|
Specimen fat stain
|
$49.50 |
$49.50 |
$49.50 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$442.75 |
$442.75 |
$562.52 |
$380.00
|
|
Speech audiometry complete
|
$84.00 |
$84.00 |
$84.00 |
$109.20
|
|
Speech recep thresh
|
$44.00 |
$44.00 |
$44.00 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$267.85 |
$267.85 |
$516.03 |
$248.84
|
|
Sperm antibody test
|
$81.40 |
$81.40 |
$81.40 |
$57.85
|
|
Sperm isolation simple
|
$314.40 |
$314.40 |
$314.40 |
$126.05
|
|
Sphenoid sinus surgery
|
$6,640.00 |
$6,640.00 |
$6,640.00 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$2,968.00 |
$2,968.00 |
$2,968.00 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$328.00 |
$328.00 |
$328.00 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,933.25 |
$1,933.25 |
$2,310.33 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$268.95 |
$268.95 |
$601.04 |
$251.40
|
|
Spleen imaging
|
$1,432.65 |
$1,432.65 |
$1,432.65 |
$679.00
|
|
Splenectomy total open 38100
|
$5,942.40 |
$5,942.40 |
$5,942.40 |
$2,166.00
|
|
Splint arm vnyl coated padded lft med
|
$86.40 |
$86.40 |
$86.40 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$266.94 |
$266.94 |
$266.94 |
$392.09
|
|
Splint finger 4 prong foam sm
|
$35.20 |
$35.20 |
$35.20 |
$34.00
|
|
Splint finger frog med
|
$12.80 |
$12.80 |
$12.80 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$72.80 |
$72.80 |
$72.80 |
$5.60
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,768.80 |
$4,768.80 |
$4,768.80 |
$4,687.20
|
|
Split blood or products
|
$151.80 |
$151.80 |
$363.60 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$1,612.78
|
|
Sprchoroidal spc njx rx agt
|
$447.20 |
$447.20 |
$447.20 |
$454.19
|
|
Sputum specimen collection
|
$133.76 |
$133.76 |
$139.70 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$2,515.15 |
$2,515.15 |
$2,515.15 |
$2,515.15
|
|
Staggered spondaic word test
|
$216.00 |
$216.00 |
$216.00 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$442.75 |
$442.75 |
$562.52 |
$295.10
|
|
Staph a dna amp probe
|
$209.60 |
$209.60 |
$209.60 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$317.35 |
$317.35 |
$506.40 |
$281.00
|
|
Stem cells total count
|
$245.03 |
$245.03 |
$245.03 |
$184.00
|
|
Stenger test pure tone
|
$50.40 |
$50.40 |
$50.40 |
$77.84
|
|
Stenger test speech
|
$54.40 |
$54.40 |
$54.40 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,309.10 |
$11,309.10 |
$55,087.90 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$7,800.00 |
$7,800.00 |
$17,811.41 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$449.99 |
$449.99 |
$7,364.61 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,720.00 |
$2,720.00 |
$12,390.88 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,476.39 |
$5,476.39 |
$9,120.00 |
$4,673.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,389.30 |
$12,389.30 |
$25,897.27 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,885.10 |
$4,885.10 |
$16,928.05 |
$8,985.00
|
|
Stent placemt retro carotid
|
$25,328.20 |
$25,328.20 |
$25,328.20 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,909.80 |
$10,909.80 |
$36,018.31 |
$17,892.00
|
|
Sternal debridement
|
$2,500.80 |
$2,500.80 |
$2,500.80 |
$1,318.40
|
|
St evaluate speech sound production
|
$442.75 |
$442.75 |
$562.52 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$633.70 |
$633.70 |
$719.95 |
$396.90
|
|
Stimulants synthetic
|
$139.70 |
$139.70 |
$156.00 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,359.60 |
$1,359.60 |
$2,380.91 |
$1,350.05
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$392.15 |
$392.15 |
$500.54 |
$223.45
|
|
Strapping of chest
|
$304.41 |
$304.41 |
