|
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
|
$699.60 |
$699.60 |
$699.60 |
$725.00
|
|
Special radiation dosimetry
|
$422.48 |
$422.48 |
$422.48 |
$392.73
|
|
Special radiation treatment
|
$2,125.57 |
$2,125.57 |
$2,125.57 |
$2,045.50
|
|
Special supplies phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
Special teletx port plan
|
$1,056.31 |
$1,056.31 |
$1,056.31 |
$1,086.99
|
|
Specific gravity body fluid
|
$28.32 |
$28.32 |
$28.32 |
$22.00
|
|
Specimen fat stain
|
$27.68 |
$27.68 |
$82.12 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$491.24 |
$491.24 |
$540.60 |
$380.00
|
|
Speech audiometry complete
|
$125.39 |
$125.39 |
$125.39 |
$109.20
|
|
Speech evaluation complex
|
$409.96 |
$409.96 |
$530.71 |
$527.06
|
|
Speech recep thresh
|
$102.55 |
$102.55 |
$102.55 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$228.43 |
$228.43 |
$264.98 |
$248.84
|
|
Sperm antibody test
|
$74.27 |
$74.27 |
$74.27 |
$57.85
|
|
Sperm isolation complex
|
$205.60 |
$205.60 |
$205.60 |
$176.28
|
|
Sperm isolation simple
|
$180.60 |
$180.60 |
$180.60 |
$126.05
|
|
Sperm washing 58323
|
$174.22 |
$174.22 |
$174.22 |
$238.06
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$4,349.40 |
$4,349.40 |
$4,349.40 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$4,517.20 |
$4,517.20 |
$4,517.20 |
$266.40
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$881.54 |
$881.54 |
$1,030.57 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$285.20 |
$285.20 |
$332.48 |
$251.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$261.28 |
$261.28 |
$261.28 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$143.14 |
$143.14 |
$143.14 |
$242.25
|
|
Spleen imaging
|
$1,010.08 |
$1,010.08 |
$1,010.08 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$392.09 |
$392.09 |
$392.09 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$83.19 |
$83.19 |
$83.19 |
$67.76
|
|
Splint finger 4 prong foam sm
|
$41.90 |
$41.90 |
$41.90 |
$34.00
|
|
Splint finger fold over sm
|
$157.15 |
$157.15 |
$157.15 |
$151.34
|
|
Splint finger frog med
|
$51.30 |
$51.30 |
$51.30 |
$38.08
|
|
Splint func pos polyflex ii med
|
$33.00 |
$33.00 |
$33.00 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$107.85 |
$107.85 |
$107.85 |
$100.00
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,158.71 |
$4,158.71 |
$4,158.71 |
$4,687.20
|
|
Split blood or products
|
$217.64 |
$217.64 |
$217.64 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$2,050.28 |
$2,050.28 |
$2,050.28 |
$1,612.78
|
|
Sprchoroidal spc njx rx agt
|
$4,624.43 |
$4,624.43 |
$4,624.43 |
$454.19
|
|
Sputum specimen collection
|
$192.85 |
$192.85 |
$192.85 |
$180.00
|
|
Srs linear based
|
$16,723.13 |
$16,723.13 |
$16,723.13 |
$14,124.25
|
|
Staggered spondaic word test
|
$263.71 |
$263.71 |
$263.71 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$401.71 |
$401.71 |
$519.81 |
$295.10
|
|
Staph a dna amp probe
|
$116.39 |
$116.39 |
$116.39 |
$125.00
|
|
Static or dynami afo pre ots
|
$217.65 |
$217.65 |
$217.65 |
$291.20
|
|
St cognitve performance testing healthcare professional each hour
|
$190.75 |
$190.75 |
$323.83 |
$281.00
|
|
Stem cells total count
|
$135.62 |
$135.62 |
$135.62 |
$184.00
|
|
Stenger test pure tone
|
$98.41 |
$98.41 |
$98.41 |
$77.84
|
|
Stenger test speech
|
$466.61 |
$466.61 |
$466.61 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$33,266.00 |
$33,266.00 |
$33,266.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,120.24 |
$6,120.24 |
$6,120.24 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$35,204.12 |
$35,204.12 |
$35,204.12 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$8,229.86 |
$8,229.86 |
$8,229.86 |
