|
Small bowel endoscopy
|
$562.65 |
$562.65 |
$562.65 |
$2,088.00
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,590.33
|
|
Small bowel endoscopy/biopsy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,104.50 |
$2,104.50 |
$2,104.50 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$29.50 |
$29.50 |
$150.15 |
$64.20
|
|
Smear gram stain
|
$70.50 |
$70.50 |
$91.35 |
$55.42
|
|
Smear nasal eosinophil
|
$60.60 |
$69.00 |
$342.07 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$100.78 |
$115.50 |
$365.32 |
$73.15
|
|
Smear wet mount
|
$70.50 |
$70.50 |
$132.15 |
$67.49
|
|
Smn1 gene full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$495.69
|
|
Smpd1 gene common variants
|
$43.00 |
$43.00 |
$43.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$251.50 |
$458.90 |
$4,269.35 |
$228.80
|
|
Socket insert w lock mech
|
$1,609.98 |
$1,609.98 |
$1,609.98 |
$1,418.83
|
|
Sock fracture or equal each
|
$78.08 |
$78.08 |
$78.08 |
$74.51
|
|
Sock wool above knee
|
$95.50 |
$95.50 |
$95.50 |
$51.18
|
|
Sodium 24 hour urine
|
$70.34 |
$127.05 |
$169.42 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$28.14 |
$30.00 |
$45.90 |
$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
|
$22.90 |
$22.90 |
$31.39 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$66.87 |
$131.28 |
$182.02 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$353.50 |
$353.50 |
$410.40 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$62.12 |
$134.50 |
$156.63 |
$46.26
|
|
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
|
$170.43 |
$170.43 |
$220.56 |
$179.08
|
|
So gsap cll fr mcrstl ins
|
$1,751.50 |
$1,751.50 |
$1,751.50 |
$3,279.92
|
|
Solid skin barrier
|
$2.84 |
$2.84 |
$2.84 |
$2.84
|
|
Solid skin barrier 6x6
|
$6.51 |
$6.51 |
$6.51 |
$6.51
|
|
Somatosensory testing
|
$1,066.46 |
$1,439.50 |
$1,439.50 |
$816.00
|
|
Somatropin injection
|
$204.73 |
$204.73 |
$1,204.34 |
$2,111.40
|
|
So neo gsap dna/dna&rna
|
$3,402.00 |
$3,402.00 |
$3,402.00 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$2,296.00
|
|
Sotalol hydrochloride IV
|
$18,664.27 |
$18,664.27 |
$18,664.27 |
$5,761.57
|
|
Special physics consult
|
$298.05 |
$812.50 |
$2,823.54 |
$725.00
|
|
Special radiation dosimetry
|
$346.50 |
$346.50 |
$759.37 |
$392.50
|
|
Special radiation treatment
|
$1,787.51 |
$2,966.00 |
$4,434.52 |
$2,052.00
|
|
Special supplies phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
Special teletx port plan
|
$530.47 |
$1,166.00 |
$2,061.51 |
$1,095.05
|
|
Specific gravity body fluid
|
$29.54 |
$29.54 |
$361.41 |
$22.00
|
|
Specimen fat stain
|
$11.50 |
$11.50 |
$598.61 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$423.40 |
$433.00 |
$914.10 |
$385.00
|
|
Speech evaluation complex
|
$527.06 |
$527.06 |
$1,476.52 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$216.50 |
$216.50 |
$524.40 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,692.88 |
$2,776.65 |
$6,655.31 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$251.00 |
$283.12 |
$381.50 |
$251.00
|
|
Spirmtry w/brnchdil inf-2 yr
|
$616.77 |
$616.77 |
$616.77 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$616.77 |
$616.77 |
$616.77 |
$242.25
|
|
Spleen imaging
|
$367.06 |
$367.06 |
$1,829.35 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$381.50 |
$381.50 |
$381.50 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$73.00 |
$73.00 |
$87.92 |
$71.44
|
|
Splint finger frog med
|
$21.47 |
$77.00 |
$77.00 |
$38.08
|
|
Splint func pos polyflex ii med
