|
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)
|
$39,687.95 |
$39,687.95 |
$39,687.95 |
$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
|
$106.20 |
$106.20 |
$106.20 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$5,087.12 |
$5,087.12 |
$5,087.12 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,638.20 |
$2,638.20 |
$2,638.20 |
$1,444.83
|
|
Sigmoidoscopy w/tumr remove
|
$4,085.12 |
$4,085.12 |
$4,085.12 |
$1,558.80
|
|
Sincalide 5 mcg solution for injection
|
$1,303.37 |
$1,303.37 |
$1,303.37 |
$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
|
$84.69 |
$84.69 |
$84.69 |
$41.25
|
|
Skin Biopsy
|
$376.20 |
$376.20 |
$376.20 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$27,096.18 |
$27,096.18 |
$27,096.18 |
$2,371.50
|
|
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
|
|
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
|
$1.20 |
$1.20 |
$1.20 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$252.00 |
$252.00 |
$252.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$193.20 |
$193.20 |
$193.20 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$114.00 |
$114.00 |
$114.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$333.90 |
$333.90 |
$333.90 |
$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
|
$171,677.97 |
$171,677.97 |
$171,677.97 |
$498.55
|
|
Spinal bone autograftlocal 20936
|
$171,677.97 |
$171,677.97 |
$171,677.97 |
$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
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$18,993.47 |
$18,993.47 |
$18,993.47 |
$4,619.65
|
|
Sputum specimen collection
|
$153.60 |
$153.60 |
$153.60 |
$180.00
|
|
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 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
|
|
Sterile water/saline, 10 ml
|
$114.00 |
$114.00 |
$114.00 |
$13.32
|
|
Sternal pad
|
$470.35 |
$470.35 |
$470.35 |
$216.89
|
|
St evaluate speech sound production
|
$255.60 |
$255.60 |
$255.60 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$275.40 |
$275.40 |
$275.40 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$558.00 |
$558.00 |
$558.00 |
$399.60
|
|
St evaluation swallow function
|
$275.40 |
$275.40 |
$275.40 |
$314.40
|
|
Stocking sup grips 4 pre ots
|
$73.31 |
$73.31 |
$73.31 |
$31.58
|
|
Straight knee joint heavy du
|
$688.82 |
$688.82 |
$688.82 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$121.80 |
$121.80 |
$121.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$48.00 |
$48.00 |
$48.00 |
$154.70
|
|
Strapping of hand or finger
|
$48.00 |
$48.00 |
$48.00 |
$174.82
|
|
Strapping of knee
|
$97.20 |
$97.20 |
$97.20 |
$205.20
|
|
Strep a ag ia
|
$55.20 |
$55.20 |
$55.20 |
$75.40
|
|
Stress test pulmonary
|
$311.40 |
$311.40 |
$311.40 |
$322.85
|
|
Stress tte complete
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$1,870.50
|
|
Str markers specimen anal
|
$733.80 |
$733.80 |
$733.80 |
$751.50
|
|
St treatment speech individual
|
$231.60 |
$231.60 |
$231.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$259.20 |
$259.20 |
$259.20 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$52.31
|
|
Suction lipectomy lwr extrem
|
$60,564.43 |
$60,564.43 |
$60,564.43 |
$5,339.00
|
|
Suction lipectomy trunk
|
$35,126.24 |
$35,126.24 |
$35,126.24 |
$4,332.25
|
|
Suction lipectomy upr extrem
|
$39,465.22 |
$39,465.22 |
$39,465.22 |
$4,544.00
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$127.68 |
$127.68 |
$127.68 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$1,186.88 |
$1,186.88 |
$1,186.88 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$87.60 |
$87.60 |
$87.60 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$154.80 |
$154.80 |
$154.80 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$172.80 |
$172.80 |
$172.80 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$259.80 |
$259.80 |
$259.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$337.20 |
$337.20 |
$337.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$811.20 |
$811.20 |
$811.20 |
$718.00
|
