|
Sevelamer carbonate pdr 20mg
|
$157.44 |
$157.44 |
$157.44 |
$21.96
|
|
Sewho cap design without jnts cf
|
$7,167.71 |
$7,167.71 |
$7,167.71 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$639.00 |
$639.00 |
$639.00 |
$248.10
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$378.60 |
$378.60 |
$378.60 |
$269.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$311.40 |
$311.40 |
$311.40 |
$314.00
|
|
Sheath below knee
|
$75.59 |
$75.59 |
$75.59 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$17,286.68 |
$17,286.68 |
$17,286.68 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$25,969.01 |
$25,969.01 |
$25,969.01 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$31,891.49 |
$31,891.49 |
$31,891.49 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$42,967.72 |
$42,967.72 |
$42,967.72 |
$6,311.00
|
|
Sho arthrs srg lss&rescj ads
|
$28,305.66 |
$28,305.66 |
$28,305.66 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$40,120.97 |
$40,120.97 |
$40,120.97 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$36,001.21 |
$36,001.21 |
$36,001.21 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$232.50 |
$232.50 |
$232.50 |
$111.56
|
|
Shoe dennis browne splint bo
|
$202.81 |
$202.81 |
$202.81 |
$93.52
|
|
Shoe heel new leather standa
|
$190.81 |
$190.81 |
$190.81 |
$88.03
|
|
Shoe heel new rubber standar
|
$161.06 |
$161.06 |
$161.06 |
$63.70
|
|
Shoe heel pad & depress for
|
$292.08 |
$292.08 |
$292.08 |
$149.60
|
|
Shoe heel sach cushion type
|
$494.68 |
$494.68 |
$494.68 |
$228.09
|
|
Shoe heel thomas extend to b
|
$292.08 |
$292.08 |
$292.08 |
$134.68
|
|
Shoe heel thomas with wedge
|
$274.40 |
$274.40 |
$274.40 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$347.09 |
$347.09 |
$347.09 |
$175.04
|
|
Shoe metatarsal bar between
|
$435.16 |
$435.16 |
$435.16 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$190.81 |
$190.81 |
$190.81 |
$69.03
|
|
Shoe outflare wedge
|
$232.50 |
$232.50 |
$232.50 |
$107.24
|
|
Shoe post-op mens m
|
$571.89 |
$571.89 |
$571.89 |
$52.20
|
|
Shoe sole wedge between sole
|
$232.50 |
$232.50 |
$232.50 |
$107.24
|
|
Shoe sole wedge outside sole
|
$166.89 |
$166.89 |
$166.89 |
$77.00
|
|
Shoe wedge sach
|
$399.55 |
$399.55 |
$399.55 |
$171.44
|
|
Sho heel count plast reinfor
|
$751.21 |
$751.21 |
$751.21 |
$346.47
|
|
Sho insert w arch toe filler
|
$2,425.70 |
$2,425.70 |
$2,425.70 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$244.46 |
$244.46 |
$244.46 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$35,060.80 |
$35,060.80 |
$35,060.80 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$4,426.20 |
$4,426.20 |
$4,426.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,543.60 |
$3,543.60 |
$3,543.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,204.40 |
$2,204.40 |
$2,204.40 |
$2,065.05
|
|
Shoulder X-ray
|
$759.60 |
$759.60 |
$759.60 |
$339.50
|
|
Shrinker prosth above knee
|
$395.85 |
$395.85 |
$395.85 |
$168.89
|
|
Shrinker prosth below knee
|
$278.46 |
$278.46 |
$278.46 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$15,077.10 |
$15,077.10 |
$15,077.10 |
$4,636.80
|
|
Sickling rbc
|
$110.40 |
$110.40 |
$110.40 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$4,834.80 |
$4,834.80 |
$4,834.80 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$6,778.23 |
$6,778.23 |
$6,778.23 |
$1,444.83
|
|
Sigmoidoscopy w/tumr remove
|
$5,718.04 |
$5,718.04 |
$5,718.04 |
$1,558.80
|
|
Sincalide 5 mcg solution for injection
|
$1,232.88 |
$1,232.88 |
$1,232.88 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,730.60 |
$2,730.60 |
$2,730.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,481.40 |
$1,481.40 |
$1,481.40 |
$1,292.04
|
|
Sio flex pelvisacral custom
|
$1,252.91 |
$1,252.91 |
$1,252.91 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$829.60 |
$829.60 |
$829.60 |
