|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$588.00 |
$588.00 |
$588.00 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$687.50 |
$687.50 |
$687.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$285.00 |
$285.00 |
$285.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$285.00 |
$285.00 |
$285.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$545.65 |
$545.65 |
$545.65 |
$6,570.70
|
|
Sho arthrs srg bicp tenodsis
|
$5,346.83 |
$5,346.83 |
$5,346.83 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$12,427.00 |
$12,427.00 |
$12,427.00 |
$6,311.00
|
|
Sho arthrs srg lss&rescj ads
|
$1,270.85 |
$1,270.85 |
$1,270.85 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$11,287.00 |
$11,287.00 |
$11,287.00 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$5,616.34 |
$5,616.34 |
$5,616.34 |
$5,148.00
|
|
Shoe outflare wedge
|
$118.50 |
$118.50 |
$118.50 |
$107.24
|
|
Sho lift taper to metatarsal
|
$123.50 |
$123.50 |
$123.50 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$7,123.67 |
$7,123.67 |
$7,123.67 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,304.50 |
$2,304.50 |
$2,304.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$2,065.05
|
|
Shoulder X-ray
|
$414.00 |
$414.00 |
$414.00 |
$339.50
|
|
Shrinker prosth below knee
|
$102.50 |
$102.50 |
$102.50 |
$105.12
|
|
Shrinker upper limb
|
$139.50 |
$139.50 |
$139.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$4,636.80
|
|
Sialography s&i
|
$454.50 |
$454.50 |
$454.50 |
$499.20
|
|
Sialolithotomy 42330
|
$4,371.50 |
$4,371.50 |
$4,371.50 |
$3,837.72
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$829.00 |
$829.00 |
$829.00 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$587.50 |
$587.50 |
$587.50 |
$1,890.00
|
|
Simple cystometrogram 51725
|
$496.50 |
$496.50 |
$496.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$260.50 |
$260.50 |
$260.50 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$735.00 |
$735.00 |
$735.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$2,489.25
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$400.50 |
$400.50 |
$400.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$3,262.50 |
$3,262.50 |
$3,262.50 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$3,656.67 |
$3,656.67 |
$3,656.67 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Sling suprapubic suburetheral
|
$2,498.04 |
$2,498.04 |
$2,498.04 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$50.00 |
$50.00 |
$50.00 |
$64.20
|
|
Smear gram stain
|
$30.50 |
$30.50 |
$30.50 |
$55.25
|
|
Smear nasal eosinophil
|
$25.00 |
$25.00 |
$25.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$8.00 |
$8.00 |
$8.00 |
$73.15
|
|
Smear wet mount
|
$57.50 |
$57.50 |
$57.50 |
$67.49
|
|
Snrpn/ube3a gene
|
$248.00 |
$248.00 |
$248.00 |
$231.85
|
|
Socket insert without lock mech
|
$1,167.50 |
$1,167.50 |
$1,167.50 |
$1,192.50
|
|
Socket insert w lock mech
|
$1,367.00 |
$1,367.00 |
$1,367.00 |
$1,544.50
|
|
Sodium 24 hour urine
|
$40.50 |
$40.50 |
$40.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$120.00 |
$120.00 |
$120.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$82.00 |
$82.00 |
$82.00 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$72.34 |
$72.34 |
$72.34 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,030.10 |
$1,030.10 |
$1,030.10 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$40.50 |
$40.50 |
$40.50 |
$45.60
|
|
Special radiation treatment
|
$1,645.50 |
$1,645.50 |
$1,645.50 |
$1,986.00
|
|
Specific gravity body fluid
|
$17.00 |
$17.00 |
$17.00 |
$22.00
|
|
Specimen fat stain
|
$43.00 |
$43.00 |
$43.00 |
$35.10
|
|
Speech audiometry complete
|
$61.50 |
$61.50 |
$61.50 |
$109.20
|
|
Speech recep thresh
|
$43.50 |
$43.50 |
$43.50 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$1,439.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$406.50 |
$406.50 |
$406.50 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$298.00 |
$298.00 |
$298.00 |
$543.26
|
|
Split flat caliper stirr & p
|
$165.50 |
$165.50 |
$165.50 |
$109.20
|
|
Sprchoroidal spc njx rx agt
|
$508.50 |
$508.50 |
$508.50 |
$454.19
|
|
Sputum specimen collection
|
$82.50 |
$82.50 |
$82.50 |
$180.00
|
|
Srs linear based
|
$4,919.50 |
$4,919.50 |
$4,919.50 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$330.00 |
$330.00 |
$330.00 |
$297.60
|
|
Stem cells total count
|
$184.00 |
$184.00 |
$184.00 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,038.50 |
$4,038.50 |
$4,038.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$430.92 |
$430.92 |
$430.92 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,051.25 |
$2,051.25 |
$2,051.25 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$18,492.50 |
$18,492.50 |
$18,492.50 |
$14,356.50
|
|
Sterile needle
|
$281.50 |
$281.50 |
$281.50 |
$190.13
|
|
St evaluate speech sound production
|
$86.50 |
$86.50 |
$86.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$176.50 |
$176.50 |
$176.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$100.00 |
$100.00 |
$100.00 |
$399.60
|
|
St evaluation swallow function
|
$150.00 |
$150.00 |
$150.00 |
$314.40
|
|
Stimulants synthetic
|
$85.00 |
$85.00 |
$85.00 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$100.00 |
$100.00 |
$100.00 |
$223.45
|
|
Strapping of toes 29550
|
$43.50 |
$43.50 |
$43.50 |
$164.70
|
|
Strep a ag ia
|
$35.50 |
$35.50 |
$35.50 |
$75.40
|
|
Strep b dna amp probe
|
$120.50 |
$120.50 |
$120.50 |
$120.90
|
|
Stress test pulmonary
|
$460.00 |
$460.00 |
$460.00 |
$322.85
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$58.00 |
$58.00 |
$58.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$61.50 |
$61.50 |
$61.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$341.00 |
$341.00 |
$341.00 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$24.75 |
$24.75 |
$24.75 |
$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
|
$460.02 |
$460.02 |
$460.02 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$110.00 |
$110.00 |
$110.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$12.50 |
$12.50 |
$12.50 |
$114.88
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$24.00 |
$24.00 |
$24.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$59.00 |
$59.00 |
$59.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$61.00 |
$61.00 |
$61.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$166.00 |
$166.00 |
$166.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$127.00 |
$127.00 |
$127.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$328.50 |
$328.50 |
$328.50 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$37.50 |
$37.50 |
$37.50 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$4.50 |
$4.50 |
$4.50 |
$35.70
|
|
Susceptibility mic per plate
|
$462.00 |
$462.00 |
$462.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$350.00 |
$350.00 |
$350.00 |
$59.28
|
