|
Sertraline (zoloft) - sendout
|
$306.00 |
$306.00 |
$306.00 |
$126.43
|
|
Set radiation therapy field
|
$834.76 |
$834.76 |
$834.76 |
$782.61
|
|
Set radiation therapy field
|
$669.97 |
$669.97 |
$669.97 |
$1,159.03
|
|
Set radiation therapy field
|
$1,636.36 |
$1,636.36 |
$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
|
|
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 gldlight lasr 12fx50cm
|
$6,108.01 |
$6,108.01 |
$6,108.01 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$6,108.01 |
$6,108.01 |
$6,108.01 |
$7,143.32
|
|
Shoe post-op mens m
|
$229.82 |
$229.82 |
$229.82 |
$53.20
|
|
Shoe wedge sach
|
$225.00 |
$225.00 |
$225.00 |
$171.44
|
|
Shot (Injection into Muscle or Under the Skin)
|
$192.72 |
$192.72 |
$192.72 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$199.75 |
$199.75 |
$199.75 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$223.85 |
$223.85 |
$223.85 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,354.00 |
$2,354.00 |
$2,354.00 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,857.68 |
$2,857.68 |
$2,857.68 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,788.37 |
$1,788.37 |
$1,788.37 |
$2,088.20
|
|
Shoulder prosthesis removal
|
$2,808.74 |
$2,808.74 |
$2,808.74 |
$3,870.38
|
|
Shoulder X-ray
|
$306.88 |
$306.88 |
$306.88 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$268.60 |
$268.60 |
$268.60 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$5,047.52 |
$5,047.52 |
$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 |
$71.95 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$373.12 |
$373.12 |
$373.12 |
$280.00
|
|
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 |
$1,908.20 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,004.41 |
$2,004.41 |
$2,004.41 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,704.54 |
$1,704.54 |
$1,704.54 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$2,052.67 |
$2,052.67 |
$2,052.67 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$328.04 |
$328.04 |
$328.04 |
$347.10
|
|
Sinus X-ray (limited)
|
$151.82 |
$151.82 |
$151.82 |
$215.75
|
|
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 |
$83.85
|
|
Skin Biopsy
|
$269.02 |
$269.02 |
$269.02 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$277.54 |
$277.54 |
$277.54 |
$294.66
|
|
Skull X-ray (complete)
|
$350.76 |
$350.76 |
$350.76 |
$423.15
|
|
Slco1b1 gene com variants
|
$37.80 |
$37.80 |
$37.80 |
$235.20
|
|
Sleep Study (Polysomnography)
|
$4,658.81 |
$4,658.81 |
$4,658.81 |
$3,734.50
|
|
Sleep study unattended
|
$794.20 |
$794.20 |
$794.20 |
$594.00
|
|
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
|
$2,761.01 |
$2,761.01 |
$2,761.01 |
$3,376.23
|
|
Slp pure tone screening
|
$82.04 |
$82.04 |
$82.04 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$561.67 |
$561.67 |
$561.67 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$87.49 |
$87.49 |
$87.49 |
$64.20
|
|
Smear gram stain
|
$74.19 |
$74.19 |
$74.19 |
$55.42
|
|
Smear nasal eosinophil
|
$60.60 |
$60.60 |
$60.60 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$100.78 |
$100.78 |
$100.78 |
$73.15
|
|
Smear wet mount
|
$75.59 |
$75.59 |
$75.59 |
$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
|
|
Sodium 24 hour urine
|
$70.34 |
$70.34 |
$70.34 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$45.90 |
$45.90 |
$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
|
$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
|
$62.12 |
$62.12 |
$62.12 |
$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
|
$220.56 |
$220.56 |
$220.56 |
$179.08
|
|
Somatosensory testing
|
$1,066.46 |
$1,066.46 |
$1,066.46 |
$816.00
|
|
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
|
|
Special physics consult
|
$945.67 |
$945.67 |
$945.67 |
$725.00
|
|
Special radiation dosimetry
|
$539.97 |
$539.97 |
$539.97 |
$392.50
|
|
Special radiation treatment
|
$1,787.51 |
$1,787.51 |
$1,787.51 |
$2,052.00
|
|
Special supplies phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
Special teletx port plan
|
$530.47 |
$530.47 |
$530.47 |
$1,095.05
|
|
Specific gravity body fluid
|
$29.54 |
$29.54 |
$29.54 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$423.40 |
$423.40 |
$423.40 |
$385.00
|
|
Speech evaluation complex
|
$527.06 |
$527.06 |
$527.06 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$293.11 |
$293.11 |
$293.11 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,692.88 |
$1,692.88 |
$1,692.88 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$283.12 |
$283.12 |
$283.12 |
$251.00
|
|
Spleen imaging
|
$367.06 |
$367.06 |
$367.06 |
$679.00
|
|
Splint rstrc wrst/cmc right med
|
$107.85 |
$107.85 |
$107.85 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,543.60 |
$4,543.60 |
$4,543.60 |
$4,689.60
|
|
Split blood or products
|
$125.72 |
$125.72 |
$125.72 |
$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
|
$120.37 |
$120.37 |
$120.37 |
$180.00
|
|
Srs linear based
|
$13,067.46 |
$13,067.46 |
$13,067.46 |
$14,124.25
|
|
Srs multisource
|
$31,800.00 |
$31,800.00 |
$31,800.00 |
$35,004.79
|
|
St analysis behavior qualitative voice/resonance
|
$382.60 |
$382.60 |
$382.60 |
$297.60
|
|
Staph a dna amp probe
|
$116.39 |
$116.39 |
$116.39 |
$125.00
|
|
Static or dynami afo pre ots
|
$101.56 |
$101.56 |
$101.56 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$313.96 |
$313.96 |
$313.96 |
$286.00
|
|
Stem cells total count
|
$357.60 |
$357.60 |
$357.60 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$49,101.56 |
$49,101.56 |
$49,101.56 |
$21,568.80
|
|
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 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,055.19 |
$24,055.19 |
$24,055.19 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,391.32 |
$14,391.32 |
$14,391.32 |
$8,948.40
|
