|
Screening prostate cancer PSA
|
$110.50 |
$110.50 |
$110.50 |
$100.63
|
|
Screen pap by tech w md supv
|
$41.00 |
$41.00 |
$41.00 |
$52.65
|
|
Screen/visual acuity/bilat/quant 99173
|
$40.50 |
$40.50 |
$40.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$3,858.34 |
$3,858.34 |
$3,858.34 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$13,723.00 |
$13,723.00 |
$13,723.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$30.50 |
$30.50 |
$30.50 |
$42.00
|
|
Select picture audiometry
|
$135.00 |
$135.00 |
$135.00 |
$105.60
|
|
Semen analysis presence/motility
|
$93.00 |
$93.00 |
$93.00 |
$71.05
|
|
Sensorimotor examination
|
$203.50 |
$203.50 |
$203.50 |
$109.50
|
|
Sensorineural acuity lvl tst
|
$49.50 |
$49.50 |
$49.50 |
$129.36
|
|
Separate eyelid adhesions
|
$1,776.75 |
$1,776.75 |
$1,776.75 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$468.00 |
$468.00 |
$468.00 |
$316.68
|
|
Serial casting application 97139app
|
$21.50 |
$21.50 |
$21.50 |
$78.39
|
|
Serial tonometry
|
$148.50 |
$148.50 |
$148.50 |
$131.02
|
|
Serpina1 gene
|
$238.50 |
$238.50 |
$238.50 |
$197.00
|
|
Set radiation therapy field
|
$666.00 |
$666.00 |
$666.00 |
$762.40
|
|
Set radiation therapy field
|
$745.00 |
$745.00 |
$745.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$14.78 |
$14.78 |
$14.78 |
$7.14
|
|
Sgmdsc w/band ligation
|
$776.00 |
$776.00 |
$776.00 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$484.00 |
$484.00 |
$484.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$2,473.00 |
$2,473.00 |
$2,473.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$652.00 |
$652.00 |
$652.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$775.50 |
$775.50 |
$775.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$639.00 |
$639.00 |
$639.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$319.50 |
$319.50 |
$319.50 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$257.00 |
$257.00 |
$257.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$519.00 |
$519.00 |
$519.00 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$2,282.17 |
$2,282.17 |
$2,282.17 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$293.00 |
$293.00 |
$293.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$4,703.00 |
$4,703.00 |
$4,703.00 |
$6,570.70
|
|
Sho arthrs dx +- synovial bx
|
$6,292.50 |
$6,292.50 |
$6,292.50 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$10,035.00 |
$10,035.00 |
$10,035.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$32,745.00 |
$32,745.00 |
$32,745.00 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$7,951.00 |
$7,951.00 |
$7,951.00 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$8,921.00 |
$8,921.00 |
$8,921.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$7,175.00 |
$7,175.00 |
$7,175.00 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$9,952.67 |
$9,952.67 |
$9,952.67 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$9,403.13 |
$9,403.13 |
$9,403.13 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$10,080.50 |
$10,080.50 |
$10,080.50 |
$5,148.00
|
|
Shoe outflare wedge
|
$120.50 |
$120.50 |
$120.50 |
$107.24
|
|
Shoe post-op mens m
|
$67.00 |
$67.00 |
$67.00 |
$52.20
|
|
Sho lift taper to metatarsal
|
$125.50 |
$125.50 |
$125.50 |
$111.14
|
|
Shorten radius or ulna
|
$20,721.00 |
$20,721.00 |
$20,721.00 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$16,323.34 |
$16,323.34 |
$16,323.34 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,941.00 |
$2,941.00 |
$2,941.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$2,065.05
|
|
Shoulder X-ray
|
$532.50 |
$532.50 |
$532.50 |
$339.50
|
|
Shrinker prosth below knee
|
$104.00 |
$104.00 |
$104.00 |
$105.12
|
|
Shrinker upper limb
|
$142.00 |
$142.00 |
$142.00 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,782.50 |
$2,782.50 |
$2,782.50 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$360.50 |
$360.50 |
$360.50 |
$349.20
|
|
Sialography s&i
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$499.20
|
|
Sialolithotomy 42330
|
$8,659.25 |
$8,659.25 |
$8,659.25 |
$3,837.72
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$3,302.00 |
$3,302.00 |
$3,302.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,512.00 |
$3,512.00 |
$3,512.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$7,024.00 |
$7,024.00 |
$7,024.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,252.67 |
$1,252.67 |
$1,252.67 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$4,392.00 |
$4,392.00 |
$4,392.00 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$1,427.17 |
$1,427.17 |
$1,427.17 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$2,798.00 |
$2,798.00 |
$2,798.00 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$589.33 |
$589.33 |
$589.33 |
$1,901.90
|
|
Sim ang w/prs cath rad emb
|
$8,850.00 |
$8,850.00 |
$8,850.00 |
$18,145.20
|
|
Simple cystometrogram 51725
|
$544.00 |
$544.00 |
$544.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$267.00 |
$267.00 |
$267.00 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,056.50 |
$1,056.50 |
$1,056.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$4,941.00 |
$4,941.00 |
$4,941.00 |
$2,489.25
|
|
Sinusotomy sinus remove polyps 31032
|
$19,076.67 |
$19,076.67 |
$19,076.67 |
$6,177.60
|
|
Sirolimus, oral
|
$64.75 |
$64.75 |
$64.75 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$31,063.63 |
$31,063.63 |
$31,063.63 |
$14,361.10
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin and muscle repair face
|
$8,156.75 |
$8,156.75 |
$8,156.75 |
$4,332.25
|
|
Skin Biopsy
|
$4,228.50 |
$4,228.50 |
$4,228.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$25,711.50 |
$25,711.50 |
$25,711.50 |
$2,371.50
|
|
Skin full graft add-on 15241
|
$1,945.31 |
$1,945.31 |
$1,945.31 |
$675.58
|
|
Skin split graft addl 100sq cm 15101
|
$2,008.25 |
$2,008.25 |
$2,008.25 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Slco1b1 gene com variants
|
$455.50 |
$455.50 |
$455.50 |
$241.24
|
|
Sleep study attended
|
$962.50 |
$962.50 |
$962.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,607.50 |
$3,607.50 |
$3,607.50 |
$3,607.50
|
|
Sleep study unattended
|
$375.50 |
$375.50 |
$375.50 |
$580.87
|
|
Sleeve fing rolyan med
|
$47.50 |
$47.50 |
$47.50 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$12.50 |
$12.50 |
$12.50 |
$30.35
|
|
Sling suprapubic suburetheral
|
$2,820.48 |
$2,820.48 |
$2,820.48 |
$9,679.96
|
|
Slitting of prepuce
|
$4,051.00 |
$4,051.00 |
$4,051.00 |
$3,365.50
|
|
Slp pure tone screening
|
$35.00 |
$35.00 |
$35.00 |
$60.48
|
|
Slp ther svc non-spch gen
|
$266.50 |
$266.50 |
$266.50 |
$188.50
|
|
Sm-153 lexidron ther
|
$16,597.00 |
$16,597.00 |
$16,597.00 |
$7,320.12
|
|
Small bowel endoscopy
|
$984.67 |
$984.67 |
$984.67 |
$2,463.36
|
|
Small bowel endoscopy
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$2,638.57
|
