|
Sertraline (zoloft) - sendout
|
$135.00 |
$135.00 |
$135.00 |
$126.43
|
|
Set radiation therapy field
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$731.50
|
|
Set radiation therapy field
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,590.00
|
|
Shoe post-op mens m
|
$45.34 |
$45.34 |
$45.34 |
$49.25
|
|
Shoulder MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$4,220.00 |
$4,220.00 |
$4,220.00 |
$2,110.00
|
|
Shoulder X-ray
|
$440.00 |
$440.00 |
$440.00 |
$343.70
|
|
Shunt glaucoma baerveldt 350mm
|
$3,040.89 |
$3,040.89 |
$3,040.89 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$302.50 |
$302.50 |
$302.50 |
$345.00
|
|
Sialography s&i
|
$605.00 |
$605.00 |
$605.00 |
$495.00
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$54.00
|
|
Signal avg ecg w or without ecg 93278
|
$447.50 |
$447.50 |
$447.50 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$137.75 |
$137.75 |
$137.75 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,281.80
|
|
Sinus/juglr venogram s&i
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$2,517.48
|
|
Skin Biopsy
|
$230.00 |
$230.00 |
$230.00 |
$357.00
|
|
Sleep Study (Polysomnography)
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,659.20
|
|
Sleep study unattended
|
$337.50 |
$337.50 |
$337.50 |
$576.54
|
|
Sleeve fing rolyan med
|
$140.00 |
$140.00 |
$140.00 |
$197.40
|
|
Sling arm deluxe w/pad xs
|
$20.00 |
$20.00 |
$20.00 |
$29.93
|
|
Sling suprapubic suburetheral
|
$2,518.00 |
$2,518.00 |
$2,518.00 |
$8,764.02
|
|
Slp eval non-spch gen comm dev
|
$285.00 |
$285.00 |
$285.00 |
$285.09
|
|
Slp ther svc non-spch gen
|
$255.00 |
$255.00 |
$255.00 |
$187.75
|
|
Smear fluorescent and/or acid fast stain
|
$55.00 |
$55.00 |
$55.00 |
$64.35
|
|
Smear gram stain
|
$40.00 |
$40.00 |
$40.00 |
$55.35
|
|
Smear nasal eosinophil
|
$30.00 |
$30.00 |
$30.00 |
$45.57
|
|
Smear special stain inclusion bodies/parasites
|
$67.50 |
$67.50 |
$67.50 |
$68.85
|
|
Smear wet mount
|
$37.50 |
$37.50 |
$37.50 |
$66.30
|
|
Smpd1 gene common variants
|
$160.00 |
$160.00 |
$160.00 |
$140.00
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$590.00 |
$694.40
|
|
Sodium 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$92.96 |
$92.96 |
$92.96 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$65.26 |
$65.26 |
$65.26 |
$44.34
|
|
Sodium chloride 0.9 % IV bolus
|
$63.00 |
$63.00 |
$63.00 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$22.50 |
$22.50 |
$22.50 |
$45.00
|
|
So vest canvas/web pre ots
|
$150.00 |
$150.00 |
$150.00 |
$289.44
|
|
Special physics consult
|
$725.00 |
$725.00 |
$725.00 |
$702.24
|
|
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 |
$392.50 |
$392.50 |
$392.50
|
|
Special radiation treatment
|
$5,195.00 |
$5,195.00 |
$5,195.00 |
$1,932.96
|
|
Special teletx port plan
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$1,050.06
|
|
Specimen fat stain
|
$47.50 |
$47.50 |
$47.50 |
$37.70
|
|
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 |
$536.34
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$330.00 |
$330.00 |
$330.00 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$42.50 |
$42.50 |
$42.50 |
$67.76
|
|
Splint finger frog med
|
$42.50 |
$42.50 |
$42.50 |
$32.50
|
|
Splint rstrc wrst/cmc right med
|
$62.50 |
$62.50 |
$62.50 |
$96.88
|
|
Split blood or products
|
$75.00 |
$75.00 |
$75.00 |
$125.72
|
|
Srs linear based
|
$24,095.00 |
$24,095.00 |
$24,095.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$227.50 |
$227.50 |
$227.50 |
$295.10
|
|
Staph a dna amp probe
|
$125.00 |
$125.00 |
$125.00 |
$129.00
|
|
Static or dynami afo pre ots
|
$167.50 |
$167.50 |
$167.50 |
$292.87
|
|
St cognitve performance testing healthcare professional each hour
|
$230.00 |
$230.00 |
$230.00 |
$284.65
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$16,760.00 |
$16,760.00 |
$16,760.00 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,034.33 |
$6,034.33 |
$6,034.33 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$358.77 |
$358.77 |
$358.77 |
$1,741.50
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$2,816.00 |
$2,816.00 |
$2,816.00 |
$4,604.83
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,610.00 |
$9,610.00 |
$9,610.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,550.00 |
$6,550.00 |
$6,550.00 |
$9,114.32
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$9,610.00 |
$9,610.00 |
$9,610.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$227.50 |
$227.50 |
$227.50 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$340.00 |
$340.00 |
$340.00 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$337.50 |
$337.50 |
$337.50 |
$373.50
|
|
St evaluation swallow function
|
$337.50 |
$337.50 |
$337.50 |
$311.36
|
|
Stimulants synthetic
|
$152.50 |
$152.50 |
$152.50 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$110.00 |
$110.00 |
$110.00 |
$205.38
|
|
Strapping of chest
|
$110.00 |
$110.00 |
$110.00 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$110.00 |
$110.00 |
$110.00 |
$157.46
|
|
Strapping of hand or finger
|
$97.50 |
$97.50 |
$97.50 |
$177.45
|
|
Strapping of hip
|
$110.00 |
$110.00 |
$110.00 |
$165.90
|
|
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 |
$122.43
|
|
Stress test pulmonary
|
$217.50 |
$217.50 |
$217.50 |
$311.40
|
|
Stress tte complete
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,784.25
|
|
Str markers specimen anal
|
$380.00 |
$380.00 |
$380.00 |
$751.50
|
|
St treatment speech individual
|
$255.00 |
$255.00 |
$255.00 |
$253.80
|
|
St treatment swallow dysfunction/oral
|
$270.00 |
$270.00 |
$270.00 |
$245.50
|
|
Sulfonylurea screen qn-sendout
|
$230.00 |
$230.00 |
$230.00 |
$152.64
|
|
Support clav 29.6-40.5in med
|
$71.62 |
$71.62 |
$71.62 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$87.50 |
$87.50 |
$87.50 |
$80.60
|
|
Surgical pathology level 2 gross & microscopic examination
|
$147.50 |
$147.50 |
$147.50 |
$146.30
|
|
Surgical pathology level 3 gross & microscopic examination
|
$190.00 |
$190.00 |
$190.00 |
$184.50
|
|
Surgical pathology level 4 gross & microscopic examination
|
$307.50 |
$307.50 |
$307.50 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$480.00 |
$480.00 |
$480.00 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$680.00 |
$680.00 |
$680.00 |
$730.20
|
|
Susceptibility agar dilution per agent
|
$20.00 |
$20.00 |
$20.00 |
$42.70
|
|
Susceptibility enzyme detection per enzyme
|
$20.00 |
$20.00 |
$20.00 |
$35.10
|
|
Susceptibility mic per plate
|
$40.00 |
$40.00 |
$40.00 |
$104.00
|
|
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 |
$40.11
|
|
System pacing micra av
|
$4,072.64 |
$4,072.64 |
$4,072.64 |
$24,705.45
|
