|
Small bowel endoscopy
|
$1,240.34 |
$1,240.34 |
$1,240.34 |
$2,389.40
|
|
Small bowel endoscopy
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$1,620.78
|
|
Small bowel endoscopy/biopsy
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$2,413.20
|
|
Smear fluorescent and/or acid fast stain
|
$35.00 |
$35.00 |
$35.00 |
$64.20
|
|
Smear gram stain
|
$23.00 |
$23.00 |
$23.00 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$22.50 |
$22.50 |
$22.50 |
$73.15
|
|
Smear wet mount
|
$24.00 |
$24.00 |
$24.00 |
$67.49
|
|
Snrpn/ube3a gene
|
$178.00 |
$178.00 |
$178.00 |
$231.85
|
|
Sodium 24 hour urine
|
$29.50 |
$29.50 |
$29.50 |
$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
|
$36.05 |
$36.05 |
$36.05 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$534.00 |
$534.00 |
$534.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$31.50 |
$31.50 |
$31.50 |
$45.60
|
|
Somatosensory testing
|
$350.50 |
$350.50 |
$350.50 |
$816.00
|
|
Sp bone agrft morsel add-on
|
$5,905.81 |
$5,905.81 |
$5,905.81 |
$406.40
|
|
Sp bone agrft struct add-on
|
$4,156.83 |
$4,156.83 |
$4,156.83 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$2,082.50 |
$2,082.50 |
$2,082.50 |
$498.55
|
|
Special physics consult
|
$419.00 |
$419.00 |
$419.00 |
$725.00
|
|
Special radiation dosimetry
|
$368.00 |
$368.00 |
$368.00 |
$392.50
|
|
Special radiation treatment
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$1,986.00
|
|
Special supplies phys/qhp
|
$10.00 |
$10.00 |
$10.00 |
$60.00
|
|
Special teletx port plan
|
$742.00 |
$742.00 |
$742.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$5.50 |
$5.50 |
$5.50 |
$22.00
|
|
Speech audiometry complete
|
$67.00 |
$67.00 |
$67.00 |
$109.20
|
|
Spinal bone allograftstructural 20931
|
$3,273.80 |
$3,273.80 |
$3,273.80 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$4,552.33 |
$4,552.33 |
$4,552.33 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,457.50 |
$1,457.50 |
$1,457.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$590.50 |
$590.50 |
$590.50 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$240.50 |
$240.50 |
$240.50 |
$392.09
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,117.50 |
$4,117.50 |
$4,117.50 |
$4,619.65
|
|
Split blood or products
|
$458.50 |
$458.50 |
$458.50 |
$127.48
|
|
Sputum specimen collection
|
$261.00 |
$261.00 |
$261.00 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$4,765.50 |
$4,765.50 |
$4,765.50 |
$2,667.94
|
|
Srs linear based
|
$11,365.50 |
$11,365.50 |
$11,365.50 |
$13,585.00
|
|
Srs multisource
|
$11,366.00 |
$11,366.00 |
$11,366.00 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$330.00 |
$330.00 |
$330.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$364.00 |
$364.00 |
$364.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$48,131.00 |
$48,131.00 |
$48,131.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$21,994.00 |
$21,994.00 |
$21,994.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$443.90 |
$443.90 |
$443.90 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$37,412.00 |
$37,412.00 |
$37,412.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$1,713.00 |
$1,713.00 |
$1,713.00 |
$9,008.54
|
|
Stent placemt retro carotid
|
$4,367.50 |
$4,367.50 |
$4,367.50 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$13,873.00 |
$13,873.00 |
$13,873.00 |
$17,271.50
|
|
Sterile needle
|
$500.00 |
$500.00 |
$500.00 |
$190.13
|
|
St evaluate speech sound production
|
$211.50 |
$211.50 |
$211.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$451.00 |
$451.00 |
$451.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$201.00 |
$201.00 |
$201.00 |
$399.60
|
|
St evaluation swallow function
|
$169.50 |
$169.50 |
$169.50 |
$314.40
|
|
Stimulants synthetic
|
$18.50 |
$18.50 |
$18.50 |
$80.08
|
|
Strep a ag ia
|
$35.50 |
$35.50 |
$35.50 |
$75.40
|
|
Strep b dna amp probe
|
$56.50 |
$56.50 |
$56.50 |
$120.90
|
|
Stress test pulmonary
|
$197.50 |
$197.50 |
$197.50 |
$322.85
|
|
Stress tte complete
|
$706.50 |
$706.50 |
$706.50 |
$1,870.50
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$180.50 |
$180.50 |
$180.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$196.00 |
$196.00 |
$196.00 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$229.00 |
$229.00 |
$229.00 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.53 |
$7.53 |
$7.53 |
$52.31
|
|
Suction lipectomy lwr extrem
|
$33,812.50 |
$33,812.50 |
$33,812.50 |
$5,339.00
|
|
Sugars single quant
|
$107.00 |
$107.00 |
$107.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$354.50 |
$354.50 |
$354.50 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$110.00 |
$110.00 |
$110.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$12.50 |
$12.50 |
$12.50 |
$114.88
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surg dx exam anorectal
|
$6,678.00 |
$6,678.00 |
$6,678.00 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$148.50 |
$148.50 |
$148.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$298.00 |
$298.00 |
$298.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$467.00 |
$467.00 |
$467.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$697.50 |
$697.50 |
$697.50 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,099.50 |
$2,099.50 |
$2,099.50 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$35.00 |
$35.00 |
$35.00 |
$45.45
|
|
Susceptibility mic per plate
|
$462.00 |
$462.00 |
$462.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$350.00 |
$350.00 |
$350.00 |
$59.28
|
|
Suspension of testis
|
$13,928.00 |
$13,928.00 |
$13,928.00 |
$4,061.71
|
|
Svc venogram s&i
|
$2,840.50 |
$2,840.50 |
$2,840.50 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$26.50 |
$26.50 |
$26.50 |
$41.60
|
|
System pacing micra av
|
$4,380.00 |
$4,380.00 |
$4,380.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$4,856.50 |
$4,856.50 |
$4,856.50 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$109.50 |
$109.50 |
$109.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$90.50 |
$90.50 |
$90.50 |
$93.52
|
|
T4 (thyroxine) free
|
$54.50 |
$54.50 |
$54.50 |
$85.20
|
|
T4 (thyroxine) total
|
$44.00 |
$44.00 |
$44.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$17.35 |
$17.35 |
$17.35 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$87.50 |
$87.50 |
$87.50 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$3,794.50 |
$3,794.50 |
$3,794.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,383.50 |
$1,383.50 |
$1,383.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$6,316.50 |
$6,316.50 |
$6,316.50 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$1,655.52
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$840.00 |
$840.00 |
$840.00 |
$953.29
|
|
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
|
$414.00 |
$414.00 |
$414.00 |
$177.65
|
|
Tc-99m exame autol wbc diag per dose
|
$5,634.00 |
$5,634.00 |
$5,634.00 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$2,033.20
|
