|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$21,203.00 |
$21,203.00 |
$21,203.00 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$24,927.00 |
$24,927.00 |
$24,927.00 |
$1,590.00
|
|
Novachor 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$119.50
|
|
Nuclear Stress Test (Heart)
|
$25,404.00 |
$25,404.00 |
$25,404.00 |
$3,859.98
|
|
Nushield 1 square cm
|
$1.00 |
$1.00 |
$1.00 |
$931.43
|
|
Occupational Therapy Evaluation (high complexity)
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$499.00 |
$499.00 |
$499.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$982.00 |
$982.00 |
$982.00 |
$263.90
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$24,547.00 |
$24,547.00 |
$24,547.00 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$108.00 |
$108.00 |
$108.00 |
$109.62
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$435.00 |
$435.00 |
$435.00 |
$22.62
|
|
Osmolality blood
|
$828.00 |
$828.00 |
$828.00 |
$70.85
|
|
Osmolality urine
|
$856.00 |
$856.00 |
$856.00 |
$65.52
|
|
Ot re-evaluation patient/family
|
$268.00 |
$268.00 |
$268.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$461.00 |
$461.00 |
$461.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$461.00 |
$461.00 |
$461.00 |
$93.12
|
|
Oxytocin 10 unit/ml injection solution
|
$72.00 |
$72.00 |
$72.00 |
$50.40
|
|
Palingen or palingen xplus
|
$1.00 |
$1.00 |
$1.00 |
$171.12
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$340.00 |
$340.00 |
$340.00 |
$123.55
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$13.00 |
$13.00 |
$13.00 |
$28.90
|
|
Parathormone (pth) intact
|
$16.80 |
$16.80 |
$16.80 |
$206.18
|
|
Parathyroid planar imaging
|
$8,862.00 |
$8,862.00 |
$8,862.00 |
$1,126.00
|
|
Pelvic MRI (with and without contrast)
|
$5,030.00 |
$5,030.00 |
$5,030.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,364.00 |
$4,364.00 |
$4,364.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$6,345.00 |
$6,345.00 |
$6,345.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$430.80
|
|
Pelvis X-ray (complete, 4 or more views)
|
$5,659.00 |
$5,659.00 |
$5,659.00 |
$351.75
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$134.00 |
$134.00 |
$134.00 |
$97.85
|
|
Pentamidine 300 mg solution for injection
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$572.10
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$314.88 |
$314.88 |
$314.88 |
$332.84
|
|
Ph body fluid
|
$519.00 |
$519.00 |
$519.00 |
$42.00
|
|
Phencyclidine (pcp)
|
$37.50 |
$37.50 |
$37.50 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$1,658.00 |
$1,658.00 |
$1,658.00 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,513.00 |
$1,513.00 |
$1,513.00 |
$1,028.40
|
|
Phenylep ketorolac opth soln
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$934.56
|
|
Phenytoin total therapeutic drug level
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$111.27
|
|
Phosphorus 24 hour urine
|
$257.00 |
$257.00 |
$257.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$657.00 |
$657.00 |
$657.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$351.00 |
$351.00 |
$351.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$119.00 |
$119.00 |
$119.00 |
$90.25
|
|
Plethysmography lung volumes/airway resistance
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$408.05
|
|
Potassium 24 hour urine
|
$406.00 |
$406.00 |
$406.00 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$129.00 |
$129.00 |
$129.00 |
$47.85
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$81.00 |
$81.00 |
$81.00 |
$48.00
|
|
Prealbumin
|
$847.00 |
$847.00 |
$847.00 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$41.00 |
$41.00 |
$41.00 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,840.00 |
$3,840.00 |
$3,840.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$3,840.00 |
$3,840.00 |
$3,840.00 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$459.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$93.00 |
$93.00 |
$93.00 |
$161.40
|
|
Pretreat rbc absorption reference
|
$186.00 |
$186.00 |
$186.00 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$68.00 |
$68.00 |
$68.00 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$74.00 |
$74.00 |
$74.00 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$68.00 |
$68.00 |
$68.00 |
$168.50
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$273.00 |
$273.00 |
$273.00 |
$38.48
|
|
Progenamatrix, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Progesterone
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$116.00
|
|
Prolactin
|
$126.86 |
$126.86 |
$126.86 |
$123.50
|
|
Promethazine hcl injection
|
$102.00 |
$102.00 |
$102.00 |
$12.37
|
|
_propoxygc/msur
|
$45.90 |
$45.90 |
$45.90 |
$95.55
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$33.31
|
|
Protein electrophoretic fractionation & quantitation serum
|
$934.00 |
$934.00 |
$934.00 |
$84.00
|
|
Protein s total
|
$18.00 |
$18.00 |
$18.00 |
$85.10
|
|
Protein total 24 hour urine
|
$181.00 |
$181.00 |
$181.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$206.00 |
$206.00 |
$206.00 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$63.00 |
$63.00 |
$63.00 |
$42.00
|
|
Pt application of modality traction mechanical
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$91.80
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$411.00 |
$411.00 |
$411.00 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$711.00 |
$711.00 |
$711.00 |
$80.30
|
|
Pulse ox multiple
|
$494.00 |
$494.00 |
$494.00 |
$157.30
|
|
Pulse ox single
|
$582.00 |
$582.00 |
$582.00 |
$84.00
|
|
Puraply 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$301.80
|
|
Puraply xt 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$151.20
|
|
Quest t3 uptake
|
$15.75 |
$15.75 |
$15.75 |
$53.20
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$6,984.00 |
$6,984.00 |
$6,984.00 |
$2,051.70
|
|
Radphm lcl tomogr sgl area sgl day
|
$9,654.00 |
$9,654.00 |
$9,654.00 |
$2,242.80
|
|
Rbc count only automated
|
$189.00 |
$189.00 |
$189.00 |
$20.40
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,416.00 |
$2,416.00 |
$2,416.00 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$1,555.39
|
|
Renal function panel
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$114.37
|
|
Repriza, 1cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Restorigin 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$171.12
|
|
Reticulocyte automated
|
$273.00 |
$273.00 |
$273.00 |
$53.00
|
|
Revitalon 1 square cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Revita, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$389.83
|
|
Rheumatoid factor quantitative
|
$642.00 |
$642.00 |
$642.00 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$431.00 |
$431.00 |
$431.00 |
$234.12
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$295.00 |
$295.00 |
$295.00 |
$455.01
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$158.00 |
$158.00 |
$158.00 |
$188.16
|
|
Rp loclzj tum 2+area 1+d img
|
$11,297.00 |
$11,297.00 |
$11,297.00 |
$1,310.00
|
|
Russell viper venom diluted
|
$24.00 |
$24.00 |
$24.00 |
$73.03
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$4,438.00 |
$4,438.00 |
$4,438.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$5,028.00 |
$5,028.00 |
$5,028.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$5,155.00 |
$5,155.00 |
$5,155.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$597.35
|
