|
Small bowel endoscopy
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$2,389.40
|
|
Small bowel endoscopy
|
$11,400.67 |
$11,400.67 |
$11,400.67 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,486.34 |
$3,486.34 |
$3,486.34 |
$2,842.50
|
|
Small bowel endoscopy
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$1,620.78
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,672.00 |
$1,672.00 |
$1,672.00 |
$2,389.40
|
|
Small bowel endoscopy/biopsy
|
$1,717.67 |
$1,717.67 |
$1,717.67 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$3,281.00 |
$3,281.00 |
$3,281.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$1,349.34 |
$1,349.34 |
$1,349.34 |
$2,381.60
|
|
Smear fluorescent and/or acid fast stain
|
$97.50 |
$97.50 |
$97.50 |
$64.20
|
|
Smear gram stain
|
$88.00 |
$88.00 |
$88.00 |
$55.25
|
|
Smear nasal eosinophil
|
$52.00 |
$52.00 |
$52.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$167.00 |
$167.00 |
$167.00 |
$73.15
|
|
Smear wet mount
|
$119.00 |
$119.00 |
$119.00 |
$67.49
|
|
Smpd1 gene common variants
|
$25.50 |
$25.50 |
$25.50 |
$133.84
|
|
Snrpn/ube3a gene
|
$618.50 |
$618.50 |
$618.50 |
$231.85
|
|
So cap design without jnts cf
|
$199.50 |
$199.50 |
$199.50 |
$606.35
|
|
Socket insert without lock mech
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,192.50
|
|
Socket insert w lock mech
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$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
|
$89.50 |
$89.50 |
$89.50 |
$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
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$49.00 |
$49.00 |
$49.00 |
$45.60
|
|
Somatosensory testing
|
$500.50 |
$500.50 |
$500.50 |
$816.00
|
|
Sp bone agrft morsel add-on
|
$3,010.75 |
$3,010.75 |
$3,010.75 |
$406.40
|
|
Sp bone algrft morsel add-on
|
$5,592.25 |
$5,592.25 |
$5,592.25 |
$498.55
|
|
Special casting material
|
$84.50 |
$84.50 |
$84.50 |
$47.45
|
|
Special physics consult
|
$416.50 |
$416.50 |
$416.50 |
$725.00
|
|
Special radiation dosimetry
|
$436.00 |
$436.00 |
$436.00 |
$392.50
|
|
Special radiation treatment
|
$1,321.50 |
$1,321.50 |
$1,321.50 |
$1,986.00
|
|
Special teletx port plan
|
$745.00 |
$745.00 |
$745.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$14.50 |
$14.50 |
$14.50 |
$22.00
|
|
Specimen fat stain
|
$72.50 |
$72.50 |
$72.50 |
$35.10
|
|
Speech audiometry complete
|
$148.50 |
$148.50 |
$148.50 |
$109.20
|
|
Speech evaluation complex
|
$471.50 |
$471.50 |
$471.50 |
$527.06
|
|
Speech recep thresh
|
$129.50 |
$129.50 |
$129.50 |
$82.88
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$6,573.50 |
$6,573.50 |
$6,573.50 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$19,554.00 |
$19,554.00 |
$19,554.00 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$8,677.00 |
$8,677.00 |
$8,677.00 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,612.50 |
$3,612.50 |
$3,612.50 |
$1,439.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$436.00 |
$436.00 |
$436.00 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$570.00 |
$570.00 |
$570.00 |
$543.26
|
|
Spirometry up to 2 yrs old
|
$339.00 |
$339.00 |
$339.00 |
$326.04
|
|
Splint arm vnyl coated padded lft med
|
$18.00 |
$18.00 |
$18.00 |
$45.60
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$470.00 |
$470.00 |
$470.00 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$141.00 |
$141.00 |
$141.00 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$53.50 |
$53.50 |
$53.50 |
$34.00
|
|
Splint finger frog med
|
$87.00 |
$87.00 |
$87.00 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$3.50 |
$3.50 |
$3.50 |
$5.60
|
|
Splint rstrc wrst/cmc right med
|
$270.00 |
$270.00 |
