|
Shortening of hand tendon
|
$1,474.73 |
$1,474.73 |
$1,474.73 |
$3,839.54
|
|
Shorten radius or ulna
|
$6,609.96 |
$6,609.96 |
$6,609.96 |
$6,609.96
|
|
Shot (Injection into Muscle or Under the Skin)
|
$197.78 |
$197.78 |
$197.78 |
$138.00
|
|
Shoulder AC Joint X-ray (both sides)
|
$299.18 |
$299.18 |
$299.18 |
$270.69
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$4,880.57 |
$4,880.57 |
$4,880.57 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$311.92 |
$311.92 |
$311.92 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$3,182.18 |
$3,182.18 |
$3,182.18 |
$2,825.55
|
|
Shoulder MRI (with contrast)
|
$2,838.31 |
$2,838.31 |
$2,838.31 |
$2,511.20
|
|
Shoulder MRI (without contrast)
|
$2,311.68 |
$2,311.68 |
$2,311.68 |
$2,102.80
|
|
Shoulder prosthesis removal
|
$3,870.38 |
$3,870.38 |
$3,870.38 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$2,213.40 |
$2,213.40 |
$2,213.40 |
$4,832.80
|
|
Shoulder X-ray
|
$399.22 |
$399.22 |
$399.22 |
$343.70
|
|
Shoulder X-ray (single view, both shoulders)
|
$320.82 |
$320.82 |
$320.82 |
$264.00
|
|
Shrinker prosth above knee
|
$71.40 |
$71.40 |
$71.40 |
$168.89
|
|
Shrinker prosth below knee
|
$152.40 |
$152.40 |
$152.40 |
$109.00
|
|
Shunt glaucoma baerveldt 350mm
|
$5,047.52 |
$5,047.52 |
$5,047.52 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$316.80 |
$316.80 |
$316.80 |
$359.55
|
|
Sialidase enzyme assay
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$54.99
|
|
Sialography s&i
|
$829.34 |
$829.34 |
$829.34 |
$513.60
|
|
Sialolithotomy 42330
|
$2,763.47 |
$2,763.47 |
$2,763.47 |
$3,864.00
|
|
Sickling rbc
|
$72.23 |
$72.23 |
$72.23 |
$59.15
|
|
Signal avg ecg w or without ecg 93278
|
$270.34 |
$270.34 |
$270.34 |
$280.00
|
|
Sim ang w/prs cath rad emb
|
$13,001.06 |
$13,001.06 |
$13,001.06 |
$18,145.20
|
|
Simple cystometrogram 51725
|
$881.99 |
$881.99 |
$881.99 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$2,265.86 |
$2,265.86 |
$2,265.86 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,561.70 |
$2,561.70 |
$2,561.70 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,137.91 |
$2,137.91 |
$2,137.91 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,855.99 |
$1,855.99 |
$1,855.99 |
$2,565.12
|
|
Sinusotomy maxillary sinus 31020
|
$2,766.91 |
$2,766.91 |
$2,766.91 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$5,181.19 |
$5,181.19 |
$5,181.19 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$419.51 |
$419.51 |
$419.51 |
$347.31
|
|
Sinus X-ray (limited)
|
$249.35 |
$249.35 |
$249.35 |
$216.00
|
|
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
|
$360.34 |
$360.34 |
$360.34 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$2,499.37 |
$2,499.37 |
$2,499.37 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$675.58 |
$675.58 |
$675.58 |
$560.01
|
|
Skin pedicle flap arms/legs
|
$3,040.42 |
$3,040.42 |
$3,040.42 |
$4,332.25
|
|
Skin pedicle flap trunk
|
$2,501.86 |
$2,501.86 |
$2,501.86 |
$2,501.86
|
|
Skin split graft addl 100sq cm 15101
|
$2,711.32 |
$2,711.32 |
$2,711.32 |
$1,793.40
|
|
Skull X-ray (1 to 3 views)
|
$312.96 |
$312.96 |
$312.96 |
$295.10
|
|
Skull X-ray (complete)
|
$449.72 |
$449.72 |
$449.72 |
$424.80
|
|
Sleep study attended
|
$2,830.09 |
$2,830.09 |
$2,830.09 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,141.16 |
$4,141.16 |
$4,141.16 |
$3,734.50
|
|
Sleep study unattended
|
$757.21 |
$757.21 |
$757.21 |
$594.00
|
