|
Shorten/lengthen thighs
|
$9,861.60 |
$9,861.60 |
$9,861.60 |
$869.40
|
|
Shorten radius or ulna
|
$7,979.20 |
$7,979.20 |
$7,979.20 |
$6,609.96
|
|
Shorten radius & ulna
|
$9,688.80 |
$9,688.80 |
$9,688.80 |
$7,907.11
|
|
Shot (Injection into Muscle or Under the Skin)
|
$156.75 |
$156.75 |
$201.96 |
$135.85
|
|
Shoulder AC Joint X-ray (both sides)
|
$362.45 |
$362.45 |
$601.04 |
$268.80
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$11,752.80 |
$11,752.80 |
$11,752.80 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$468.60 |
$468.60 |
$601.04 |
$288.75
|
|
Shoulder MRI (with and without contrast)
|
$3,045.35 |
$3,045.35 |
$3,302.12 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$2,982.10 |
$2,982.10 |
$6,415.28 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$2,064.30 |
$2,064.30 |
$2,175.80 |
$2,060.00
|
|
Shoulder X-ray
|
$386.10 |
$386.10 |
$601.04 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$211.75 |
$211.75 |
$601.04 |
$260.40
|
|
Shrinker prosth above knee
|
$104.00 |
$104.00 |
$104.00 |
$168.89
|
|
Shuntogram nonvascular supervision & interpretation
|
$814.43 |
$814.43 |
$814.43 |
$359.55
|
|
Sialidase enzyme assay
|
$74.80 |
$74.80 |
$74.80 |
$54.99
|
|
Sialography s&i
|
$1,306.43 |
$1,306.43 |
$1,306.43 |
$512.40
|
|
Sialolithotomy 42330
|
$5,368.77 |
$5,368.77 |
$5,368.77 |
$3,864.00
|
|
Sickling rbc
|
$75.62 |
$75.62 |
$108.35 |
$56.99
|
|
Sigmoidoscopy and biopsy
|
$704.00 |
$704.00 |
$704.00 |
$1,459.20
|
|
Sigmoidoscopy flex decompression 45337
|
$582.40 |
$582.40 |
$582.40 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$677.60 |
$677.60 |
$677.60 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$1,645.43
|
|
Sigmoidoscopy w/us guide bx
|
$987.20 |
$987.20 |
$987.20 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$1,976.25
|
|
Sig w/tndsc balloon dilation
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$2,288.00
|
|
Sincalide 5 mcg solution for injection
|
$153.52 |
$153.52 |
$153.52 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,713.25 |
$1,713.25 |
$3,325.12 |
$1,788.60
|
|
Sinus CT scan (with contrast)
|
$1,459.70 |
$1,459.70 |
$2,982.82 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,048.30 |
$1,048.30 |
$1,930.44 |
$1,283.87
|
|
Sinus/juglr venogram s&i
|
$2,037.75 |
$2,037.75 |
$4,564.26 |
$2,537.60
|
|
Sinusotomy maxillary sinus 31020
|
$4,078.40 |
$4,078.40 |
$4,078.40 |
$2,616.15
|
|
Sinusotomy sinus remove polyps 31032
|
$6,177.60 |
$6,177.60 |
$6,177.60 |
$6,465.11
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$6,321.60 |
$6,321.60 |
$6,321.60 |
$6,465.11
|
|
Sinus X-ray (complete)
|
$491.70 |
$491.70 |
$675.44 |
$345.24
|
|
Sinus X-ray (limited)
|
$280.50 |
$280.50 |
$601.04 |
$214.50
|
|
Sirolimus, oral
|
$9.20 |
$9.20 |
$9.20 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$148.50 |
$148.50 |
$156.00 |
$80.10
|
|
Skel musc relaxant 3 or more
|
$156.00 |
$156.00 |
$156.00 |
$16.12
|
|
Skin and muscle repair face
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$4,332.25
|
|
Skin Biopsy
|
$415.80 |
$415.80 |
$430.40 |
$362.40
|
|
Skin full graft 20sq cm less 15200
|
$2,625.60 |
$2,625.60 |
$2,625.60 |
$2,379.00
|
|
Skin full graft add-on 15241
|
$462.40 |
$462.40 |
$462.40 |
$560.01
|
|
Skin split graft addl 100sq cm 15101
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$1,793.40
|
|
Skull base/brainstem surgery
|
$11,643.20 |
$11,643.20 |
$11,643.20 |
$3,770.91
|
|
Skull X-ray (1 to 3 views)
|
