|
Shoulder X-ray
|
$118.20 |
$330.40 |
$686.40 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$88.00 |
$299.40 |
$704.80 |
|
|
Shunt as-aort to pulm art
|
$842.26 |
$842.26 |
$952.12 |
|
|
Shunt central w/prostc graft
|
$842.26 |
$842.26 |
$952.12 |
|
|
Shunt desc aorta to pulm art
|
$816.96 |
$816.96 |
$923.52 |
|
|
Shunt glaucoma baerveldt 350mm
|
$4,395.00 |
$5,210.40 |
$10,690.80 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$14.72 |
$262.80 |
$501.60 |
|
|
Shunt subclavian to pulm art
|
$804.08 |
$804.08 |
$908.96 |
|
|
Shunt supr v/c p-art 1 lung
|
$848.24 |
$848.24 |
$958.88 |
|
|
Shunt supr v/c p-art bth lng
|
$905.05 |
$905.05 |
$1,023.10 |
|
|
Sialidase enzyme assay
|
$8.28 |
$130.80 |
$145.80 |
|
|
Sialography s&i
|
$11.73 |
$547.80 |
$3,618.60 |
|
|
Sialolithotomy 42330
|
$106.95 |
$3,971.40 |
$3,971.40 |
|
|
Sickling rbc
|
$19.20 |
$44.40 |
$405.00 |
|
|
Sigmoidoscopy and biopsy
|
$46.46 |
$1,864.80 |
$3,816.80 |
|
|
Sigmoidoscopy flex decompression 45337
|
$72.91 |
$2,710.80 |
$8,428.80 |
|
|
Sigmoidoscopy for bleeding
|
$74.98 |
$1,829.40 |
$8,947.80 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$43.24 |
$2,232.00 |
$4,209.00 |
|
|
Sigmoidoscopy w/ablation
|
$102.12 |
$2,281.20 |
$8,947.80 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$67.16 |
$2,421.00 |
$4,095.60 |
|
|
Sigmoidoscopy w/plcmt stent
|
$97.98 |
$2,592.60 |
$9,549.00 |
|
|
Sigmoidoscopy w/resection
|
$126.04 |
$2,564.40 |
$3,418.80 |
|
|
Sigmoidoscopy w/tumr remove
|
$76.82 |
$1,872.60 |
$3,933.60 |
|
|
Sigmoidoscopy w/ultrasound
|
$79.12 |
$1,233.60 |
$3,933.60 |
|
|
Sigmoidoscopy w/us guide bx
|
$108.33 |
$1,741.80 |
$3,933.60 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$60.26 |
$1,764.00 |
$3,816.80 |
|
|
Signal avg ecg w or without ecg 93278
|
$8.05 |
$360.60 |
$667.20 |
|
|
Sig w/tndsc balloon dilation
|
$49.68 |
$2,736.60 |
$9,642.00 |
|
|
Sim ang w/prs cath rad emb
|
$43,847.96 |
$43,847.96 |
$43,847.96 |
|
|
Simple cystometrogram 51725
|
$48.30 |
$420.00 |
$4,291.20 |
|
|
Sincalide 5 mcg solution for injection
|
$81.60 |
$384.80 |
$910.20 |
|
|
Single energy x-ray study
|
$7.13 |
$7.13 |
$8.06 |
|
|
Single transfer toe-hand
|
$2,102.66 |
$2,102.66 |
$2,376.92 |
|
|
Sinus CT scan (with and without contrast)
|
$402.00 |
$1,456.80 |
$5,112.00 |
|
|
Sinus CT scan (with contrast)
|
$322.50 |
$1,294.80 |
$4,599.60 |
|
|
Sinus CT scan (without contrast)
|
$269.50 |
$820.20 |
$2,937.00 |
|
|
Sinus/juglr venogram s&i
|
$34.73 |
$5,906.40 |
$12,169.30 |
|
|
Sinusotomy maxillary sinus 31020
|
$218.96 |
$218.96 |
$247.52 |
|
|
Sinusotomy sinus remove polyps 31032
|
$380.42 |
$380.42 |
$430.04 |
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$329.13 |
$372.06 |
$878.40 |
|
|
Sinus X-ray (complete)
|
$88.00 |
$424.20 |
$686.40 |
|
|
Sinus X-ray (limited)
|
$88.00 |
$261.60 |
$686.40 |
|
|
Sipuleucel-t - su
|
$150.00 |
$150.00 |
$118,513.80 |
|
|
Sirolimus, oral
|
$20.40 |
$72.00 |
$3,582.60 |
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$148.80 |
$153.00 |
$153.00 |
|
|
Skeletal muscle relaxant 1/2
|
$163.80 |
$163.80 |
$163.80 |
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
|
|
Skin and muscle repair face
|
$686.55 |
$686.55 |
$776.10 |
|
|
Skin barrier with flange
|
$1.80 |
$1.80 |
$1.80 |
|
