|
Stomach Emptying Scan (Nuclear Medicine)
|
$424.50 |
$1,228.80 |
$2,901.00 |
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$309.58 |
$309.58 |
$349.96 |
|
|
Strapping of ankle and/or ft 29540
|
$307.80 |
$520.80 |
$996.60 |
|
|
Strapping of chest
|
$11.50 |
$378.60 |
$378.60 |
|
|
Strapping of elbow or wrist 29260
|
$167.24 |
$204.60 |
$569.60 |
|
|
Strapping of hand or finger
|
$167.24 |
$204.60 |
$220.20 |
|
|
Strapping of hip
|
$11.96 |
$411.60 |
$411.60 |
|
|
Strapping of knee
|
$243.60 |
$377.30 |
$764.40 |
|
|
Strapping of toes 29550
|
$28.20 |
$204.60 |
$742.80 |
|
|
Strep a ag ia
|
$11.50 |
$52.20 |
$123.00 |
|
|
Strep a dna dir probe
|
$13.80 |
$13.80 |
$15.60 |
|
|
Strep a dna quant
|
$28.98 |
$28.98 |
$32.76 |
|
|
Strep b assay w/optic
|
$8.74 |
$8.74 |
$9.88 |
|
|
Strep b dna amp probe
|
$24.38 |
$306.60 |
$505.80 |
|
|
Streptokinase antibody
|
$8.74 |
$8.74 |
$9.88 |
|
|
Streptomycin injection
|
$8.40 |
$8.40 |
$68.25 |
|
|
Streptozocin injection
|
$209.40 |
$209.40 |
$2,809.80 |
|
|
Stress test pulmonary
|
$40.20 |
$399.00 |
$789.60 |
|
|
Stress tte complete
|
$916.80 |
$1,978.20 |
$3,415.80 |
|
|
Str markers spec anal addl
|
$1,587.00 |
$1,683.00 |
$1,683.00 |
|
|
Str markers specimen anal
|
$258.60 |
$505.20 |
$2,521.20 |
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$73.83 |
$73.83 |
$83.46 |
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$247.02 |
$247.02 |
$279.24 |
|
|
Subq njx filling matrl 1cc/<
|
$33.58 |
$37.96 |
$230.50 |
|
|
Subq njx fil matrl 5.1-10cc
|
$65.55 |
$65.55 |
$74.10 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$77.05 |
$77.05 |
$87.10 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$74.29 |
$74.29 |
$83.98 |
|
|
Subsequent repair of nerve
|
$74.06 |
$74.06 |
$83.72 |
|
|
Subtalar arthro w/deb
|
$434.01 |
$490.62 |
$1,253.40 |
|
|
Subtalar arthro w/exc
|
$335.80 |
$379.60 |
$1,069.80 |
|
|
Subtalar arthro w/fb rmvl
|
$419.29 |
$419.29 |
$473.98 |
|
|
Subtalar arthro w/fusion
|
$571.55 |
$571.55 |
$646.10 |
|
|
Subtemporal cranial dcmprn
|
$941.62 |
$941.62 |
$1,064.44 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.20 |
$11.40 |
$73.20 |
|
|
Suction lipectomy head&neck
|
$874.00 |
$874.00 |
$988.00 |
|
|
Suction lipectomy lwr extrem
|
$920.00 |
$920.00 |
$1,040.00 |
|
|
Suction lipectomy trunk
|
$1,515.70 |
$1,515.70 |
$1,713.40 |
|
|
Suction lipectomy upr extrem
|
$1,190.94 |
$1,190.94 |
$1,346.28 |
|
|
Sugars multiple quant
|
$7.82 |
$7.82 |
$8.84 |
|
|
Sugars single quant
|
$7.82 |
$73.26 |
$520.00 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$208.00 |
$14,672.40 |
$4,538,400.00 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.20 |
$0.60 |
$90.00 |
|
|
Sulfonylurea screen qn-sendout
|
$118.50 |
$724.46 |
$753.83 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$5.60 |
$140.00 |
$1,520.40 |
|
|
Sup of prep of antigen # of vials 95144
|
$2.07 |
$2.07 |
$2.34 |
|
|
Supp non-insulin inf cath/wk
|
$12.60 |
$18.00 |
$66.60 |
|
|
Support clav 29.6-40.5in med
|
$19.63 |
$129.60 |
$218.40 |
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
|
|
Suprv interfacilty transport
|
$49.68 |
$49.68 |
$56.16 |
|
|
Suprv interfac trnsport addl
|
$42.78 |
$42.78 |
$48.36 |
|
|
Surg dx exam anorectal
|
$68.54 |
$77.48 |
$3,090.00 |
|
|
Surg ect salp-oophorectomy 59120
