|
Sigmoidoscopy w/ablation
|
$403.86 |
$403.86 |
$403.86 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$477.00 |
$477.00 |
$477.00 |
$1,395.28
|
|
Sigmoidoscopy w/tumr remove
|
$1,120.42 |
$1,120.42 |
$1,120.42 |
$1,395.28
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$574.52 |
$574.52 |
$574.52 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$76.32 |
$76.32 |
$76.32 |
$309.52
|
|
Sig w/tndsc balloon dilation
|
$887.22 |
$887.22 |
$887.22 |
$1,813.80
|
|
Simple cystometrogram 51725
|
$338.67 |
$338.67 |
$338.67 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$195.11 |
$195.11 |
$195.11 |
$354.67
|
|
Single energy x-ray study
|
$19.61 |
$19.61 |
$19.61 |
$97.89
|
|
Sinus CT scan (with and without contrast)
|
$1,523.75 |
$1,523.75 |
$1,523.75 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,379.59 |
$1,379.59 |
$1,379.59 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$780.16 |
$780.16 |
$780.16 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$2,489.25
|
|
Sipuleucel-t - su
|
$35,499.40 |
$35,499.40 |
$35,499.40 |
$95,750.46
|
|
Sirolimus, oral
|
$19.93 |
$19.93 |
$19.93 |
$42.11
|
|
Skeletal muscle relaxant 1/2
|
$101.23 |
$101.23 |
$101.23 |
$85.14
|
|
Skin Biopsy
|
$445.20 |
$445.20 |
$445.20 |
$382.80
|
|
Skin full graft add-on 15241
|
$741.47 |
$741.47 |
$741.47 |
$445.60
|
|
Sleep study attended
|
$3,133.36 |
$3,133.36 |
$3,133.36 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$4,357.66 |
$4,357.66 |
$4,357.66 |
$3,936.80
|
|
Sleep study unattended
|
$2,006.58 |
$2,006.58 |
$2,006.58 |
$595.50
|
|
Sleeve fing rolyan med
|
$496.08 |
$496.08 |
$496.08 |
$197.40
|
|
Sling arm deluxe w/pad xs
|
$10.07 |
$10.07 |
$10.07 |
$25.55
|
|
Sling pelv split sam med
|
$134.09 |
$134.09 |
$134.09 |
$115.20
|
|
Slp pure tone screening
|
$25.44 |
$25.44 |
$25.44 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$57.77 |
$57.77 |
$57.77 |
$64.20
|
|
Smear gram stain
|
$45.05 |
$45.05 |
$45.05 |
$57.85
|
|
Smear nasal eosinophil
|
$40.81 |
$40.81 |
$40.81 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$63.60 |
$63.60 |
$63.60 |
$64.35
|
|
Smear wet mount
|
$48.23 |
$48.23 |
$48.23 |
$68.63
|
|
So airplane w/wo joint cf
|
$2,748.05 |
$2,748.05 |
$2,748.05 |
$1,824.44
|
|
So cap design without jnts cf
|
$2,094.56 |
$2,094.56 |
$2,094.56 |
$535.50
|
|
Sodium 24 hour urine
|
$36.04 |
$36.04 |
$36.04 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$2.65 |
$2.65 |
$2.65 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$1.59 |
$1.59 |
$1.59 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$0.53 |
$0.53 |
$0.53 |
$43.78
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$11.69 |
$11.69 |
$11.69 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$91.69 |
$91.69 |
$91.69 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$36.04 |
$36.04 |
$36.04 |
$42.70
|
|
Soft interface below knee se
|
$73.67 |
$73.67 |
$73.67 |
$209.99
|
|
Somatosensory testing
|
$227.90 |
$227.90 |
$227.90 |
$583.80
|
|
Spacer bag/reservoir
|
$13.25 |
$13.25 |
$13.25 |
$31.20
|
|
Special casting material
|
$23.85 |
$23.85 |
$23.85 |
$47.45
|
|
Special physics consult
|
$732.46 |
$732.46 |
$732.46 |
$700.74
|
|
Special radiation dosimetry
|
$392.73 |
$392.73 |
$392.73 |
$445.50
|
|
Special radiation treatment
|
$1,849.17 |
$1,849.17 |
$1,849.17 |
$1,934.03
|
|
Special supplies phys/qhp
|
$16.43 |
$16.43 |
$16.43 |
$60.00
|
|
Specific gravity body fluid
|
$16.43 |
$16.43 |
$16.43 |
$23.63
|
|
Specimen fat stain
|
$19.61 |
$19.61 |
$19.61 |
$32.76
|
|
Speech audiometry complete
|
$58.30 |
$58.30 |
$58.30 |
$104.25
|
|
Speech recep thresh
|
$36.57 |