$376.75 |
$376.75 |
$601.04 |
$295.10
|
|
Skull X-ray (complete)
|
$551.10 |
$551.10 |
$902.36 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$1,643.47
|
|
Sleep study attended
|
$1,364.00 |
$1,364.00 |
$2,270.40 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,001.60 |
$2,001.60 |
$4,385.70 |
$3,721.41
|
|
Sleep study unattended
|
$832.00 |
$832.00 |
$1,013.10 |
$594.00
|
|
Sleeve fing rolyan med
|
$154.40 |
$154.40 |
$154.40 |
$204.60
|
|
Sleeve pneumonectomy
|
$11,347.20 |
$11,347.20 |
$11,347.20 |
$4,314.34
|
|
Sling arm deluxe w/pad xs
|
$24.80 |
$24.80 |
$24.80 |
$30.35
|
|
Sling suprapubic suburetheral
|
$2,619.08 |
$2,619.08 |
$6,195.85 |
$9,679.96
|
|
Slitting of prepuce
|
$5,723.86 |
$5,723.86 |
$5,723.86 |
$3,376.23
|
|
Slp pure tone screening
|
$87.20 |
$87.20 |
$87.20 |
$64.50
|
|
Slp stdy unatnd w/anal
|
$460.00 |
$460.00 |
$460.00 |
$285.00
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$746.90 |
$746.90 |
$1,079.10 |
$557.70
|
|
Small bowel endoscopy
|
$651.20 |
$651.20 |
$651.20 |
$2,596.41
|
|
Small bowel endoscopy
|
$914.40 |
$914.40 |
$914.40 |
$2,244.82
|
|
Small bowel endoscopy
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$2,518.10
|
|
Small bowel endoscopy
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$3,265.60
|
|
Small bowel endoscopy
|
$343.20 |
$343.20 |
$343.20 |
$2,088.00
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$851.20 |
$851.20 |
$851.20 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$817.60 |
$817.60 |
$817.60 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$717.60 |
$717.60 |
$717.60 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$1,324.00 |
$1,324.00 |
$1,324.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$285.60 |
$285.60 |
$285.60 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$285.60 |
$285.60 |
$285.60 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$47.85 |
$47.85 |
$71.31 |
$64.00
|
|
Smear gram stain
|
$58.15 |
$58.15 |
$132.55 |
$54.03
|
|
Smear nasal eosinophil
|
$49.50 |
$49.50 |
$72.80 |
$45.50
|
|
Smear special stain inclusion bodies/parasites
|
$57.75 |
$57.75 |
$88.00 |
$71.81
|
|
Smear wet mount
|
$54.45 |
$54.45 |
$57.85 |
$66.30
|
|
Smpd1 gene common variants
|
$92.03 |
$92.03 |
$163.90 |
$133.84
|
|
Snrpn/ube3a gene
|
$153.24 |
$153.24 |
$421.28 |
$228.80
|
|
Sock wool above knee
|
$104.00 |
$104.00 |
$104.00 |
$51.18
|
|
Sodium 24 hour urine
|
$58.30 |
$58.30 |
$65.17 |
$48.68
|
|
Sodium chloride 0.9 % intravenous solution
|
$82.25 |
$82.25 |
$82.25 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$5.60 |
$5.60 |
$5.60 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$14.40 |
$14.40 |
$14.40 |
$37.64
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$358.40 |
$358.40 |
$358.40 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$39.05 |
$39.05 |
$65.20 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1.52 |
$1.52 |
$1.52 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,175.00
|
|
Spacer bag/reservoir
|
$51.20 |
$51.20 |
$51.20 |
$26.00
|
|
Sp bone agrft morsel add-on
|
$494.40 |
$494.40 |
$494.40 |
$406.40
|
|
Sp bone agrft struct add-on
|
$539.20 |
$539.20 |
$539.20 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$342.40 |
$342.40 |
$342.40 |
$498.55
|
|
Special physics consult
|
$382.25 |
$382.25 |
$382.25 |
$725.00
|
|
Special radiation treatment
|
$400.40 |
$400.40 |
$400.40 |
$2,045.50
|
|
Specific gravity body fluid
|
$15.40 |
$15.40 |
$33.98 |
$22.00
|