|
Sigmoidoscopy w/tumr remove
|
$197.50 |
$197.50 |
$197.50 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$1,188.34 |
$1,188.34 |
$1,188.34 |
$1,740.57
|
|
Sim ang w/prs cath rad emb
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$270.50 |
$270.50 |
$270.50 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$781.50 |
$781.50 |
$781.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,869.50 |
$2,869.50 |
$2,869.50 |
$2,489.25
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$467.50 |
$467.50 |
$467.50 |
$360.34
|
|
Skin full graft add-on 15241
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$675.58
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Slco1b1 gene com variants
|
$654.50 |
$654.50 |
$654.50 |
$241.24
|
|
Sleep study attended
|
$836.50 |
$836.50 |
$836.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,648.00 |
$2,648.00 |
$2,648.00 |
$3,607.50
|
|
Sleep study unattended
|
$301.00 |
$301.00 |
$301.00 |
$580.87
|
|
Sling suprapubic suburetheral
|
$2,842.95 |
$2,842.95 |
$2,842.95 |
$9,679.96
|
|
Slp pure tone screening
|
$30.50 |
$30.50 |
$30.50 |
$60.48
|
|
Small bowel endoscopy
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$2,463.36
|
|
Small bowel endoscopy
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$2,842.50
|
|
Small bowel endoscopy/biopsy
|
$335.00 |
$335.00 |
$335.00 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$86.00 |
$86.00 |
$86.00 |
$64.20
|
|
Smear gram stain
|
$40.35 |
$40.35 |
$40.35 |
$55.25
|
|
Smear nasal eosinophil
|
$25.00 |
$25.00 |
$25.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$54.00 |
$54.00 |
$54.00 |
$73.15
|
|
Smear wet mount
|
$71.00 |
$71.00 |
$71.00 |
$67.49
|
|
Snrpn/ube3a gene
|
$178.00 |
$178.00 |
$178.00 |
$231.85
|
|
Sodium 24 hour urine
|
$34.00 |
$34.00 |
$34.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$112.50 |
$112.50 |
$112.50 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$9.00 |
$9.00 |
$9.00 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$144.68 |
$144.68 |
$144.68 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$541.00 |
$541.00 |
$541.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$48.00 |
$48.00 |
$48.00 |
$45.60
|
|
Sp bone agrft struct add-on
|
$2,380.95 |
$2,380.95 |
$2,380.95 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$4,700.00 |
$4,700.00 |
$4,700.00 |
$498.55
|
|
Special physics consult
|
$161.50 |
$161.50 |
$161.50 |
$725.00
|
|
Special radiation dosimetry
|
$175.50 |
$175.50 |
$175.50 |
$392.50
|
|
Special radiation treatment
|
$654.00 |
$654.00 |
$654.00 |
$1,986.00
|
|
Special teletx port plan
|
$175.50 |
$175.50 |
$175.50 |
$1,086.99
|
|
Specific gravity body fluid
|
$18.00 |
$18.00 |
$18.00 |
$22.00
|
|
Speech audiometry complete
|
$90.50 |
$90.50 |
$90.50 |
$109.20
|
|
Speech recep thresh
|
$53.50 |
$53.50 |
$53.50 |
$82.88
|
|
Spinal bone allograftstructural 20931
|
$3,944.08 |
$3,944.08 |
$3,944.08 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$3,061.42 |
$3,061.42 |
$3,061.42 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$384.00 |
$384.00 |
$384.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$679.00 |
$679.00 |
$679.00 |
$392.09
|
|
Split blood or products
|
$149.00 |
$149.00 |
$149.00 |
$127.48
|
|
Sprchoroidal spc njx rx agt
|
$483.00 |
$483.00 |
$483.00 |
$454.19
|
|
Srs linear based
|
$7,515.50 |
$7,515.50 |
$7,515.50 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$439.50 |
$439.50 |
$439.50 |
$297.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$2,107.50 |
$2,107.50 |
$2,107.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$443.90 |
$443.90 |
$443.90 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,887.00 |
$3,887.00 |
$3,887.00 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,948.00 |
$8,948.00 |
$8,948.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,749.00 |
$8,749.00 |
$8,749.00 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$12,348.00 |
$12,348.00 |
$12,348.00 |
$17,271.50
|
|
Sterile needle
|
$685.57 |
$685.57 |
$685.57 |
$190.13
|
|
St evaluate speech sound production
|
$349.00 |
$349.00 |
$349.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$349.00 |
$349.00 |
$349.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$372.00 |
$372.00 |
$372.00 |
$399.60
|
|
St evaluation swallow function
|
$372.00 |
$372.00 |
$372.00 |
$314.40
|
|
Stimulants synthetic
|
$85.00 |
$85.00 |
$85.00 |
$80.08
|
|
Strep a ag ia
|
$35.50 |
$35.50 |
$35.50 |
$75.40
|
|
Strep b dna amp probe
|
$69.50 |
$69.50 |
$69.50 |
$120.90
|
|
Stress test pulmonary
|
$247.50 |
$247.50 |
$247.50 |
$322.85
|
|
Stress tte complete
|
$681.00 |
$681.00 |
$681.00 |
$1,870.50
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$230.00 |
$230.00 |
$230.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$197.50 |
$197.50 |
$197.50 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.59 |
$6.59 |
$6.59 |
$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
|
$354.50 |
$354.50 |
$354.50 |
$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
|
|
Surg dx exam anorectal
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$81.50 |
$81.50 |
$81.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$198.00 |
$198.00 |
$198.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$121.00 |
$121.00 |
$121.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$246.50 |
$246.50 |
$246.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$318.50 |
$318.50 |
$318.50 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$40.00 |
$40.00 |
$40.00 |
$45.45
|
|
Susceptibility mic per plate
|
$469.00 |
$469.00 |
$469.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$194.50 |
$194.50 |
$194.50 |
$59.28
|
|
Svc venogram s&i
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$956.21 |
$956.21 |
$956.21 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$50.00 |
$50.00 |
$50.00 |
$41.60
|
|
System pacing micra av
|
$9,643.50 |
$9,643.50 |
$9,643.50 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$4,314.00 |
$4,314.00 |
$4,314.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$71.50 |
$71.50 |
$71.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$97.50 |
$97.50 |
$97.50 |
$93.52
|
|
T4 (thyroxine) free
|
$121.50 |
$121.50 |
$121.50 |
$85.20
|
|
T4 (thyroxine) total
|
$85.50 |
$85.50 |
$85.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$8.68 |
$8.68 |
$8.68 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$140.00 |
$140.00 |
$140.00 |
$122.40
|
