|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$771.39 |
$771.39 |
$771.39 |
$643.59
|
|
Pentostatin 10 mg intravenous solution
|
$9,121.71 |
$9,121.71 |
$9,121.71 |
$6,112.62
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$692.00 |
$692.00 |
$692.00 |
$321.71
|
|
Perit-vens shunt pat tst
|
$8,460.32 |
$8,460.32 |
$8,460.32 |
$695.40
|
|
Pet CT whole body initial
|
$16,021.61 |
$16,021.61 |
$16,021.61 |
$5,017.50
|
|
Pet scan brain perf study
|
$47,710.30 |
$47,710.30 |
$47,710.30 |
$4,297.00
|
|
Ph body fluid
|
$396.41 |
$396.41 |
$396.41 |
$39.20
|
|
Phenobarbital therapeutic drug level
|
$1,626.21 |
$1,626.21 |
$1,626.21 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,216.12 |
$1,216.12 |
$1,216.12 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$924.39 |
$924.39 |
$924.39 |
$111.27
|
|
Phlebotomy therapeutic
|
$1,383.03 |
$1,383.03 |
$1,383.03 |
$249.00
|
|
Phosphorus
|
$481.44 |
$481.44 |
$481.44 |
$47.81
|
|
Placement occlusive device venous/arterial access site post procedure
|
$3,600.96 |
$3,600.96 |
$3,600.96 |
$650.65
|
|
Platelet automated
|
$432.77 |
$432.77 |
$432.77 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$1,905.75 |
$1,905.75 |
$1,905.75 |
$411.51
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$2,255.29 |
$2,255.29 |
$2,255.29 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$39,758.18 |
$39,758.18 |
$39,758.18 |
$4,293.60
|
|
Potassium 24 hour urine
|
$583.37 |
$583.37 |
$583.37 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$412.90 |
$412.90 |
$412.90 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$1,733.93 |
$1,733.93 |
$1,733.93 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$1,296.50 |
$1,296.50 |
$1,296.50 |
$374.55
|
|
Pregnancy associated plasma protein-a
|
$83.49 |
$83.49 |
$83.49 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$6,425.10 |
$6,425.10 |
$6,425.10 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$6,425.10 |
$6,425.10 |
$6,425.10 |
$541.45
|
|
Pretreat rbc absorption reference
|
$80.00 |
$80.00 |
$80.00 |
$138.60
|
|
Prgr stim/pace a/iv drug
|
$9,810.15 |
$9,810.15 |
$9,810.15 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$498.84 |
$498.84 |
$498.84 |
$666.10
|
|
Procalcitonin
|
$165.00 |
$165.00 |
$165.00 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$143.78 |
$143.78 |
$143.78 |
$46.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$72.83 |
$72.83 |
$72.83 |
$39.59
|
|
Prostate biopsy, any mthd
|
$593.54 |
$593.54 |
$593.54 |
$555.26
|
|
Protein s total
|
$3.87 |
$3.87 |
$3.87 |
$78.87
|
|
Protein total 24 hour urine
|
$404.86 |
$404.86 |
$404.86 |
$52.50
|
|
Protein total serum plasma whole blood
|
$404.86 |
$404.86 |
$404.86 |
$42.81
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$640.09 |
$640.09 |
$640.09 |
$90.00
|
|
Pt application of modality traction mechanical
|
$499.73 |
$499.73 |
$499.73 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$2,198.57 |
$2,198.57 |
$2,198.57 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$1,466.52 |
$1,466.52 |
$1,466.52 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,831.94 |
$1,831.94 |
$1,831.94 |
$263.90
|
|
Pt re-evaluation patient/family
|
$1,172.49 |
$1,172.49 |
$1,172.49 |
$157.30
|
|
Pyridoxine hcl 100 mg
|
$107.73 |
$107.73 |
$107.73 |
$43.24
|
|
Pyruvate
|
$7.33 |
$7.33 |
$7.33 |
$65.00
|
|
Pyruvate kinase
|
$67.29 |
$67.29 |
$67.29 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$28,016.34 |
$28,016.34 |
$28,016.34 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$10,471.34 |
$10,471.34 |
$10,471.34 |
$1,209.44
|
|
Radiation treatment delivery
|
$2,507.00 |
$2,507.00 |
$2,507.00 |
$909.98
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$21,193.15 |
$21,193.15 |
$21,193.15 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$18,537.20 |
$18,537.20 |
$18,537.20 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$10,668.57 |
$10,668.57 |
