|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$67.12 |
$67.12 |
$76.92 |
$5,174.32
|
|
Salivary glnd img serial img
|
$1,023.66 |
$1,023.66 |
$1,023.66 |
$701.73
|
|
Salmonella antibody
|
$27.50 |
$66.00 |
$66.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$73.92 |
$73.92 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$575.00 |
$805.20 |
$805.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$385.00 |
$699.60 |
$699.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$590.00 |
$601.26 |
$601.26 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$395.00 |
$461.34 |
$461.34 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$498.30 |
$498.30 |
$685.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$628.32 |
$628.32 |
$675.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$965.00 |
$1,058.64 |
$1,058.64 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$592.68 |
$592.68 |
$645.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$475.00 |
$531.30 |
$531.30 |
$595.35
|
|
Scan proc cranial extra
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$2,067.91
|
|
Scan proc spinal
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,373.36 |
$2,373.36 |
$3,125.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$519.42 |
$2,317.50 |
$4,152.06 |
$4,490.64
|
|
Screen cerv/vag thin layer
|
$125.40 |
$125.40 |
$125.40 |
$84.60
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$110.22 |
$110.22 |
$110.22 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$99.66 |
$99.66 |
$99.66 |
$99.66
|
|
Screening Mammogram
|
$222.50 |
$310.20 |
$310.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$117.48 |
$117.48 |
$117.48 |
$100.63
|
|
Screen pap by tech w md supv
|
$53.46 |
$53.46 |
$53.46 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$12,160.00 |
$12,160.00 |
$12,160.00 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$143.88 |
$143.88 |
$143.88 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,237.96 |
$3,237.96 |
$5,150.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$36.96 |
$36.96 |
$47.50 |
$42.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$35.00 |
$35.00 |
$35.00 |
$51.98
|
|
Semen analysis presence/motility
|
$70.00 |
$207.90 |
$207.90 |
$71.05
|
|
Semen analysis w/count
|
$229.68 |
$229.68 |
$229.68 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$290.00 |
$290.00 |
$290.00 |
$316.68
|
|
Serial casting application 97139app
|
$90.00 |
$90.00 |
$90.00 |
$78.39
|
|
Serpina1 gene
|
$663.30 |
$663.30 |
$663.30 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$97.02 |
$97.02 |
$135.00 |
$126.43
|
|
Set radiation therapy field
|
$825.00 |
$867.24 |
$867.24 |
$762.40
|
|
Set radiation therapy field
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,475.00 |
$2,221.56 |
$2,221.56 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$14.69 |
$14.69 |
$14.69 |
$7.14
|
|
Shoe post-op mens m
|
$40.00 |
$40.00 |
$40.00 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$2,669.70 |
$2,669.70 |
$3,265.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,210.00 |
$2,542.32 |
$2,542.32 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,420.88 |
$2,420.88 |
$4,220.00 |
$2,065.05
|
|
Shoulder X-ray
|
$315.48 |
$315.48 |
$610.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$3,879.04 |
$3,879.04 |
$3,879.04 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$302.50 |
$522.72 |
$522.72 |
$349.20
|
|
Sialography s&i
|
$519.42 |
$519.42 |
$519.42 |
$499.20
|
|
Sickling rbc
|
$59.40 |
$59.40 |
$187.50 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$447.50 |
$447.50 |
$447.50 |
$280.00
|
|
Simple cystometrogram 51725
|
$665.00 |
$665.00 |
$665.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$428.84 |
$428.84 |
$449.10 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,679.04 |
$1,679.04 |
$2,305.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,570.00 |
$1,624.92 |
$1,624.92 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,271.16 |
$1,271.16 |
$1,470.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,315.00 |
$3,635.28 |
$3,635.28 |
$2,489.25
|
|
Sirolimus, oral
|
$38.84 |
$38.84 |
$38.84 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$154.80 |
$154.80 |
$154.80 |
$14,361.10
|
|
Skin Biopsy
|
$230.00 |
$230.00 |
$306.24 |
$360.34
|
|
Sleep study attended
|
$1,648.68 |
$1,648.68 |
$1,648.68 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,385.00 |
$3,385.00 |
$4,039.86 |
$3,607.50
|
|
Sleep study unattended
|
$337.50 |
$337.50 |
$518.76 |
$580.87
|
|
Sleeve fing rolyan med
|
$140.00 |
$296.34 |
$296.34 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$20.00 |
$20.00 |
$20.00 |
$30.35
|
|
Sling suprapubic suburetheral
|
$2,201.63 |
$2,201.63 |
$2,201.63 |
$9,679.96
|
|
Slitting of prepuce
|
$4,781.04 |
$4,781.04 |
$4,781.04 |
$3,365.50
|
|
Slp eval non-spch gen comm dev
|
$285.00 |
$285.00 |
$285.00 |
$285.09
|
|
Slp stdy unatnd w/anal
|
$296.34 |
$296.34 |
$296.34 |
$296.34
|
|
Slp ther svc non-spch gen
|
$255.00 |
$255.00 |
$255.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$55.00 |
$118.14 |
$118.14 |
$64.20
|
|
Smear gram stain
|
$40.00 |
$65.34 |
$65.34 |
$55.25
|
|
Smear nasal eosinophil
|
$30.00 |
$33.00 |
$33.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$67.50 |
$129.36 |
$129.36 |
$73.15
|
|
Smear wet mount
|
$37.50 |
$39.60 |
$39.60 |
$67.49
|
|
Smpd1 gene common variants
|
$160.00 |
$160.00 |
$160.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$327.36 |
$327.36 |
$327.36 |
$231.85
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$590.00 |
$606.35
|
|
Sodium 24 hour urine
|
$25.00 |
$29.70 |
$29.70 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$69.96 |
$74.35 |
$247.60 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$58.88 |
$69.96 |
$192.82 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$25.38 |
$28.41 |
$55.87 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$32.34 |
$32.34 |
$32.34 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$30.98 |
$30.98 |
$30.98 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$20.46 |
$20.46 |
$22.50 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$3.77 |
$3.77 |
$3.77 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$2,972.64 |
$2,972.64 |
$2,972.64 |
$2,296.00
|
|
Special physics consult
|
$725.00 |
$1,056.00 |
$1,056.00 |
$725.00
|
|
Special pump services
|
$780.00 |
$780.00 |
$780.00 |
$901.60
|
|
Special pump services
|
$545.00 |
$545.00 |
$545.00 |
$548.80
|
|
Special pump services
|
$362.50 |
$362.50 |
$362.50 |
$392.00
|
|
Special radiation dosimetry
|
$392.50 |
$422.40 |
$422.40 |
$392.50
|
|
Special radiation treatment
|
$1,909.38 |
$1,909.38 |
$4,225.00 |
$1,986.00
|
|
Special teletx port plan
|
$1,358.28 |
$1,358.28 |
$1,900.00 |
$1,086.99
|
|
Specific gravity body fluid
|
$13.20 |
$13.20 |
$13.20 |
$22.00
|
|
Specimen fat stain
|
$31.68 |
$31.68 |
$47.50 |
$35.10
|
|
Speech evaluation complex
|
$551.76 |
$551.76 |
$551.76 |
$527.06
|
|
Sperm antibody test
|
$55.44 |
$55.44 |
$55.44 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,130.00 |
$1,364.88 |
$1,364.88 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$467.50 |
$654.72 |
$654.72 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$330.00 |
$684.42 |
$684.42 |
$392.09
|
