|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.90 |
$18.90 |
$18.90 |
$44.25
|
|
Parathyroid planar imaging
|
$3,563.24 |
$3,563.24 |
$3,563.24 |
$1,166.00
|
|
Passy muir valve metal trach
|
$248.11 |
$248.11 |
$248.11 |
$241.20
|
|
Paste skin barrier .5oz adapt
|
$805.90 |
$805.90 |
$805.90 |
$7.00
|
|
Pelvic CT scan (with and without contrast)
|
$20,060.07 |
$20,060.07 |
$20,060.07 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$18,659.07 |
$18,659.07 |
$18,659.07 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$17,282.66 |
$17,282.66 |
$17,282.66 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$8,522.88 |
$8,522.88 |
$8,522.88 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$6,860.46 |
$6,860.46 |
$6,860.46 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$6,596.59 |
$6,596.59 |
$6,596.59 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$3,597.96 |
$3,597.96 |
$3,597.96 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$803.36 |
$803.36 |
$803.36 |
$445.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$36,357.14 |
$36,357.14 |
$36,357.14 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$730.96 |
$730.96 |
$730.96 |
$643.59
|
|
Penile vascular study
|
$1,367.39 |
$1,367.39 |
$1,367.39 |
$561.00
|
|
Pentobarbital sodium inj
|
$218.30 |
$218.30 |
$218.30 |
$167.64
|
|
Perit-vens shunt pat tst
|
$6,335.75 |
$6,335.75 |
$6,335.75 |
$695.40
|
|
Perq transcath closure each
|
$37,609.20 |
$37,609.20 |
$37,609.20 |
$10,244.02
|
|
Perq transcath cls aortic
|
$82,438.98 |
$82,438.98 |
$82,438.98 |
$22,633.26
|
|
Pet image full body
|
$3,691.78 |
$3,691.78 |
$3,691.78 |
$4,795.47
|
|
Pet image skull-thigh
|
$6,338.37 |
$6,338.37 |
$6,338.37 |
$4,247.10
|
|
Ph body fluid
|
$1,514.06 |
$1,514.06 |
$1,514.06 |
$39.20
|
|
Phentolaine mesylate inj
|
$1,216.13 |
$1,216.13 |
$1,216.13 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$2,537.85 |
$2,537.85 |
$2,537.85 |
$111.27
|
|
Platelet automated
|
$1,653.08 |
$1,653.08 |
$1,653.08 |
$44.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$15,731.06 |
$15,731.06 |
$15,731.06 |
$4,293.60
|
|
Potassium 24 hour urine
|
$1,688.78 |
$1,688.78 |
$1,688.78 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$1,810.88 |
$1,810.88 |
$1,810.88 |
$44.64
|
|
Pouch uros new (both sides) 2.75in clr
|
$5.01 |
$5.01 |
$5.01 |
$14.48
|
|
Pq dr cath chg w cont s&i
|
$1,775.50 |
$1,775.50 |
$1,775.50 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$1,374.82 |
$1,374.82 |
$1,374.82 |
$374.55
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$594.59 |
$594.59 |
$594.59 |
$356.40
|
|
Prealbumin
|
$428.30 |
$428.30 |
$428.30 |
$87.20
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,926.96 |
$3,926.96 |
$3,926.96 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$3,926.96 |
$3,926.96 |
$3,926.96 |
$541.45
|
|
Pretreat rbc absorption reference
|
$830.30 |
$830.30 |
$830.30 |
$138.60
|
|
Prgr stim/pace a/iv drug
|
$8,383.17 |
$8,383.17 |
$8,383.17 |
$4,889.30
|
|
Procalcitonin
|
$281.88 |
$281.88 |
$281.88 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$46.31 |
$46.31 |
$46.31 |
$46.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$111.35 |
$111.35 |
$111.35 |
$39.59
|
|
Protein s total
|
$16.20 |
$16.20 |
$16.20 |
$78.87
|
|
Protein total 24 hour urine
|
$1,576.06 |
$1,576.06 |
$1,576.06 |
$52.50
|
|
Protein total serum plasma whole blood
|
$1,576.06 |
$1,576.06 |
$1,576.06 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$2,032.53 |
$2,032.53 |
$2,032.53 |
$37.05
|
|
Pulmonary vent imaging
|
$7,729.41 |
$7,729.41 |
$7,729.41 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$128.99 |
$128.99 |
$128.99 |
$43.24
|
|
Quant diff pulm perf and vent w/imaging
|
$4,575.13 |
$4,575.13 |
$4,575.13 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$7,729.41 |
$7,729.41 |
$7,729.41 |
$1,209.44
|
|
Rabies ig heat-treated human im/subq 90376
|
$2,177.69 |
$2,177.69 |
$2,177.69 |
$1,059.01
|
|
Radiation therapy dose plan
|
$1,517.22 |
