|
Semen analysis presence/motility
|
$21.15 |
$21.15 |
$21.15 |
$71.05
|
|
Semen analysis w/count
|
$9.15 |
$9.15 |
$9.15 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$53.25 |
$53.25 |
$53.25 |
$316.68
|
|
Serpina1 gene
|
$134.10 |
$134.10 |
$134.10 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$24.90 |
$24.90 |
$24.90 |
$126.43
|
|
Set radiation therapy field
|
$265.20 |
$265.20 |
$265.20 |
$762.40
|
|
Set radiation therapy field
|
$415.65 |
$415.65 |
$415.65 |
$1,157.38
|
|
Set radiation therapy field
|
$480.60 |
$480.60 |
$480.60 |
$1,636.36
|
|
Sewho cap design without jnts cf
|
$730.95 |
$730.95 |
$730.95 |
$1,685.60
|
|
Sex chromatin identification
|
$14.40 |
$14.40 |
$14.40 |
$45.60
|
|
Sf3b1 gene common variants
|
$248.10 |
$248.10 |
$248.10 |
$248.10
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$39.15 |
$39.15 |
$39.15 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$43.20 |
$43.20 |
$43.20 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$47.40 |
$47.40 |
$47.40 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$52.20 |
$52.20 |
$52.20 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$83.55 |
$83.55 |
$83.55 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$39.15 |
$39.15 |
$39.15 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$43.20 |
$43.20 |
$43.20 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$91.95 |
$91.95 |
$91.95 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$83.55 |
$83.55 |
$83.55 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$91.95 |
$91.95 |
$91.95 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$101.10 |
$101.10 |
$101.10 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$1,172.70 |
$1,172.70 |
$1,172.70 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$971.40 |
$971.40 |
$971.40 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,065.05
|
|
Shoulder X-ray
|
$76.35 |
$76.35 |
$76.35 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$69.30 |
$69.30 |
$69.30 |
$349.20
|
|
Sialidase enzyme assay
|
$21.30 |
$21.30 |
$21.30 |
$54.60
|
|
Sialography s&i
|
$155.40 |
$155.40 |
$155.40 |
$499.20
|
|
Sickling rbc
|
$9.60 |
$9.60 |
$9.60 |
$57.92
|
|
Sigmoidoscopy w/resection
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$2,564.40
|
|
Simple cystometrogram 51725
|
$118.20 |
$118.20 |
$118.20 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$197.06 |
$197.06 |
$197.06 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$452.10 |
$452.10 |
$452.10 |
$2,489.25
|
|
Sirolimus, oral
|
$2.34 |
$2.34 |
$2.34 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$13.35 |
$13.35 |
$13.35 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$13.35 |
$13.35 |
$13.35 |
$16.12
|
|
Skin Biopsy
|
$39.15 |
$39.15 |
$39.15 |
$360.34
|
|
Sleep study attended
|
$520.05 |
$520.05 |
$520.05 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$548.85 |
$548.85 |
$548.85 |
$3,607.50
|
|
Sleep study unattended
|
$260.70 |
$260.70 |
$260.70 |
$580.87
|
|
Sleeve fing rolyan med
|
$45.00 |
$45.00 |
$45.00 |
$203.58
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$31.95 |
$31.95 |
$31.95 |
$129.20
|
|
Slp eval non-spch gen comm dev
|
$90.45 |
$90.45 |
$90.45 |
$285.09
|
|
Slp pure tone screening
|
$5.55 |
$5.55 |
$5.55 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$161.70 |
$161.70 |
$161.70 |
$296.34
|
|
Slp ther svc non-spch gen
|
$79.20 |
$79.20 |
$79.20 |
$188.50
|
|
Sm-153 lexidron ther
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$9.15 |
$9.15 |
$9.15 |
$64.20
|
|
Smear gram stain
|
$7.35 |
$7.35 |
$7.35 |
$55.25
|
|
Smear nasal eosinophil
|
$7.95 |
$7.95 |
$7.95 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$10.35 |
$10.35 |
$10.35 |
$73.15
|
|
Smear wet mount
|
$7.20 |
$7.20 |
$7.20 |
$67.49
|
|
Smn1 gene full gene sequence
|
$236.70 |
$236.70 |
$236.70 |
$495.69
|
|
Snrpn/ube3a gene
|
$74.25 |
$74.25 |
$74.25 |
$231.85
|
|
So airplane w/wo joint cf
|
$588.75 |
$588.75 |
$588.75 |
$1,276.80
|
|
So cap design without jnts cf
|
$190.20 |
$190.20 |
$190.20 |
$606.35
|
|
Sodium 24 hour urine
|
$8.70 |
$8.70 |
$8.70 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.26 |
$7.26 |
$7.26 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$7.26 |
$7.26 |
$7.26 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$7.26 |
$7.26 |
$7.26 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$77.77 |
$77.77 |
$77.77 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$421.14 |
$421.14 |
$421.14 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$8.55 |
$8.55 |
$8.55 |
$45.60
|
|
Somatosensory testing
|
$85.80 |
$85.80 |
$85.80 |
$816.00
|
|
Special physics consult
|
$175.05 |
$175.05 |
$175.05 |
$725.00
|
|
Special radiation dosimetry
|
$116.55 |
$116.55 |
$116.55 |
$392.50
|
|
Special radiation treatment
|
$560.40 |
$560.40 |
$560.40 |
$1,986.00
|
|
Special teletx port plan
|
$285.90 |
$285.90 |
$285.90 |
$1,086.99
|
|
Specific gravity body fluid
|
$4.20 |
$4.20 |
$4.20 |
$22.00
|
|
Specimen fat stain
|
$7.50 |
$7.50 |
$7.50 |
$35.10
|
|
Speech audiometry complete
|
$9.45 |
$9.45 |
$9.45 |
$109.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$310.05 |
$310.05 |
$310.05 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$194.55 |
$194.55 |
$194.55 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$122.25 |
$122.25 |
$122.25 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$11.25 |
$11.25 |
$11.25 |
$68.25
|
|
Splint finger fold over sm
|
$98.70 |
$98.70 |
$98.70 |
$146.88
|
|
Splint finger frog med
|
$7.05 |
$7.05 |
$7.05 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$18.45 |
$18.45 |
$18.45 |
$99.04
|
|
Split blood or products
|
$38.55 |
$38.55 |
$38.55 |
$127.48
|
|
Sputum specimen collection
|
$47.40 |
$47.40 |
$47.40 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$583.95 |
$583.95 |
$583.95 |
$2,667.94
|
|
Srs linear based
|
$4,102.20 |
$4,102.20 |
$4,102.20 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$92.55 |
$92.55 |
$92.55 |
$297.60
|
|
Staph a dna amp probe
|
$61.50 |
$61.50 |
$61.50 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$46.05 |
$46.05 |
$46.05 |
$286.00
|
|
Stem cells total count
|
$66.00 |
$66.00 |
$66.00 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$7,137.15 |
$7,137.15 |
$7,137.15 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$875.70 |
$875.70 |
$875.70 |
$32,403.15
|
|
Stent iliac/open or perc/uni/init 37221
|
$3,725.40 |
$3,725.40 |
$3,725.40 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$9,008.54
|
|
Stent placemt retro carotid
|
$5,679.00 |
$5,679.00 |
$5,679.00 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$4,533.30 |
$4,533.30 |
$4,533.30 |
$17,271.50
|
|
St evaluate speech sound production
|
$89.85 |
$89.85 |
$89.85 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$185.85 |
$185.85 |
$185.85 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$83.70 |
$83.70 |
$83.70 |
$399.60
|
