|
Sewho airplane w/jnt(s) cf
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,990.80
|
|
Sewho cap design w/jnt(s) cf
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$1,890.00
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$483.60 |
$483.60 |
$483.60 |
$314.00
|
|
Sheath gldlight lasr 12fx50cm
|
$3,591.20 |
$3,591.20 |
$3,591.20 |
$6,570.70
|
|
Shoe metatarsal bar wedge ro
|
$24.80 |
$24.80 |
$24.80 |
$69.03
|
|
Shoe post-op mens m
|
$147.60 |
$147.60 |
$147.60 |
$52.20
|
|
Shoe wedge sach
|
$52.00 |
$52.00 |
$52.00 |
$171.44
|
|
Sho insert w arch toe filler
|
$315.20 |
$315.20 |
$315.20 |
$1,224.38
|
|
Shoulder MRI (with and without contrast)
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,505.20 |
$1,505.20 |
$1,505.20 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$2,065.05
|
|
Shoulder X-ray
|
$428.80 |
$428.80 |
$428.80 |
$339.50
|
|
Shrinker prosth above knee
|
$132.00 |
$132.00 |
$132.00 |
$168.89
|
|
Shrinker prosth below knee
|
$52.40 |
$52.40 |
$52.40 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$1,971.20 |
$1,971.20 |
$1,971.20 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$287.60 |
$287.60 |
$287.60 |
$349.20
|
|
Sickling rbc
|
$38.00 |
$38.00 |
$38.00 |
$57.92
|
|
Silicon gel insert w/wo lock
|
$349.20 |
$349.20 |
$349.20 |
$840.00
|
|
Sim ang w/prs cath rad emb
|
$16,602.80 |
$16,602.80 |
$16,602.80 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$258.96 |
$258.96 |
$258.96 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$884.00 |
$884.00 |
$884.00 |
$1,292.04
|
|
Sio rig pnl pelv/sac pre ots
|
$30.40 |
$30.40 |
$30.40 |
$418.75
|
|
Sirolimus, oral
|
$15.60 |
$15.60 |
$15.60 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$97.60 |
$97.60 |
$97.60 |
$83.85
|
|
Skin Biopsy
|
$244.40 |
$244.40 |
$244.40 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$3,205.20 |
$3,205.20 |
$3,205.20 |
$3,607.50
|
|
Sleep study unattended
|
$463.60 |
$463.60 |
$463.60 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$156.40 |
$156.40 |
$156.40 |
$30.35
|
|
Sling pelv split sam med
|
$156.40 |
$156.40 |
$156.40 |
$150.00
|
|
Sling suprapubic suburetheral
|
$10,697.60 |
$10,697.60 |
$10,697.60 |
$9,679.96
|
|
Small bowel endoscopy br/wa
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$33.60 |
$33.60 |
$33.60 |
$64.20
|
|
Smear gram stain
|
$9.60 |
$9.60 |
$9.60 |
$55.25
|
|
Smear nasal eosinophil
|
$18.00 |
$18.00 |
$18.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$55.60 |
$55.60 |
$55.60 |
$73.15
|
|
Smear wet mount
|
$20.00 |
$20.00 |
$20.00 |
$67.49
|
|
So airplane w/wo joint cf
|
$658.00 |
$658.00 |
$658.00 |
$1,276.80
|
|
Sock fracture or equal each
|
$20.80 |
$20.80 |
$20.80 |
$74.51
|
|
Sodium 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$48.60
|
|
Sodium chloride 3 % ivpb
|
$15.28 |
$15.28 |
$15.28 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$12.09 |
$12.09 |
$12.09 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$34.00 |
$34.00 |
$34.00 |
$45.60
|
|
So vest canvas/web pre ots
|
$97.60 |
$97.60 |
$97.60 |
$256.54
|
|
Special physics consult
|
$240.40 |
$240.40 |
$240.40 |
$725.00
|
|
Special radiation dosimetry
|
$185.20 |
$185.20 |
$185.20 |
$392.50
|
|
Special radiation treatment
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$1,986.00
|
|
Special teletx port plan
|
$494.40 |
$494.40 |
$494.40 |
$1,086.99
|
|
Specimen fat stain
|
$36.80 |
$36.80 |
$36.80 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$806.40 |
$806.40 |
$806.40 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$388.40 |