|
Sleeve fing rolyan med
|
$197.40 |
$197.40 |
$197.40 |
$206.00
|
|
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
|
$2,484.76 |
$2,484.76 |
$2,484.76 |
$4,061.71
|
|
Slitting of prepuce
|
$2,851.12 |
$2,851.12 |
$2,851.12 |
$3,376.23
|
|
Slp pure tone screening
|
$82.04 |
$82.04 |
$82.04 |
$64.50
|
|
Slp stdy unatnd w/anal
|
$498.32 |
$498.32 |
$498.32 |
$285.00
|
|
Small animal inoculation
|
$119.41 |
$119.41 |
$119.41 |
$23.24
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$602.88 |
$602.88 |
$602.88 |
$561.60
|
|
Smear fluorescent and/or acid fast stain
|
$97.80 |
$97.80 |
$97.80 |
$64.00
|
|
Smear gram stain
|
$81.61 |
$81.61 |
$81.61 |
$55.35
|
|
Smear nasal eosinophil
|
$72.60 |
$72.60 |
$72.60 |
$45.83
|
|
Smear special stain inclusion bodies/parasites
|
$81.20 |
$81.20 |
$81.20 |
$73.15
|
|
Smear wet mount
|
$63.11 |
$63.11 |
$63.11 |
$67.55
|
|
Smn1 gene full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$495.69
|
|
Smpd1 gene common variants
|
$240.00 |
$240.00 |
$240.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$176.53 |
$176.53 |
$176.53 |
$230.63
|
|
Sodium 24 hour urine
|
$70.34 |
$70.34 |
$70.34 |
$48.68
|
|
Sodium chloride 0.9 % intravenous solution
|
$63.36 |
$63.36 |
$63.36 |
$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
|
$62.87 |
$62.87 |
$62.87 |
$46.00
|
|
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
|
$76.20 |
$76.20 |
$76.20 |
$179.08
|
|
Somatosensory testing
|
$1,180.60 |
$1,180.60 |
$1,180.60 |
$816.00
|
|
So neo gsap dna/dna&rna
|
$2,714.80 |
$2,714.80 |
$2,714.80 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$2,296.00
|
|
So vest canvas/web pre ots
|
$347.06 |
$347.06 |
$347.06 |
$256.54
|
|
Special physics consult
|
$699.60 |
$699.60 |
$699.60 |
$725.00
|
|
Special radiation dosimetry
|
$422.48 |
$422.48 |
$422.48 |
$392.73
|
|
Special radiation treatment
|
$2,125.57 |
$2,125.57 |
$2,125.57 |
$2,052.00
|
|
Special supplies phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
Special teletx port plan
|
$1,056.31 |
$1,056.31 |
$1,056.31 |
$1,100.00
|
|
Specific gravity body fluid
|
$28.32 |
$28.32 |
$28.32 |
$22.00
|
|
Specimen fat stain
|
$27.68 |
$27.68 |
$27.68 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$491.24 |
$491.24 |
$491.24 |
$385.00
|
|
Speech audiometry complete
|
$125.39 |
$125.39 |
$125.39 |
$109.20
|
|
Speech evaluation complex
|
$409.96 |
$409.96 |
$409.96 |
$527.06
|
|
Speech recep thresh
|
$102.55 |
$102.55 |
$102.55 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$264.98 |
$264.98 |
$264.98 |
$248.84
|
|
Sperm antibody test
|
$74.27 |
$74.27 |
$74.27 |
$57.85
|
|
Sperm isolation complex
|
$205.60 |
$205.60 |
$205.60 |
$176.28
|
|
Sperm isolation simple
|
$180.60 |
$180.60 |
$180.60 |
$126.05
|
|
Sperm washing 58323
|
$174.22 |
$174.22 |
$174.22 |
$238.06
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$4,349.40 |
$4,349.40 |
$4,349.40 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$4,517.20 |
$4,517.20 |
$4,517.20 |
$266.40
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,030.57 |
$1,030.57 |
$1,030.57 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$332.48 |
$332.48 |
$332.48 |
$251.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$261.28 |
$261.28 |
$261.28 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$143.14 |
$143.14 |
$143.14 |
$242.25
|
|
Spleen imaging
|
$1,010.08 |
$1,010.08 |
$1,010.08 |
$679.00
|