|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$119.50 |
$411.00 |
$628.50 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$27.00 |
$352.50 |
$610.00 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$260.00 |
$381.00 |
$852.50 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$42.00 |
$509.00 |
$822.60 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$26.00 |
$453.50 |
$651.60 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$26.00 |
$417.00 |
$651.60 |
|
|
Scan proc cranial extra
|
$1,123.31 |
$2,248.40 |
$3,500.25 |
|
|
Scan proc cranial intra 61781
|
$9,704.50 |
$9,704.50 |
$9,704.50 |
|
|
Scan proc spinal
|
$295.50 |
$3,816.20 |
$6,433.56 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,994.00 |
$2,634.50 |
$2,998.50 |
|
|
Scope plantar fasciotomy
|
$454.00 |
$2,618.00 |
$7,955.00 |
|
|
Scope uretscp lithovue dig disp
|
$97.50 |
$2,967.50 |
$3,938.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$30.00 |
$82.00 |
$148.50 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$70.50 |
$70.50 |
$70.50 |
|
|
Screen cerv/vag thin layer
|
$32.50 |
$80.50 |
$181.00 |
|
|
Screening Colonoscopy (average risk)
|
$200.50 |
$1,836.00 |
$4,949.00 |
|
|
Screening Colonoscopy (high risk)
|
$200.00 |
$1,403.00 |
$6,157.00 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$26.00 |
$37.80 |
$121.50 |
|
|
Screening HIV antigen/antibody combination assay
|
$31.50 |
$64.50 |
$110.00 |
|
|
Screening Mammogram
|
$187.50 |
$330.00 |
$943.00 |
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$68.00 |
|
|
Screening prostate cancer PSA
|
$18.40 |
$82.50 |
$129.00 |
|
|
Screen pap by tech w md supv
|
$41.00 |
$70.50 |
$70.50 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$3.50 |
$28.50 |
$56.00 |
|
|
Screw cortex 2.0 x 10mm
|
$435.75 |
$2,220.27 |
$12,077.41 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$881.00 |
$922.00 |
$1,475.20 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,391.50 |
$7,528.80 |
$13,723.00 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$297.00 |
$297.00 |
$297.00 |
|
|
Sedimentation rate erythrocyte automated
|
$8.00 |
$18.00 |
$67.80 |
|
|
Select picture audiometry
|
$56.00 |
$61.50 |
$135.00 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$5.50 |
$5.50 |
$5.50 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$45.50 |
$45.50 |
$45.50 |
|
|
Semen analysis presence/motility
|
$11.50 |
$71.50 |
$106.50 |
|
|
Semen analysis w/count
|
$51.00 |
$51.00 |
$108.00 |
|
|
Sensorimotor examination
|
$9.50 |
$39.50 |
$203.50 |
|
|
Sensorineural acuity lvl tst
|
$49.50 |
$49.50 |
$49.50 |
|
|
Separate eyelid adhesions
|
$1,776.75 |
$1,776.75 |
$1,776.75 |
|
|
Sept9 promoter methylation analysis
|
$468.00 |
$468.00 |
$468.00 |
|
|
Serial casting application 97139app
|
$21.50 |
$21.50 |
$24.00 |
|
|
Serial tonometry
|
$148.50 |
$148.50 |
$148.50 |
|
|
Serpina1 gene
|
$238.50 |
$275.00 |
$420.00 |
|
|
Set radiation therapy field
|
$87.50 |
$580.00 |
$666.00 |
|
|
Set radiation therapy field
|
$477.50 |
$745.00 |
$1,456.00 |
|
|
Set radiation therapy field
|
$236.50 |
$1,047.00 |
$1,578.00 |
|
|
Sevelamer carbonate 800 mg tablet
|
$3.00 |
$14.78 |
$25.65 |
|
|
Sevelamer carbonate pdr 20mg
|
$34.01 |
$34.01 |
$34.01 |
|
|
Sgmdsc w/band ligation
|
$104.00 |
$166.40 |
$2,409.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$41.50 |
$242.00 |
$5,986.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$58.00 |
$231.00 |
$3,209.67 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$69.50 |
$467.00 |
