|
Rsv assay w/optic
|
$102.00 |
$102.00 |
$102.00 |
$79.38
|
|
Rubella antibody igg
|
$83.50 |
$83.50 |
$83.50 |
$77.03
|
|
Rubeola antibody igg
|
$103.50 |
$103.50 |
$103.50 |
$80.00
|
|
Russell viper venom diluted
|
$37.50 |
$37.50 |
$37.50 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$25,132.40 |
$25,132.40 |
$25,132.40 |
$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
|
$113.50 |
$113.50 |
$113.50 |
$104.00
|
|
Sbsq psyc collab care mgmt
|
$102.50 |
$102.50 |
$102.50 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$600.00 |
$600.00 |
$600.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$70.50 |
$70.50 |
$70.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$558.00 |
$558.00 |
$558.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$119.50 |
$119.50 |
$119.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$526.50 |
$526.50 |
$526.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$600.00 |
$600.00 |
$600.00 |
$721.60
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$558.00 |
$558.00 |
$558.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$558.00 |
$558.00 |
$558.00 |
$595.35
|
|
Scan proc cranial extra
|
$1,205.83 |
$1,205.83 |
$1,205.83 |
$2,366.00
|
|
Scope uretscp lithovue dig disp
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$32.50 |
$32.50 |
$32.50 |
$85.15
|
|
Screen cerv/vag thin layer
|
$94.00 |
$94.00 |
$94.00 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$2,201.00 |
$2,201.00 |
$2,201.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$3,604.00 |
$3,604.00 |
$3,604.00 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$46.00 |
$46.00 |
$46.00 |
$42.30
|
|
Screening Mammogram
|
$494.00 |
$494.00 |
$494.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$93.00 |
$93.00 |
$93.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$38.50 |
$38.50 |
$38.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$874.15 |
$874.15 |
$874.15 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,838.00 |
$3,838.00 |
$3,838.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$14.00 |
$14.00 |
$14.00 |
$42.00
|
|
Semen analysis presence/motility
|
$62.50 |
$62.50 |
$62.50 |
$71.05
|
|
Serpina1 gene
|
$275.00 |
$275.00 |
$275.00 |
$197.00
|
|
Set radiation therapy field
|
$87.50 |
$87.50 |
$87.50 |
$762.40
|
|
Set radiation therapy field
|
$236.50 |
$236.50 |
$236.50 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$25.36 |
$25.36 |
$25.36 |
$7.14
|
|
Sgmdsc w/band ligation
|
$1,101.34 |
$1,101.34 |
$1,101.34 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$242.00 |
$242.00 |
$242.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$3,209.67 |
$3,209.67 |
$3,209.67 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$475.00 |
$475.00 |
$475.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$269.50 |
$269.50 |
$269.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$319.50 |
$319.50 |
$319.50 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$119.00 |
$119.00 |
$119.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$357.00 |
$357.00 |
$357.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$449.50 |
$449.50 |
$449.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$687.50 |
$687.50 |
$687.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$223.50 |
$223.50 |
$223.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$238.00 |
$238.00 |
$238.00 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$6,627.00 |
$6,627.00 |
$6,627.00 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$2,492.75 |
$2,492.75 |
$2,492.75 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$7,311.00 |
$7,311.00 |
$7,311.00 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$7,736.50 |
$7,736.50 |
$7,736.50 |
$4,521.67
|
|
Sho arthrs srg rpr slap les
|
$6,323.00 |
$6,323.00 |
$6,323.00 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$9,004.34 |
$9,004.34 |
$9,004.34 |
$5,148.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,228.67 |
$5,228.67 |
$5,228.67 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$246.50 |
$246.50 |
$246.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,635.00 |
$3,635.00 |
$3,635.00 |
$2,065.05
|
|
Shoulder X-ray
|
$388.00 |
$388.00 |
$388.00 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$119.50 |
$119.50 |
$119.50 |
$349.20
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$1,774.00 |
$1,774.00 |
$1,774.00 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,630.50 |
$2,630.50 |
$2,630.50 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$815.00 |
$815.00 |
$815.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$1,548.67 |
$1,548.67 |
$1,548.67 |
$2,604.00
|
|
Sigmoidoscopy w/tumr remove
|
$1,711.34 |
$1,711.34 |
$1,711.34 |
$1,558.80
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$3,787.00 |
$3,787.00 |
$3,787.00 |
$1,664.40
|
|
Sincalide 5 mcg solution for injection
|
$253.89 |
$253.89 |
$253.89 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,500.50 |
$1,500.50 |
$1,500.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,500.50 |
$1,500.50 |
$1,500.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$712.00 |
$712.00 |
$712.00 |
$1,292.04
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$2,881.33 |
$2,881.33 |
$2,881.33 |
$360.34
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,253.50 |
$3,253.50 |
$3,253.50 |
$3,607.50
|
|
Sleep study unattended
|
$530.00 |
$530.00 |
$530.00 |
$580.87
|
|
Sling suprapubic suburetheral
|
$2,498.04 |
$2,498.04 |
$2,498.04 |
$9,679.96
|
|
Slp pure tone screening
|
$32.00 |
$32.00 |
$32.00 |
$60.48
|
|
Small bowel endoscopy
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$2,638.57
|
|
Small bowel endoscopy br/wa
|
$2,118.00 |
$2,118.00 |
$2,118.00 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$27.00 |
$27.00 |
$27.00 |
$64.20
|
|
Smear gram stain
|
$34.00 |
$34.00 |
$34.00 |
$55.25
|
|
Smear nasal eosinophil
|
$27.00 |
$27.00 |
$27.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$167.00 |
$167.00 |
$167.00 |
$73.15
|
|
Smear wet mount
|
$21.50 |
$21.50 |
$21.50 |
$67.49
|
|
Snrpn/ube3a gene
|
$191.50 |
$191.50 |
$191.50 |
$231.85
|
|
Sodium 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$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
|
$4.00 |
$4.00 |
$4.00 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$534.00 |
$534.00 |
$534.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$24.00 |
$24.00 |
$24.00 |
$45.60
|
|
Special radiation dosimetry
|
$87.50 |
$87.50 |
$87.50 |
$392.50
|
|
Special radiation treatment
|
$377.00 |
$377.00 |
$377.00 |
$1,986.00
|
|
Special teletx port plan
|
$220.00 |
$220.00 |
$220.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$13.00 |
$13.00 |
$13.00 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$313.50 |
$313.50 |
$313.50 |
$543.26
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,395.50 |
$2,395.50 |
$2,395.50 |
$4,619.65
|
|
Sprchoroidal spc njx rx agt
|
$494.50 |
$494.50 |
$494.50 |
$454.19
|
