|
Sbsq psyc collab care mgmt
|
$111.50 |
$111.50 |
$111.50 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$675.00 |
$675.00 |
$675.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$491.50 |
$491.50 |
$491.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$709.50 |
$709.50 |
$709.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$239.50 |
$239.50 |
$239.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$440.00 |
$440.00 |
$440.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$439.50 |
$439.50 |
$439.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$541.00 |
$541.00 |
$541.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$470.50 |
$470.50 |
$470.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$414.50 |
$414.50 |
$414.50 |
$595.35
|
|
Scope plantar fasciotomy
|
$2,618.00 |
$2,618.00 |
$2,618.00 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$1,390.13 |
$1,390.13 |
$1,390.13 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$86.00 |
$86.00 |
$86.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$97.50 |
$97.50 |
$97.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$1,729.00 |
$1,729.00 |
$1,729.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$2,532.50 |
$2,532.50 |
$2,532.50 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$64.50 |
$64.50 |
$64.50 |
$42.30
|
|
Screening Mammogram
|
$357.00 |
$357.00 |
$357.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$82.50 |
$82.50 |
$82.50 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$30.50 |
$30.50 |
$30.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$2,220.27 |
$2,220.27 |
$2,220.27 |
$29,055.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$918.50 |
$918.50 |
$918.50 |
$2,139.60
|
|
Sedimentation rate erythrocyte automated
|
$13.00 |
$13.00 |
$13.00 |
$42.00
|
|
Select picture audiometry
|
$56.00 |
$56.00 |
$56.00 |
$105.60
|
|
Semen analysis presence/motility
|
$71.50 |
$71.50 |
$71.50 |
$71.05
|
|
Sensorimotor examination
|
$37.00 |
$37.00 |
$37.00 |
$109.50
|
|
Sgmdsc w/band ligation
|
$104.00 |
$104.00 |
$104.00 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$526.83 |
$526.83 |
$526.83 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$80.00 |
$80.00 |
$80.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$99.00 |
$99.00 |
$99.00 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$192.50 |
$192.50 |
$192.50 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$53.50 |
$53.50 |
$53.50 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$975.75 |
$975.75 |
$975.75 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$487.88 |
$487.88 |
$487.88 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$37.00 |
$37.00 |
$37.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$438.50 |
$438.50 |
$438.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$166.50 |
$166.50 |
$166.50 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$512.50 |
$512.50 |
$512.50 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$15,510.50 |
$15,510.50 |
$15,510.50 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$2,825.83 |
$2,825.83 |
$2,825.83 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$3,238.50 |
$3,238.50 |
$3,238.50 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$585.50 |
$585.50 |
$585.50 |
$5,855.00
|
|
Sho arthrs srg rpr slap les
|
$7,305.00 |
$7,305.00 |
$7,305.00 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$651.50 |
$651.50 |
$651.50 |
$5,148.00
|
|
Shorten radius or ulna
|
$813.00 |
$813.00 |
$813.00 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$3,095.88 |
$3,095.88 |
$3,095.88 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,176.50 |
$1,176.50 |
$1,176.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$1,337.50 |
$1,337.50 |
$1,337.50 |
$4,832.80
|
|
Shoulder X-ray
|
$360.00 |
$360.00 |
$360.00 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$99.50 |
$99.50 |
$99.50 |
$349.20
|
|
Sialolithotomy 42330
|
$171.00 |
$171.00 |
$171.00 |
$3,837.72
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$118.50 |
$118.50 |
$118.50 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$127.00 |
$127.00 |
$127.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$72.00 |
$72.00 |
$72.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$165.00 |
$165.00 |
$165.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$108.50 |
$108.50 |
$108.50 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$214.00 |
$214.00 |
$214.00 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$130.00 |
$130.00 |
$130.00 |
$1,558.80
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$97.50 |
$97.50 |
$97.50 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$80.00 |
$80.00 |
$80.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$83.00 |
$83.00 |
$83.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$825.00 |
$825.00 |
$825.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$737.00 |
$737.00 |
$737.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$691.00 |
$691.00 |
$691.00 |
$1,292.04
|
|
Skin Biopsy
|
$526.83 |
$526.83 |
$526.83 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$699.50 |
$699.50 |
$699.50 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$122.00 |
$122.00 |
$122.00 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$1,643.47
|
|
Sleep study unattended
|
$193.50 |
$193.50 |
$193.50 |
$580.87
|
|
Sling suprapubic suburetheral
|
$2,531.40 |
$2,531.40 |
$2,531.40 |
$9,679.96
|
|
Slitting of prepuce
|
$153.00 |
$153.00 |
$153.00 |
$3,365.50
|
|
Slp pure tone screening
|
$39.00 |
$39.00 |
$39.00 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$55.50 |
$55.50 |
$55.50 |
$296.34
|
|
Small bowel endoscopy/biopsy
|
$163.00 |
$163.00 |
$163.00 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$306.50 |
$306.50 |
$306.50 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$50.00 |
$50.00 |
$50.00 |
$64.20
|
|
Smear gram stain
|
$36.00 |
$36.00 |
$36.00 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$167.00 |
$167.00 |
$167.00 |
$73.15
|
|
Smear wet mount
|
$33.00 |
$33.00 |
$33.00 |
$67.49
|
|
Sodium 24 hour urine
|
$30.50 |
$30.50 |
$30.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$15.00 |
$15.00 |
$15.00 |
$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
|
$24.03 |
$24.03 |
$24.03 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$356.00 |
$356.00 |
$356.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$28.50 |
$28.50 |
$28.50 |
$45.60
|
|
Sp bone agrft morsel add-on
|
$181.00 |
$181.00 |
$181.00 |
$406.40
|
|
Speech audiometry complete
|
$82.00 |
$82.00 |
$82.00 |
$109.20
|
|
Speech recep thresh
|
$28.50 |
$28.50 |
$28.50 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,583.00 |
$1,583.00 |
$1,583.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$241.50 |
$241.50 |
$241.50 |
$543.26
|
|
Splenectomy total open 38100
|
$1,237.00 |
$1,237.00 |
$1,237.00 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$3,256.92
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,394.00 |
$3,394.00 |
$3,394.00 |
$4,619.65
|
