|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$11,027.95 |
$11,027.95 |
$11,027.95 |
$5,468.53
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,508.24 |
$2,508.24 |
$2,508.24 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,674.12 |
$1,674.12 |
$1,674.12 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,034.48 |
$2,034.48 |
$2,034.48 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,268.82 |
$1,268.82 |
$1,268.82 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$220.08 |
$220.08 |
$220.08 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$574.98 |
$574.98 |
$574.98 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,147.88 |
$2,147.88 |
$2,147.88 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,516.62 |
$1,516.62 |
$1,516.62 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$4,815.72 |
$4,815.72 |
$4,815.72 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$7,163.35 |
$7,163.35 |
$7,163.35 |
$4,079.62
|
|
Screening Mammogram
|
$200.00 |
$336.84 |
$336.84 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$64,280.97 |
$64,280.97 |
$64,280.97 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$85.68 |
$85.68 |
$85.68 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$120.96 |
$120.96 |
$120.96 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,581.34 |
$3,581.34 |
$3,581.34 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$163.38 |
$163.38 |
$163.38 |
$44.20
|
|
Semen analysis presence/motility
|
$328.02 |
$328.02 |
$328.02 |
$70.85
|
|
Set radiation therapy field
|
$4,081.56 |
$4,081.56 |
$4,081.56 |
$731.50
|
|
Set radiation therapy field
|
$5,856.90 |
$5,856.90 |
$5,856.90 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$254.52 |
$254.52 |
$254.52 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$254.52 |
$254.52 |
$254.52 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$525.42 |
$525.42 |
$525.42 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$12,405.39 |
$12,405.39 |
$12,405.39 |
$6,863.91
|
|
Sheath laser cavaclear 14f
|
$6,384.50 |
$6,384.50 |
$6,384.50 |
$6,331.24
|
|
Shoe post-op mens m
|
$34.13 |
$34.13 |
$232.98 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$4,883.76 |
$4,883.76 |
$4,883.76 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,307.10 |
$4,307.10 |
$4,307.10 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,936.24 |
$3,936.24 |
$3,936.24 |
$2,051.28
|
|
Shoulder X-ray
|
$612.36 |
$612.36 |
$612.36 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$5,110.14 |
$5,110.14 |
$5,110.14 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$435.54 |
$435.54 |
$435.54 |
$345.00
|
|
Sialography s&i
|
$1,152.48 |
$1,152.48 |
$1,152.48 |
$462.40
|
|
Sialolithotomy 42330
|
$4,761.96 |
$4,761.96 |
$4,761.96 |
$3,837.72
|
|
Sickling rbc
|
$168.00 |
$168.00 |
$168.00 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$1,364.58 |
$1,364.58 |
$1,364.58 |
$1,993.08
|
|
Sincalide 5 mcg solution for injection
|
$976.23 |
$976.23 |
$976.23 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$3,296.58 |
$3,296.58 |
$3,296.58 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,899.68 |
$2,899.68 |
$2,899.68 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$3,514.98 |
$3,514.98 |
$3,514.98 |
$2,489.25
|
|
Sirolimus, oral
|
$72.81 |
$72.81 |
$84.21 |
$42.11
|
|
Skin Biopsy
|
$254.52 |
$254.52 |
$254.52 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$8,730.96 |
$8,731.38 |
$8,731.38 |
$3,936.80
|
|
Sling arm deluxe w/pad xs
|
$24.57 |
$24.57 |
$24.57 |
$25.55
|
|
Sling pelv split sam med
|
$163.80 |
$163.80 |
$163.80 |
$115.20
|
|
Sling suprapubic suburetheral
|
$13,632.92 |
$13,632.92 |
$13,632.92 |
$10,328.15
|
|
Slitting of prepuce
|
$2,612.82 |
$2,612.82 |
$2,612.82 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$417.48 |
$417.48 |
