|
Self-mgmt educ/train 2-4 pt 30min
|
$51.98 |
$51.98 |
$51.98 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$31.92 |
$31.92 |
$31.92 |
$33.04
|
|
Semen analysis presence/motility
|
$79.92 |
$79.92 |
$79.92 |
$70.40
|
|
Semen analysis w/count
|
$84.00 |
$84.00 |
$85.80 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$376.58 |
$376.58 |
$376.58 |
$316.68
|
|
Serial casting application 97139app
|
$67.42 |
$67.42 |
$67.42 |
$78.39
|
|
Serpina1 gene
|
$335.18 |
$335.18 |
$474.60 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$306.00 |
$306.00 |
$306.00 |
$126.43
|
|
Set radiation therapy field
|
$549.30 |
$549.30 |
$834.76 |
$782.61
|
|
Set radiation therapy field
|
$669.97 |
$669.97 |
$669.97 |
$1,159.03
|
|
Set radiation therapy field
|
$1,084.65 |
$1,084.65 |
$1,636.36 |
$1,636.36
|
|
Set-up cardiovert-defibrill
|
$373.29 |
$373.29 |
$373.29 |
$373.29
|
|
Sevelamer carbonate 800 mg tablet
|
$7.14 |
$7.14 |
$7.14 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$21.42 |
$21.42 |
$21.42 |
$21.42
|
|
Sf3b1 gene common variants
|
$115.95 |
$115.95 |
$115.95 |
$248.10
|
|
Sgmdsc w/band ligation
|
$748.50 |
$748.50 |
$748.50 |
$2,288.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$232.20 |
$232.20 |
$232.20 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$370.92 |
$370.92 |
$370.92 |
$400.40
|
|
Sheath below knee
|
$65.84 |
$65.84 |
$65.84 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$6,108.01 |
$6,108.01 |
$7,908.00 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$6,108.01 |
$6,108.01 |
$8,896.50 |
$7,143.32
|
|
Shoe post-op mens m
|
$229.82 |
$229.82 |
$319.80 |
$53.20
|
|
Shoe wedge sach
|
$171.44 |
$171.44 |
$225.00 |
$171.44
|
|
Sho insert w arch toe filler
|
$1,343.14 |
$1,343.14 |
$1,343.14 |
$1,224.38
|
|
Shot (Injection into Muscle or Under the Skin)
|
$146.85 |
$146.85 |
$192.72 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$199.75 |
$199.75 |
$257.10 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$223.85 |
$223.85 |
$270.00 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,354.00 |
$2,354.00 |
$3,700.05 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,857.68 |
$2,857.68 |
$3,482.70 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,788.37 |
$1,788.37 |
$3,264.90 |
$2,088.20
|
|
Shoulder prosthesis removal
|
$2,808.74 |
$2,808.74 |
$2,808.74 |
$3,870.38
|
|
Shoulder X-ray
|
$282.15 |
$282.15 |
$306.88 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$268.60 |
$268.60 |
$307.05 |
$264.00
|
|
Shrinker prosth above knee
|
$168.89 |
$168.89 |
$168.89 |
$168.89
|
|
Shrinker prosth below knee
|
$92.35 |
$92.35 |
$92.35 |
$105.12
|
|
Shrinker upper limb
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$4,740.00 |
$4,740.00 |
$5,047.52 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$697.07 |
$697.07 |
$697.07 |
$355.80
|
|
Sialography s&i
|
$295.76 |
$295.76 |
$295.76 |
$499.20
|
|
Sialolithotomy 42330
|
$2,436.84 |
$2,436.84 |
$2,436.84 |
$3,837.72
|
|
Sickling rbc
|
$71.95 |
$71.95 |
$88.20 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$547.05 |
$547.05 |
$547.05 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$547.05 |
$547.05 |
$547.05 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$748.50 |
$748.50 |
$748.50 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$547.05 |
$547.05 |
$547.05 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$748.50 |
