|
Scan duplex lower extremity arteries unilateral/limited study left
|
$346.92 |
$346.92 |
$346.92 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$316.26 |
$316.26 |
$316.26 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$983.22 |
$983.22 |
$983.22 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$4,246.72
|
|
Screw cortex 2.0 x 10mm
|
$55,189.68 |
$55,189.68 |
$55,189.68 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$281.40 |
$281.40 |
$281.40 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,827.46 |
$3,827.46 |
$3,827.46 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$3.78 |
$3.78 |
$3.78 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$60.90 |
$60.90 |
$60.90 |
$96.00
|
|
Semen analysis presence/motility
|
$15.54 |
$15.54 |
$15.54 |
$70.40
|
|
Semen analysis w/count
|
$10.92 |
$10.92 |
$10.92 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$241.92 |
$241.92 |
$241.92 |
$316.68
|
|
Set radiation therapy field
|
$464.52 |
$464.52 |
$464.52 |
$782.61
|
|
Set radiation therapy field
|
$696.78 |
$696.78 |
$696.78 |
$1,159.03
|
|
Set radiation therapy field
|
$807.66 |
$807.66 |
$807.66 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$91.98 |
$91.98 |
$91.98 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$55.44 |
$55.44 |
$55.44 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$63.00 |
$63.00 |
$63.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,000.86 |
$1,000.86 |
$1,000.86 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$800.52 |
$800.52 |
$800.52 |
$2,096.84
|
|
Shoulder X-ray
|
$78.96 |
$78.96 |
$78.96 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$62.58 |
$62.58 |
$62.58 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$285.60 |
$285.60 |
$285.60 |
$355.80
|
|
Sickling rbc
|
$23.52 |
$23.52 |
$23.52 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$973.98 |
$973.98 |
$973.98 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$811.86 |
$811.86 |
$811.86 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$649.32 |
$649.32 |
$649.32 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,575.84 |
$1,575.84 |
$1,575.84 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$67.20 |
$67.20 |
$67.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$55.44 |
$55.44 |
$55.44 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$64.68 |
$64.68 |
$64.68 |
$83.85
|
|
Skin Biopsy
|
$125.58 |
$125.58 |
$125.58 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$78.96 |
$78.96 |
$78.96 |
$294.45
|
|
Skull X-ray (complete)
|
$82.32 |
$82.32 |
$82.32 |
$417.50
|
|
Slco1b1 gene com variants
|
$220.50 |
$220.50 |
$220.50 |
$241.24
|
|
Sleep study attended
|
$1,139.04 |
$1,139.04 |
$1,139.04 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,569.98 |
$2,569.98 |
$2,569.98 |
$3,734.50
|
|
Sleep study unattended
|
$305.34 |
$305.34 |
$305.34 |
$594.00
|
|
Sling suprapubic suburetheral
|
$7,544.04 |
$7,544.04 |
$7,544.04 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$181.44 |
$181.44 |
$181.44 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$28.56 |
$28.56 |
$28.56 |
$64.35
|
|
Smear gram stain
|
$5.46 |
$5.46 |
$5.46 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$120.54 |
$120.54 |
$120.54 |
$73.50
|
|
Smear wet mount
|
$22.26 |
$22.26 |
$22.26 |
$67.55
|
|
Snrpn/ube3a gene
|
$122.64 |
$122.64 |
$122.64 |
$230.63
|
|
Sodium 24 hour urine
|
$30.24 |
$30.24 |
$30.24 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$6.30 |
$6.30 |
$6.30 |
$46.26
|
|
Special physics consult
|
$480.06 |
$480.06 |
$480.06 |
$725.00
|
|
Special radiation dosimetry
|
$381.78 |
$381.78 |
$381.78 |
$392.50
|
|
Special radiation treatment
|
$813.96 |
$813.96 |