|
$527.62 |
$527.62 |
$596.44 |
|
|
Surg ect without salp-oophorectomy 59121
|
$528.08 |
$528.08 |
$596.96 |
|
|
Surgery for urethra pouch
|
$275.77 |
$275.77 |
$311.74 |
|
|
Surgery of pancreatic cyst
|
$742.90 |
$742.90 |
$839.80 |
|
|
Surgery to stop leg growth
|
$434.01 |
$434.01 |
$490.62 |
|
|
Surgery to stop leg growth
|
$479.55 |
$479.55 |
$542.10 |
|
|
Surgery to stop leg growth
|
$598.00 |
$598.00 |
$676.00 |
|
|
Surgery to stop leg growth
|
$439.99 |
$439.99 |
$497.38 |
|
|
Surgical exposure prostate 55860
|
$564.42 |
$564.42 |
$638.04 |
|
|
Surgical opening esophagus
|
$845.71 |
$845.71 |
$956.02 |
|
|
Surgical opening esophagus
|
$684.94 |
$684.94 |
$774.28 |
|
|
Surgical opening of stomach
|
$616.63 |
$616.63 |
$697.06 |
|
|
Surgical opening of stomach 43500
|
$510.83 |
$510.83 |
$577.46 |
|
|
Surgical opening of throat
|
$481.62 |
$481.62 |
$544.44 |
|
|
Surgical pathology level 1 gross examination only
|
$34.80 |
$58.20 |
$330.00 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$49.80 |
$114.73 |
$440.40 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$74.40 |
$204.80 |
$622.20 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$98.40 |
$218.40 |
$826.20 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$189.60 |
$664.80 |
$3,419.50 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$273.00 |
$748.80 |
$2,390.85 |
|
|
Surgical repair stomach bleedin ulcer 43501
|
$870.32 |
$870.32 |
$983.84 |
|
|
Surgical repair stomach gastric lac 43502
|
$986.47 |
$986.47 |
$1,115.14 |
|
|
Surgical revision intestine
|
$696.90 |
$696.90 |
$787.80 |
|
|
Surgical trays
|
$36.60 |
$80.40 |
$674.40 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$276.00 |
$312.00 |
$1,574.50 |
|
|
Susceptibility agar dilution per agent
|
$25.80 |
$50.40 |
$606.60 |
|
|
Susceptibility enzyme detection per enzyme
|
$15.60 |
$25.80 |
$78.60 |
|
|
Susceptibility mic per plate
|
$25.80 |
$56.98 |
$612.00 |
|
|
Suscept studies macrobroth dilution ea
|
$4.60 |
$72.60 |
$3,450.60 |
|
|
Suspend bowel w/prosthesis
|
$642.85 |
$642.85 |
$726.70 |
|
|
Suspension of testis
|
$192.97 |
$192.97 |
$218.14 |
|
|
Suspension of uterus
|
$526.47 |
$526.47 |
$595.14 |
|
|
Suspension of uterus 58400
|
$297.62 |
$297.62 |
$336.44 |
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$679.88 |
$768.56 |
$3,733.80 |
|
|
Suture bile duct injury 47900
|
$891.02 |
$891.02 |
$1,007.24 |
|
|
Svc venogram s&i
|
$1,344.60 |
$1,565.40 |
$9,229.80 |
|
|
Swallowing Evaluation (Bedside)
|
$230.00 |
$433.60 |
$828.60 |
|
|
Swallowing Therapy Session
|
$91.80 |
$296.80 |
$523.20 |
|
|
Sweat collection by iontophoresis
|
$73.80 |
$90.00 |
$4,935.00 |
|
|
Sympathectomy cervical
|
$555.22 |
$555.22 |
$627.64 |
|
|
Sympathectomy digital artery
|
$498.18 |
$498.18 |
$563.16 |
|
|
Sympathectomy lumbar
|
$506.00 |
$506.00 |
$572.00 |
|
|
Sympathectomy supfc palmar
|
$516.35 |
$516.35 |
$583.70 |
|
|
Sympathectomy thoracolumbar
|
$713.69 |
$713.69 |
$806.78 |
|
|
Synch audio-only est high 40
|
$82.34 |
$93.08 |
$149.40 |
|
|
Synch audio-only est low 20
|
$37.72 |
$42.64 |
$69.00 |
|
|
Synch audio-only est mod 30
|
$55.89 |
$63.18 |
$102.00 |
|
|
Synch audio-only est sf 10
|
$20.70 |
$23.40 |
$37.80 |
|
|
Synch audio-only new high 60
|
$101.20 |
$114.40 |
$183.60 |
|
