|
Shoulder MRI (with and without contrast)
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$997.50 |
$997.50 |
$997.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$869.50 |
$869.50 |
$869.50 |
$2,065.05
|
|
Shoulder X-ray
|
$175.50 |
$175.50 |
$175.50 |
$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
|
$5,332.00 |
$5,332.00 |
$5,332.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$424.00 |
$424.00 |
$424.00 |
$349.20
|
|
Sialography s&i
|
$271.50 |
$271.50 |
$271.50 |
$499.20
|
|
Sialolithotomy 42330
|
$2,723.50 |
$2,723.50 |
$2,723.50 |
$3,837.72
|
|
Sickling rbc
|
$121.50 |
$121.50 |
$121.50 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$149.50 |
$149.50 |
$149.50 |
$280.00
|
|
Simple cystometrogram 51725
|
$640.00 |
$640.00 |
$640.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$1,456.50 |
$1,456.50 |
$1,456.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$918.50 |
$918.50 |
$918.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,416.50 |
$2,416.50 |
$2,416.50 |
$2,489.25
|
|
Skin Biopsy
|
$277.00 |
$277.00 |
$277.00 |
$360.34
|
|
Skin full graft add-on 15241
|
$389.00 |
$389.00 |
$389.00 |
$675.58
|
|
Skin split graft addl 100sq cm 15101
|
$1,723.00 |
$1,723.00 |
$1,723.00 |
$1,793.40
|
|
Sleep study attended
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,628.50 |
$2,628.50 |
$2,628.50 |
$3,607.50
|
|
Sleep study unattended
|
$985.00 |
$985.00 |
$985.00 |
$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
|
$15,295.50 |
$15,295.50 |
$15,295.50 |
$9,679.96
|
|
Slitting of prepuce
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$3,365.50
|
|
Slp pure tone screening
|
$51.00 |
$51.00 |
$51.00 |
$60.48
|
|
Slp ther svc non-spch gen
|
$123.00 |
$123.00 |
$123.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$149.50 |
$149.50 |
$149.50 |
$64.20
|
|
Smear gram stain
|
$50.50 |
$50.50 |
$50.50 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$248.50 |
$248.50 |
$248.50 |
$73.15
|
|
Smear wet mount
|
$135.50 |
$135.50 |
$135.50 |
$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
|
$29.00 |
$29.00 |
$29.00 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$36.50 |
$36.50 |
$36.50 |
$45.60
|
|
Soft interface below knee se
|
$200.50 |
$200.50 |
$200.50 |
$179.08
|
|
Special physics consult
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$725.00
|
|
Special radiation dosimetry
|
$446.00 |
$446.00 |
$446.00 |
$392.50
|
|
Special radiation treatment
|
$2,172.50 |
$2,172.50 |
$2,172.50 |
$1,986.00
|
|
Special teletx port plan
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,086.99
|
|
Specimen fat stain
|
$51.00 |
$51.00 |
$51.00 |
$35.10
|
|
Speech audiometry complete
|
$82.50 |
$82.50 |
$82.50 |
$109.20
|
|
Speech recep thresh
|
$66.50 |
$66.50 |
$66.50 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$956.50 |
$956.50 |
$956.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$392.00 |
$392.00 |
$392.00 |
$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 %
|
$2,882.50 |
$2,882.50 |
$2,882.50 |
$4,619.65
|
|
Split blood or products
|
$281.00 |
$281.00 |
$281.00 |
$127.48
|
|
Srs linear based
|
$10,149.50 |
$10,149.50 |
$10,149.50 |
$13,585.00
|
|
Srs multisource
|
$37,601.50 |
$37,601.50 |
$37,601.50 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$252.50 |
$252.50 |
$252.50 |
$297.60
|
|
Staph a dna amp probe
|
$71.50 |
$71.50 |
$71.50 |
$125.00
|
|
Static or dynami afo pre ots
|
$374.50 |
$374.50 |
$374.50 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$208.50 |
$208.50 |
$208.50 |
$286.00
|
|
Stem cells total count
|
$261.50 |
$261.50 |
$261.50 |
$179.64
|
|
Stenger test pure tone
|
$91.00 |
$91.00 |
$91.00 |
$77.84
|
|
Stenger test speech
|
$303.00 |
$303.00 |
$303.00 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$25,348.50 |
$25,348.50 |
$25,348.50 |
$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
|
$10,098.00 |
$10,098.00 |
$10,098.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,686.50 |
$8,686.50 |
$8,686.50 |
$9,008.54
|
|
Stent placemt retro carotid
|
$7,520.50 |
$7,520.50 |
$7,520.50 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$14,636.50 |
$14,636.50 |
$14,636.50 |
$17,271.50
|
|
St evaluate speech sound production
|
$252.50 |
$252.50 |
$252.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$252.50 |
$252.50 |
$252.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$498.00 |
$498.00 |
$498.00 |
$399.60
|
|
St evaluation swallow function
|
$252.50 |
$252.50 |
$252.50 |
$314.40
|
|
Straight knee joint heavy du
|
$277.50 |
$277.50 |
$277.50 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$166.00 |
$166.00 |
$166.00 |
$223.45
|
|
Strapping of chest
|
$136.00 |
$136.00 |
$136.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$267.00 |
$267.00 |
$267.00 |
$154.70
|
|
Strapping of hand or finger
|
$251.50 |
$251.50 |
$251.50 |
$174.82
|
|
Strapping of hip
|
$80.00 |
$80.00 |
$80.00 |
$164.70
|
|
Strapping of knee
|
$90.50 |
$90.50 |
$90.50 |
$205.20
|
|
Strapping of toes 29550
|
$74.50 |
$74.50 |
$74.50 |
$164.70
|
|
Stress test pulmonary
|
$171.00 |
$171.00 |
$171.00 |
$322.85
|
|
Stress tte complete
|
$1,061.50 |
$1,061.50 |
$1,061.50 |
$1,870.50
|
|
Str markers spec anal addl
|
$534.00 |
$534.00 |
$534.00 |
$479.17
|
|
Str markers specimen anal
|
$438.50 |
$438.50 |
$438.50 |
$751.50
|
|
St treatment speech individual
|
$194.50 |
$194.50 |
$194.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$194.50 |
$194.50 |
$194.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$311.50 |
$311.50 |
$311.50 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$550.50 |
$550.50 |
$550.50 |
$988.00
|
|
Suction lipectomy trunk
|
$3,259.00 |
$3,259.00 |
$3,259.00 |
$4,332.25
|
|
Sugars single quant
|
$96.00 |
$96.00 |
$96.00 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$258.50 |
$258.50 |
$258.50 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$114.50 |
$114.50 |
$114.50 |
$94.19
|
