|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$415.22 |
$415.22 |
$415.22 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$253.40 |
$253.40 |
$253.40 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$281.55 |
$281.55 |
$281.55 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$286.89 |
$286.89 |
$286.89 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$6,108.01 |
$6,108.01 |
$6,108.01 |
$6,491.87
|
|
Sheath laser cavaclear 14f
|
$6,108.01 |
$6,108.01 |
$6,108.01 |
$6,952.68
|
|
Shigella antibody
|
$108.96 |
$108.96 |
$108.96 |
$49.60
|
|
Sho arthrs dx +- synovial bx
|
$3,727.43 |
$3,727.43 |
$3,727.43 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$4,246.33 |
$4,246.33 |
$4,246.33 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$4,625.34 |
$4,625.34 |
$4,625.34 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$4,399.11 |
$4,399.11 |
$4,399.11 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$4,521.67 |
$4,521.67 |
$4,521.67 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$4,816.16 |
$4,816.16 |
$4,816.16 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$4,614.20 |
$4,614.20 |
$4,614.20 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$4,531.06 |
$4,531.06 |
$4,531.06 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$4,154.18 |
$4,154.18 |
$4,154.18 |
$5,148.00
|
|
Shoe post-op mens m
|
$229.82 |
$229.82 |
$229.82 |
$53.20
|
|
Sho lift taper to metatarsal
|
$49.20 |
$49.20 |
$49.20 |
$111.14
|
|
Shortening of hand tendon
|
$1,474.73 |
$1,474.73 |
$1,474.73 |
$3,839.54
|
|
Shorten radius or ulna
|
$6,609.96 |
$6,609.96 |
$6,609.96 |
$6,609.96
|
|
Shot (Injection into Muscle or Under the Skin)
|
$172.35 |
$172.35 |
$172.35 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$293.30 |
$293.30 |
$293.30 |
$268.80
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$4,669.64 |
$4,669.64 |
$4,669.64 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$276.52 |
$276.52 |
$276.52 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$2,827.52 |
$2,827.52 |
$2,827.52 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$2,895.55 |
$2,895.55 |
$2,895.55 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$2,311.68 |
$2,311.68 |
$2,311.68 |
$2,060.00
|
|
Shoulder prosthesis removal
|
$3,686.08 |
$3,686.08 |
$3,686.08 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$2,107.99 |
$2,107.99 |
$2,107.99 |
$4,832.80
|
|
Shoulder X-ray
|
$344.38 |
$344.38 |
$344.38 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$399.27 |
$399.27 |
$399.27 |
$260.40
|
|
Shrinker prosth above knee
|
$71.40 |
$71.40 |
$71.40 |
$168.89
|
|
Shrinker prosth below knee
|
$152.40 |
$152.40 |
$152.40 |
$109.00
|
|
Shunt glaucoma baerveldt 350mm
|
$5,047.52 |
$5,047.52 |
$5,047.52 |
$4,427.72
|
|
Shuntogram nonvascular supervision & interpretation
|
$375.67 |
$375.67 |
$375.67 |
$359.55
|
|
Sialidase enzyme assay
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$54.99
|
|
Sialography s&i
|
$789.85 |
$789.85 |
$789.85 |
$512.40
|
|
Sialolithotomy 42330
|
$3,283.01 |
$3,283.01 |
$3,283.01 |
$3,864.00
|
|
Sickling rbc
|
$76.70 |
$76.70 |
$76.70 |
$56.99
|
|
Signal avg ecg w or without ecg 93278
|
$257.47 |
$257.47 |
$257.47 |
$280.00
|
|
Sim ang w/prs cath rad emb
|
$13,001.06 |
$13,001.06 |
$13,001.06 |
$17,010.60
|
|
Simple cystometrogram 51725
|
$1,030.83 |
$1,030.83 |
$1,030.83 |
$614.00
|
|
Sinus CT scan (with and without contrast)
|
$1,908.25 |
$1,908.25 |
$1,908.25 |
$1,788.60
|
|
Sinus CT scan (with contrast)
|
$1,930.24 |
$1,930.24 |
$1,930.24 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,640.48 |
$1,640.48 |
$1,640.48 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$2,052.67 |
$2,052.67 |
$2,052.67 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$2,616.15 |