$418.75
|
|
Sipuleucel-t - su
|
$187,807.50 |
$187,807.50 |
$187,807.50 |
$100,990.51
|
|
Sirolimus, oral
|
$48.73 |
$48.73 |
$48.73 |
$41.25
|
|
Skin Biopsy
|
$150.60 |
$150.60 |
$150.60 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$5,349.00 |
$5,349.00 |
$5,349.00 |
$3,607.50
|
|
Sleep study unattended
|
$718.80 |
$718.80 |
$718.80 |
$580.87
|
|
Sleeve fing rolyan med
|
$910.29 |
$910.29 |
$910.29 |
$203.58
|
|
Sling pelv split sam med
|
$404.17 |
$404.17 |
$404.17 |
$150.00
|
|
Sling suprapubic suburetheral
|
$35,349.46 |
$35,349.46 |
$35,349.46 |
$9,679.96
|
|
Slp pure tone screening
|
$8.40 |
$8.40 |
$8.40 |
$60.48
|
|
Small bowel endoscopy
|
$5,182.81 |
$5,182.81 |
$5,182.81 |
$2,389.40
|
|
Small bowel endoscopy/biopsy
|
$5,871.69 |
$5,871.69 |
$5,871.69 |
$2,413.20
|
|
Smear fluorescent and/or acid fast stain
|
$37.80 |
$37.80 |
$37.80 |
$64.20
|
|
Smear gram stain
|
$202.20 |
$202.20 |
$202.20 |
$55.25
|
|
Smear nasal eosinophil
|
$31.80 |
$31.80 |
$31.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$139.80 |
$139.80 |
$139.80 |
$73.15
|
|
Smear wet mount
|
$97.20 |
$97.20 |
$97.20 |
$67.49
|
|
Snrpn/ube3a gene
|
$702.00 |
$702.00 |
$702.00 |
$231.85
|
|
So airplane w/wo joint cf
|
$5,042.72 |
$5,042.72 |
$5,042.72 |
$1,276.80
|
|
So cap design without jnts cf
|
$3,844.04 |
$3,844.04 |
$3,844.04 |
$606.35
|
|
Socket insert without lock mech
|
$2,547.88 |
$2,547.88 |
$2,547.88 |
$1,192.50
|
|
Sock fracture or equal each
|
$142.55 |
$142.55 |
$142.55 |
$74.51
|
|
Sodium 24 hour urine
|
$79.20 |
$79.20 |
$79.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$171.00 |
$171.00 |
$171.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$129.00 |
$129.00 |
$129.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$196.65 |
$196.65 |
$196.65 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$145.53 |
$145.53 |
$145.53 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$300.51 |
$300.51 |
$300.51 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$42.60 |
$42.60 |
$42.60 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$177.52
|
|
Soft interface below knee se
|
$354.78 |
$354.78 |
$354.78 |
$179.08
|
|
So neo gsap dna/dna&rna
|
$3,954.00 |
$3,954.00 |
$3,954.00 |
$2,989.55
|
|
So vest canvas/web pre ots
|
$748.81 |
$748.81 |
$748.81 |
$256.54
|
|
Sp bone algrft morsel add-on
|
$67,499.53 |
$67,499.53 |
$67,499.53 |
$498.55
|
|
Spinal bone allograftstructural 20931
|
$74,617.19 |
$74,617.19 |
$74,617.19 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$66,967.48 |
$66,967.48 |
$66,967.48 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,427.20 |
$3,427.20 |
$3,427.20 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$819.60 |
$819.60 |
$819.60 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$2,161.95 |
$2,161.95 |
$2,161.95 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$280.22 |
$280.22 |
$280.22 |
$68.25
|
|
Splint finger fold over sm
|
$412.07 |
$412.07 |
$412.07 |
$146.88
|
|
Splint finger frog med
|
$419.35 |
$419.35 |
$419.35 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$412.07 |
$412.07 |
$412.07 |
$99.04
|
|
St analysis behavior qualitative voice/resonance
|
$255.60 |
$255.60 |
$255.60 |
$297.60
|
|
Static or dynami afo pre ots
|
$1,299.75 |
$1,299.75 |
$1,299.75 |
$284.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$79,462.31 |
$79,462.31 |
$79,462.31 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$93,783.20 |
$93,783.20 |
$93,783.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$75,385.50 |
$75,385.50 |
$75,385.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$81,884.25 |
$81,884.25 |
$81,884.25 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,819.65 |
$1,819.65 |
$1,819.65 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$83,903.56 |
$83,903.56 |
$83,903.56 |
$14,356.50
|
