|
Pentostatin 10 mg intravenous solution
|
$25,438.00 |
$25,438.00 |
$25,438.00 |
$5,020.05
|
|
Pertussis ag if
|
$79.00 |
$79.00 |
$79.00 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$60,436.00 |
$60,436.00 |
$60,436.00 |
$18,443.20
|
|
Pet CT skull-mid thgh initial
|
$17,173.00 |
$17,173.00 |
$17,173.00 |
$4,850.00
|
|
Pet CT whole body initial
|
$17,173.00 |
$17,173.00 |
$17,173.00 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$13,737.00 |
$13,737.00 |
$13,737.00 |
$3,504.60
|
|
Pet image w/ct lmtd
|
$17,173.00 |
$17,173.00 |
$17,173.00 |
$4,422.60
|
|
Phentolaine mesylate inj
|
$628.00 |
$628.00 |
$628.00 |
$961.38
|
|
Phosphorus 24 hour urine
|
$78.00 |
$78.00 |
$78.00 |
$42.81
|
|
Pinworm exam
|
$78.00 |
$78.00 |
$78.00 |
$39.75
|
|
Placement occlusive device venous/arterial access site post procedure
|
$3,281.00 |
$3,281.00 |
$3,281.00 |
$555.33
|
|
Placental lactogen
|
$167.00 |
$167.00 |
$167.00 |
$143.67
|
|
Plethysmography lung volumes/airway resistance
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$408.00
|
|
Pm device progr eval dual
|
$131.00 |
$131.00 |
$131.00 |
$149.15
|
|
Pm device progr eval multi
|
$131.00 |
$131.00 |
$131.00 |
$167.70
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$16,047.00 |
$16,047.00 |
$16,047.00 |
$4,293.60
|
|
Powder prem protct 1oz
|
$21.00 |
$21.00 |
$21.00 |
$5.20
|
|
Pq biliary strict dil s&i
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$984.40
|
|
Pq dr cath chg w cont s&i
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$539.00 |
$539.00 |
$539.00 |
$366.31
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$122.00 |
$122.00 |
$122.00 |
$48.71
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$33.00 |
$33.00 |
$33.00 |
$18.28
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$140.00 |
$140.00 |
$140.00 |
$139.80
|
|
Pretreat rbc absorption reference
|
$132.00 |
$132.00 |
$132.00 |
$137.80
|
|
Pretreat rbc density gradient separation reference
|
$182.00 |
$182.00 |
$182.00 |
$189.67
|
|
Pretreat rbc w chem/drugs reference
|
$98.00 |
$98.00 |
$98.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$124.00 |
$124.00 |
$124.00 |
$164.99
|
|
Prgrmg dev eval pm/ldls pm
|
$131.00 |
$131.00 |
$131.00 |
$140.80
|
|
Prgrmg eval implantable dfb
|
$131.00 |
$131.00 |
$131.00 |
$151.45
|
|
Prgrmg eval implantable dfb
|
$131.00 |
$131.00 |
$131.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$131.00 |
$131.00 |
$131.00 |
$205.14
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$693.00 |
$693.00 |
$693.00 |
$587.52
|
|
Procalcitonin
|
$273.00 |
$273.00 |
$273.00 |
$142.47
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$253.00 |
$253.00 |
$253.00 |
$46.39
|
|
Progesterone
|
$91.00 |
$91.00 |
$91.00 |
$100.93
|
|
Promethazine hcl injection
|
$116.00 |
$116.00 |
$116.00 |
$29.21
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$188.00 |
$188.00 |
$188.00 |
$39.59
|
|
Protein s total
|
$91.00 |
$91.00 |
$91.00 |
$78.77
|
|
Prothrombin time substitution plasma fractions each
|
$688.00 |
$688.00 |
$688.00 |
$39.60
|
|
Pt application of modality traction mechanical
|
$530.00 |
$530.00 |
$530.00 |
$92.22
|
|
Pt evaluation high complexity patient/family
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$300.13
|
|
Pt evaluation low complexity patient/family
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$226.85
|
|
Pt evaluation moderate complexity patient/family
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$264.00
|
|
Pt re-evaluation patient/family
|
$735.00 |
$735.00 |
$735.00 |
$162.29
|
|
Pulse ox continuous overnight monitoring
|
$326.00 |
$326.00 |
$326.00 |
$360.60
|
|
Pulse ox single
|
$326.00 |
$326.00 |
$326.00 |
$88.80
|
|
Pyridoxine hcl 100 mg
|
$131.00 |
$131.00 |
$131.00 |
$43.24
|
|
Pyruvate
|
$96.00 |
$96.00 |
$96.00 |
$65.00
|
|
Pyruvate kinase
|
$68.50 |
$68.50 |
$68.50 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$3,336.00 |
