|
Sigmoidoscopy and biopsy
|
$67.26 |
$704.00 |
$1,003.29 |
|
|
Sigmoidoscopy flex decompression 45337
|
$582.40 |
$582.40 |
$582.40 |
|
|
Sigmoidoscopy for bleeding
|
$677.60 |
$677.60 |
$677.60 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$87.78 |
$1,035.20 |
$1,266.17 |
|
|
Sigmoidoscopy w/ablation
|
$403.86 |
$403.86 |
$1,588.80 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$477.00 |
$477.00 |
$1,172.00 |
|
|
Sigmoidoscopy w/plcmt stent
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
|
|
Sigmoidoscopy w/resection
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
|
|
Sigmoidoscopy w/tumr remove
|
$1,120.42 |
$1,120.42 |
$1,299.20 |
|
|
Sigmoidoscopy w/us guide bx
|
$987.20 |
$987.20 |
$987.20 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$574.52 |
$574.52 |
$1,183.20 |
|
|
Signal avg ecg w or without ecg 93278
|
$76.32 |
$447.50 |
$657.73 |
|
|
Sig w/tndsc balloon dilation
|
$887.22 |
$887.22 |
$1,863.20 |
|
|
Simple cystometrogram 51725
|
$338.67 |
$665.00 |
$665.00 |
|
|
Sincalide 5 mcg solution for injection
|
$137.75 |
$195.11 |
$449.10 |
|
|
Single energy x-ray study
|
$19.61 |
$19.61 |
$19.61 |
|
|
Sinus CT scan (with and without contrast)
|
$434.91 |
$1,679.04 |
$3,325.12 |
|
|
Sinus CT scan (with contrast)
|
$348.84 |
$1,570.00 |
$3,161.76 |
|
|
Sinus CT scan (without contrast)
|
$285.57 |
$1,366.75 |
$2,845.58 |
|
|
Sinus/juglr venogram s&i
|
$1,096.70 |
$1,315.00 |
$4,564.26 |
|
|
Sinusotomy maxillary sinus 31020
|
$4,078.40 |
$4,078.40 |
$4,078.40 |
|
|
Sinusotomy sinus remove polyps 31032
|
$6,177.60 |
$6,177.60 |
$6,177.60 |
|
|
Sinusotomy sphenoid w/wo bx 31050
|
$6,321.60 |
$6,321.60 |
$6,321.60 |
|
|
Sinus X-ray (complete)
|
$57.00 |
$411.95 |
$675.44 |
|
|
Sinus X-ray (limited)
|
$50.73 |
$282.50 |
$830.26 |
|
|
Sipuleucel-t - su
|
$24,787.77 |
$34,177.44 |
$35,499.40 |
|
|
Sirolimus, oral
|
$4.80 |
$9.20 |
$38.84 |
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$154.80 |
$154.80 |
$199.45 |
|
|
Skeletal muscle relaxant 1/2
|
$37.50 |
$102.30 |
$206.80 |
|
|
Skel musc relaxant 3 or more
|
$156.00 |
$156.00 |
$156.00 |
|
|
Skin and muscle repair face
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
|
|
Skin Biopsy
|
$230.00 |
$288.42 |
$589.60 |
|
|
Skin full graft 20sq cm less 15200
|
$2,625.60 |
$2,625.60 |
$2,625.60 |
|
|
Skin full graft add-on 15241
|
$462.40 |
$462.40 |
$741.47 |
|
|
Skin split graft addl 100sq cm 15101
|
$169.86 |
$169.86 |
$2,224.00 |
|
|
Skull base/brainstem surgery
|
$11,643.20 |
$11,643.20 |
$11,643.20 |
|
|
Skull X-ray (1 to 3 views)
|
$60.99 |
$280.00 |
$601.04 |
|
|
Skull X-ray (complete)
|
$65.55 |
$391.38 |
$902.36 |
|
|
Skyla, 13.5 mg
|
$771.78 |
$935.00 |
$1,322.40 |
|
|
Sleep study attended
|
$951.50 |
$3,133.36 |
$3,598.65 |
|
|
Sleep Study (Polysomnography)
|
$2,001.60 |
$3,550.53 |
$4,539.98 |
|
|
Sleep study unattended
|
$337.50 |
$697.40 |
$2,006.58 |
|
|
Sleeve fing rolyan med
|
$140.00 |
$178.85 |
$533.52 |
|
|
Sleeve pneumonectomy
|
$11,347.20 |
$11,347.20 |
$11,347.20 |
|
|
Sling arm deluxe w/pad xs
|
$10.07 |
$20.00 |
$24.80 |
|
|
Sling pelv split sam med
|
$58.67 |
$138.84 |
$150.00 |
|
|
Sling suprapubic suburetheral
|
$1,340.82 |
$2,353.47 |
$6,195.85 |
|
|
Slitting of prepuce
|
$4,781.04 |
$4,781.04 |
$5,723.86 |
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$142.50 |
$142.50 |
$142.50 |
