|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$297.00 |
$601.26 |
$1,325.60 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$395.00 |
$461.34 |
$746.90 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$435.05 |
$685.00 |
$1,286.28 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$628.32 |
$729.60 |
$1,512.67 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$592.68 |
$714.78 |
$1,532.96 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$420.20 |
$531.30 |
$1,825.45 |
|
|
Scan proc cranial extra
|
$1,040.00 |
$1,040.00 |
$2,091.20 |
|
|
Scan proc cranial intra 61781
|
$1,025.00 |
$1,025.00 |
$2,301.60 |
|
|
Scan proc spinal
|
$1,025.00 |
$1,025.00 |
$1,990.40 |
|
|
Sclerotherapy fluid collection pq w/img
|
$749.10 |
$2,989.20 |
$4,566.57 |
|
|
Scope plantar fasciotomy
|
$378.42 |
$378.42 |
$615.60 |
|
|
Scope uretscp lithovue dig disp
|
$519.42 |
$2,317.50 |
$9,786.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$92.50 |
$92.50 |
$92.75 |
|
|
Screen cerv/vag thin layer
|
$74.40 |
$125.40 |
$125.40 |
|
|
Screening Colonoscopy (average risk)
|
$372.21 |
$1,052.70 |
$1,903.76 |
|
|
Screening Colonoscopy (high risk)
|
$372.78 |
$1,615.20 |
$2,880.90 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$23.32 |
$59.95 |
$126.71 |
|
|
Screening hepatitis b non-obstetric high risk
|
$367.82 |
$367.82 |
$367.82 |
|
|
Screening hepatitis c antibody high risk
|
$39.22 |
$99.66 |
$99.66 |
|
|
Screening HIV antigen/antibody combination assay
|
$42.93 |
$42.93 |
$96.80 |
|
|
Screening Mammogram
|
$149.05 |
$222.50 |
$498.60 |
|
|
Screening pap smear by phys
|
$36.12 |
$36.12 |
$36.12 |
|
|
Screening prostate cancer PSA
|
$30.74 |
$117.48 |
$241.45 |
|
|
Screen pap by tech w md supv
|
$53.46 |
$53.46 |
$118.14 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$4.77 |
$6.60 |
$55.20 |
|
|
Screw cortex 2.0 x 10mm
|
$320.42 |
$6,774.30 |
$57,353.70 |
|
|
Scrotal (Testicle) Ultrasound
|
$232.56 |
$595.00 |
$1,415.87 |
|
|
Sc ther infusion reset pump
|
$143.88 |
$143.88 |
$143.88 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,119.25 |
$4,446.00 |
$5,150.00 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$81.09 |
$95.15 |
$484.78 |
|
|
Sedimentation rate erythrocyte automated
|
$7.98 |
$47.50 |
$107.50 |
|
|
Segmentectomy 32484
|
$8,154.40 |
$8,154.40 |
$8,154.40 |
|
|
Select picture audiometry
|
$59.20 |
$78.44 |
$105.00 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$48.40 |
$87.50 |
$185.60 |
|
|
Self-meas bp pt educaj/train
|
$13.25 |
$13.25 |
$33.00 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$35.00 |
$41.87 |
$96.00 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$32.86 |
$32.86 |
$72.80 |
|
|
Semen analysis presence/motility
|
$9.90 |
$70.00 |
$207.90 |
|
|
Semen analysis w/count
|
$18.81 |
$62.54 |
$396.00 |
|
|
Sensorimotor examination
|
$10.00 |
$10.00 |
$42.40 |
|
|
Sensorineural acuity lvl tst
|
$120.00 |
$120.00 |
$120.00 |
|
|
Sept9 promoter methylation analysis
|
$290.00 |
$290.00 |
$290.00 |
|
|
Sequestrectomy olecrn proces
|
$4,676.80 |
$4,676.80 |
$4,676.80 |
|
|
Sequestrectomy radial h/n
|
$4,505.60 |
$4,505.60 |
$4,505.60 |
|
|
Sequestrectomy shft/dstl hum
|
$5,425.60 |
$5,425.60 |
$5,425.60 |
|
|
Serial casting application 97139app
|
$65.00 |
$80.00 |
$220.00 |
|
|
Serial tonometry
|
$29.68 |
$29.68 |
$29.68 |
|
|
Serpina1 gene
|
$116.05 |
$173.84 |
$663.30 |
|
|
Sertraline (zoloft) - sendout
|
$29.15 |
$135.00 |
$860.72 |
|
|
Set radiation therapy field
|
$539.79 |
$867.24 |
$1,410.00 |