$777.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$88.50 |
$141.60 |
$775.50 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$38.00 |
$230.50 |
$662.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$47.00 |
$196.00 |
$511.20 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$59.50 |
$231.00 |
$975.75 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$69.50 |
$449.50 |
$588.00 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$32.00 |
$467.00 |
$2,337.50 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$47.50 |
$285.00 |
$2,336.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$64.50 |
$225.50 |
$2,100.00 |
|
|
Sheath gldlight lasr 12fx50cm
|
$545.65 |
$3,591.00 |
$4,703.00 |
|
|
Sho arthrs dx +- synovial bx
|
$496.50 |
$502.00 |
$6,627.00 |
|
|
Sho arthrs srg bicp tenodsis
|
$959.00 |
$2,492.75 |
$10,035.00 |
|
|
Sho arthrs srg capsulorraphy
|
$1,107.00 |
$7,166.67 |
$32,745.00 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$578.00 |
$2,825.83 |
$11,839.00 |
|
|
Sho arthrs srg lss&rescj ads
|
$1,270.85 |
$3,134.00 |
$10,693.34 |
|
|
Sho arthrs srg prtl synvct
|
$563.50 |
$585.50 |
$7,175.00 |
|
|
Sho arthrs srg rmvl loose/fb
|
$9,952.67 |
$9,952.67 |
$9,952.67 |
|
|
Sho arthrs srg rpr slap les
|
$1,082.00 |
$6,323.00 |
$12,995.50 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$625.50 |
$5,616.34 |
$10,080.50 |
|
|
Shoe outflare wedge
|
$113.50 |
$117.50 |
$120.50 |
|
|
Shoe post-op mens m
|
$9.00 |
$19.00 |
$174.50 |
|
|
Sho lift taper to metatarsal
|
$119.00 |
$122.50 |
$125.50 |
|
|
Shorten radius or ulna
|
$796.50 |
$813.00 |
$20,721.00 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,113.00 |
$5,228.67 |
$16,323.34 |
|
|
Shoulder MRI (with and without contrast)
|
$246.50 |
$1,854.00 |
$5,474.50 |
|
|
Shoulder MRI (with contrast)
|
$1,168.00 |
$1,886.00 |
$3,503.00 |
|
|
Shoulder MRI (without contrast)
|
$868.50 |
$1,544.50 |
$3,755.00 |
|
|
Shoulder prosthesis removal
|
$1,113.00 |
$1,123.00 |
$1,780.80 |
|
|
Shoulder prosthesis removal
|
$1,316.00 |
$1,316.00 |
$15,805.00 |
|
|
Shoulder X-ray
|
$133.00 |
$378.00 |
$754.00 |
|
|
Shrinker prosth below knee
|
$98.50 |
$101.50 |
$104.00 |
|
|
Shrinker upper limb
|
$134.50 |
$138.50 |
$142.00 |
|
|
Shunt glaucoma baerveldt 350mm
|
$1,891.50 |
$2,137.50 |
$2,782.50 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$60.00 |
$107.00 |
$360.50 |
|
|
Sialidase enzyme assay
|
$50.50 |
$50.50 |
$50.50 |
|
|
Sialography s&i
|
$454.50 |
$698.00 |
$1,176.00 |
|
|
Sialolithotomy 42330
|
$167.50 |
$171.00 |
$8,659.25 |
|
|
Sickling rbc
|
$85.20 |
$124.00 |
$708.50 |
|
|
Sigmoidoscopy and biopsy
|
$78.00 |
$604.80 |
$3,932.50 |
|
|
Sigmoidoscopy flex decompression 45337
|
$115.00 |
$118.50 |
$2,630.50 |
|
|
Sigmoidoscopy for bleeding
|
$120.00 |
$192.00 |
$3,302.00 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$70.00 |
$114.38 |
$3,512.00 |
|
|
Sigmoidoscopy w/ablation
|
$163.50 |
$165.00 |
$7,024.00 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$108.50 |
$173.60 |
$2,113.00 |
|
|
Sigmoidoscopy w/plcmt stent
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
|
|
Sigmoidoscopy w/resection
|
$200.00 |
$203.50 |
$4,392.00 |
|
|
Sigmoidoscopy w/tumr remove
|
$123.50 |
$749.00 |
$3,090.50 |
|
|
Sigmoidoscopy w/ultrasound
|
$1,188.34 |
$1,188.34 |
$1,398.00 |
|
|
Sigmoidoscopy w/us guide bx
|
$2,798.00 |
$2,798.00 |
$2,798.00 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$97.50 |
$98.50 |
$3,787.00 |
|
|
Sig w/tndsc balloon dilation
|
$80.00 |
$82.00 |
$3,193.00 |
|
