|
Shoe clubfoot wedge
|
$193.06 |
$193.06 |
$193.06 |
$111.56
|
|
Shoe dennis browne splint bo
|
$168.41 |
$168.41 |
$168.41 |
$93.52
|
|
Shoe heel new leather standa
|
$158.44 |
$158.44 |
$158.44 |
$88.03
|
|
Shoe heel new rubber standar
|
$133.74 |
$133.74 |
$133.74 |
$63.70
|
|
Shoe heel pad & depress for
|
$242.53 |
$242.53 |
$242.53 |
$149.60
|
|
Shoe heel sach cushion type
|
$410.76 |
$410.76 |
$410.76 |
$228.09
|
|
Shoe heel thomas extend to b
|
$242.53 |
$242.53 |
$242.53 |
$134.68
|
|
Shoe heel thomas with wedge
|
$227.85 |
$227.85 |
$227.85 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$288.20 |
$288.20 |
$288.20 |
$175.04
|
|
Shoe metatarsal bar between
|
$361.33 |
$361.33 |
$361.33 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$158.44 |
$158.44 |
$158.44 |
$69.03
|
|
Shoe outflare wedge
|
$193.06 |
$193.06 |
$193.06 |
$107.24
|
|
Shoe post-op mens m
|
$474.87 |
$474.87 |
$474.87 |
$52.20
|
|
Shoe sole wedge between sole
|
$193.06 |
$193.06 |
$193.06 |
$107.24
|
|
Shoe sole wedge outside sole
|
$138.58 |
$138.58 |
$138.58 |
$77.00
|
|
Shoe wedge sach
|
$331.76 |
$331.76 |
$331.76 |
$171.44
|
|
Sho heel count plast reinfor
|
$623.77 |
$623.77 |
$623.77 |
$346.47
|
|
Sho insert w arch toe filler
|
$2,014.18 |
$2,014.18 |
$2,014.18 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$202.99 |
$202.99 |
$202.99 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$36,235.79 |
$36,235.79 |
$36,235.79 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$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
|
$328.70 |
$328.70 |
$328.70 |
$168.89
|
|
Shrinker prosth below knee
|
$231.22 |
$231.22 |
$231.22 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$12,519.30 |
$12,519.30 |
$12,519.30 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$286.20 |
$286.20 |
$286.20 |
$349.20
|
|
Sialidase enzyme assay
|
$142.80 |
$142.80 |
$142.80 |
$54.60
|
|
Sickling rbc
|
$58.20 |
$58.20 |
$58.20 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$6,372.24 |
$6,372.24 |
$6,372.24 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$4,198.92 |
$4,198.92 |
$4,198.92 |
$1,444.83
|
|
Sigmoidoscopy w/tumr remove
|
$6,372.24 |
$6,372.24 |
$6,372.24 |
$1,558.80
|
|
Sincalide 5 mcg solution for injection
|
$796.92 |
$796.92 |
$796.92 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$1,790.00
|
|
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
|
|
Sinus/juglr venogram s&i
|
$2,345.40 |
$2,345.40 |
$2,345.40 |
$2,489.25
|
|
Sio flex pelvisacral custom
|
$1,040.35 |
$1,040.35 |
$1,040.35 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$688.87 |
$688.87 |
$688.87 |
$418.75
|
|
Sirolimus, oral
|
$50.18 |
$50.18 |
$50.18 |
$41.25
|
|
Skin Biopsy
|
$251.40 |
$251.40 |
$251.40 |
$360.34
|
|
Sleep study attended
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,261.60 |
$3,261.60 |
$3,261.60 |
$3,607.50
|
|
Sleep study unattended
|
$262.20 |
$262.20 |
$262.20 |
$580.87
|
|
Sleeve fing rolyan med
|
$755.86 |
$755.86 |
$755.86 |
$203.58
|
|
Sling pelv split sam med
|
$335.60 |
$335.60 |
$335.60 |
$150.00
|
|
Sling suprapubic suburetheral
|
$29,352.49 |
$29,352.49 |
$29,352.49 |
$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
|
$4,187.23 |
$4,187.23 |
$4,187.23 |
$1,276.80
|
|
So cap design without jnts cf
|
$3,191.90 |
$3,191.90 |
$3,191.90 |
$606.35
|
|
Socket insert without lock mech
|
$2,115.63 |
$2,115.63 |
$2,115.63 |
$1,192.50
|
|
Sock fracture or equal each
|
$141.12 |
$141.12 |
$141.12 |
$74.51
|
|
Sodium 24 hour urine
|
$51.60 |
$51.60 |
$51.60 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$78.00 |
$78.00 |
$78.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$78.00 |
$78.00 |
$78.00 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$78.00 |
$78.00 |
$78.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$204.16 |
$204.16 |
$204.16 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$889.54 |
$889.54 |
$889.54 |
$410.40
|
|
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
|
$24.00 |
$24.00 |
$24.00 |
$177.52
|
|
Soft interface below knee se
|
$294.59 |
$294.59 |
$294.59 |
$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
|
$621.78 |
$621.78 |
$621.78 |
$256.54
|
|
Sp bone algrft morsel add-on
|
$70,375.85 |
$70,375.85 |
$70,375.85 |
$498.55
|
|
Special physics consult
|
$846.60 |
$846.60 |
$846.60 |
$725.00
|
|
Special radiation dosimetry
|
$237.00 |
$237.00 |
$237.00 |
$392.50
|
|
Special radiation treatment
|
$2,596.80 |
$2,596.80 |
$2,596.80 |
$1,986.00
|
|
Special teletx port plan
|
$732.60 |
$732.60 |
$732.60 |
$1,086.99
|
|
Specific gravity body fluid
|
$10.20 |
$10.20 |
$10.20 |
$22.00
|
|
Spinal bone allograftstructural 20931
|
$37,753.79 |
$37,753.79 |
$37,753.79 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$70,375.85 |
$70,375.85 |
$70,375.85 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,011.40 |
$3,011.40 |
$3,011.40 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$594.00 |
$594.00 |
$594.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,795.18 |
$1,795.18 |
$1,795.18 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$232.69 |
$232.69 |
$232.69 |
$68.25
|
|
Splint finger fold over sm
|
$342.17 |
$342.17 |
$342.17 |
$146.88
|
|
Splint finger frog med
|
$348.21 |
$348.21 |
$348.21 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$342.17 |
$342.17 |
$342.17 |
$99.04
|
|
Sputum specimen collection
|
$152.40 |
$152.40 |
$152.40 |
$180.00
|
|
Srs linear based
|
$22,424.40 |
$22,424.40 |
$22,424.40 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$429.00 |
$429.00 |
$429.00 |
$297.60
|
|
Static or dynami afo pre ots
|
$1,079.25 |
$1,079.25 |
$1,079.25 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$427.20 |
$427.20 |
$427.20 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$77,873.07 |
$77,873.07 |
$77,873.07 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$62,596.50 |
$62,596.50 |
$62,596.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$67,992.75 |
$67,992.75 |
$67,992.75 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,510.95 |
$1,510.95 |
$1,510.95 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$78.00 |
$78.00 |
$78.00 |
$13.32
|
|
Sternal pad
|
$390.56 |
$390.56 |
$390.56 |
$216.89
|
|
St evaluate speech sound production
|
$287.40 |
$287.40 |
$287.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$855.60 |
$855.60 |
$855.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$217.20 |
$217.20 |
$217.20 |
$399.60
|
|
St evaluation swallow function
|
$287.40 |
$287.40 |
$287.40 |
$314.40
|
