|
Sleep study attended
|
$520.05 |
$520.05 |
$520.05 |
$1,254.50
|
|
Sleep Study (Polysomnography)
|
$548.85 |
$548.85 |
$548.85 |
$3,598.50
|
|
Sleep study unattended
|
$260.70 |
$260.70 |
$260.70 |
$579.26
|
|
Sleeve fing rolyan med
|
$45.00 |
$45.00 |
$45.00 |
$203.58
|
|
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 |
$187.75
|
|
Sm-153 lexidron ther
|
$2,660.10 |
$2,660.10 |
$2,660.10 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$9.15 |
$9.15 |
$9.15 |
$64.20
|
|
Smear gram stain
|
$7.35 |
$7.35 |
$7.35 |
$55.25
|
|
Smear nasal eosinophil
|
$7.95 |
$7.95 |
$7.95 |
$46.15
|
|
Smear special stain inclusion bodies/parasites
|
$10.35 |
$10.35 |
$10.35 |
$73.15
|
|
Smear wet mount
|
$7.20 |
$7.20 |
$7.20 |
$66.72
|
|
Smn1 gene full gene sequence
|
$236.70 |
$236.70 |
$236.70 |
$495.69
|
|
Snrpn/ube3a gene
|
$74.25 |
$74.25 |
$74.25 |
$231.85
|
|
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 |
$606.35
|
|
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 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$7.26 |
$7.26 |
$7.26 |
$37.50
|
|
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 |
$725.00
|
|
Special radiation dosimetry
|
$116.55 |
$116.55 |
$116.55 |
$392.50
|
|
Special radiation treatment
|
$560.40 |
$560.40 |
$560.40 |
$1,986.00
|
|
Special teletx port plan
|
$285.90 |
$285.90 |
$285.90 |
$1,086.99
|
|
Specific gravity body fluid
|
$4.20 |
$4.20 |
$4.20 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$310.05 |
$310.05 |
$310.05 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$194.55 |
$194.55 |
$194.55 |
$536.34
|
|
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 |
$68.25
|
|
Splint finger fold over sm
|
$98.70 |
$98.70 |
$98.70 |
$146.88
|
|
Splint finger frog med
|
$7.05 |
$7.05 |
$7.05 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$18.45 |
$18.45 |
$18.45 |
$99.04
|
|
Split blood or products
|
$38.55 |
$38.55 |
$38.55 |
$127.48
|
|
Sputum specimen collection
|
$47.40 |
$47.40 |
$47.40 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$529.65 |
$529.65 |
$529.65 |
$2,667.94
|
|
Srs linear based
|
$4,102.20 |
$4,102.20 |
$4,102.20 |
$13,585.00
|
|
Srs multisource
|
$3,100.20 |
$3,100.20 |
$3,100.20 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$92.55 |
$92.55 |
$92.55 |
$296.00
|
|
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 |
$286.00
|
|
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 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$4,533.30 |
$4,533.30 |
$4,533.30 |
$17,271.50
|
|
St evaluate speech sound production
|
$89.85 |
$89.85 |
$89.85 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$185.85 |
$185.85 |
$185.85 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$83.70 |
$83.70 |
$83.70 |
$395.28
|
|
St evaluation swallow function
|
$82.20 |
$82.20 |
$82.20 |
$310.50
|
|
Stimulants synthetic
|
$21.60 |
$21.60 |
$21.60 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$51.60 |
$51.60 |
$51.60 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$37.35 |
$37.35 |
$37.35 |
$154.50
|
|
Strapping of hand or finger
|
$56.70 |
$56.70 |
$56.70 |
$174.82
|
|
Strapping of knee
|
$56.85 |
$56.85 |
$56.85 |
$205.20
|
|
Strapping of toes 29550
|
$51.60 |
$51.60 |
$51.60 |
$164.70
|
|
Strep b assay w/optic
|
$20.10 |
$20.10 |
$20.10 |
$80.16
|
|
Strep b dna amp probe
|
$61.50 |
$61.50 |
$61.50 |
$120.90
|
|
Stress test pulmonary
|
$91.80 |
$91.80 |
$91.80 |
$322.85
|
|
Stress tte complete
|
$448.35 |
$448.35 |
$448.35 |
$1,862.10
|
|
St treatment speech individual
|
$77.40 |
$77.40 |
$77.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$84.00 |
$84.00 |
$84.00 |
$232.20
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$46.90 |
$46.90 |
$46.90 |
$52.31
|
|
Sugars multiple quant
|
$12.30 |
$12.30 |
$12.30 |
$44.19
|
|
Sulfonylurea screen qn-sendout
|
$18.75 |
$18.75 |
$18.75 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$50.65 |
$50.65 |
$50.65 |
$112.74
|
|
Surgical pathology level 1 gross examination only
|
$19.20 |
$19.20 |
$19.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$39.60 |
$39.60 |
$39.60 |
$141.33
|
|
Surgical pathology level 3 gross & microscopic examination
|
$45.15 |
$45.15 |
$45.15 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$75.45 |
$75.45 |
$75.45 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$235.20 |
$235.20 |
$235.20 |
$477.24
|
|
Surgical pathology level 6 gross & microscopic examination
|
$333.45 |
$333.45 |
$333.45 |
$716.00
|
|
Susceptibility agar dilution per agent
|
$8.40 |
$8.40 |
$8.40 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$3.75 |
$3.75 |
$3.75 |
$35.70
|
|
Susceptibility mic per plate
|
$15.30 |
$15.30 |
$15.30 |
$106.20
|
|
Suscept studies macrobroth dilution ea
|
$7.20 |
$7.20 |
$7.20 |
$59.28
|
|
Svc venogram s&i
|
$429.15 |
$429.15 |
$429.15 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$23.40 |
$23.40 |
$23.40 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$7.65 |
$7.65 |
$7.65 |
$41.60
|
|
T3 (triiodothyronine) free
|
$29.55 |
$29.55 |
$29.55 |
$98.80
|
|
T3 (triiodothyronine) total
|
$24.90 |
$24.90 |
$24.90 |
$93.52
|
|
T4 (thyroxine) free
|
$15.75 |
$15.75 |
$15.75 |
$85.20
|
|
T4 (thyroxine) total
|
$12.15 |
$12.15 |
$12.15 |
$68.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$0.23 |
$0.23 |
$0.23 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$121.50
|
|
Target gsa panel hmtlmph neop
|
$832.20 |
$832.20 |
$832.20 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,746.70 |
$3,746.70 |
$3,746.70 |
$3,746.70
|
|
Target gsa panel organ neop
|
$373.65 |
$373.65 |
$373.65 |
$1,655.52
|
|
Tbp gene detc abnor alleles
|
$107.70 |
$107.70 |
$107.70 |
$225.42
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$108.45 |
$108.45 |
$108.45 |
$176.92
|
|
Tc-99m exame autol wbc diag per dose
|
$902.70 |
$902.70 |
$902.70 |
$2,431.95
|
|
Tc-99m exametazime diag
|
$512.70 |
$512.70 |
$512.70 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$209.85 |
$209.85 |
$209.85 |
$302.40
|
|
Tc-99m maa
|
$34.50 |
$34.50 |
$34.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$37.05 |
$37.05 |
$37.05 |
$157.50
|
|
Tc-99m medronate
|
$19.05 |
$19.05 |
$19.05 |
$111.00
|
|
Tc-99m mertiatide
|
$256.05 |
$256.05 |
$256.05 |
$756.00
|
|
Tc-99m oxidronate
|
$19.05 |
$19.05 |
$19.05 |
$99.15
|
