|
Slp ther svc non-spch gen
|
$154.00 |
$154.00 |
$154.00 |
$188.50
|
|
Small bowel endoscopy
|
$999.34 |
$999.34 |
$999.34 |
$2,463.36
|
|
Small bowel endoscopy/biopsy
|
$900.00 |
$900.00 |
$900.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$509.00 |
$509.00 |
$509.00 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$34.50 |
$34.50 |
$34.50 |
$64.20
|
|
Smear gram stain
|
$67.50 |
$67.50 |
$67.50 |
$55.25
|
|
Smear nasal eosinophil
|
$25.00 |
$25.00 |
$25.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$23.00 |
$23.00 |
$23.00 |
$73.15
|
|
Smear wet mount
|
$45.00 |
$45.00 |
$45.00 |
$67.49
|
|
Snrpn/ube3a gene
|
$178.00 |
$178.00 |
$178.00 |
$231.85
|
|
Socket insert without lock mech
|
$1,192.50 |
$1,192.50 |
$1,192.50 |
$1,192.50
|
|
Socket insert w lock mech
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$1,544.50
|
|
Sodium 24 hour urine
|
$34.50 |
$34.50 |
$34.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$180.00 |
$180.00 |
$180.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$75.00 |
$75.00 |
$75.00 |
$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
|
$34.50 |
$34.50 |
$34.50 |
$45.60
|
|
Somatosensory testing
|
$418.50 |
$418.50 |
$418.50 |
$816.00
|
|
Sp bone agrft morsel add-on
|
$2,923.32 |
$2,923.32 |
$2,923.32 |
$406.40
|
|
Sp bone algrft morsel add-on
|
$3,181.33 |
$3,181.33 |
$3,181.33 |
$498.55
|
|
Special physics consult
|
$585.00 |
$585.00 |
$585.00 |
$725.00
|
|
Special radiation dosimetry
|
$414.00 |
$414.00 |
$414.00 |
$392.50
|
|
Special radiation treatment
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$1,986.00
|
|
Special teletx port plan
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
$1,086.99
|
|
Specific gravity body fluid
|
$17.50 |
$17.50 |
$17.50 |
$22.00
|
|
Specimen fat stain
|
$30.00 |
$30.00 |
$30.00 |
$35.10
|
|
Speech audiometry complete
|
$44.50 |
$44.50 |
$44.50 |
$109.20
|
|
Speech recep thresh
|
$32.50 |
$32.50 |
$32.50 |
$82.88
|
|
Spinal bone allograftstructural 20931
|
$4,799.00 |
$4,799.00 |
$4,799.00 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$2,923.32 |
$2,923.32 |
$2,923.32 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,296.50 |
$1,296.50 |
$1,296.50 |
$1,439.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$298.50 |
$298.50 |
$298.50 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$430.00 |
$430.00 |
$430.00 |
$543.26
|
|
Splenectomy total open 38100
|
$7,593.00 |
$7,593.00 |
$7,593.00 |
$2,166.00
|
|
Splint arm vnyl coated padded lft med
|
$17.00 |
$17.00 |
$17.00 |
$45.60
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$470.00 |
$470.00 |
$470.00 |
$392.09
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,438.50 |
$3,438.50 |
$3,438.50 |
$4,619.65
|
|
Split flat caliper stirr & p
|
$159.00 |
$159.00 |
$159.00 |
$109.20
|
|
Sprchoroidal spc njx rx agt
|
$478.00 |
$478.00 |
$478.00 |
$454.19
|
|
Sputum specimen collection
|
$65.50 |
$65.50 |
$65.50 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$2,667.94
|
|
Srs linear based
|
$7,175.50 |
$7,175.50 |
$7,175.50 |
$13,585.00
|
|
Srs multisource
|
$8,973.50 |
$8,973.50 |
$8,973.50 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$233.50 |
$233.50 |
$233.50 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$219.00 |
$219.00 |
$219.00 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$12,833.00 |
$12,833.00 |
$12,833.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,024.50 |
$5,024.50 |
$5,024.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$8,227.50 |
$8,227.50 |
$8,227.50 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$15,923.00 |
$15,923.00 |
$15,923.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,232.83 |
$3,232.83 |
$3,232.83 |
$9,008.54
|
|
Sterile needle
|
$486.80 |
$486.80 |
$486.80 |
$190.13
|
|
St evaluate speech sound production
|
$213.00 |
$213.00 |
$213.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$237.00 |
$237.00 |
$237.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$432.50 |
$432.50 |
$432.50 |
$399.60
|
|
St evaluation swallow function
|
$243.50 |
$243.50 |
$243.50 |
$314.40
|
|
Stimulants synthetic
|
$85.00 |
$85.00 |
$85.00 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$184.00 |
$184.00 |
$184.00 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$133.00 |
$133.00 |
$133.00 |
$154.70
|
|
Strapping of hand or finger
|
$123.00 |
$123.00 |
$123.00 |
$174.82
|
|
Strep a ag ia
|
$33.50 |
$33.50 |
$33.50 |
$75.40
|
|
Strep b dna amp probe
|
$85.00 |
$85.00 |
$85.00 |
$120.90
|
|
Stress test pulmonary
|
$281.00 |
$281.00 |
$281.00 |
$322.85
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$164.50 |
$164.50 |
$164.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$196.00 |
$196.00 |
$196.00 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$231.00 |
$231.00 |
$231.00 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.53 |
$22.53 |
$22.53 |
$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
|
$1,058.02 |
$1,058.02 |
$1,058.02 |
$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
|
|
Surg dx exam anorectal
|
$864.33 |
$864.33 |
$864.33 |
$3,245.23
|
|
Surg ect without salp-oophorectomy 59121
|
$1,073.08 |
$1,073.08 |
$1,073.08 |
$1,634.40
|
|
Surgical pathology level 1 gross examination only
|
$79.50 |
$79.50 |
$79.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$136.00 |
$136.00 |
$136.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$250.00 |
$250.00 |
$250.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$812.00 |
$812.00 |
$812.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$692.00 |
$692.00 |
$692.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$718.00
|
|
Surgical trays
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$50.50 |
$50.50 |
$50.50 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$9.00 |
$9.00 |
$9.00 |
$35.70
|
|
Susceptibility mic per plate
|
$462.00 |
$462.00 |
$462.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$252.50 |
$252.50 |
$252.50 |
$59.28
|
|
Svc venogram s&i
|
$3,492.00 |
$3,492.00 |
$3,492.00 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$125.50 |
$125.50 |
$125.50 |
$125.40
|
|
Synvisc or synvisc-one
|
$1,912.41 |
$1,912.41 |
$1,912.41 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$50.00 |
$50.00 |
$50.00 |
$41.60
|
|
System pacing micra av
|
$4,475.00 |
$4,475.00 |
$4,475.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,372.00 |
$5,372.00 |
$5,372.00 |
$12,003.00
|
|
System sealant biosentry tract
|
$724.00 |
$724.00 |
$724.00 |
$889.35
|
|
T3 (triiodothyronine) free
|
$96.50 |
$96.50 |
$96.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$98.00 |
$98.00 |
$98.00 |
$93.52
|
|
T4 (thyroxine) free
|
$54.00 |
$54.00 |
$54.00 |
$85.20
|
|
T4 (thyroxine) total
|
$49.00 |
$49.00 |
$49.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5.50 |
$5.50 |
$5.50 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$79.00 |
$79.00 |
$79.00 |
$122.40
|