$10,668.57 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$12,443.64 |
$12,443.64 |
$12,443.64 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$4,620.99 |
$4,620.99 |
$4,620.99 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$0.25 |
$0.25 |
$0.25 |
$16,029.45
|
|
Rapid Strep Test
|
$687.87 |
$687.87 |
$687.87 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,325.07 |
$4,325.07 |
$4,325.07 |
$3,184.20
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$783.72 |
$783.72 |
$783.72 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,864.71
|
|
Renal function panel
|
$1,479.41 |
$1,479.41 |
$1,479.41 |
$110.10
|
|
Reptilase test
|
$130.00 |
$130.00 |
$130.00 |
$65.65
|
|
Reticulocyte automated
|
$611.31 |
$611.31 |
$611.31 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$401.63 |
$401.63 |
$401.63 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$317.56 |
$317.56 |
$317.56 |
$170.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$461.70 |
$461.70 |
$461.70 |
$539.70
|
|
Ring ostmy barr adapt 48mm
|
$5.89 |
$5.89 |
$5.89 |
$5.97
|
|
Rp loclzj tum 2+area 1+d img
|
$21,671.10 |
$21,671.10 |
$21,671.10 |
$1,458.95
|
|
Salmonella antibody
|
$40.00 |
$40.00 |
$40.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$76.92 |
$76.92 |
$76.92 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$6,082.67 |
$6,082.67 |
$6,082.67 |
$1,012.55
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$12,634.82 |
$12,634.82 |
$12,634.82 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$6,949.03 |
$6,949.03 |
$6,949.03 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$11,082.39 |
$11,082.39 |
$11,082.39 |
$1,006.85
|
|
Screening Mammogram
|
$492.47 |
$492.47 |
$492.47 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$581.27 |
$581.27 |
$581.27 |
$44.20
|
|
Semen analysis w/count
|
$615.54 |
$615.54 |
$615.54 |
$56.44
|
|
Shuntogram nonvascular supervision & interpretation
|
$4,041.40 |
$4,041.40 |
$4,041.40 |
$345.00
|
|
Sialography s&i
|
$2,184.05 |
$2,184.05 |
$2,184.05 |
$462.40
|
|
Signal avg ecg w or without ecg 93278
|
$3,428.60 |
$3,428.60 |
$3,428.60 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$872.05 |
$872.05 |
$872.05 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$20,779.42 |
$20,779.42 |
$20,779.42 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$17,720.27 |
$17,720.27 |
$17,720.27 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$15,541.99 |
$15,541.99 |
$15,541.99 |
$1,279.50
|
|
Sleep Study (Polysomnography)
|
$33,448.03 |
$33,448.03 |
$33,448.03 |
$3,936.80
|
|
Smear nasal eosinophil
|
$855.82 |
$855.82 |
$855.82 |
$49.50
|
|
Smear wet mount
|
$536.01 |
$536.01 |
$536.01 |
$68.63
|
|
Sodium 24 hour urine
|
$432.36 |
$432.36 |
$432.36 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$38.25 |
$38.25 |
$38.25 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$153.50 |
$153.50 |
$153.50 |
$51.51
|
|
Sodium chloride 3 % ivpb
|
$75.00 |
$75.00 |
$75.00 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$514.47 |
$514.47 |
$514.47 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$444.20 |
$444.20 |
$444.20 |
$42.70
|
|
Specific gravity body fluid
|
$340.13 |
$340.13 |
$340.13 |
$23.63
|
|
Specimen fat stain
|
$3.95 |
$3.95 |
$3.95 |
$32.76
|
|
Sperm antibody test
|
$50.60 |
$50.60 |
$50.60 |
$56.44
|
|
Sperm isolation simple
|
$615.54 |
$615.54 |
$615.54 |
$104.80
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$4,346.32 |
$4,346.32 |
$4,346.32 |
$559.96
|
|
Spleen imaging
|
$5,655.54 |
$5,655.54 |
$5,655.54 |
$539.70
|
|
St analysis behavior qualitative voice/resonance
|
$1,497.98 |
$1,497.98 |
$1,497.98 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$1,497.98 |
$1,497.98 |
$1,497.98 |
$313.96
|
|
St evaluate speech sound production
|
$1,497.98 |
$1,497.98 |
$1,497.98 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$517.88 |
$517.88 |
$517.88 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,927.53 |
$1,927.53 |
$1,927.53 |
$406.40
|