|
Serial casting application 97139app
|
$80.00 |
$80.00 |
$80.00 |
$78.39
|
|
Sertraline (zoloft) - sendout
|
$135.00 |
$135.00 |
$135.00 |
$126.43
|
|
Shoe post-op mens m
|
$61.75 |
$61.75 |
$61.75 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,065.05
|
|
Shoulder X-ray
|
$760.00 |
$760.00 |
$760.00 |
$339.50
|
|
Sialography s&i
|
$605.00 |
$605.00 |
$605.00 |
$499.20
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$183.88 |
$183.88 |
$183.88 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$2,489.25
|
|
Skin Biopsy
|
$230.00 |
$230.00 |
$230.00 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$140.00 |
$140.00 |
$140.00 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$20.00 |
$20.00 |
$20.00 |
$30.35
|
|
Slp eval non-spch gen comm dev
|
$285.00 |
$285.00 |
$285.00 |
$285.09
|
|
Smear fluorescent and/or acid fast stain
|
$55.00 |
$55.00 |
$55.00 |
$64.20
|
|
Smear gram stain
|
$40.00 |
$40.00 |
$40.00 |
$55.25
|
|
Smear nasal eosinophil
|
$30.00 |
$30.00 |
$30.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$67.50 |
$67.50 |
$67.50 |
$73.15
|
|
Smear wet mount
|
$37.50 |
$37.50 |
$37.50 |
$67.49
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$590.00 |
$606.35
|
|
Sodium 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$85.06 |
$85.06 |
$85.06 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$55.21 |
$55.21 |
$55.21 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$51.76 |
$51.76 |
$51.76 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$22.50 |
$22.50 |
$22.50 |
$45.60
|
|
Specimen fat stain
|
$47.50 |
$47.50 |
$47.50 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$467.50 |
$467.50 |
$467.50 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$330.00 |
$330.00 |
$330.00 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$42.50 |
$42.50 |
$42.50 |
$68.25
|
|
Splint finger frog med
|
$42.50 |
$42.50 |
$42.50 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$62.50 |
$62.50 |
$62.50 |
$99.04
|
|
Split blood or products
|
$75.00 |
$75.00 |
$75.00 |
$127.48
|
|
St analysis behavior qualitative voice/resonance
|
$227.50 |
$227.50 |
$227.50 |
$297.60
|
|
Staph a dna amp probe
|
$125.00 |
$125.00 |
$125.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$167.50 |
$167.50 |
$167.50 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$230.00 |
$230.00 |
$230.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,965.00 |
$11,965.00 |
$11,965.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$9,257.04 |
$9,257.04 |
$9,257.04 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$480.37 |
$480.37 |
$480.37 |
$2,520.08
|
|
Stent iliac/open or perc/uni/init 37221
|
$7,850.00 |
$7,850.00 |
$7,850.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,850.00 |
$7,850.00 |
$7,850.00 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$7,700.00 |
$7,700.00 |
$7,700.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$227.50 |
$227.50 |
$227.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$340.00 |
$340.00 |
$340.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$337.50 |
$337.50 |
$337.50 |
$399.60
|
|
St evaluation swallow function
|
$337.50 |
$337.50 |
$337.50 |
$314.40
|
|
Stimulants synthetic
|
$152.50 |
$152.50 |
$152.50 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$110.00 |
$110.00 |
$110.00 |
$223.45
|
|
Strapping of chest
|
$110.00 |
$110.00 |
$110.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$110.00 |
$110.00 |
$110.00 |
$154.70
|
|
Strapping of hand or finger
|
$97.50 |
$97.50 |
$97.50 |
$174.82
|
|
Strapping of hip
|
$110.00 |
$110.00 |
$110.00 |
$164.70
|
|
Strapping of knee
|
$110.00 |
$110.00 |
$110.00 |
$205.20
|
|
Strep a ag ia
|
$20.00 |
$20.00 |
$20.00 |
$75.40
|
|
Strep b dna amp probe
|
$90.00 |
$90.00 |
$90.00 |
$120.90
|
|
Stress test pulmonary
|
$217.50 |
$217.50 |
$217.50 |
$322.85
|
|
Stress tte complete
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$1,870.50
|
|
Str markers specimen anal
|
$380.00 |
$380.00 |
$380.00 |
$751.50
|
|
St treatment speech individual
|
$255.00 |
$255.00 |
$255.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$270.00 |
$270.00 |
$270.00 |
$240.31
|
|
Sulfonylurea screen qn-sendout
|
$230.00 |
$230.00 |
$230.00 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$70.00 |
$70.00 |
$70.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$87.50 |
$87.50 |
$87.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$147.50 |
$147.50 |
$147.50 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$190.00 |
$190.00 |
$190.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$307.50 |
$307.50 |
$307.50 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$480.00 |
$480.00 |
$480.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$680.00 |
$680.00 |
$680.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$20.00 |
$20.00 |
$20.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$20.00 |
$20.00 |
$20.00 |
$35.70
|
|
Susceptibility mic per plate
|
$40.00 |
$40.00 |
$40.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$100.00 |
$100.00 |
$100.00 |
$59.28
|
|
Svc venogram s&i
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$17.50 |
$17.50 |
$17.50 |
$41.60
|
|
System sealant biosentry tract
|
$878.33 |
$878.33 |
$878.33 |
$889.35
|
|
T3 (triiodothyronine) free
|
$95.00 |
$95.00 |
$95.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$105.00 |
$105.00 |
$105.00 |
$93.52
|
|
T4 (thyroxine) free
|
$90.00 |
$90.00 |
$90.00 |
$85.20
|
|
T4 (thyroxine) total
|
$72.50 |
$72.50 |
$72.50 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$2,710.00 |
$2,710.00 |
$2,710.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$212.50 |
$212.50 |
$212.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$175.00 |
$175.00 |
$175.00 |
$177.65
|
|
Tc-99m diag per dose
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$470.40
|
|
Tc-99m exame autol wbc diag per dose
|
$4,150.00 |
$4,150.00 |
$4,150.00 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$232.50 |
$232.50 |
$232.50 |
$302.40
|
|
Tc-99m maa
|
$265.00 |
$265.00 |
$265.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$157.50 |
$157.50 |
$157.50 |
$157.65
|
|
Tc-99m medronate
|
$95.00 |
$95.00 |
$95.00 |
$111.01
|
|
Tc-99m mertiatide
|
$407.50 |
$407.50 |
$407.50 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$5.00 |
$5.00 |
$5.00 |
$6.60
|