$3,336.00 |
$3,336.00 |
$1,210.55
|
|
Quest t3 uptake
|
$427.00 |
$427.00 |
$427.00 |
$57.12
|
|
Rabies ig heat-treated human im/subq 90376
|
$2,789.00 |
$2,789.00 |
$2,789.00 |
$1,059.01
|
|
Radiation therapy dose plan
|
$2,543.00 |
$2,543.00 |
$2,543.00 |
$530.53
|
|
Radiation treatment delivery
|
$3,322.00 |
$3,322.00 |
$3,322.00 |
$552.40
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,363.00 |
$2,363.00 |
$2,363.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,502.00 |
$3,502.00 |
$3,502.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,141.00 |
$4,141.00 |
$4,141.00 |
$2,315.52
|
|
Radphm lcl tumor plr sgl day
|
$3,100.00 |
$3,100.00 |
$3,100.00 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$16,811.00 |
$16,811.00 |
$16,811.00 |
$16,564.02
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,778.00 |
$2,778.00 |
$2,778.00 |
$644.62
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,864.71
|
|
Renal cyst study s&i
|
$3,352.00 |
$3,352.00 |
$3,352.00 |
$648.84
|
|
Renal venogram bil s&i
|
$3,431.00 |
$3,431.00 |
$3,431.00 |
$3,486.86
|
|
Reptilase test
|
$126.00 |
$126.00 |
$126.00 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$48.00 |
$48.00 |
$48.00 |
$44.80
|
|
Reteplase injection
|
$29,501.00 |
$29,501.00 |
$29,501.00 |
$3,155.69
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$3,882.00 |
$3,882.00 |
$3,882.00 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$508.00 |
$508.00 |
$508.00 |
$186.03
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$512.16
|
|
Ring barrier skin cx 1 9/16 adapt
|
$66.00 |
$66.00 |
$66.00 |
$10.02
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$10,236.00 |
$10,236.00 |
$10,236.00 |
$9,687.21
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$775.42 |
$775.42 |
$775.42 |
$5,595.73
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$657.31 |
$657.31 |
$657.31 |
$7,683.91
|
|
Rotavirus antibody
|
$55.00 |
$55.00 |
$55.00 |
$38.40
|
|
Sargramostim injection
|
$624.00 |
$624.00 |
$624.00 |
$451.34
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$1,005.55
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,579.00 |
$1,579.00 |
$1,579.00 |
$589.60
|
|
Screening Mammogram
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$298.85
|
|
Sc ther infusion reset pump
|
$126.00 |
$126.00 |
$126.00 |
$128.52
|
|
Sertraline (zoloft) - sendout
|
$64.00 |
$64.00 |
$64.00 |
$178.33
|
|
Sialography s&i
|
$3,110.00 |
$3,110.00 |
$3,110.00 |
$452.40
|
|
Sincalide 5 mcg solution for injection
|
$539.00 |
$539.00 |
$539.00 |
$412.96
|
|
Sinus/juglr venogram s&i
|
$8,355.00 |
$8,355.00 |
$8,355.00 |
$2,489.25
|
|
Sirolimus, oral
|
$135.00 |
$135.00 |
$135.00 |
$33.76
|
|
Sleep Study (Polysomnography)
|
$16,047.00 |
$16,047.00 |
$16,047.00 |
$3,920.95
|
|
Smear nasal eosinophil
|
$252.00 |
$252.00 |
$252.00 |
$50.00
|
|
Sodium chloride 0.9 % intravenous solution
|
$475.00 |
$475.00 |
$475.00 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$475.00 |
$475.00 |
$475.00 |
$49.63
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$624.00 |
$624.00 |
$624.00 |
$104.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$559.30
|
|
Sputum specimen collection
|
$180.00 |
$180.00 |
$180.00 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$32,863.00 |
$32,863.00 |
$32,863.00 |
$4,588.65
|
|
St analysis behavior qualitative voice/resonance
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$304.59
|
|
St evaluate speech sound production
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$310.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$395.50
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$408.60
|
|
St evaluation swallow function
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$337.65
|
|
Strep b assay w/optic
|
$838.00 |
$838.00 |
$838.00 |
$32.00
|
|
Streptomycin injection
|
$224.00 |
$224.00 |
$224.00 |
$99.99
|
