|
Set radiation therapy field
|
$265.20 |
$265.20 |
$265.20 |
$731.50
|
|
Set radiation therapy field
|
$415.65 |
$415.65 |
$415.65 |
$1,149.50
|
|
Set radiation therapy field
|
$480.60 |
$480.60 |
$480.60 |
$1,607.40
|
|
Sewho cap design without jnts cf
|
$730.95 |
$730.95 |
$730.95 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$248.10 |
$248.10 |
$248.10 |
$243.34
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$39.15 |
$39.15 |
$39.15 |
$225.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$83.55 |
$83.55 |
$83.55 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$91.95 |
$91.95 |
$91.95 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$101.10 |
$101.10 |
$101.10 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,087.25
|
|
Shoulder X-ray
|
$76.35 |
$76.35 |
$76.35 |
$340.10
|
|
Shuntogram nonvascular supervision & interpretation
|
$69.30 |
$69.30 |
$69.30 |
$354.60
|
|
Sickling rbc
|
$9.60 |
$9.60 |
$9.60 |
$56.00
|
|
Sigmoidoscopy w/resection
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$2,564.40
|
|
Signal avg ecg w or without ecg 93278
|
$58.50 |
$58.50 |
$58.50 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$197.06 |
$197.06 |
$197.06 |
$309.04
|
|
Sinus CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,290.19
|
|
Sirolimus, oral
|
$2.34 |
$2.34 |
$2.34 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$13.35 |
$13.35 |
$13.35 |
$80.08
|
|
Skel musc relaxant 3 or more
|
$13.35 |
$13.35 |
$13.35 |
$16.12
|
|
Skin Biopsy
|
$39.15 |
$39.15 |
$39.15 |
$360.34
|
|
Sleep study attended
|
$520.05 |
$520.05 |
$520.05 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$548.85 |
$548.85 |
$548.85 |
$3,598.50
|
|
Sleep study unattended
|
$260.70 |
$260.70 |
$260.70 |
$585.00
|
|
Sleeve fing rolyan med
|
$45.00 |
$45.00 |
$45.00 |
$204.60
|
|
Slp eval non-spch gen comm dev
|
$90.45 |
$90.45 |
$90.45 |
$285.09
|
|
Slp pure tone screening
|
$5.55 |
$5.55 |
$5.55 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$161.70 |
$161.70 |
$161.70 |
$296.34
|
|
Slp ther svc non-spch gen
|
$79.20 |
$79.20 |
$79.20 |
$188.00
|
|
Sm-153 lexidron ther
|
$2,660.10 |
$2,660.10 |
$2,660.10 |
$8,175.36
|
|
Smear fluorescent and/or acid fast stain
|
$9.15 |
$9.15 |
$9.15 |
$64.00
|
|
Smear gram stain
|
$7.35 |
$7.35 |
$7.35 |
$53.64
|
|
Smear nasal eosinophil
|
$7.95 |
$7.95 |
$7.95 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$10.35 |
$10.35 |
$10.35 |
$71.20
|
|
Smear wet mount
|
$7.20 |
$7.20 |
$7.20 |
$66.30
|
|
Smn1 gene full gene sequence
|
$236.70 |
$236.70 |
$236.70 |
$495.69
|
|
Snrpn/ube3a gene
|
$74.25 |
$74.25 |
$74.25 |
$228.80
|
|
So airplane w/wo joint cf
|
$588.75 |
$588.75 |
$588.75 |
$1,276.80
|
|
So cap design without jnts cf
|
$190.20 |
$190.20 |
$190.20 |
$856.10
|
|
Sodium 24 hour urine
|
$8.70 |
$8.70 |
$8.70 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.26 |
$7.26 |
$7.26 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$7.26 |
$7.26 |
$7.26 |
$43.45
|
|
Sodium chloride 0.9 % IV bolus
|
$7.26 |
$7.26 |
$7.26 |
$36.21
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$77.77 |
$77.77 |
$77.77 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$8.55 |
$8.55 |
$8.55 |
$45.50
|
|
Special physics consult
|
$175.05 |
$175.05 |
$175.05 |
$709.00
|
|
Special radiation dosimetry
|
$116.55 |
$116.55 |
$116.55 |
$393.25
|
|
Special radiation treatment
|
$560.40 |
$560.40 |
$560.40 |
$1,945.00
|
|
Special teletx port plan
|
$285.90 |
$285.90 |
$285.90 |
$1,056.31
|
|
Specific gravity body fluid
|
