|
Scan duplex upper extremity arteries unilateral/limited study left
|
$41.60 |
$41.60 |
$41.60 |
$595.35
|
|
Scope plantar fasciotomy
|
$3,933.60 |
$3,933.60 |
$3,933.60 |
$3,839.54
|
|
Scr c/v cyto,thinlayer,rescr
|
$62.40 |
$62.40 |
$62.40 |
$85.15
|
|
Screen cerv/vag thin layer
|
$62.40 |
$62.40 |
$62.40 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$70.40 |
$70.40 |
$70.40 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$94.40 |
$94.40 |
$94.40 |
$42.30
|
|
Screening Mammogram
|
$398.40 |
$398.40 |
$398.40 |
$312.55
|
|
Screening pap smear by phys
|
$68.00 |
$68.00 |
$68.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$18.40 |
$18.40 |
$18.40 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$56.00 |
$56.00 |
$56.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$12,077.41 |
$12,077.41 |
$12,077.41 |
$29,055.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,475.20 |
$1,475.20 |
$1,475.20 |
$2,139.60
|
|
Sedimentation rate erythrocyte automated
|
$8.00 |
$8.00 |
$8.00 |
$42.00
|
|
Select picture audiometry
|
$98.40 |
$98.40 |
$98.40 |
$105.60
|
|
Semen analysis presence/motility
|
$25.60 |
$25.60 |
$25.60 |
$71.05
|
|
Sensorimotor examination
|
$63.20 |
$63.20 |
$63.20 |
$109.50
|
|
Serpina1 gene
|
$376.00 |
$376.00 |
$376.00 |
$197.00
|
|
Sgmdsc w/band ligation
|
$166.40 |
$166.40 |
$166.40 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$331.20 |
$331.20 |
$331.20 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$330.40 |
$330.40 |
$330.40 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$111.20 |
$111.20 |
$111.20 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$141.60 |
$141.60 |
$141.60 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$308.00 |
$308.00 |
$308.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$511.20 |
$511.20 |
$511.20 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$308.00 |
$308.00 |
$308.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$111.20 |
$111.20 |
$111.20 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$626.40 |
$626.40 |
$626.40 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$308.00 |
$308.00 |
$308.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$88.00 |
$88.00 |
$88.00 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$803.20 |
$803.20 |
$803.20 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$3,052.26 |
$3,052.26 |
$3,052.26 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$6,317.60 |
$6,317.60 |
$6,317.60 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$2,551.47 |
$2,551.47 |
$2,551.47 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$901.60 |
$901.60 |
$901.60 |
$5,855.00
|
|
Sho arthrs srg rpr slap les
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$7,390.40 |
$7,390.40 |
$7,390.40 |
$5,148.00
|
|
Shorten radius or ulna
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,391.83 |
$5,391.83 |
$5,391.83 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,831.20 |
$2,831.20 |
$2,831.20 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$969.60 |
$969.60 |
$969.60 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$4,832.80
|
|
Shoulder X-ray
|
$403.20 |
$403.20 |
$403.20 |
$339.50
|
|
Sialolithotomy 42330
|
$268.00 |
$268.00 |
$268.00 |
$3,837.72
|
|
Sickling rbc
|
$198.40 |
$198.40 |
$198.40 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$604.80 |
$604.80 |
$604.80 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$184.00 |
$184.00 |
$184.00 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$192.00 |
$192.00 |
$192.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$470.40 |
$470.40 |
$470.40 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$261.60 |
$261.60 |
$261.60 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$173.60 |
$173.60 |
$173.60 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$320.00 |
$320.00 |
$320.00 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,558.80
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$157.60 |
$157.60 |
$157.60 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$131.20 |
$131.20 |
$131.20 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$139.20 |
$139.20 |
$139.20 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$270.82 |
$270.82 |
$270.82 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$817.60 |
$817.60 |
$817.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$502.40 |
$502.40 |
$502.40 |
$1,292.04
|
|
Skin Biopsy
|
$887.46 |
$887.46 |
$887.46 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$186.40 |
$186.40 |
$186.40 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$2,428.00 |
$2,428.00 |
$2,428.00 |
$1,643.47
|
|
Sleep study unattended
|
$267.20 |
$267.20 |
$267.20 |
$580.87
|
|
Slitting of prepuce
|
$232.80 |
$232.80 |
$232.80 |
$3,365.50
|
|
Slp pure tone screening
|
$21.60 |
$21.60 |
$21.60 |
$60.48
|
|
Small bowel endoscopy/biopsy
|
$255.20 |
$255.20 |
$255.20 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$477.60 |
$477.60 |
$477.60 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$64.00 |
$64.00 |
$64.00 |
$64.20
|
|
Smear gram stain
|
$26.40 |
$26.40 |
$26.40 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$142.40 |
$142.40 |
$142.40 |
$73.15
|
|
Smear wet mount
|
$17.60 |
$17.60 |
$17.60 |
$67.49
|
|
Sodium 24 hour urine
|
$28.00 |
$28.00 |
$28.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$9.60 |
$9.60 |
$9.60 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$4.00 |
$4.00 |
$4.00 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$569.60 |
$569.60 |
$569.60 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$19.20 |
$19.20 |
$19.20 |
$45.60
|
|
Sp bone agrft morsel add-on
|
$283.20 |
$283.20 |
$283.20 |
$406.40
|
|
Speech recep thresh
|
$48.00 |
$48.00 |
$48.00 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$572.00 |
$572.00 |
$572.00 |
$543.26
|
|
Splenectomy total open 38100
|
$2,027.20 |
$2,027.20 |
$2,027.20 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$4,075.20 |
$4,075.20 |
$4,075.20 |
$3,256.92
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$4,619.65
|
|
St analysis behavior qualitative voice/resonance
|
$152.00 |
$152.00 |
$152.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$141.60 |
$141.60 |
$141.60 |
$286.00
|
|
St evaluate speech sound production
|
$180.00 |
$180.00 |
$180.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$374.40 |
$374.40 |
$374.40 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$179.20 |
$179.20 |
$179.20 |
$399.60
|
|
St evaluation swallow function
|
$168.00 |
$168.00 |
$168.00 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$494.40 |
$494.40 |
$494.40 |
$223.45
|
|
Strapping of knee
|
$28.00 |
$28.00 |
$28.00 |
$205.20
|
|
Strapping of toes 29550
|
$91.20 |
$91.20 |
$91.20 |
$164.70
|
|
Strep a ag ia
|
$56.80 |
$56.80 |
$56.80 |
$75.40
|
