|
Sewhfo cap desgn w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$803.68 |
$803.68 |
$803.68 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$949.10 |
$949.10 |
$949.10 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$949.10 |
$949.10 |
$949.10 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$803.68 |
$803.68 |
$5,951.72 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
$1,890.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$223.00 |
$223.00 |
$223.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$223.00 |
$223.00 |
$223.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$259.00 |
$259.00 |
$259.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$223.00 |
$223.00 |
$223.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$223.00 |
$223.00 |
$223.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$223.00 |
$223.00 |
$223.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$317.00 |
$317.00 |
$317.00 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$223.00 |
$223.00 |
$518.40 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$223.00 |
$223.00 |
$223.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$223.00 |
$223.00 |
$223.00 |
$289.30
|
|
Sheath below knee
|
$62.77 |
$62.77 |
$62.77 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$2,845.25 |
$2,845.25 |
$14,354.03 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$21,563.42 |
$21,563.42 |
$21,563.42 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$35,845.55 |
$35,845.55 |
$35,845.55 |
$4,950.40
|
|
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
|
$20.70 |
$20.70 |
$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
|
$47.10 |
$47.10 |
$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)
|
$33,435.04 |
$33,435.04 |
$33,435.04 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$3,585.50 |
$3,585.50 |
$4,874.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,555.50 |
$2,555.50 |
$4,015.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,932.50 |
$1,932.50 |
$5,052.60 |
$2,065.05
|
|
Shoulder X-ray
|
$319.00 |
$319.00 |
$380.40 |
$339.50
|
|
Shrinker prosth above knee
|
$56.92 |
$56.92 |
$328.70 |
$168.89
|
|
Shrinker prosth below knee
|
$37.78 |
$37.78 |
$231.22 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$1,686.25 |
$1,686.25 |
$12,519.30 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$206.00 |
$206.00 |
$286.20 |
$349.20
|
|
Sialography s&i
|
$628.50 |
$628.50 |
$628.50 |
$499.20
|
|
Sialolithotomy 42330
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$3,837.72
|
|
Sickling rbc
|
$57.00 |
$57.00 |
$100.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,351.63
|
|
Sigmoidoscopy w/plcmt stent
|
$2,683.00 |
$2,683.00 |
$2,683.00 |
$3,692.00
|
|
Simple cystometrogram 51725
|
$433.50 |
$433.50 |
$433.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$796.92 |
$796.92 |
$796.92 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,796.50 |
$1,796.50 |
$1,796.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,562.50 |
$1,562.50 |
$2,024.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,359.50 |
$1,359.50 |
$1,437.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,782.50 |
$1,782.50 |
$1,782.50 |
$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 |
$357.00 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,703.50 |
$2,703.50 |
$2,703.50 |
$2,371.50
|
|
Skin full graft add-on 15241
|
$1,564.50 |
$1,564.50 |
$1,564.50 |
$675.58
|
|
Sleep study attended
|
$1,169.00 |
$1,169.00 |
$1,169.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$3,607.50
|
|
Sleep study unattended
|
$507.00 |
$507.00 |
$507.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$24.32 |
$24.32 |
$755.86 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$37.78 |
$37.78 |
$37.78 |
$30.35
|
|
Sling pelv split sam med
|
$54.34 |
$54.34 |
$335.60 |
$150.00
|
|
Sling suprapubic suburetheral
|
$6,995.42 |
$6,995.42 |
$29,352.49 |
$9,679.96
|
|
Slitting of prepuce
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$3,365.50
|
|
Slp pure tone screening
|
$127.50 |
$127.50 |
$127.50 |
$60.48
|
|
Smear fluorescent and/or acid fast stain
|
$55.80 |
$55.80 |
$76.50 |
$64.20
|
|
Smear gram stain
|
$46.00 |
$46.00 |
$71.40 |
$55.25
|
|
Smear nasal eosinophil
|
$85.00 |
$85.00 |
$85.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$23.50 |
$23.50 |
$172.20 |
$73.15
|
|
Smear wet mount
|
$61.20 |
$61.20 |
$76.50 |
$67.49
|
|
Snrpn/ube3a gene
|
$382.50 |
$382.50 |
$382.50 |
$231.85
|
|
So airplane w/wo joint cf
|
$650.50 |
$650.50 |
$4,187.23 |
$1,276.80
|
|
So cap design without jnts cf
|
$248.92 |
$248.92 |
$3,191.90 |
$606.35
|
|
Socket insert below knee
|
$174.92 |
$174.92 |
$174.92 |
$397.60
|
|
Socket insert without lock mech
|
$477.66 |
$477.66 |
$2,115.63 |
$1,192.50
|
|
Sock fracture or equal each
|
$30.02 |
$30.02 |
$118.37 |
$74.51
|
|
Sock wool above knee
|
$21.22 |
$21.22 |
$21.22 |
$51.18
|
|
Sodium 24 hour urine
|
$32.50 |
$32.50 |
$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 |
$61.50 |
$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
|
$69.86 |
$69.86 |
$294.59 |
$179.08
|
|
So vest canvas/web pre ots
|
$94.70 |
$94.70 |
$621.78 |
$256.54
|
|
Spacer bag/reservoir
|
$20.18 |
$20.18 |
$20.18 |
$26.00
|
|
Special physics consult
|
$575.50 |
$575.50 |
$846.60 |
$725.00
|
|
Special radiation dosimetry
|
$237.00 |
$237.00 |
$378.50 |
$392.50
|