$36.57 |
$36.57 |
$90.60
|
|
Sperm antibody test
|
$45.05 |
$45.05 |
$45.05 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,098.16 |
$1,098.16 |
$1,098.16 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$915.31 |
$915.31 |
$915.31 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,178.19 |
$1,178.19 |
$1,178.19 |
$380.00
|
|
Splint finger 4 prong foam sm
|
$13.25 |
$13.25 |
$13.25 |
$22.62
|
|
Splint finger frog med
|
$81.62 |
$81.62 |
$81.62 |
$34.58
|
|
Splint rstrc wrst/cmc right med
|
$110.24 |
$110.24 |
$110.24 |
$101.18
|
|
Split blood or products
|
$101.23 |
$101.23 |
$101.23 |
$148.98
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$268.18 |
$268.18 |
$268.18 |
$1,612.78
|
|
Srs linear based
|
$17,271.64 |
$17,271.64 |
$17,271.64 |
$14,124.25
|
|
Staggered spondaic word test
|
$81.09 |
$81.09 |
$81.09 |
$185.15
|
|
St analysis behavior qualitative voice/resonance
|
$174.90 |
$174.90 |
$174.90 |
$300.00
|
|
Staph a dna amp probe
|
$145.22 |
$145.22 |
$145.22 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$248.57 |
$248.57 |
$248.57 |
$313.96
|
|
Stenger test pure tone
|
$25.44 |
$25.44 |
$25.44 |
$70.29
|
|
Stenger test speech
|
$38.16 |
$38.16 |
$38.16 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$33,081.54 |
$33,081.54 |
$33,081.54 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,420.50 |
$26,420.50 |
$26,420.50 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$13,210.25 |
$13,210.25 |
$13,210.25 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$31,546.66 |
$31,546.66 |
$31,546.66 |
$19,765.20
|
|
Sterile gauze <= 16 sq in
|
$1.59 |
$1.59 |
$1.59 |
$1.52
|
|
Sterile water/saline, 10 ml
|
$15.90 |
$15.90 |
$15.90 |
$5.19
|
|
St evaluate speech sound production
|
$200.34 |
$200.34 |
$200.34 |
$300.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$214.12 |
$214.12 |
$214.12 |
$406.40
|
|
St evaluation swallow function
|
$179.14 |
$179.14 |
$179.14 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$16.43 |
$16.43 |
$16.43 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$30.74 |
$30.74 |
$30.74 |
$171.00
|
|
Strapping of hand or finger
|
$65.19 |
$65.19 |
$65.19 |
$194.40
|
|
Strapping of knee
|
$32.33 |
$32.33 |
$32.33 |
$224.80
|
|
Strapping of toes 29550
|
$18.02 |
$18.02 |
$18.02 |
$185.36
|
|
Strep a ag ia
|
$39.75 |
$39.75 |
$39.75 |
$75.40
|
|
Strep a dna dir probe
|
$81.09 |
$81.09 |
$81.09 |
$50.40
|
|
Strep a dna quant
|
$168.01 |
$168.01 |
$168.01 |
$45.94
|
|
Strep b assay w/optic
|
$39.22 |
$39.22 |
$39.22 |
$32.00
|
|
Strep b dna amp probe
|
$219.95 |
$219.95 |
$219.95 |
$139.20
|
|
Streptomycin injection
|
$38.16 |
$38.16 |
$38.16 |
$138.30
|
|
Streptozocin injection
|
$400.68 |
$400.68 |
$400.68 |
$943.23
|
|
Stress test pulmonary
|
$394.32 |
$394.32 |
$394.32 |
$327.20
|
|
Stress tte complete
|
$4,861.69 |
$4,861.69 |
$4,861.69 |
$1,964.95
|
|
Str markers specimen anal
|
$835.28 |
$835.28 |
$835.28 |
$835.28
|
|
St treatment speech individual
|
$487.60 |
$487.60 |
$487.60 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$169.07 |
$169.07 |
$169.07 |
$261.60
|
|
Subq njx filling matrl 1cc/<
|
$56.18 |
$56.18 |
$56.18 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$202.99 |
$202.99 |
$202.99 |
$748.14
|
|
Sugars single quant
|
$118.72 |
$118.72 |
$118.72 |
$52.47
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$4.77 |
$4.77 |
$4.77 |
$5,446.00
|
|
Sulfonylurea screen qn-sendout
|
$47.17 |
$47.17 |
$47.17 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$43.99 |
$43.99 |
$43.99 |
$151.29
|
|
Sup of prep of antigen # of vials 95144
|
$19.08 |
$19.08 |
$19.08 |
$50.43
|