$2,616.15 |
$2,616.15 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$5,181.19 |
$5,181.19 |
$5,181.19 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$421.47 |
$421.47 |
$421.47 |
$345.24
|
|
Sinus X-ray (limited)
|
$188.79 |
$188.79 |
$188.79 |
$214.50
|
|
Sipuleucel-t - su
|
$112,684.50 |
$112,684.50 |
$112,684.50 |
$100,990.51
|
|
Sirolimus, oral
|
$42.11 |
$42.11 |
$42.11 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$252.00 |
$252.00 |
$252.00 |
$80.10
|
|
Skin Biopsy
|
$360.34 |
$360.34 |
$360.34 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$3,157.10 |
$3,157.10 |
$3,157.10 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$729.62 |
$729.62 |
$729.62 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$3,040.42 |
$3,040.42 |
$3,040.42 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$2,501.86 |
$2,501.86 |
$2,501.86 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$2,711.32 |
$2,711.32 |
$2,711.32 |
$1,793.40
|
|
Skull X-ray (1 to 3 views)
|
$309.63 |
$309.63 |
$309.63 |
$297.00
|
|
Skull X-ray (complete)
|
$440.90 |
$440.90 |
$440.90 |
$417.50
|
|
Sleep study attended
|
$1,625.75 |
$1,625.75 |
$1,625.75 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,658.81 |
$4,658.81 |
$4,658.81 |
$3,721.41
|
|
Sleep study unattended
|
$990.34 |
$990.34 |
$990.34 |
$594.00
|
|
Sleeve fing rolyan med
|
$197.40 |
$197.40 |
$197.40 |
$204.60
|
|
Sling arm deluxe w/pad xs
|
$41.10 |
$41.10 |
$41.10 |
$30.35
|
|
Sling suprapubic suburetheral
|
$16,564.21 |
$16,564.21 |
$16,564.21 |
$9,679.96
|
|
Slitting of prepuce
|
$2,733.23 |
$2,733.23 |
$2,733.23 |
$4,061.71
|
|
Slitting of prepuce
|
$3,659.06 |
$3,659.06 |
$3,659.06 |
$3,376.23
|
|
Slp pure tone screening
|
$95.55 |
$95.55 |
$95.55 |
$64.50
|
|
Slp stdy unatnd w/anal
|
$526.81 |
$526.81 |
$526.81 |
$285.00
|
|
Small animal inoculation
|
$119.41 |
$119.41 |
$119.41 |
$23.24
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$520.69 |
$520.69 |
$520.69 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$85.55 |
$85.55 |
$85.55 |
$64.00
|
|
Smear gram stain
|
$76.01 |
$76.01 |
$76.01 |
$54.03
|
|
Smear nasal eosinophil
|
$72.60 |
$72.60 |
$72.60 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$94.10 |
$94.10 |
$94.10 |
$71.81
|
|
Smear wet mount
|
$68.63 |
$68.63 |
$68.63 |
$66.30
|
|
Smn1 gene full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$495.69
|
|
Smpd1 gene common variants
|
$240.00 |
$240.00 |
$240.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$206.19 |
$206.19 |
$206.19 |
$228.80
|
|
Sodium 24 hour urine
|
$54.37 |
$54.37 |
$54.37 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$69.85 |
$69.85 |
$69.85 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$30.00 |
$30.00 |
$30.00 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$30.00 |
$30.00 |
$30.00 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$31.39 |
$31.39 |
$31.39 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$131.28 |
$131.28 |
$131.28 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$58.28 |
$58.28 |
$58.28 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$156.60 |
$156.60 |
$156.60 |
$177.52
|
|
Soft interface below knee se
|
$76.20 |
$76.20 |
$76.20 |
$179.08
|
|
Somatosensory testing
|
$1,124.38 |
$1,124.38 |
$1,124.38 |
$816.00
|
|
So neo gsap dna/dna&rna
|
$2,714.80 |
$2,714.80 |
$2,714.80 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$2,175.00
|
|
So vest canvas/web pre ots
|
$347.06 |
$347.06 |
$347.06 |
$256.54
|
|
Special physics consult
|
$799.57 |
$799.57 |
$799.57 |
$725.00
|
|
Special radiation dosimetry
|
$463.21 |
$463.21 |
$463.21 |
$392.73
|
|
Special radiation treatment
|
$1,978.89 |
$1,978.89 |
$1,978.89 |
$2,045.50
|
|
Special supplies phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