$270.00 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$12,467.50 |
$12,467.50 |
$12,467.50 |
$4,619.65
|
|
Split blood or products
|
$135.00 |
$135.00 |
$135.00 |
$127.48
|
|
Split flat caliper stirr & p
|
$169.00 |
$169.00 |
$169.00 |
$109.20
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$3,181.58 |
$3,181.58 |
$3,181.58 |
$1,612.78
|
|
Sprchoroidal spc njx rx agt
|
$494.50 |
$494.50 |
$494.50 |
$454.19
|
|
Sputum specimen collection
|
$87.50 |
$87.50 |
$87.50 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$6,837.50 |
$6,837.50 |
$6,837.50 |
$2,667.94
|
|
Srs cranial lesion simple
|
$598.00 |
$598.00 |
$598.00 |
$2,384.00
|
|
Srs cran les simple addl
|
$299.00 |
$299.00 |
$299.00 |
$719.20
|
|
Srs linear based
|
$7,515.50 |
$7,515.50 |
$7,515.50 |
$13,585.00
|
|
Srs multisource
|
$20,353.00 |
$20,353.00 |
$20,353.00 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$330.00 |
$330.00 |
$330.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$638.50 |
$638.50 |
$638.50 |
$286.00
|
|
Stem cells total count
|
$410.00 |
$410.00 |
$410.00 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$49,293.50 |
$49,293.50 |
$49,293.50 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$7,436.50 |
$7,436.50 |
$7,436.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$443.90 |
$443.90 |
$443.90 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$7,592.00 |
$7,592.00 |
$7,592.00 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$21,830.00 |
$21,830.00 |
$21,830.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,985.00 |
$8,985.00 |
$8,985.00 |
$9,008.54
|
|
Stent placemt retro carotid
|
$6,973.00 |
$6,973.00 |
$6,973.00 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,942.50 |
$10,942.50 |
$10,942.50 |
$17,271.50
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$15,393.50 |
$15,393.50 |
$15,393.50 |
$3,308.00
|
|
Sterile needle
|
$1,021.84 |
$1,021.84 |
$1,021.84 |
$190.13
|
|
St evaluate speech sound production
|
$248.00 |
$248.00 |
$248.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$311.00 |
$311.00 |
$311.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$706.00 |
$706.00 |
$706.00 |
$399.60
|
|
St evaluation swallow function
|
$238.00 |
$238.00 |
$238.00 |
$314.40
|
|
Stimulants synthetic
|
$85.00 |
$85.00 |
$85.00 |
$80.08
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$3,335.50 |
$3,335.50 |
$3,335.50 |
$2,607.60
|
|
Strapping of ankle and/or ft 29540
|
$207.50 |
$207.50 |
$207.50 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$46.00 |
$46.00 |
$46.00 |
$154.70
|
|
Strapping of toes 29550
|
$75.50 |
$75.50 |
$75.50 |
$164.70
|
|
Strep a ag ia
|
$38.00 |
$38.00 |
$38.00 |
$75.40
|
|
Strep b dna amp probe
|
$103.00 |
$103.00 |
$103.00 |
$120.90
|
|
Stress test pulmonary
|
$265.00 |
$265.00 |
$265.00 |
$322.85
|
|
Stress tte complete
|
$1,870.50 |
$1,870.50 |
$1,870.50 |
$1,870.50
|
|
Str markers specimen anal
|
$964.50 |
$964.50 |
$964.50 |
$751.50
|
|
St treatment speech individual
|
$429.00 |
$429.00 |
$429.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$138.50 |
$138.50 |
$138.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$315.00 |
$315.00 |
$315.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$944.00 |
$944.00 |
$944.00 |
$988.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$32.63 |
$32.63 |
$32.63 |
$52.31
|
|
Suction lipectomy head&neck
|
$5,044.50 |
$5,044.50 |
$5,044.50 |
$4,350.00
|
|
Suction lipectomy lwr extrem
|
$13,237.50 |
$13,237.50 |
$13,237.50 |
$5,339.00
|
|
Suction lipectomy trunk
|
$4,385.50 |
$4,385.50 |
$4,385.50 |
$4,332.25
|
|
Sugars single quant
|
$520.00 |
$520.00 |
$520.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$24,062.73 |
$24,062.73 |
$24,062.73 |
$7,345.98
|