|
Skin Biopsy
|
$98.40 |
$613.80 |
$1,055.40 |
|
|
Skin full graft 20sq cm less 15200
|
$434.01 |
$490.62 |
$4,321.20 |
|
|
Skin full graft add-on 15241
|
$68.54 |
$68.54 |
$77.48 |
|
|
Skin pedicle flap arms/legs
|
$475.87 |
$475.87 |
$537.94 |
|
|
Skin pedicle flap trunk
|
$470.12 |
$470.12 |
$531.44 |
|
|
Skin split graft addl 100sq cm 15101
|
$70.84 |
$238.80 |
$3,200.40 |
|
|
Skin test unlisted antigen ea
|
$39.00 |
$39.00 |
$53.40 |
|
|
Skull base/brainstem surgery
|
$1,630.70 |
$1,630.70 |
$1,843.40 |
|
|
Skull base/brainstem surgery
|
$2,708.02 |
$2,708.02 |
$3,061.24 |
|
|
Skull X-ray (1 to 3 views)
|
$125.40 |
$375.20 |
$686.40 |
|
|
Skull X-ray (complete)
|
$149.40 |
$440.40 |
$1,154.40 |
|
|
Skyla, 13.5 mg
|
$532.80 |
$2,276.00 |
$3,186.00 |
|
|
Slco1b1 gene com variants
|
$120.52 |
$120.52 |
$136.24 |
|
|
Sleep study attended
|
$42.38 |
$1,830.00 |
$6,004.00 |
|
|
Sleep Study (Polysomnography)
|
$85.02 |
$4,279.20 |
$8,373.60 |
|
|
Sleep study unattended
|
$31.72 |
$984.00 |
$2,371.20 |
|
|
Sleeve fing rolyan med
|
$127.20 |
$316.00 |
$316.80 |
|
|
Sleeve pneumonectomy
|
$1,938.67 |
$1,938.67 |
$2,191.54 |
|
|
Sling arm deluxe w/pad xs
|
$26.40 |
$198.00 |
$325.20 |
|
|
Sling pelv split sam med
|
$146.40 |
$146.40 |
$146.40 |
|
|
Sling suprapubic suburetheral
|
$1,302.38 |
$4,039.80 |
$21,560.40 |
|
|
Slitting of prepuce
|
$72.22 |
$72.22 |
$81.64 |
|
|
Slitting of prepuce
|
$91.31 |
$4,029.00 |
$5,239.20 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$21.39 |
$21.39 |
$24.18 |
|
|
Slp eval non-spch gen comm dev
|
$57.96 |
$242.50 |
$497.40 |
|
|
Slp pure tone screening
|
$22.80 |
$70.20 |
$127.20 |
|
|
Slp stdy unatnd w/anal
|
$25.99 |
$29.38 |
$680.00 |
|
|
Slp ther svc non-spch gen
|
$52.00 |
$165.55 |
$300.00 |
|
|
Sm-153 lexidron ther
|
$5,947.80 |
$5,947.80 |
$31,245.00 |
|
|
Small animal inoculation
|
$11.50 |
$11.50 |
$13.00 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$225.00 |
$669.60 |
$1,312.80 |
|
|
Small bowel endoscopy
|
$91.31 |
$2,992.80 |
$4,736.40 |
|
|
Small bowel endoscopy
|
$129.95 |
$2,133.00 |
$6,099.00 |
|
|
Small bowel endoscopy
|
$152.26 |
$3,080.40 |
$8,934.60 |
|
|
Small bowel endoscopy
|
$155.94 |
$3,099.00 |
$11,984.40 |
|
|
Small bowel endoscopy
|
$180.55 |
$204.10 |
$2,740.80 |
|
|
Small bowel endoscopy
|
$244.03 |
$275.86 |
$2,734.20 |
|
|
Small bowel endoscopy
|
$47.38 |
$2,151.00 |
$8,947.80 |
|
|
Small bowel endoscopy
|
$97.75 |
$110.50 |
$1,967.40 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$121.67 |
$3,097.20 |
$5,407.20 |
|
|
Small bowel endoscopy 44365
|
$115.92 |
$131.04 |
$3,893.40 |
|
|
Small bowel endoscopy/biopsy
|
$100.97 |
$2,214.00 |
$5,743.80 |
|
|
Small bowel endoscopy/biopsy
|
$189.52 |
$214.24 |
$2,740.80 |
|
|
Small bowel endoscopy br/wa
|
$37.03 |
$1,895.40 |
$8,947.80 |
|
|
Small bowel endoscopy br/wa
|
$53.82 |
$1,474.80 |
$4,128.80 |
|
|
Small bowel endoscopy/stent 44370
|
$169.51 |
$10,842.00 |
$26,215.20 |
|
|
Smallpox&monkeypox vac 0.5ml
|
$614.40 |
$614.40 |
$614.40 |
|
|
Smear fluorescent and/or acid fast stain
|
$22.40 |
$30.60 |
$507.60 |
|
|
Smear gram stain
|
$16.80 |
$30.00 |
$686.40 |
|
|
Smear nasal eosinophil
|
$13.50 |
$36.60 |
$492.00 |
|
|
Smear special stain inclusion bodies/parasites
|
$24.80 |
$46.20 |
$840.60 |
|