|
$307.50 |
$307.50 |
$307.50 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$71.00 |
$71.00 |
$107.85 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,692.85 |
$3,692.85 |
$4,543.60 |
$4,689.60
|
|
Split blood or products
|
$63.00 |
$102.90 |
$898.17 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$1,612.78 |
$1,612.78 |
$1,612.78 |
$1,612.78
|
|
Sputum specimen collection
|
$102.90 |
$102.90 |
$120.37 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$44,063.03 |
$44,063.03 |
$44,063.03 |
$2,515.15
|
|
Srs linear based
|
$8,491.35 |
$11,659.00 |
$13,067.46 |
$14,124.25
|
|
Srs multisource
|
$31,800.00 |
$31,800.00 |
$52,528.65 |
$35,004.79
|
|
St analysis behavior qualitative voice/resonance
|
$382.60 |
$433.00 |
$710.40 |
$297.60
|
|
Staph a dna amp probe
|
$97.00 |
$97.00 |
$155.25 |
$125.00
|
|
Static or dynami afo pre ots
|
$101.56 |
$101.56 |
$416.73 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$240.00 |
$425.00 |
$1,079.49 |
$286.00
|
|
Stem cells total count
|
$357.60 |
$357.60 |
$1,140.75 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$22,970.40 |
$22,970.40 |
$49,101.56 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$42,000.00 |
$42,000.00 |
$50,985.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,120.24 |
$6,120.24 |
$12,150.00 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$26,820.30 |
$26,820.30 |
$35,204.12 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,599.00 |
$1,599.00 |
$8,229.86 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$10,413.45 |
$10,413.45 |
$24,055.19 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$10,413.45 |
$10,413.45 |
$14,391.32 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$13,263.60 |
$13,263.60 |
$27,840.56 |
$16,875.93
|
|
St evaluate speech sound production
|
$363.57 |
$433.00 |
$710.40 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$433.00 |
$433.00 |
$731.70 |
$400.00
|
|
Stimulants synthetic
|
$117.00 |
$117.00 |
$267.60 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$888.50 |
$995.40 |
$5,518.74 |
$1,342.00
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$5,454.00 |
$5,454.00 |
$5,454.00 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$205.20 |
$205.20 |
$258.86 |
$223.45
|
|
Strapping of chest
|
$226.35 |
$226.35 |
$226.35 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$215.27 |
$215.27 |
$225.15 |
$157.46
|
|
Strapping of hand or finger
|
$216.60 |
$216.60 |
$225.15 |
$174.82
|
|
Strapping of hip
|
$140.74 |
$140.74 |
$140.74 |
$164.70
|
|
Strapping of knee
|
$205.20 |
$205.20 |
$216.34 |
$205.20
|
|
Strapping of toes 29550
|
$142.05 |
$142.05 |
$244.30 |
$164.70
|
|
Strep a ag ia
|
$104.03 |
$141.00 |
$231.00 |
$75.40
|
|
Strep b assay w/optic
|
$822.90 |
$822.90 |
$822.90 |
$58.95
|
|
Strep b dna amp probe
|
$74.50 |
$74.50 |
$284.25 |
$122.43
|
|
Streptomycin injection
|
$87.75 |
$139.50 |
$542.36 |
$138.30
|
|
Stress test pulmonary
|
$166.00 |
$324.00 |
$867.92 |
$324.00
|
|
Stress tte complete
|
$2,680.20 |
$3,013.50 |
$8,896.09 |
$1,894.20
|
|
Str markers spec anal addl
|
$292.00 |
$292.00 |
$479.17 |
$479.17
|
|
Str markers specimen anal
|
$535.00 |
$535.00 |
$2,623.58 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$40.21 |
$42.00 |
$120.83 |
$54.80
|
|
Sugars single quant
|
$48.50 |
$48.50 |
$77.40 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$295.20 |
$295.20 |
$1,979,710.86 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$7.00 |
$7.00 |
$138.43 |
$82.46
|
