|
Scan duplex upper extremity arteries unilateral/limited study left
|
$493.20 |
$493.20 |
$493.20 |
$595.35
|
|
Scan proc cranial extra
|
$35,598.32 |
$35,598.32 |
$35,598.32 |
$2,366.00
|
|
Sclerotherapy fluid collection pq w/img
|
$2,386.80 |
$2,386.80 |
$2,386.80 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$42,624.53 |
$42,624.53 |
$42,624.53 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$27,097.20 |
$27,097.20 |
$27,097.20 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$3,287.40 |
$3,287.40 |
$3,287.40 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$3,687.00 |
$3,687.00 |
$3,687.00 |
$1,951.46
|
|
Screening hepatitis b non-obstetric high risk
|
$93.00 |
$93.00 |
$93.00 |
$60.00
|
|
Screening Mammogram
|
$667.80 |
$667.80 |
$667.80 |
$312.55
|
|
Screening prostate cancer PSA
|
$115.20 |
$115.20 |
$115.20 |
$100.63
|
|
Screen pap by tech w md supv
|
$60.60 |
$60.60 |
$60.60 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$499,880.81 |
$499,880.81 |
$499,880.81 |
$29,055.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$256.80 |
$256.80 |
$256.80 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$54.00 |
$54.00 |
$54.00 |
$42.00
|
|
Serpina1 gene
|
$213.60 |
$213.60 |
$213.60 |
$197.00
|
|
Sevelamer carbonate pdr 20mg
|
$117.81 |
$117.81 |
$117.81 |
$21.96
|
|
Sewho cap design without jnts cf
|
$6,386.00 |
$6,386.00 |
$6,386.00 |
$1,685.60
|
|
Sex chromatin identification
|
$58.80 |
$58.80 |
$58.80 |
$45.60
|
|
Sf3b1 gene common variants
|
$639.00 |
$639.00 |
$639.00 |
$248.10
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$518.40 |
$518.40 |
$518.40 |
$314.00
|
|
Sheath below knee
|
$67.35 |
$67.35 |
$67.35 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$15,401.40 |
$15,401.40 |
$15,401.40 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$23,136.84 |
$23,136.84 |
$23,136.84 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$24,274.00 |
$24,274.00 |
$24,274.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$19,898.72 |
$19,898.72 |
$19,898.72 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$21,365.92 |
$21,365.92 |
$21,365.92 |
$4,521.67
|
|
Sho arthrs srg rpr slap les
|
$22,610.20 |
$22,610.20 |
$22,610.20 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$18,165.62 |
$18,165.62 |
$18,165.62 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$207.14 |
$207.14 |
$207.14 |
$111.56
|
|
Shoe dennis browne splint bo
|
$180.70 |
$180.70 |
$180.70 |
$93.52
|
|
Shoe heel new leather standa
|
$169.99 |
$169.99 |
$169.99 |
$88.03
|
|
Shoe heel new rubber standar
|
$143.50 |
$143.50 |
$143.50 |
$63.70
|
|
Shoe heel pad & depress for
|
$260.23 |
$260.23 |
$260.23 |
$149.60
|
|
Shoe heel sach cushion type
|
$440.74 |
$440.74 |
$440.74 |
$228.09
|
|
Shoe heel thomas extend to b
|
$260.23 |
$260.23 |
$260.23 |
$134.68
|
|
Shoe heel thomas with wedge
|
$244.48 |
$244.48 |
$244.48 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$309.23 |
$309.23 |
$309.23 |
$175.04
|
|
Shoe metatarsal bar between
|
$387.70 |
$387.70 |
$387.70 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$169.99 |
$169.99 |
$169.99 |
$69.03
|
|
Shoe outflare wedge
|
$207.14 |
$207.14 |
$207.14 |
$107.24
|
|
Shoe post-op mens m
|
$509.52 |
$509.52 |
$509.52 |
$52.20
|
|
Shoe sole wedge between sole
|
$207.14 |
$207.14 |
$207.14 |
$107.24
|
|
Shoe sole wedge outside sole
|
$148.69 |
$148.69 |
$148.69 |
$77.00
|
|
Shoe wedge sach
|
$355.97 |
$355.97 |
$355.97 |
$171.44
|
|
Sho heel count plast reinfor
|
$669.28 |
$669.28 |
$669.28 |
$346.47
|
|
Sho insert w arch toe filler
|
$2,161.15 |
$2,161.15 |
$2,161.15 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$217.79 |
$217.79 |
$217.79 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$24,482.93 |
$24,482.93 |
