|
Sho arthrs srg lmtd dbrdmt
|
$578.00 |
$578.00 |
$578.00 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$563.50 |
$563.50 |
$563.50 |
$5,855.00
|
|
Sho arthrs srg rpr slap les
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$628.00 |
$628.00 |
$628.00 |
$5,148.00
|
|
Shorten radius or ulna
|
$796.50 |
$796.50 |
$796.50 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,713.80
|
|
Shoulder MRI (without contrast)
|
$1,544.50 |
$1,544.50 |
$1,544.50 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$4,832.80
|
|
Shoulder X-ray
|
$378.00 |
$378.00 |
$378.00 |
$339.50
|
|
Sialolithotomy 42330
|
$171.00 |
$171.00 |
$171.00 |
$3,837.72
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$785.00 |
$785.00 |
$785.00 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$115.00 |
$115.00 |
$115.00 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$120.00 |
$120.00 |
$120.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$72.00 |
$72.00 |
$72.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$163.50 |
$163.50 |
$163.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$114.50 |
$114.50 |
$114.50 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$200.00 |
$200.00 |
$200.00 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,558.80
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$82.00 |
$82.00 |
$82.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$209.00 |
$209.00 |
$209.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$47.65 |
$47.65 |
$47.65 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,121.50 |
$1,121.50 |
$1,121.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$902.00 |
$902.00 |
$902.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$698.50 |
$698.50 |
$698.50 |
$1,292.04
|
|
Skin Biopsy
|
$389.50 |
$389.50 |
$389.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$679.00 |
$679.00 |
$679.00 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$116.50 |
$116.50 |
$116.50 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$1,643.47
|
|
Sleep study unattended
|
$44.50 |
$44.50 |
$44.50 |
$580.87
|
|
Slitting of prepuce
|
$145.50 |
$145.50 |
$145.50 |
$3,365.50
|
|
Slp pure tone screening
|
$22.00 |
$22.00 |
$22.00 |
$60.48
|
|
Small bowel endoscopy/biopsy
|
$159.50 |
$159.50 |
$159.50 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$298.50 |
$298.50 |
$298.50 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$96.00 |
$96.00 |
$96.00 |
$64.20
|
|
Smear gram stain
|
$49.00 |
$49.00 |
$49.00 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$19.50 |
$19.50 |
$19.50 |
$73.15
|
|
Smear wet mount
|
$60.50 |
$60.50 |
$60.50 |
$67.49
|
|
Sodium 24 hour urine
|
$37.00 |
$37.00 |
$37.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$75.00 |
$75.00 |
$75.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$6.00 |
$6.00 |
$6.00 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$48.23 |
$48.23 |
$48.23 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$686.73 |
$686.73 |
$686.73 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$27.50 |
$27.50 |
$27.50 |
$45.60
|
|
Sp bone agrft morsel add-on
|
$177.00 |
$177.00 |
$177.00 |
$406.40
|
|
Specific gravity body fluid
|
$14.50 |
$14.50 |
$14.50 |
$22.00
|
|
Speech audiometry complete
|
$76.50 |
$76.50 |
$76.50 |
$109.20
|
|
Speech recep thresh
|
$30.00 |
$30.00 |
$30.00 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$85.50 |
$85.50 |
$85.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$357.50 |
$357.50 |
$357.50 |
$543.26
|
|
Splenectomy total open 38100
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$2,547.00 |
$2,547.00 |
$2,547.00 |
$3,256.92
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$696.00 |
$696.00 |
$696.00 |
$4,619.65
|
|
Sprchoroidal spc njx rx agt
|
$316.50 |
$316.50 |
$316.50 |
$454.19
|
|
St analysis behavior qualitative voice/resonance
|
$330.00 |
$330.00 |
$330.00 |
$297.60
|
|
Staph a dna amp probe
|
$65.50 |
$65.50 |
$65.50 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$338.50 |
$338.50 |
$338.50 |
$286.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$552.50 |
$552.50 |
$552.50 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$226.00 |
$226.00 |
$226.00 |
$9,008.54
|
|
St evaluate speech sound production comprehensive/expressive
|
$162.00 |
$162.00 |
$162.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$136.50 |
$136.50 |
$136.50 |
$399.60
|
|
St evaluation swallow function
|
$126.00 |
$126.00 |
$126.00 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$155.50 |
$155.50 |
$155.50 |
$223.45
|
|
Strapping of knee
|
$127.50 |
$127.50 |
$127.50 |
$205.20
|
|
Strapping of toes 29550
|
$56.50 |
$56.50 |
$56.50 |
$164.70
|
|
Strep a ag ia
|
$27.00 |
$27.00 |
$27.00 |
$75.40
|
|
Strep b dna amp probe
|
$145.00 |
$145.00 |
$145.00 |
$120.90
|
|
Stress test pulmonary
|
$246.50 |
$246.50 |
$246.50 |
$322.85
|
|
Stress tte complete
|
$83.00 |
$83.00 |
$83.00 |
$1,870.50
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$126.00 |
$126.00 |
$126.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$126.00 |
$126.00 |
$126.00 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$51.50 |
$51.50 |
$51.50 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$2.42 |
$2.42 |
$2.42 |
$52.31
|
|
Sugars single quant
|
$520.00 |
$520.00 |
$520.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$236.50 |
$236.50 |
$236.50 |
$7,345.98
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$8.50 |
$8.50 |
$8.50 |
$114.88
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surg dx exam anorectal
|
$863.50 |
$863.50 |
$863.50 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$36.50 |
$36.50 |
$36.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$75.50 |
$75.50 |
$75.50 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$136.50 |
$136.50 |
$136.50 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$525.00 |
$525.00 |
$525.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,453.00 |
$1,453.00 |
$1,453.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$506.50 |
$506.50 |
$506.50 |
$718.00
|
|
Surgical repair stomach bleedin ulcer 43501
|
$1,498.50 |
$1,498.50 |
$1,498.50 |
$2,536.20
|
|
Surg tx anal fistula 2nd stage 46285
|
$472.50 |
$472.50 |
$472.50 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$37.50 |
$37.50 |
$37.50 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$19.50 |
$19.50 |
$19.50 |
$35.70
|
|
Susceptibility mic per plate
|
$462.00 |
$462.00 |
$462.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$10.00 |
$10.00 |
$10.00 |
$59.28
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,150.50 |
$1,150.50 |
$1,150.50 |
$1,995.00
|
|
Synch audio-only est high 40
|
$130.50 |
$130.50 |
$130.50 |
$189.40
|
|
Synch audio-only est low 20
|
$59.50 |
$59.50 |
$59.50 |
$90.60
|
|
Synch audio-only est mod 30
|
$88.50 |
$88.50 |
$88.50 |
$136.64
|
|
Synch audio-only est sf 10
|
$33.00 |
$33.00 |
$33.00 |
$53.20
|
