|
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 |
$2,312.25 |
$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 |
$4,833.30 |
$4,833.30 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$328.04 |
$404.40 |
$404.40 |
$347.10
|
|
Sinus X-ray (limited)
|
$151.82 |
$208.50 |
$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 |
$455.40 |
$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 |
$351.00 |
$351.00 |
$294.66
|
|
Skull X-ray (complete)
|
$350.76 |
$525.00 |
$525.00 |
$423.15
|
|
Slco1b1 gene com variants
|
$37.80 |
$37.80 |
$37.80 |
$235.20
|
|
Sleep Study (Polysomnography)
|
$4,658.81 |
$4,830.30 |
$4,830.30 |
$3,734.50
|
|
Sleep study unattended
|
$794.20 |
$794.20 |
$794.20 |
$594.00
|
|
Sling arm deluxe w/pad xs
|
$41.10 |
$188.84 |
$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 |
$3,281.10 |
$3,376.23
|
|
Slp pure tone screening
|
$82.04 |
$82.04 |
$103.50 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$561.67 |
$639.60 |
$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 |
$2,244.82
|
|
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
|
|
Small bowel endoscopy/stent 44370
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$87.49 |
$150.15 |
$150.15 |
$64.20
|
|
Smear gram stain
|
$74.19 |
$91.35 |
$91.35 |
$55.42
|
|
Smear nasal eosinophil
|
$60.60 |
$60.60 |
$78.30 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$100.78 |
$176.55 |
$206.70 |
$73.15
|
|
Smear wet mount
|
$75.59 |
$132.15 |
$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 |
$801.15 |
$810.00 |
$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 |
$127.05 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$30.00 |
$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
|
$31.39 |
$31.39 |
$31.39 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$131.28 |
$160.28 |
$160.28 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$410.40 |
$410.40 |
$410.40 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$62.12 |
$135.45 |
$135.45 |
$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
|
|
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
|
$538.65 |
$538.65 |
$1,066.46 |
$816.00
|
|
Somatropin injection
|
$1,204.34 |
$1,204.34 |
$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
|
|
Special physics consult
|
$298.05 |
$298.05 |
$945.67 |
$725.00
|
|
Special radiation dosimetry
|
$539.97 |
$539.97 |
$539.97 |
$392.50
|
|
Special radiation treatment
|
$1,787.51 |
$1,787.51 |
$2,228.55 |
$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 |
$43.50 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$423.40 |
$423.40 |
$914.10 |
$385.00
|
|
Speech evaluation complex
|
$527.06 |
$527.06 |
$527.06 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$293.11 |
$293.11 |
$524.40 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,692.88 |
$2,776.65 |
$2,776.65 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$283.12 |
$328.35 |
$328.35 |
$251.00
|
|
Spleen imaging
|
$367.06 |
$367.06 |
$367.06 |
$679.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$87.92 |
$87.92 |
$87.92 |
$71.44
|
|
Splint finger frog med
|
$21.47 |
$21.47 |
$21.47 |
$38.08
|
|
Splint func pos polyflex ii med
|
$307.50 |
$307.50 |
$307.50 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$88.81 |
$88.81 |
$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
|
$102.90 |
$102.90 |
$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
|
$102.90 |
$102.90 |
$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 |
$710.40 |
$297.60
|
|
Staph a dna amp probe
|
$116.39 |
$116.39 |
$155.25 |
$125.00
|
|
Static or dynami afo pre ots
|
$101.56 |
$416.73 |
$416.73 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$240.00 |
$240.00 |
$313.96 |
$286.00
|
|
Stem cells total count
|
$357.60 |
$357.60 |
$357.60 |
$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 |
$12,150.00 |
$12,150.00 |
$2,649.79
|
