|
Rubeola antibody igg
|
$93.50 |
$93.50 |
$93.50 |
$80.00
|
|
Russell viper venom diluted
|
$38.00 |
$38.00 |
$38.00 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$32,113.63 |
$32,113.63 |
$32,113.63 |
$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 nurs facil care/day unstabl/new prob 35 min 99310
|
$244.50 |
$244.50 |
$244.50 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$119.50 |
$119.50 |
$119.50 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$157.50 |
$157.50 |
$157.50 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$76.00 |
$76.00 |
$76.00 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$104.00 |
$104.00 |
$104.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$880.00 |
$880.00 |
$880.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$689.50 |
$689.50 |
$689.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$426.00 |
$426.00 |
$426.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$482.00 |
$482.00 |
$482.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$425.00 |
$425.00 |
$425.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$759.00 |
$759.00 |
$759.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$453.50 |
$453.50 |
$453.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$436.00 |
$436.00 |
$436.00 |
$595.35
|
|
Scan proc cranial extra
|
$3,500.25 |
$3,500.25 |
$3,500.25 |
$2,366.00
|
|
Scan proc spinal
|
$3,816.20 |
$3,816.20 |
$3,816.20 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$7,955.00 |
$7,955.00 |
$7,955.00 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$2,135.00 |
$2,135.00 |
$2,135.00 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$148.00 |
$148.00 |
$148.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$32.50 |
$32.50 |
$32.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$3,910.50 |
$3,910.50 |
$3,910.50 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$2,988.00 |
$2,988.00 |
$2,988.00 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$29.00 |
$29.00 |
$29.00 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$52.50 |
$52.50 |
$52.50 |
$42.30
|
|
Screening Mammogram
|
$345.00 |
$345.00 |
$345.00 |
$312.55
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$41.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$49.00 |
$49.00 |
$49.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$7.00 |
$7.00 |
$7.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$1,023.05 |
$1,023.05 |
$1,023.05 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,314.33 |
$7,314.33 |
$7,314.33 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$18.00 |
$18.00 |
$18.00 |
$42.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$5.50 |
$5.50 |
$5.50 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$45.50 |
$45.50 |
$45.50 |
$33.04
|
|
Semen analysis presence/motility
|
$71.50 |
$71.50 |
$71.50 |
$71.05
|
|
Set radiation therapy field
|
$627.50 |
$627.50 |
$627.50 |
$762.40
|
|
Set radiation therapy field
|
$742.00 |
$742.00 |
$742.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$25.65 |
$25.65 |
$25.65 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$34.01 |
$34.01 |
$34.01 |
$21.96
|
|
Sgmdsc w/band ligation
|
$938.00 |
$938.00 |
$938.00 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$398.50 |
$398.50 |
$398.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$229.00 |
$229.00 |
$229.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$466.50 |
$466.50 |
$466.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$229.00 |
$229.00 |
$229.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$256.50 |
$256.50 |
$256.50 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$431.00 |
$431.00 |
$431.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$466.50 |
$466.50 |
$466.50 |
$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
|
$388.50 |
$388.50 |
$388.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$428.50 |
$428.50 |
$428.50 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$6,570.70
|
|
Sho arthrs srg bicp tenodsis
|
$4,411.38 |
$4,411.38 |
$4,411.38 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$9,386.76 |
$9,386.76 |
$9,386.76 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$11,839.00 |
$11,839.00 |
$11,839.00 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$6,185.00 |
$6,185.00 |
$6,185.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$12,995.50 |
$12,995.50 |
$12,995.50 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$6,123.67 |
$6,123.67 |
$6,123.67 |
$5,148.00
|
|
Shoe post-op mens m
|
$174.50 |
$174.50 |
$174.50 |
$52.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$8,822.75 |
$8,822.75 |
$8,822.75 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$3,092.00 |
$3,092.00 |
$3,092.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,755.00 |
$3,755.00 |
$3,755.00 |
$2,065.05
|
|
Shoulder X-ray
|
$538.00 |
$538.00 |
$538.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$216.50 |
$216.50 |
$216.50 |
$349.20
|
|
Sialography s&i
|
$704.50 |
$704.50 |
$704.50 |
$499.20
|
|
Sialolithotomy 42330
|
$7,984.00 |
$7,984.00 |
$7,984.00 |
$3,837.72
|
|
Sickling rbc
|
$186.50 |
$186.50 |
$186.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$3,932.50 |
$3,932.50 |
$3,932.50 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$1,162.67 |
$1,162.67 |
$1,162.67 |
$1,890.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$1,388.56
|
|
Sigmoidoscopy w/tumr remove
|
$3,090.50 |
$3,090.50 |
$3,090.50 |
$1,558.80
|
|
Sig w/tndsc balloon dilation
|
$3,193.00 |
$3,193.00 |
$3,193.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$273.50 |
$273.50 |
$273.50 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$927.00 |
$927.00 |
$927.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,489.25
|
|
Skel musc relaxant 3 or more
|
$18.50 |
$18.50 |
$18.50 |
$16.12
|
|
Skin Biopsy
|
$1,944.50 |
$1,944.50 |
$1,944.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$2,936.92 |
$2,936.92 |
$2,936.92 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Sleep study attended
|
$828.00 |
$828.00 |
$828.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,970.50 |
$2,970.50 |
$2,970.50 |
$3,607.50
|
|
Sleep study unattended
|
$456.00 |
$456.00 |
$456.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$116.50 |
$116.50 |
$116.50 |
$203.58
|
|
Sling suprapubic suburetheral
|
$1,909.30 |
$1,909.30 |
$1,909.30 |
$9,679.96
|
|
Slitting of prepuce
|
$5,408.67 |
$5,408.67 |
$5,408.67 |
$3,365.50
|
|
Slp pure tone screening
|
$25.50 |
$25.50 |
$25.50 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$184.50 |
$184.50 |
$184.50 |
$296.34
|
|
Small bowel endoscopy
|
$2,538.67 |
$2,538.67 |
$2,538.67 |
$2,638.57
|
