated
|
$13.80 |
$20.00 |
$110.40 |
|
|
Segmentectomy 32484
|
$914.71 |
$914.71 |
$1,034.02 |
|
|
Self-adher band w>=3" <5"/yd
|
$11.40 |
$11.40 |
$25.20 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$64.80 |
$118.40 |
$181.80 |
|
|
Self-meas bp 2 readg bid 30d
|
$5.52 |
$5.52 |
$6.24 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$330.00 |
$330.00 |
$330.00 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$330.00 |
$330.00 |
$330.00 |
|
|
Semen analysis
|
$4.60 |
$5.20 |
$108.00 |
|
|
Semen analysis presence/motility
|
$9.36 |
$86.40 |
$238.00 |
|
|
Semen analysis w/count
|
$5.98 |
$62.40 |
$213.60 |
|
|
Sensorimotor examination
|
$23.46 |
$23.46 |
$26.52 |
|
|
Separate eyelid adhesions
|
$251.62 |
$251.62 |
$284.44 |
|
|
Sept9 promoter methylation analysis
|
$132.48 |
$540.20 |
$627.00 |
|
|
Sequestrectomy olecrn proces
|
$450.80 |
$509.60 |
$1,044.60 |
|
|
Sequestrectomy radial h/n
|
$414.92 |
$414.92 |
$469.04 |
|
|
Sequestrectomy shft/dstl hum
|
$488.98 |
$488.98 |
$552.76 |
|
|
Serial casting application 97139app
|
$7.13 |
$8.06 |
$61.20 |
|
|
Serial tonometry
|
$20.47 |
$20.47 |
$23.14 |
|
|
Serpina1 gene
|
$122.84 |
$295.20 |
$921.60 |
|
|
Sertraline (zoloft) - sendout
|
$724.46 |
$753.83 |
$2,410.20 |
|
|
Set radiation therapy field
|
$24.38 |
$794.40 |
$1,868.80 |
|
|
Set radiation therapy field
|
$36.57 |
$1,029.00 |
$1,715.40 |
|
|
Set radiation therapy field
|
$674.00 |
$1,621.20 |
$4,732.20 |
|
|
Set-up cardiovert-defibrill
|
$618.60 |
$625.80 |
$928.80 |
|
|
Set up port xray equipment
|
$16.56 |
$16.56 |
$18.72 |
|
|
Sevelamer carbonate 800 mg tablet
|
$1.84 |
$3.60 |
$4.96 |
|
|
Sevelamer carbonate pdr 20mg
|
$10.20 |
$10.20 |
$16.24 |
|
|
Sever cranial nerve
|
$394.45 |
$394.45 |
$445.90 |
|
|
Sex chromatin identification
|
$12.42 |
$43.20 |
$43.20 |
|
|
Sex chromatin identification
|
$5.52 |
$5.52 |
$6.24 |
|
|
Sgmdsc w/band ligation
|
$64.40 |
$2,564.40 |
$3,933.60 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$28.98 |
$369.60 |
$722.40 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$40.48 |
$520.80 |
$1,024.80 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$47.84 |
$819.00 |
$1,318.80 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$61.41 |
$1,341.60 |
$1,830.60 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$24.15 |
$520.80 |
$836.40 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$31.28 |
$520.80 |
$742.80 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$39.79 |
$575.40 |
$1,207.80 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$44.62 |
$301.80 |
$2,521.80 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$21.62 |
$520.80 |
$1,024.80 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$33.12 |
$157.20 |
$1,024.80 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$38.41 |
$660.00 |
$1,444.00 |
|
|
Sheath gldlight lasr 12fx50cm
|
$201.60 |
$7,034.40 |
$16,812.60 |
|
|
Shigella antibody
|
$17.02 |
$17.02 |
$19.24 |
|
|
Sho arthrs dx +- synovial bx
|
$307.97 |
$307.97 |
$348.14 |
|
|
Sho arthrs srg bicp tenodsis
|
$595.01 |
$672.62 |
$2,712.00 |
|
|
Sho arthrs srg capsulorraphy
|
$687.01 |
$776.62 |
$4,937.00 |
|
|
Sho arthrs srg compl synvct
|
$388.01 |
$388.01 |
$438.62 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$354.20 |
$400.40 |
$1,816.67 |
|
|
Sho arthrs srg lss&rescj ads
|
$383.18 |
$433.16 |
$2,879.67 |
|
|
Sho arthrs srg prtl synvct
|
$349.60 |
$395.20 |
$851.40 |
|
|
Sho arthrs srg rmvl loose/fb
|
$382.95 |
$432.90 |
$1,157.40 |
|
|
Sho arthrs srg rpr slap les
|
$670.91 |
$758.42 |
$2,527.50 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$386.63 |
$437.06 |
$5,354.67 |
|
|
Shoe post-op mens m
|
$32.40 |
$186.60 |
$561.00 |
|
|
Shortening of hand tendon
|
$431.71 |
$431.71 |
$488.02 |
|
|
Shortening of thigh bone
|
$809.37 |
$809.37 |
$914.94 |
|
|
Shorten/lengthen thighs
|
$869.40 |
$869.40 |
$982.80 |
|
|
Shorten radius or ulna
|
$502.55 |
$502.55 |
$568.10 |
|
|
Shorten radius & ulna
|
$659.64 |
$659.64 |
$745.68 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$84.60 |
$153.00 |
$283.20 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$90.50 |
$224.00 |
$686.40 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$692.99 |
$783.38 |
$17,212.00 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$73.20 |
$336.00 |
$686.40 |
|
|
Shoulder MRI (with and without contrast)
|
$712.50 |
$2,713.80 |
$9,808.20 |
|
|
Shoulder MRI (with contrast)
|
$645.50 |
$2,713.80 |
$8,004.00 |
|
|
Shoulder MRI (without contrast)
|
$461.50 |
$2,039.44 |
$6,214.20 |
|
|
Shoulder prosthesis removal
|
$690.46 |
$690.46 |
$780.52 |
|
|
Shoulder prosthesis removal
|
$820.64 |
$927.68 |
$1,563.60 |
|
