|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$59.50 |
$59.50 |
$59.50 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$69.50 |
$69.50 |
$69.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$389.50 |
$389.50 |
$389.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$192.50 |
$192.50 |
$192.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$192.50 |
$192.50 |
$192.50 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$1,854.00 |
$1,854.00 |
$1,854.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,381.50 |
$1,381.50 |
$1,381.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,205.50 |
$1,205.50 |
$1,205.50 |
$2,065.05
|
|
Shoulder X-ray
|
$178.00 |
$178.00 |
$178.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$99.50 |
$99.50 |
$99.50 |
$349.20
|
|
Sialolithotomy 42330
|
$167.50 |
$167.50 |
$167.50 |
$3,837.72
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Simple cystometrogram 51725
|
$87.00 |
$87.00 |
$87.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$919.50 |
$919.50 |
$919.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$665.00 |
$665.00 |
$665.00 |
$1,292.04
|
|
Skin Biopsy
|
$389.50 |
$389.50 |
$389.50 |
$360.34
|
|
Skyla, 13.5 mg
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$1,643.47
|
|
Sleep study unattended
|
$403.00 |
$403.00 |
$403.00 |
$580.87
|
|
Slitting of prepuce
|
$145.50 |
$145.50 |
$145.50 |
$3,365.50
|
|
Slp pure tone screening
|
$29.50 |
$29.50 |
$29.50 |
$60.48
|
|
Smear fluorescent and/or acid fast stain
|
$42.50 |
$42.50 |
$42.50 |
$64.20
|
|
Smear gram stain
|
$30.00 |
$30.00 |
$30.00 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$54.00 |
$54.00 |
$54.00 |
$73.15
|
|
Smear wet mount
|
$36.00 |
$36.00 |
$36.00 |
$67.49
|
|
Sodium 24 hour urine
|
$30.00 |
$30.00 |
$30.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$6.00 |
$6.00 |
$6.00 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$2.50 |
$2.50 |
$2.50 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$356.00 |
$356.00 |
$356.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$43.00 |
$43.00 |
$43.00 |
$45.60
|
|
Specific gravity body fluid
|
$16.00 |
$16.00 |
$16.00 |
$22.00
|
|
Speech recep thresh
|
$30.00 |
$30.00 |
$30.00 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$85.50 |
$85.50 |
$85.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$329.50 |
$329.50 |
$329.50 |
$543.26
|
|
Sputum specimen collection
|
$114.50 |
$114.50 |
$114.50 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$377.00 |
$377.00 |
$377.00 |
$297.60
|
|
St evaluate speech sound production
|
$299.50 |
$299.50 |
$299.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$299.50 |
$299.50 |
$299.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$319.00 |
$319.00 |
$319.00 |
$399.60
|
|
St evaluation swallow function
|
$319.00 |
$319.00 |
$319.00 |
$314.40
|
|
Stimulants synthetic
|
$85.00 |
$85.00 |
$85.00 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$18.00 |
$18.00 |
$18.00 |
$223.45
|
|
Strapping of knee
|
$17.50 |
$17.50 |
$17.50 |
$205.20
|
|
Strapping of toes 29550
|
$11.50 |
$11.50 |
$11.50 |
$164.70
|
|
Strep a ag ia
|
$27.00 |
$27.00 |
$27.00 |
$75.40
|
|
Strep b dna amp probe
|
$66.50 |
$66.50 |
$66.50 |
$120.90
|
|
Stress test pulmonary
|
$303.00 |
$303.00 |
$303.00 |
$322.85
|
|
Stress tte complete
|
$90.50 |
$90.50 |
$90.50 |
$1,870.50
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$143.00 |
$143.00 |
$143.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$168.50 |
$168.50 |
$168.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$51.50 |
$51.50 |
$51.50 |
$235.13
|
|
Sugars single quant
|
$520.00 |
$520.00 |
$520.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$236.50 |
$236.50 |
$236.50 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$110.00 |
$110.00 |
$110.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$8.50 |
$8.50 |
$8.50 |
$114.88
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$77.50 |
$77.50 |
$77.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$99.00 |
$99.00 |
$99.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$115.00 |
$115.00 |
$115.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$134.00 |
$134.00 |
$134.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$234.50 |
$234.50 |
$234.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$303.00 |
$303.00 |
$303.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$3.00 |
$3.00 |
$3.00 |
$45.45
|
|
Susceptibility mic per plate
|
$71.50 |
$71.50 |
$71.50 |
$106.00
|
|
Synch audio-only est high 40
|
$127.00 |
$127.00 |
$127.00 |
$189.40
|
|
Synch audio-only est low 20
|
$58.50 |
$58.50 |
$58.50 |
$90.60
|
|
Synch audio-only est mod 30
|
$85.50 |
$85.50 |
$85.50 |
$136.64
|
|
Synch audio-only est sf 10
|
$31.50 |
$31.50 |
$31.50 |
$53.20
|
|
Synch audio-only new high 60
|
$156.50 |
$156.50 |
$156.50 |
$200.30
|
|
Synch audio-only new low 30
|
$75.50 |
$75.50 |
$75.50 |
$117.00
|
|
Synch audio-only new mod 45
|
$118.50 |
$118.50 |
$118.50 |
$163.38
|
|
Synch audio-only new sf 15
|
$44.50 |
$44.50 |
$44.50 |
$67.80
|
|
Synvisc or synvisc-one
|
$20.00 |
$20.00 |
$20.00 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$27.50 |
$27.50 |
$27.50 |
$41.60
|
|
T3 (triiodothyronine) free
|
$64.00 |
$64.00 |
$64.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$87.50 |
$87.50 |
$87.50 |
$93.52
|
|
T4 (thyroxine) free
|
$109.00 |
$109.00 |
$109.00 |
$85.20
|
|
T4 (thyroxine) total
|
$76.50 |
$76.50 |
$76.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$2.50 |
$2.50 |
$2.50 |
$15.60
|
|
Tacrolimus therapeutic drug level
|
$130.50 |
$130.50 |
$130.50 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$2,912.50 |
$2,912.50 |
$2,912.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,062.50 |
$1,062.50 |
$1,062.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$139.00 |
$139.00 |
$139.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$198.00 |
$198.00 |
$198.00 |
$177.65
|
|
Tc-99m labeled rbc
|
$1,558.50 |
$1,558.50 |
$1,558.50 |
$302.40
|
|
Tc-99m maa
|
$335.50 |
$335.50 |
$335.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$93.50 |
$93.50 |
$93.50 |
$157.65
|
|
Tc-99m mertiatide
|
$639.00 |
$639.00 |
$639.00 |
$756.00
|
|
Tc-99m oxidronate
|
$50.50 |
$50.50 |
$50.50 |
$105.60
|
|
Tc-99m pentetate dtpa aerosol
|
$107.50 |
$107.50 |
$107.50 |
$190.80
|
|
Tc-99m sestamibi p study dose
|
$370.00 |
$370.00 |
$370.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$347.00 |
$347.00 |
$347.00 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$29.50 |
$29.50 |
$29.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$32.00 |
$32.00 |
$32.00 |
$111.20
|
|
T cells total count
|
$24.00 |
$24.00 |
$24.00 |
$126.90
|