$813.96 |
$2,052.00
|
|
Special teletx port plan
|
$701.40 |
$701.40 |
$701.40 |
$1,095.05
|
|
Specific gravity body fluid
|
$4.20 |
$4.20 |
$4.20 |
$22.00
|
|
Specimen fat stain
|
$7.56 |
$7.56 |
$7.56 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$229.32 |
$229.32 |
$229.32 |
$384.80
|
|
Speech evaluation complex
|
$152.46 |
$152.46 |
$152.46 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$77.70 |
$77.70 |
$77.70 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,029.84 |
$1,029.84 |
$1,029.84 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$63.00 |
$63.00 |
$63.00 |
$251.00
|
|
Spleen imaging
|
$284.76 |
$284.76 |
$284.76 |
$679.00
|
|
Split blood or products
|
$143.64 |
$143.64 |
$143.64 |
$127.80
|
|
Sputum specimen collection
|
$143.64 |
$143.64 |
$143.64 |
$180.00
|
|
Srs linear based
|
$6,318.48 |
$6,318.48 |
$6,318.48 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$110.04 |
$110.04 |
$110.04 |
$297.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$23,874.06 |
$23,874.06 |
$23,874.06 |
$21,249.26
|
|
Stent axios caut enh 15x10mm electrocaut
|
$18,397.68 |
$18,397.68 |
$18,397.68 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,891.30 |
$3,891.30 |
$3,891.30 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$14,718.48 |
$14,718.48 |
$14,718.48 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$16,618.98 |
$16,618.98 |
$16,618.98 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,624.20 |
$4,624.20 |
$4,624.20 |
$8,925.76
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$13,514.34 |
$13,514.34 |
$13,514.34 |
$16,098.16
|
|
St evaluate speech sound production
|
$112.14 |
$112.14 |
$112.14 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$234.36 |
$234.36 |
$234.36 |
$400.00
|
|
Stimulants synthetic
|
$67.20 |
$67.20 |
$67.20 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$956.34 |
$956.34 |
$956.34 |
$1,345.40
|
|
Strep a ag ia
|
$21.42 |
$21.42 |
$21.42 |
$75.40
|
|
Strep b dna amp probe
|
$44.52 |
$44.52 |
$44.52 |
$124.15
|
|
Stress test pulmonary
|
$441.42 |
$441.42 |
$441.42 |
$324.00
|
|
Str markers specimen anal
|
$599.34 |
$599.34 |
$599.34 |
$756.60
|
|
Sulfonylurea screen qn-sendout
|
$74.76 |
$74.76 |
$74.76 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$20.58 |
$20.58 |
$20.58 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$33.18 |
$33.18 |
$33.18 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$44.94 |
$44.94 |
$44.94 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$44.94 |
$44.94 |
$44.94 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$300.30 |
$300.30 |
$300.30 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$674.52 |
$674.52 |
$674.52 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$107.10 |
$107.10 |
$107.10 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$23.52 |
$23.52 |
$23.52 |
$35.89
|
|
Susceptibility mic per plate
|
$84.00 |
$84.00 |
$84.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$48.30 |
$48.30 |
$48.30 |
$59.28
|
|
Svc venogram s&i
|
$995.40 |
$995.40 |
$995.40 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$123.48 |
$123.48 |
$123.48 |
$316.80
|
|
Swallowing Therapy Session
|
$101.22 |
$101.22 |
$101.22 |
$232.56
|
|
Sweat collection by iontophoresis
|
$44.94 |
$44.94 |
$44.94 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.84 |
$21.84 |
$21.84 |
$42.24
|
|
System pacing micra av
|
$14,718.48 |
$14,718.48 |
$14,718.48 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$45,991.68 |
$45,991.68 |
$45,991.68 |
$12,003.00
|
|
System sealant biosentry tract
|
$1,131.90 |
$1,131.90 |
$1,131.90 |
$889.35
|
|
T3 (triiodothyronine) free
|
$29.82 |
$29.82 |
$29.82 |
$100.32
|