|
|
Set radiation therapy field
|
$1,033.45 |
$1,102.40 |
$2,070.00 |
|
|
Set radiation therapy field
|
$1,112.65 |
$1,711.60 |
$3,360.00 |
|
|
Set-up cardiovert-defibrill
|
$352.45 |
$352.45 |
$352.45 |
|
|
Sevelamer carbonate 800 mg tablet
|
$0.16 |
$0.27 |
$14.69 |
|
|
Sgmdsc w/band ligation
|
$525.76 |
$525.76 |
$2,460.80 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$90.10 |
$201.78 |
$272.80 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$94.87 |
$254.79 |
$367.20 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$109.71 |
$296.40 |
$2,253.74 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$123.49 |
$123.49 |
$323.20 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$77.91 |
$102.85 |
$860.25 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$84.27 |
$176.00 |
$226.29 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$100.17 |
$113.30 |
$283.20 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$100.17 |
$100.17 |
$242.40 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$97.52 |
$162.40 |
$2,253.74 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$92.22 |
$176.55 |
$223.44 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$55.00 |
$104.41 |
$266.76 |
|
|
Sheath gldlight lasr 12fx50cm
|
$5,046.14 |
$5,046.14 |
$8,722.00 |
|
|
Shigella antibody
|
$32.33 |
$32.33 |
$32.33 |
|
|
Sho arthrs dx +- synovial bx
|
$4,267.20 |
$4,267.20 |
$4,267.20 |
|
|
Sho arthrs srg bicp tenodsis
|
$1,516.77 |
$1,516.77 |
$10,127.20 |
|
|
Sho arthrs srg capsulorraphy
|
$1,749.33 |
$1,749.33 |
$10,660.00 |
|
|
Sho arthrs srg compl synvct
|
$7,887.20 |
$7,887.20 |
$7,887.20 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$852.72 |
$852.72 |
$7,252.00 |
|
|
Sho arthrs srg lss&rescj ads
|
$7,468.00 |
$7,468.00 |
$7,468.00 |
|
|
Sho arthrs srg prtl synvct
|
$6,396.80 |
$6,396.80 |
$6,396.80 |
|
|
Sho arthrs srg rmvl loose/fb
|
$6,612.00 |
$6,612.00 |
$6,612.00 |
|
|
Sho arthrs srg rpr slap les
|
$1,695.75 |
$1,695.75 |
$10,127.20 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$966.15 |
$966.15 |
$7,184.80 |
|
|
Shoe post-op mens m
|
$12.19 |
$40.00 |
$74.40 |
|
|
Shortening of thigh bone
|
$9,193.60 |
$9,193.60 |
$9,193.60 |
|
|
Shorten/lengthen thighs
|
$9,861.60 |
$9,861.60 |
$9,861.60 |
|
|
Shorten radius or ulna
|
$7,979.20 |
$7,979.20 |
$7,979.20 |
|
|
Shorten radius & ulna
|
$9,688.80 |
$9,688.80 |
$9,688.80 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$55.00 |
$72.05 |
$420.29 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$50.73 |
$295.00 |
$601.04 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,818.30 |
$1,818.30 |
$11,752.80 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$60.99 |
$285.00 |
$601.04 |
|
|
Shoulder MRI (with and without contrast)
|
$1,169.64 |
$3,045.35 |
$3,639.90 |
|
|
Shoulder MRI (with contrast)
|
$1,112.64 |
$2,210.00 |
$6,415.28 |
|
|
Shoulder MRI (without contrast)
|
$1,055.64 |
$2,280.30 |
$5,058.83 |
|
|
Shoulder X-ray
|
$103.74 |
$315.48 |
$775.00 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$50.73 |
$227.50 |
$615.00 |
|
|
Shrinker prosth above knee
|
$104.00 |
$104.00 |
$104.00 |
|
|
Shunt glaucoma baerveldt 350mm
|
$1,427.93 |
$3,044.37 |
$5,650.00 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$80.37 |
$302.50 |
$814.43 |
|
|
Sialidase enzyme assay
|
$74.80 |
$91.30 |
$123.20 |
|
|
Sialography s&i
|
$194.51 |
$519.42 |
$1,306.43 |
|
|
Sialolithotomy 42330
|
$376.83 |
$376.83 |
$5,368.77 |
|
|
Sickling rbc
|
$11.40 |
$108.35 |
$187.50 |
|