$417.48 |
$64.20
|
|
Smear gram stain
|
$207.06 |
$207.06 |
$207.06 |
$57.85
|
|
Smear nasal eosinophil
|
$723.66 |
$723.66 |
$723.66 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$48.72 |
$48.72 |
$48.72 |
$64.35
|
|
Smear wet mount
|
$248.22 |
$248.22 |
$248.22 |
$68.63
|
|
Sodium 24 hour urine
|
$136.08 |
$136.08 |
$136.08 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$46.85 |
$46.85 |
$56.70 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$47.27 |
$47.48 |
$56.70 |
$46.38
|
|
Sodium chloride 0.9 % IV bolus
|
$47.48 |
$50.73 |
$56.70 |
$43.30
|
|
Sodium chloride 3 % ivpb
|
$48.11 |
$48.11 |
$48.11 |
$45.01
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$63.13 |
$68.72 |
$233.27 |
$84.15
|
|
Sodium serum/plasma/whole blood
|
$85.68 |
$85.68 |
$85.68 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$56.70 |
$56.70 |
$56.70 |
$156.60
|
|
Somatosensory testing
|
$577.08 |
$577.08 |
$577.08 |
$583.80
|
|
Special physics consult
|
$2,868.60 |
$2,868.60 |
$2,868.60 |
$700.74
|
|
Special radiation dosimetry
|
$661.50 |
$661.50 |
$661.50 |
$445.50
|
|
Special radiation treatment
|
$6,389.46 |
$6,389.46 |
$6,389.46 |
$1,934.03
|
|
Special teletx port plan
|
$2,459.94 |
$2,459.94 |
$2,459.94 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,469.62 |
$3,469.62 |
$3,469.62 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$586.32 |
$586.32 |
$586.32 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$106.03 |
$106.03 |
$106.03 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,713.66 |
$4,713.66 |
$4,713.66 |
$4,560.66
|
|
Split blood or products
|
$246.12 |
$246.12 |
$246.12 |
$148.98
|
|
Srs multisource
|
$50,984.64 |
$50,984.64 |
$50,984.64 |
$31,800.00
|
|
Staph a dna amp probe
|
$53.34 |
$61.32 |
$61.32 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$189.00 |
$189.00 |
$189.00 |
$313.96
|
|
Stem cells total count
|
$755.58 |
$755.58 |
$755.58 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$17,198.58 |
$17,198.58 |
$17,198.58 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$57,771.00 |
$57,771.00 |
$57,771.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$33,488.94 |
$33,488.94 |
$33,488.94 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$31,250.64 |
$31,250.64 |
$31,250.64 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$7,023.54 |
$7,023.54 |
$7,023.54 |
$5,596.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,198.58 |
$17,198.58 |
$17,198.58 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,507.22 |
$14,507.22 |
$14,507.22 |
$9,276.80
|
|
Stent placemt retro carotid
|
$10,468.08 |
$10,468.08 |
$10,468.08 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$19,765.20 |
$19,765.20 |
$19,765.20 |
$19,765.20
|
|
St evaluate speech sound production
|
$409.50 |
$409.50 |
$409.50 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$250.00 |
$250.00 |
$850.50 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$874.44 |
$874.44 |
$874.44 |
$406.40
|
|
St evaluation swallow function
|
$316.26 |
$316.26 |
$316.26 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$205.38 |
$205.38 |
$205.38 |
$248.05
|
|
Strapping of chest
|
$205.38 |
$205.38 |
$205.38 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$81.06 |
$81.06 |
$81.06 |
$171.00
|
|
Strapping of hand or finger
|
$105.84 |
$105.84 |
$105.84 |
$194.40
|
|
Strapping of hip
|
$163.80 |
$163.80 |
$163.80 |
$170.08
|
|
Strapping of knee
|
$163.80 |
$163.80 |
$163.80 |
$224.80
|
|
Strapping of toes 29550
|
$108.78 |
$108.78 |
$108.78 |
$185.36
|
|
Strep b dna amp probe
|
$307.86 |
$307.86 |
$307.86 |
$139.20
|
|
Stress test pulmonary
|
$590.52 |
$590.52 |
$590.52 |
$327.20
|
|
St treatment speech individual
|
$125.00 |
$125.00 |
$422.94 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$386.82 |
$386.82 |
$386.82 |
$261.60
|