$24,482.93 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$4,015.80 |
$4,015.80 |
$4,015.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$5,052.60 |
$5,052.60 |
$5,052.60 |
$2,065.05
|
|
Shoulder X-ray
|
$380.40 |
$380.40 |
$380.40 |
$339.50
|
|
Shrinker prosth above knee
|
$352.68 |
$352.68 |
$352.68 |
$168.89
|
|
Shrinker prosth below knee
|
$248.09 |
$248.09 |
$248.09 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$13,432.80 |
$13,432.80 |
$13,432.80 |
$4,636.80
|
|
Sialidase enzyme assay
|
$142.80 |
$142.80 |
$142.80 |
$54.60
|
|
Sickling rbc
|
$57.00 |
$57.00 |
$57.00 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$935.42 |
$935.42 |
$935.42 |
$307.58
|
|
Sinus CT scan (with contrast)
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$1,292.04
|
|
Sio flex pelvisacral custom
|
$1,116.26 |
$1,116.26 |
$1,116.26 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$739.13 |
$739.13 |
$739.13 |
$418.75
|
|
Skin Biopsy
|
$251.40 |
$251.40 |
$251.40 |
$360.34
|
|
Sleeve fing rolyan med
|
$811.01 |
$811.01 |
$811.01 |
$203.58
|
|
Sling pelv split sam med
|
$360.09 |
$360.09 |
$360.09 |
$150.00
|
|
Sling suprapubic suburetheral
|
$31,494.26 |
$31,494.26 |
$31,494.26 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$63.00 |
$63.00 |
$63.00 |
$64.20
|
|
Smear gram stain
|
$71.40 |
$71.40 |
$71.40 |
$55.25
|
|
Smear nasal eosinophil
|
$40.80 |
$40.80 |
$40.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$172.20 |
$172.20 |
$172.20 |
$73.15
|
|
Smear wet mount
|
$61.20 |
$61.20 |
$61.20 |
$67.49
|
|
Snrpn/ube3a gene
|
$286.20 |
$286.20 |
$286.20 |
$231.85
|
|
So airplane w/wo joint cf
|
$4,492.76 |
$4,492.76 |
$4,492.76 |
$1,276.80
|
|
So cap design without jnts cf
|
$3,424.81 |
$3,424.81 |
$3,424.81 |
$606.35
|
|
Socket insert without lock mech
|
$2,270.00 |
$2,270.00 |
$2,270.00 |
$1,192.50
|
|
Sock fracture or equal each
|
$127.01 |
$127.01 |
$127.01 |
$74.51
|
|
Sodium 24 hour urine
|
$51.60 |
$51.60 |
$51.60 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$84.00 |
$84.00 |
$84.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$84.00 |
$84.00 |
$84.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$84.00 |
$84.00 |
$84.00 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$84.00 |
$84.00 |
$84.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$228.01 |
$228.01 |
$228.01 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$52.20 |
$52.20 |
$52.20 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$177.52
|
|
Soft interface below knee se
|
$316.09 |
$316.09 |
$316.09 |
$179.08
|
|
So neo gsap dna/dna&rna
|
$8,968.80 |
$8,968.80 |
$8,968.80 |
$2,989.55
|
|
So vest canvas/web pre ots
|
$667.15 |
$667.15 |
$667.15 |
$256.54
|
|
Sp bone algrft morsel add-on
|
$86,355.42 |
$86,355.42 |
$86,355.42 |
$498.55
|
|
Specific gravity body fluid
|
$10.20 |
$10.20 |
$10.20 |
$22.00
|
|
Spinal bone allograftstructural 20931
|
$31,962.14 |
$31,962.14 |
$31,962.14 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$96,661.81 |
$96,661.81 |
$96,661.81 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,011.40 |
$3,011.40 |
$3,011.40 |
$1,439.40
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,926.17 |
$1,926.17 |
$1,926.17 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$249.67 |
$249.67 |
$249.67 |
$68.25
|
|
Splint finger fold over sm
|
$367.13 |
$367.13 |
$367.13 |
$146.88
|
|
Splint finger frog med
|
$373.62 |
$373.62 |
$373.62 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$367.13 |
$367.13 |
$367.13 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$20,557.02 |
$20,557.02 |
$20,557.02 |
$4,619.65
|
|
Sputum specimen collection
|
$152.40 |
$152.40 |
$152.40 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$429.00 |
$429.00 |
$429.00 |
$297.60
|