$4.20 |
$4.20 |
$4.20 |
$21.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$310.05 |
$310.05 |
$310.05 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$194.55 |
$194.55 |
$194.55 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$122.25 |
$122.25 |
$122.25 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$11.25 |
$11.25 |
$11.25 |
$77.51
|
|
Splint finger fold over sm
|
$98.70 |
$98.70 |
$98.70 |
$144.05
|
|
Splint finger frog med
|
$7.05 |
$7.05 |
$7.05 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$18.45 |
$18.45 |
$18.45 |
$100.75
|
|
Split blood or products
|
$38.55 |
$38.55 |
$38.55 |
$127.80
|
|
Sputum specimen collection
|
$47.40 |
$47.40 |
$47.40 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$529.65 |
$529.65 |
$529.65 |
$2,617.05
|
|
Srs linear based
|
$4,102.20 |
$4,102.20 |
$4,102.20 |
$14,124.25
|
|
Srs multisource
|
$3,100.20 |
$3,100.20 |
$3,100.20 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$92.55 |
$92.55 |
$92.55 |
$295.10
|
|
Staph a dna amp probe
|
$61.50 |
$61.50 |
$61.50 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$46.05 |
$46.05 |
$46.05 |
$281.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$7,137.15 |
$7,137.15 |
$7,137.15 |
$21,626.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$3,725.40 |
$3,725.40 |
$3,725.40 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$9,168.76
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$4,533.30 |
$4,533.30 |
$4,533.30 |
$17,905.08
|
|
St evaluate speech sound production
|
$89.85 |
$89.85 |
$89.85 |
$289.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$185.85 |
$185.85 |
$185.85 |
$376.23
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$83.70 |
$83.70 |
$83.70 |
$370.20
|
|
St evaluation swallow function
|
$82.20 |
$82.20 |
$82.20 |
$309.60
|
|
Stimulants synthetic
|
$21.60 |
$21.60 |
$21.60 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$51.60 |
$51.60 |
$51.60 |
$217.70
|
|
Strapping of elbow or wrist 29260
|
$37.35 |
$37.35 |
$37.35 |
$152.00
|
|
Strapping of hand or finger
|
$56.70 |
$56.70 |
$56.70 |
$171.00
|
|
Strapping of knee
|
$56.85 |
$56.85 |
$56.85 |
$206.50
|
|
Strapping of toes 29550
|
$51.60 |
$51.60 |
$51.60 |
$164.70
|
|
Strep b assay w/optic
|
$20.10 |
$20.10 |
$20.10 |
$82.68
|
|
Strep b dna amp probe
|
$61.50 |
$61.50 |
$61.50 |
$126.10
|
|
Stress test pulmonary
|
$91.80 |
$91.80 |
$91.80 |
$322.85
|
|
Stress tte complete
|
$448.35 |
$448.35 |
$448.35 |
$1,797.59
|
|
St treatment speech individual
|
$77.40 |
$77.40 |
$77.40 |
$249.00
|
|
St treatment swallow dysfunction/oral
|
$84.00 |
$84.00 |
$84.00 |
$240.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$57.96 |
$57.96 |
$57.96 |
$53.40
|
|
Sugars multiple quant
|
$12.30 |
$12.30 |
$12.30 |
$44.19
|
|
Sulfonylurea screen qn-sendout
|
$18.75 |
$18.75 |
$18.75 |
$150.72
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$52.76 |
$52.76 |
$52.76 |
$121.84
|
|
Surgical pathology level 1 gross examination only
|
$19.20 |
$19.20 |
$19.20 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$39.60 |
$39.60 |
$39.60 |
$143.65
|
|
Surgical pathology level 3 gross & microscopic examination
|
$45.15 |
$45.15 |
$45.15 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$75.45 |
$75.45 |
$75.45 |
$252.60
|
|
Surgical pathology level 5 gross & microscopic examination
|
$235.20 |
$235.20 |
$235.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$333.45 |
$333.45 |
$333.45 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$8.40 |
$8.40 |
$8.40 |
$43.00
|