$748.50 |
$748.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$707.55 |
$707.55 |
$707.55 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,692.00
|
|
Sigmoidoscopy w/tumr remove
|
$748.50 |
$748.50 |
$748.50 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$748.50 |
$748.50 |
$748.50 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$748.50 |
$748.50 |
$748.50 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$719.70 |
$719.70 |
$719.70 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$373.12 |
$373.12 |
$373.12 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$748.50 |
$748.50 |
$748.50 |
$2,288.00
|
|
Sim ang w/prs cath rad emb
|
$13,001.06 |
$13,001.06 |
$13,001.06 |
$18,145.20
|
|
Sinus CT scan (with and without contrast)
|
$1,908.20 |
$1,908.20 |
$2,312.25 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,767.90 |
$1,767.90 |
$2,004.41 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,666.95 |
$1,666.95 |
$1,704.54 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$2,052.67 |
$2,052.67 |
$4,833.30 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$328.04 |
$328.04 |
$404.40 |
$347.10
|
|
Sinus X-ray (limited)
|
$151.82 |
$151.82 |
$208.50 |
$215.75
|
|
Sipuleucel-t - su
|
$112,684.50 |
$112,684.50 |
$112,684.50 |
$100,990.51
|
|
Sirolimus, oral
|
$41.25 |
$41.25 |
$42.11 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$252.00 |
$252.00 |
$252.00 |
$83.85
|
|
Skin barrier with flange
|
$1.65 |
$1.65 |
$1.65 |
$1.65
|
|
Skin Biopsy
|
$269.02 |
$269.02 |
$449.25 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$277.54 |
$277.54 |
$351.00 |
$294.66
|
|
Skull X-ray (complete)
|
$350.76 |
$350.76 |
$525.00 |
$423.15
|
|
Slco1b1 gene com variants
|
$37.80 |
$37.80 |
$37.80 |
$235.20
|
|
Sleep Study (Polysomnography)
|
$4,658.81 |
$4,658.81 |
$4,830.30 |
$3,734.50
|
|
Sleep study unattended
|
$416.25 |
$416.25 |
$794.20 |
$594.00
|
|
Sling arm deluxe w/pad xs
|
$41.10 |
$41.10 |
$188.84 |
$30.35
|
|
Sling pelv split sam med
|
$246.05 |
$246.05 |
$246.05 |
$150.00
|
|
Sling suprapubic suburetheral
|
$14,547.60 |
$14,547.60 |
$16,564.21 |
$9,679.96
|
|
Slitting of prepuce
|
$2,761.01 |
$2,761.01 |
$2,761.01 |
$3,376.23
|
|
Slp eval non-spch gen comm dev
|
$345.75 |
$345.75 |
$345.75 |
$285.09
|
|
Slp pure tone screening
|
$82.04 |
$82.04 |
$103.50 |
$64.50
|
|
Slp ther svc non-spch gen
|
$58.05 |
$58.05 |
$58.05 |
$188.00
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$561.67 |
$561.67 |
$639.60 |
$557.70
|
|
Small bowel endoscopy
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$2,596.41
|
|
Small bowel endoscopy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,518.10
|
|
Small bowel endoscopy
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$3,265.60
|
|
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
|
|
Smear fluorescent and/or acid fast stain
|
$87.49 |
$87.49 |
$150.15 |
$64.20
|
|
Smear gram stain
|
$74.19 |
$74.19 |
$91.35 |
$55.42
|
|
Smear nasal eosinophil
|
$21.45 |
$21.45 |
$60.60 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$100.78 |
$100.78 |
$206.70 |
$73.15
|
|
Smear wet mount
|
$75.59 |
$75.59 |
$132.15 |
$67.49
|
|
Smn1 gene full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$495.69
|
|
Snrpn/ube3a gene
|
$458.90 |
$458.90 |
$458.90 |
$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 |
$70.34 |
$127.05 |
$48.75
|