|
|
Slp eval non-spch gen comm dev
|
$285.00 |
$285.00 |
$322.30 |
|
|
Slp pure tone screening
|
$25.44 |
$27.50 |
$87.20 |
|
|
Slp stdy unatnd w/anal
|
$296.34 |
$296.34 |
$460.00 |
|
|
Slp ther svc non-spch gen
|
$218.35 |
$255.00 |
$255.00 |
|
|
Sm-153 lexidron ther
|
$16,540.00 |
$16,540.00 |
$16,540.00 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$116.85 |
$530.00 |
$1,079.10 |
|
|
Small bowel endoscopy
|
$651.20 |
$651.20 |
$651.20 |
|
|
Small bowel endoscopy
|
$914.40 |
$914.40 |
$914.40 |
|
|
Small bowel endoscopy
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
|
|
Small bowel endoscopy
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
|
|
Small bowel endoscopy
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
|
|
Small bowel endoscopy
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
|
|
Small bowel endoscopy
|
$343.20 |
$343.20 |
$343.20 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$851.20 |
$851.20 |
$851.20 |
|
|
Small bowel endoscopy 44365
|
$817.60 |
$817.60 |
$817.60 |
|
|
Small bowel endoscopy/biopsy
|
$717.60 |
$717.60 |
$717.60 |
|
|
Small bowel endoscopy/biopsy
|
$1,324.00 |
$1,324.00 |
$1,324.00 |
|
|
Small bowel endoscopy br/wa
|
$285.60 |
$285.60 |
$285.60 |
|
|
Small bowel endoscopy br/wa
|
$285.60 |
$285.60 |
$285.60 |
|
|
Small bowel endoscopy/stent 44370
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
|
|
Smear fluorescent and/or acid fast stain
|
$24.51 |
$55.00 |
$288.35 |
|
|
Smear gram stain
|
$22.23 |
$40.00 |
$150.70 |
|
|
Smear nasal eosinophil
|
$12.54 |
$30.00 |
$72.80 |
|
|
Smear special stain inclusion bodies/parasites
|
$15.39 |
$67.50 |
$259.60 |
|
|
Smear wet mount
|
$22.80 |
$37.50 |
$129.55 |
|
|
Smpd1 gene common variants
|
$92.03 |
$160.00 |
$228.80 |
|
|
Snrpn/ube3a gene
|
$149.91 |
$282.49 |
$421.28 |
|
|
So airplane w/wo joint cf
|
$2,748.05 |
$2,955.45 |
$2,955.45 |
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$2,252.64 |
|
|
Sock wool above knee
|
$104.00 |
$104.00 |
$104.00 |
|
|
Sodium 24 hour urine
|
$15.96 |
$25.00 |
$113.82 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$2.65 |
$82.25 |
$247.60 |
|
|
Sodium chloride 0.9 % IV bolus
|
$1.59 |
$67.33 |
$192.82 |
|
|
Sodium chloride 0.9 % IV bolus
|
$0.53 |
$51.76 |
$97.53 |
|
|
Sodium chloride 3 % ivpb
|
$0.45 |
$31.23 |
$44.34 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$7.48 |
$13.07 |
$1,261.71 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$91.69 |
$109.44 |
$386.51 |
|
|
Sodium serum/plasma/whole blood
|
$13.11 |
$22.50 |
$205.52 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1.52 |
$2.75 |
$3.77 |
|
|
Soft interface below knee se
|
$73.67 |
$73.67 |
$73.67 |
|
|
Somatosensory testing
|
$227.90 |
$227.90 |
$227.90 |
|
|
So neo gsap dna mcrstl ins
|
$192.50 |
$1,501.50 |
$2,972.64 |
|
|
So vest canvas/web pre ots
|
$150.00 |
$150.00 |
$150.00 |
|
|
Spacer bag/reservoir
|
$13.25 |
$13.25 |
$51.20 |
|
|
Sp bone agrft morsel add-on
|
$494.40 |
$494.40 |
$494.40 |
|
|
Sp bone agrft struct add-on
|
$539.20 |
$539.20 |
$539.20 |
|
|
Sp bone algrft morsel add-on
|
$342.40 |
$342.40 |
$342.40 |
|
|
Special casting material
|
$23.85 |
$23.85 |
$23.85 |
|
|
Special physics consult
|
$382.25 |
$725.00 |
$1,056.00 |
|
|
Special pump services
|
$780.00 |
$780.00 |
$780.00 |
|
|
Special pump services
|
$545.00 |
$545.00 |
$545.00 |
|
