|
Separate eyelid adhesions
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$2,857.60
|
|
Set radiation therapy field
|
$646.00 |
$646.00 |
$646.00 |
$762.40
|
|
Set radiation therapy field
|
$845.50 |
$845.50 |
$845.50 |
$1,157.38
|
|
Set radiation therapy field
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$1,636.36
|
|
Sf3b1 gene common variants
|
$304.50 |
$304.50 |
$304.50 |
$248.10
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$111.50 |
$111.50 |
$111.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$118.50 |
$118.50 |
$118.50 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$196.00 |
$196.00 |
$196.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$196.00 |
$196.00 |
$196.00 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$111.50 |
$111.50 |
$111.50 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$118.50 |
$118.50 |
$118.50 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$129.50 |
$129.50 |
$129.50 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$196.00 |
$196.00 |
$196.00 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$122.50 |
$122.50 |
$122.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$134.50 |
$134.50 |
$134.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$149.50 |
$149.50 |
$149.50 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$5,807.00 |
$5,807.00 |
$5,807.00 |
$6,570.70
|
|
Shoe lift elev heel/sole neo
|
$161.00 |
$161.00 |
$161.00 |
$175.04
|
|
Shoe post-op mens m
|
$203.50 |
$203.50 |
$203.50 |
$52.20
|
|
Sho heel count plast reinfor
|
$365.50 |
$365.50 |
$365.50 |
$346.47
|
|
Shoulder MRI (with and without contrast)
|
$1,658.00 |
$1,658.00 |
$1,658.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$928.00 |
$928.00 |
$928.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$809.00 |
$809.00 |
$809.00 |
$2,065.05
|
|
Shoulder X-ray
|
$212.50 |
$212.50 |
$212.50 |
$339.50
|
|
Shrinker prosth above knee
|
$142.50 |
$142.50 |
$142.50 |
$168.89
|
|
Shrinker prosth below knee
|
$109.00 |
$109.00 |
$109.00 |
$105.12
|
|
Shrinker upper limb
|
$133.00 |
$133.00 |
$133.00 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$5,041.00 |
$5,041.00 |
$5,041.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$255.00 |
$255.00 |
$255.00 |
$349.20
|
|
Sialography s&i
|
$164.00 |
$164.00 |
$164.00 |
$499.20
|
|
Sialolithotomy 42330
|
$1,969.50 |
$1,969.50 |
$1,969.50 |
$3,837.72
|
|
Sickling rbc
|
$88.00 |
$88.00 |
$88.00 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$121.50 |
$121.50 |
$121.50 |
$280.00
|
|
Simple cystometrogram 51725
|
$463.00 |
$463.00 |
$463.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$1,241.50 |
$1,241.50 |
$1,241.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$939.50 |
$939.50 |
$939.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$783.00 |
$783.00 |
$783.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,457.50 |
$1,457.50 |
$1,457.50 |
$2,489.25
|
|
Skin Biopsy
|
$200.50 |
$200.50 |
$200.50 |
$360.34
|
|
Skin full graft add-on 15241
|
$286.50 |
$286.50 |
$286.50 |
$675.58
|
|
Skin split graft addl 100sq cm 15101
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$1,793.40
|
|
Sleep study attended
|
$907.00 |
$907.00 |
$907.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,901.00 |
$1,901.00 |
$1,901.00 |
$3,607.50
|
|
Sleep study unattended
|
$712.50 |
$712.50 |
$712.50 |
$580.87
|
|
Sleeve fing rolyan med
|
$127.00 |
$127.00 |
$127.00 |
$203.58
|
|
Sling pelv split sam med
|
$176.50 |
$176.50 |
$176.50 |
$150.00
|
|
Sling suprapubic suburetheral
|
$11,481.50 |
$11,481.50 |
$11,481.50 |
$9,679.96
|
|
Slitting of prepuce
|
$1,751.00 |
$1,751.00 |
$1,751.00 |
$3,365.50
|
|
Slp ther svc non-spch gen
|
$91.00 |
$91.00 |
$91.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$109.00 |
$109.00 |
$109.00 |
