|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$82.00 |
$82.00 |
$82.00 |
$38.06
|
|
Parathormone (pth) intact
|
$4.80 |
$4.80 |
$4.80 |
$200.23
|
|
Parathyroid planar imaging
|
$16,067.83 |
$16,067.83 |
$16,067.83 |
$1,159.15
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$788.00 |
$788.00 |
$788.00 |
$633.84
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$298.00 |
$298.00 |
$298.00 |
$94.08
|
|
Peritoneogram rs&i
|
$5,329.20 |
$5,329.20 |
$5,329.20 |
$648.84
|
|
Perphenazine 4mg oral
|
$13.00 |
$13.00 |
$13.00 |
$12.75
|
|
Pet CT skull-mid thgh initial
|
$18,235.91 |
$18,235.91 |
$18,235.91 |
$4,854.75
|
|
Pet CT whole body initial
|
$20,263.87 |
$20,263.87 |
$20,263.87 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$15,075.39 |
$15,075.39 |
$15,075.39 |
$3,517.92
|
|
Phencyclidine (pcp)
|
$14.70 |
$14.70 |
$14.70 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$1,209.88 |
$1,209.88 |
$1,209.88 |
$104.50
|
|
Phentolaine mesylate inj
|
$688.00 |
$688.00 |
$688.00 |
$973.85
|
|
Phenytoin total therapeutic drug level
|
$2,060.39 |
$2,060.39 |
$2,060.39 |
$111.27
|
|
Phlebotomy therapeutic
|
$525.12 |
$525.12 |
$525.12 |
$249.00
|
|
Phosphorus
|
$594.96 |
$594.96 |
$594.96 |
$47.81
|
|
Phosphorus 24 hour urine
|
$6.59 |
$6.59 |
$6.59 |
$42.81
|
|
Platelet automated
|
$814.57 |
$814.57 |
$814.57 |
$44.00
|
|
Pm device progr eval dual
|
$1,263.12 |
$1,263.12 |
$1,263.12 |
$148.65
|
|
Potassium serum/plasma/whole blood
|
$722.73 |
$722.73 |
$722.73 |
$45.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$4.91 |
$4.91 |
$4.91 |
$4.67
|
|
Pq biliary strict dil s&i
|
$5,719.11 |
$5,719.11 |
$5,719.11 |
$999.17
|
|
Pq dr cath chg w cont s&i
|
$3,686.19 |
$3,686.19 |
$3,686.19 |
$711.36
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$189.92 |
$189.92 |
$189.92 |
$48.71
|
|
Prealbumin
|
$141.10 |
$141.10 |
$141.10 |
$87.10
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$33.00 |
$33.00 |
$33.00 |
$17.00
|
|
Pressure max expiratory/inspiratory
|
$626.90 |
$626.90 |
$626.90 |
$252.85
|
|
Prgr stim/pace a/iv drug
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$249.00 |
$249.00 |
$249.00 |
$633.52
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$51.00 |
$51.00 |
$51.00 |
$46.61
|
|
Prochlorperazine maleate 5 mg tablet
|
$8.00 |
$8.00 |
$8.00 |
$4.25
|
|
Progesterone
|
$171.01 |
$171.01 |
$171.01 |
$104.40
|
|
Prolactin
|
$918.39 |
$918.39 |
$918.39 |
$127.40
|
|
Promethazine hcl injection
|
$24.00 |
$24.00 |
$24.00 |
$33.17
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$139.00 |
$139.00 |
$139.00 |
$39.59
|
|
Prostate biopsy, any mthd
|
$3,669.57 |
$3,669.57 |
$3,669.57 |
$585.39
|
|
Protein c activity
|
$141.10 |
$141.10 |
$141.10 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$158.18 |
$158.18 |
$158.18 |
$85.80
|
|
Protein s total
|
$4.97 |
$4.97 |
$4.97 |
$78.87
|
|
Protein total 24 hour urine
|
$1,136.67 |
$1,136.67 |
$1,136.67 |
$52.50
|
|
Protein total serum plasma whole blood
|
$600.28 |
$600.28 |
$600.28 |
$42.81
|
|
Prothrombin complex kcentra
|
$11.00 |
$11.00 |
$11.00 |
$6.03
|
|
PSA (Prostate) Test
|
$451.21 |
$451.21 |
$451.21 |
$108.27
|
|
Psychotherapy patient individual therapy 30 minutes
|
$385.00 |
$385.00 |
$385.00 |
$199.81