$4,673.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$20,825.64 |
$20,825.64 |
$20,825.64 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$11,956.10 |
$11,956.10 |
$11,956.10 |
$8,985.00
|
|
Stent placemt retro carotid
|
$2,070.72 |
$2,070.72 |
$2,070.72 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$28,036.28 |
$28,036.28 |
$28,036.28 |
$17,892.00
|
|
St evaluate speech sound production
|
$407.75 |
$407.75 |
$540.60 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$304.35 |
$304.35 |
$470.53 |
$396.90
|
|
Stimulants synthetic
|
$95.66 |
$95.66 |
$95.66 |
$80.08
|
|
Stoma absorptive cover
|
$85.51 |
$85.51 |
$85.51 |
$85.51
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,184.62 |
$1,184.62 |
$1,402.87 |
$1,350.05
|
|
Storage/year embryo(s)
|
$317.54 |
$317.54 |
$317.54 |
$236.00
|
|
Storage/year oocyte(s)
|
$641.92 |
$641.92 |
$641.92 |
$236.00
|
|
Strapping of ankle and/or ft 29540
|
$225.29 |
$225.29 |
$254.25 |
$223.45
|
|
Strapping of chest
|
$196.93 |
$196.93 |
$225.29 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$199.99 |
$199.99 |
$225.29 |
$157.46
|
|
Strapping of hand or finger
|
$225.29 |
$225.29 |
$230.72 |
$177.45
|
|
Strapping of hip
|
$170.08 |
$170.08 |
$225.29 |
$164.70
|
|
Strapping of knee
|
$206.78 |
$206.78 |
$225.29 |
$205.20
|
|
Strapping of toes 29550
|
$146.08 |
$146.08 |
$195.43 |
$164.70
|
|
Strep a ag ia
|
$84.50 |
$84.50 |
$228.49 |
$75.40
|
|
Strep b assay w/optic
|
$183.96 |
$183.96 |
$183.96 |
$58.95
|
|
Strep b dna amp probe
|
$174.34 |
$174.34 |
$174.34 |
$124.15
|
|
Stress test pulmonary
|
$153.04 |
$153.04 |
$517.67 |
$324.00
|
|
Stress tte complete
|
$510.96 |
$510.96 |
$2,666.40 |
$1,820.70
|
|
Str markers spec anal addl
|
$365.77 |
$365.77 |
$365.77 |
$479.17
|
|
Str markers specimen anal
|
$554.90 |
$554.90 |
$554.90 |
$751.50
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$878.24 |
$878.24 |
$878.24 |
$878.24
|
|
Subq njx filling matrl 1cc/<
|
$538.11 |
$538.11 |
$538.11 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$748.14 |
$748.14 |
$748.14 |
$988.00
|
|
Subsequent repair of nerve
|
$4,448.60 |
$4,448.60 |
$4,448.60 |
$4,448.60
|
|
Subtalar arthro w/deb
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$3,543.46 |
$3,543.46 |
$3,543.46 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$3,406.76 |
$3,406.76 |
$3,406.76 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$13,158.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$12.18 |
$12.18 |
$72.13 |
$54.80
|
|
Suction lipectomy head&neck
|
$4,957.97 |
$4,957.97 |
$4,957.97 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$4,732.48 |
$4,732.48 |
$4,732.48 |
$5,661.00
|
|
Suction lipectomy trunk
|
$3,358.22 |
$3,358.22 |
$3,358.22 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$5,180.83 |
$5,180.83 |
$5,180.83 |
$4,544.00
|
|
Sugars multiple quant
|
$17.08 |
$17.08 |
$17.08 |
$44.19
|
|
Sugars single quant
|
$92.57 |
$92.57 |
$92.57 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$65,707.20 |
$65,707.20 |
$65,707.20 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$138.43 |
$138.43 |
$138.43 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$213.10 |
$213.10 |
$213.10 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$114.13 |
$114.13 |
$237.70 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$175.89 |
$175.89 |
$175.89 |
$94.08
|
|
Surg dx exam anorectal
|
$2,628.24 |
$2,628.24 |
$2,628.24 |
$3,480.50
|
|
Surgery for urethra pouch
|
$4,892.98 |
$4,892.98 |
$4,892.98 |
$4,627.00
|
|
Surgery to stop leg growth
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Surgery to stop leg growth
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
