|
Rsv assay w/optic
|
$35.00 |
$35.00 |
$35.00 |
$79.38
|
|
Rubella antibody igg
|
$71.50 |
$71.50 |
$71.50 |
$77.03
|
|
Rubeola antibody igg
|
$75.00 |
$75.00 |
$75.00 |
$80.00
|
|
Russell viper venom diluted
|
$56.00 |
$56.00 |
$56.00 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$17,313.43 |
$17,313.43 |
$17,313.43 |
$5,174.32
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$105.00 |
$105.00 |
$105.00 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$57.00 |
$57.00 |
$57.00 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$113.00 |
$113.00 |
$113.00 |
$104.00
|
|
Sbsq psyc collab care mgmt
|
$159.00 |
$159.00 |
$159.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$696.50 |
$696.50 |
$696.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$641.00 |
$641.00 |
$641.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$399.00 |
$399.00 |
$399.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$491.50 |
$491.50 |
$491.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$482.50 |
$482.50 |
$482.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$349.00 |
$349.00 |
$349.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$486.00 |
$486.00 |
$486.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$399.00 |
$399.00 |
$399.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$275.00 |
$275.00 |
$275.00 |
$595.35
|
|
Scan proc cranial extra
|
$1,123.31 |
$1,123.31 |
$1,123.31 |
$2,366.00
|
|
Scan proc spinal
|
$4,424.86 |
$4,424.86 |
$4,424.86 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,773.00 |
$2,773.00 |
$2,773.00 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$4,173.00 |
$4,173.00 |
$4,173.00 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$2,967.50 |
$2,967.50 |
$2,967.50 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$82.00 |
$82.00 |
$82.00 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$70.50 |
$70.50 |
$70.50 |
$54.40
|
|
Screen cerv/vag thin layer
|
$181.00 |
$181.00 |
$181.00 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$78.00 |
$78.00 |
$78.00 |
$42.30
|
|
Screening Mammogram
|
$299.50 |
$299.50 |
$299.50 |
$312.55
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$41.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$129.00 |
$129.00 |
$129.00 |
$100.63
|
|
Screen pap by tech w md supv
|
$70.50 |
$70.50 |
$70.50 |
$52.65
|
|
Screen/visual acuity/bilat/quant 99173
|
$42.50 |
$42.50 |
$42.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$3,563.31 |
$3,563.31 |
$3,563.31 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$12,608.50 |
$12,608.50 |
$12,608.50 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$15.50 |
$15.50 |
$15.50 |
$42.00
|
|
Semen analysis presence/motility
|
$88.50 |
$88.50 |
$88.50 |
$71.05
|
|
Sensorimotor examination
|
$9.50 |
$9.50 |
$9.50 |
$109.50
|
|
Set radiation therapy field
|
$585.00 |
$585.00 |
$585.00 |
$762.40
|
|
Set radiation therapy field
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$24.48 |
$24.48 |
$24.48 |
$7.14
|
|
Sgmdsc w/band ligation
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$231.00 |
$231.00 |
$231.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$1,000.33 |
$1,000.33 |
$1,000.33 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$519.00 |
$519.00 |
$519.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$467.50 |
$467.50 |
$467.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$231.00 |
$231.00 |
$231.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$398.56 |
$398.56 |
$398.56 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$231.00 |
$231.00 |
$231.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$467.50 |
$467.50 |
$467.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$2,337.50 |
$2,337.50 |
$2,337.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$416.75 |
$416.75 |
$416.75 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$675.67 |
$675.67 |
$675.67 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$6,570.70
|
|
Sho arthrs srg bicp tenodsis
|
$1,818.33 |
$1,818.33 |
$1,818.33 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$7,166.67 |
$7,166.67 |
$7,166.67 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$3,096.25 |
$3,096.25 |
$3,096.25 |
$4,521.67
|
|
Sho arthrs srg rpr slap les
|
$11,187.50 |
$11,187.50 |
$11,187.50 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$7,117.50 |
$7,117.50 |
$7,117.50 |
$5,148.00
|
|
Shoe outflare wedge
|
$113.50 |
$113.50 |
$113.50 |
$107.24
|
|
Shoe post-op mens m
|
$19.00 |
$19.00 |
$19.00 |
$52.20
|
|
Sho lift taper to metatarsal
|
$119.00 |
$119.00 |
$119.00 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,546.67 |
$5,546.67 |
$5,546.67 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,309.50 |
$2,309.50 |
$2,309.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,602.50 |
$1,602.50 |
$1,602.50 |
$2,065.05
|
|
Shoulder X-ray
|
$368.00 |
$368.00 |
$368.00 |
$339.50
|
|
Shrinker prosth below knee
|
$98.50 |
$98.50 |
$98.50 |
$105.12
|
|
Shrinker upper limb
|
$134.50 |
$134.50 |
$134.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$1,933.50 |
$1,933.50 |
$1,933.50 |
$4,636.80
|
|
Sialography s&i
|
$698.00 |
$698.00 |
$698.00 |
$499.20
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$309.67 |
$309.67 |
$309.67 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$229.67 |
$229.67 |
$229.67 |
$1,444.83
|
|
Sigmoidoscopy w/fb removal 45332
|
$2,113.00 |
$2,113.00 |
$2,113.00 |
$1,388.56
|
|
Sigmoidoscopy w/tumr remove
|
$749.00 |
$749.00 |
$749.00 |
$1,558.80
|
|
Sig w/tndsc balloon dilation
|
$719.00 |
$719.00 |
$719.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$287.50 |
$287.50 |
$287.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$261.45 |
$261.45 |
$261.45 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,474.50 |
$1,474.50 |
$1,474.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$711.50 |
$711.50 |
$711.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$2,489.25
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$579.75 |
$579.75 |
$579.75 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,371.50
|
|
Skin full graft add-on 15241
|
$1,024.25 |
$1,024.25 |
$1,024.25 |
$675.58
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Slco1b1 gene com variants
|
$52.50 |
$52.50 |
$52.50 |
$241.24
|
|
Sleep study attended
|
$680.50 |
$680.50 |
$680.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,692.00 |
$2,692.00 |
$2,692.00 |
$3,607.50
|
|
Sleep study unattended
|
$701.50 |
$701.50 |
$701.50 |
$580.87
|
|
Sleeve fing rolyan med
|
$241.00 |
$241.00 |
$241.00 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$6.50 |
$6.50 |
$6.50 |
$30.35
|
|
Sling suprapubic suburetheral
|
$5,685.90 |
$5,685.90 |
$5,685.90 |
$9,679.96
|
|
Slp pure tone screening
|
$35.00 |
$35.00 |
$35.00 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$530.00 |
$530.00 |
$530.00 |
$296.34
|