$388.40 |
$388.40 |
$543.26
|
|
Spleen imaging
|
$478.80 |
$478.80 |
$478.80 |
$679.00
|
|
Splint arm vnyl coated padded lft med
|
$144.80 |
$144.80 |
$144.80 |
$45.60
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$36.80 |
$36.80 |
$36.80 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$373.60 |
$373.60 |
$373.60 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$11.20 |
$11.20 |
$11.20 |
$34.00
|
|
Splint finger frog med
|
$21.60 |
$21.60 |
$21.60 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$2.00 |
$2.00 |
$2.00 |
$5.60
|
|
Splint func pos polyflex ii med
|
$62.80 |
$62.80 |
$62.80 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$165.20 |
$165.20 |
$165.20 |
$99.04
|
|
Split blood or products
|
$206.00 |
$206.00 |
$206.00 |
$127.48
|
|
Split flat caliper stirr & p
|
$55.20 |
$55.20 |
$55.20 |
$109.20
|
|
Srs linear based
|
$9,874.00 |
$9,874.00 |
$9,874.00 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$280.00 |
$280.00 |
$280.00 |
$297.60
|
|
Staph a dna amp probe
|
$56.00 |
$56.00 |
$56.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$282.80 |
$282.80 |
$282.80 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$190.80 |
$190.80 |
$190.80 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$24,251.60 |
$24,251.60 |
$24,251.60 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$34,560.00 |
$34,560.00 |
$34,560.00 |
$20,962.50
|
|
Sterile needle
|
$433.20 |
$433.20 |
$433.20 |
$190.13
|
|
St evaluate speech sound production
|
$339.60 |
$339.60 |
$339.60 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$292.00 |
$292.00 |
$292.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$206.40 |
$206.40 |
$206.40 |
$399.60
|
|
St evaluation swallow function
|
$114.80 |
$114.80 |
$114.80 |
$314.40
|
|
Strep a ag ia
|
$36.00 |
$36.00 |
$36.00 |
$75.40
|
|
Strep b dna amp probe
|
$56.00 |
$56.00 |
$56.00 |
$120.90
|
|
Stress test pulmonary
|
$142.40 |
$142.40 |
$142.40 |
$322.85
|
|
Stress tte complete
|
$613.60 |
$613.60 |
$613.60 |
$1,870.50
|
|
Str markers specimen anal
|
$372.80 |
$372.80 |
$372.80 |
$751.50
|
|
St treatment speech individual
|
$117.60 |
$117.60 |
$117.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$140.40 |
$140.40 |
$140.40 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$26.67 |
$26.67 |
$26.67 |
$52.31
|
|
Sugars single quant
|
$49.60 |
$49.60 |
$49.60 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$6,994.54 |
$6,994.54 |
$6,994.54 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.53 |
$0.53 |
$0.53 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$51.60 |
$51.60 |
$51.60 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$65.78 |
$65.78 |
$65.78 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$36.40 |
$36.40 |
$36.40 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$46.80 |
$46.80 |
$46.80 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$42.40 |
$42.40 |
$42.40 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$72.40 |
$72.40 |
$72.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$72.40 |
$72.40 |
$72.40 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$425.60 |
$425.60 |
$425.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$957.20 |
$957.20 |
$957.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$9.60 |
$9.60 |
$9.60 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$11.20 |
$11.20 |
$11.20 |
$35.70
|
|
Susceptibility mic per plate
|
$37.20 |
$37.20 |
$37.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$39.20 |
$39.20 |
$39.20 |
$59.28
|