$1,517.22 |
$1,517.22 |
$530.53
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$7,862.84 |
$7,862.84 |
$7,862.84 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$19,618.82 |
$19,618.82 |
$19,618.82 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$5,283.08 |
$5,283.08 |
$5,283.08 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$4,056.22 |
$4,056.22 |
$4,056.22 |
$1,139.40
|
|
Rapid Strep Test
|
$1,425.78 |
$1,425.78 |
$1,425.78 |
$74.10
|
|
Rbc count only automated
|
$2.16 |
$2.16 |
$2.16 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$249.35 |
$249.35 |
$249.35 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,864.71
|
|
Remove esophagus obstruction
|
$2,970.33 |
$2,970.33 |
$2,970.33 |
$351.20
|
|
Renal function panel
|
$2,257.95 |
$2,257.95 |
$2,257.95 |
$110.10
|
|
Renal venogram bil s&i
|
$23,040.49 |
$23,040.49 |
$23,040.49 |
$3,615.28
|
|
Reticulocyte automated
|
$2,599.84 |
$2,599.84 |
$2,599.84 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$2,599.84 |
$2,599.84 |
$2,599.84 |
$33.57
|
|
Rheumatoid factor quantitative
|
$1,155.29 |
$1,155.29 |
$1,155.29 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$929.25 |
$929.25 |
$929.25 |
$255.26
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$461.70 |
$461.70 |
$461.70 |
$539.70
|
|
Rp loclzj tum 2+area 1+d img
|
$6,904.08 |
$6,904.08 |
$6,904.08 |
$1,458.95
|
|
Sarscov coronavirus ag ia
|
$148.61 |
$148.61 |
$148.61 |
$60.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,503.44 |
$1,503.44 |
$1,503.44 |
$589.60
|
|
Sedimentation rate erythrocyte automated
|
$976.82 |
$976.82 |
$976.82 |
$44.20
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,060.83 |
$1,060.83 |
$1,060.83 |
$345.00
|
|
Sialography s&i
|
$3,943.70 |
$3,943.70 |
$3,943.70 |
$462.40
|
|
Sickling rbc
|
$2.16 |
$2.16 |
$2.16 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$1,025.07 |
$1,025.07 |
$1,025.07 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$925.00 |
$925.00 |
$925.00 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$21,795.70 |
$21,795.70 |
$21,795.70 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$20,415.51 |
$20,415.51 |
$20,415.51 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$19,029.63 |
$19,029.63 |
$19,029.63 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$11,075.46 |
$11,075.46 |
$11,075.46 |
$2,489.25
|
|
Sleep Study (Polysomnography)
|
$13,956.86 |
$13,956.86 |
$13,956.86 |
$3,936.80
|
|
Sleep study unattended
|
$11,450.66 |
$11,450.66 |
$11,450.66 |
$595.50
|
|
Slp pure tone screening
|
$118.70 |
$118.70 |
$118.70 |
$67.60
|
|
Smear nasal eosinophil
|
$2,214.76 |
$2,214.76 |
$2,214.76 |
$49.50
|
|
Smear wet mount
|
$1,453.96 |
$1,453.96 |
$1,453.96 |
$68.63
|
|
Sodium 24 hour urine
|
$1,688.78 |
$1,688.78 |
$1,688.78 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$17.75 |
$17.75 |
$17.75 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$17.75 |
$17.75 |
$17.75 |
$51.51
|
|
Sodium chloride 3 % ivpb
|
$114.95 |
$114.95 |
$114.95 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$55.08 |
$55.08 |
$55.08 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$70.86 |
$70.86 |
$70.86 |
$42.70
|
|
Somatosensory testing
|
$2,349.12 |
$2,349.12 |
$2,349.12 |
$583.80
|
|
Specific gravity body fluid
|
$1,314.94 |
$1,314.94 |
$1,314.94 |
$23.63
|
|
Speech evaluation complex
|
$2,285.44 |
$2,285.44 |
$2,285.44 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$6,230.66 |
$6,230.66 |
$6,230.66 |
$559.96
|
|
Split blood or products
|
$135.30 |
$135.30 |
$135.30 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$8,371.88 |
$8,371.88 |
$8,371.88 |
$4,588.65
|
|
St analysis behavior qualitative voice/resonance
|
$1,142.04 |
$1,142.04 |
$1,142.04 |
$300.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$21.25 |
$21.25 |
$21.25 |
$49.13
|
|
Sugars single quant
|
$29.70 |
$29.70 |
$29.70 |
$52.47
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,343.95 |
$1,343.95 |
$1,343.95 |
$91.67
|