$64.20
|
|
Smear gram stain
|
$37.00 |
$37.00 |
$37.00 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$181.50 |
$181.50 |
$181.50 |
$73.15
|
|
Smear wet mount
|
$99.00 |
$99.00 |
$99.00 |
$67.49
|
|
So airplane w/wo joint cf
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$1,276.80
|
|
So cap design without jnts cf
|
$1,778.50 |
$1,778.50 |
$1,778.50 |
$606.35
|
|
Socket insert without lock mech
|
$1,092.50 |
$1,092.50 |
$1,092.50 |
$1,192.50
|
|
Socket insert w lock mech
|
$1,654.00 |
$1,654.00 |
$1,654.00 |
$1,544.50
|
|
Sodium 24 hour urine
|
$21.00 |
$21.00 |
$21.00 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$26.00 |
$26.00 |
$26.00 |
$45.60
|
|
Soft interface below knee se
|
$200.50 |
$200.50 |
$200.50 |
$179.08
|
|
Special physics consult
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$725.00
|
|
Special radiation dosimetry
|
$345.00 |
$345.00 |
$345.00 |
$392.50
|
|
Special radiation treatment
|
$1,682.50 |
$1,682.50 |
$1,682.50 |
$1,986.00
|
|
Special teletx port plan
|
$852.00 |
$852.00 |
$852.00 |
$1,086.99
|
|
Specimen fat stain
|
$41.50 |
$41.50 |
$41.50 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$691.50 |
$691.50 |
$691.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$317.50 |
$317.50 |
$317.50 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$831.50 |
$831.50 |
$831.50 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$53.50 |
$53.50 |
$53.50 |
$68.25
|
|
Splint finger fold over sm
|
$114.50 |
$114.50 |
$114.50 |
$146.88
|
|
Splint finger frog med
|
$35.50 |
$35.50 |
$35.50 |
$38.08
|
|
Splint func pos polyflex ii med
|
$4,068.00 |
$4,068.00 |
$4,068.00 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$153.50 |
$153.50 |
$153.50 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$4,619.65
|
|
Split blood or products
|
$253.00 |
$253.00 |
$253.00 |
$127.48
|
|
Srs linear based
|
$7,861.00 |
$7,861.00 |
$7,861.00 |
$13,585.00
|
|
Srs multisource
|
$29,123.00 |
$29,123.00 |
$29,123.00 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$199.50 |
$199.50 |
$199.50 |
$297.60
|
|
Staph a dna amp probe
|
$52.00 |
$52.00 |
$52.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$374.50 |
$374.50 |
$374.50 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$153.50 |
$153.50 |
$153.50 |
$286.00
|
|
Stem cells total count
|
$283.00 |
$283.00 |
$283.00 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$20,532.00 |
$20,532.00 |
$20,532.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$29,064.00 |
$29,064.00 |
$29,064.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,289.00 |
$2,289.00 |
$2,289.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,616.00 |
$41,616.00 |
$41,616.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,613.00 |
$5,613.00 |
$5,613.00 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,179.00 |
$8,179.00 |
$8,179.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,036.00 |
$7,036.00 |
$7,036.00 |
$9,008.54
|
|
Stent placemt retro carotid
|
$6,091.50 |
$6,091.50 |
$6,091.50 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,855.50 |
$11,855.50 |
$11,855.50 |
$17,271.50
|
|
St evaluate speech sound production
|
$199.50 |
$199.50 |
$199.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$199.50 |
$199.50 |
$199.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$367.00 |
$367.00 |
$367.00 |
$399.60
|
|
St evaluation swallow function
|
$199.50 |
$199.50 |
$199.50 |
$314.40
|
|
Straight knee joint heavy du
|
$277.50 |
$277.50 |
$277.50 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$119.50 |
$119.50 |
$119.50 |
$223.45
|
|
Strapping of chest
|
$98.50 |
$98.50 |
$98.50 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$193.00 |
$193.00 |
$193.00 |
$154.70
|
|
Strapping of hand or finger
|
$182.00 |
$182.00 |
$182.00 |
$174.82
|