$447.70 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$224.00 |
$224.00 |
$428.45 |
$157.46
|
|
Strapping of hand or finger
|
$224.00 |
$224.00 |
$382.80 |
$177.45
|
|
Strapping of hip
|
$500.54 |
$500.54 |
$500.54 |
$164.70
|
|
Strapping of knee
|
$392.15 |
$392.15 |
$525.55 |
$205.20
|
|
Strapping of toes 29550
|
$303.60 |
$303.60 |
$500.54 |
$164.70
|
|
Strep a ag ia
|
$56.00 |
$56.00 |
$56.00 |
$75.40
|
|
Strep b dna amp probe
|
$42.90 |
$42.90 |
$314.92 |
$124.15
|
|
Stress test pulmonary
|
$240.35 |
$240.35 |
$556.63 |
$324.00
|
|
Stress tte complete
|
$1,425.69 |
$1,425.69 |
$1,425.69 |
$1,820.70
|
|
Str markers specimen anal
|
$572.99 |
$572.99 |
$572.99 |
$751.50
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$853.60 |
$853.60 |
$853.60 |
$878.24
|
|
Subq njx filling matrl 1cc/<
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$988.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$13.84 |
$13.84 |
$13.84 |
$54.80
|
|
Suction lipectomy head&neck
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$3,501.60 |
$3,501.60 |
$3,501.60 |
$5,661.00
|
|
Suction lipectomy trunk
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$4,385.50
|
|
Sugars single quant
|
$38.50 |
$38.50 |
$38.50 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.39 |
$0.39 |
$0.39 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$138.15 |
$138.15 |
$156.00 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$198.40 |
$198.40 |
$198.40 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$52.80 |
$52.80 |
$52.80 |
$94.08
|
|
Surg dx exam anorectal
|
$531.20 |
$531.20 |
$531.20 |
$3,480.50
|
|
Surgery to stop leg growth
|
$4,889.60 |
$4,889.60 |
$4,889.60 |
$7,907.11
|
|
Surgery to stop leg growth
|
$5,406.40 |
$5,406.40 |
$5,406.40 |
$7,913.97
|
|
Surgery to stop leg growth
|
$6,533.60 |
$6,533.60 |
$6,533.60 |
$7,907.11
|
|
Surgery to stop leg growth
|
$4,954.40 |
$4,954.40 |
$4,954.40 |
$8,412.89
|
|
Surgical opening of throat
|
$995.20 |
$995.20 |
$995.20 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$34.10 |
$34.10 |
$167.07 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$64.90 |
$64.90 |
$167.12 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$151.80 |
$151.80 |
$720.64 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$473.00 |
$473.00 |
$712.40 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$195.80 |
$195.80 |
$720.68 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$492.25 |
$492.25 |
$1,152.19 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$6,396.80 |
$6,396.80 |
$6,396.80 |
$2,415.60
|
|
Surgical trays
|
$61.60 |
$61.60 |
$61.60 |
$694.80
|
|
Surg tx anal fistula 2nd stage 46285
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$60.24 |
$60.24 |
$103.95 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$23.10 |
$23.10 |
$64.28 |
$35.70
|
|
Susceptibility mic per plate
|
$114.71 |
$114.71 |
$276.65 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$231.00 |
$231.00 |
$267.45 |
$59.28
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$4,651.20 |
$4,651.20 |
$4,651.20 |
$1,995.00
|
|
Svc venogram s&i
|
$2,214.30 |
$2,214.30 |
$3,127.20 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$526.90 |
$526.90 |
$562.52 |
$314.40
|
|
Swallowing Therapy Session
|
$271.15 |
$271.15 |
$375.01 |
$240.50
|
|
Synch audio-only est high 40
|
$368.80 |
$368.80 |
$368.80 |
$190.77
|
|
Synch audio-only est low 20
|
$191.20 |
$191.20 |
$191.20 |
$90.60
|
|
Synch audio-only est mod 30
|
$264.80 |
$264.80 |
$264.80 |
$136.64
|
|
Synch audio-only est sf 10
|
$166.40 |
$166.40 |
$166.40 |
$53.20
|
|
Synch audio-only new high 60
|
$497.60 |
$497.60 |
$497.60 |
$207.64
|