|
|
Psychotherapy patient individual therapy 45 minutes
|
$577.00 |
$577.00 |
$577.00 |
$266.25
|
|
Psytx pt w/e&m 16-37 min
|
$385.00 |
$385.00 |
$385.00 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$577.00 |
$577.00 |
$577.00 |
$158.40
|
|
Pulmonary vent imaging
|
$10,150.21 |
$10,150.21 |
$10,150.21 |
$841.26
|
|
Quant diff pulm perf and vent w/imaging
|
$10,484.29 |
$10,484.29 |
$10,484.29 |
$1,522.89
|
|
Quant diff pulm perf w/imaging
|
$10,484.29 |
$10,484.29 |
$10,484.29 |
$1,209.44
|
|
Quest t3 uptake
|
$451.21 |
$451.21 |
$451.21 |
$56.10
|
|
Radiation therapy dose plan
|
$1,248.05 |
$1,248.05 |
$1,248.05 |
$530.53
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$10,944.81 |
$10,944.81 |
$10,944.81 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$835.87 |
$835.87 |
$835.87 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$8,360.01 |
$8,360.01 |
$8,360.01 |
$2,379.29
|
|
Radphm lcl tumor plr sgl day
|
$5,104.39 |
$5,104.39 |
$5,104.39 |
$1,126.32
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$674.98
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,607.00 |
$1,607.00 |
$1,607.00 |
$1,864.71
|
|
Renal venogram bil s&i
|
$36,588.73 |
$36,588.73 |
$36,588.73 |
$3,615.28
|
|
#resp virpnl dfa-adenovirus
|
$705.44 |
$705.44 |
$705.44 |
$48.00
|
|
Resp virus 6-11 targets
|
$10,320.93 |
$10,320.93 |
$10,320.93 |
$363.38
|
|
Reticulocyte automated
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$54.60
|
|
Rheumatoid factor qualitative
|
$597.62 |
$597.62 |
$597.62 |
$54.60
|
|
Rheumatoid factor quantitative
|
$766.66 |
$766.66 |
$766.66 |
$58.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$843.00 |
$843.00 |
$843.00 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$643.00 |
$643.00 |
$643.00 |
$186.03
|
|
Rho d immune globulin inj
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,742.00 |
$1,742.00 |
$1,742.00 |
$550.10
|
|
Right ventric recording
|
$6,452.69 |
$6,452.69 |
$6,452.69 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$6.73 |
$6.73 |
$6.73 |
$5.97
|
|
Russell viper venom diluted
|
$517.32 |
$517.32 |
$517.32 |
$72.54
|
|
Sarscov coronavirus ag ia
|
$62.56 |
$62.56 |
$62.56 |
$60.40
|
|
Screen cerv/vag thin layer
|
$449.88 |
$449.88 |
$449.88 |
$39.51
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$547.26 |
$547.26 |
$547.26 |
$27.44
|
|
Screening Mammogram
|
$592.30 |
$592.30 |
$592.30 |
$299.01
|
|
Screening prostate cancer PSA
|
$451.21 |
$451.21 |
$451.21 |
$81.31
|
|
Screen pap by tech w md supv
|
$128.26 |
$128.26 |
$128.26 |
$27.65
|
|
Sc ther infusion reset pump
|
$431.74 |
$431.74 |
$431.74 |
$128.52
|
|
Sedimentation rate erythrocyte automated
|
$698.78 |
$698.78 |
$698.78 |
$44.20
|
|
Serpina1 gene
|
$162.90 |
$162.90 |
$162.90 |
$193.52
|
|
Sialography s&i
|
$4,153.06 |
$4,153.06 |
$4,153.06 |
$458.15
|
|
Sickling rbc
|
$4.32 |
$4.32 |
$4.32 |
$54.00
|
|
Signal avg ecg w or without ecg 93278
|
$430.76 |
$430.76 |
$430.76 |
$310.05
|
|
Sincalide 5 mcg solution for injection
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$412.96
|
|
Sinus/juglr venogram s&i
|
$12,977.35 |
$12,977.35 |
$12,977.35 |
$2,489.25
|
|
Smear nasal eosinophil
|
$654.85 |
$654.85 |
$654.85 |
$50.00
|
|
Sodium 24 hour urine
|
$722.73 |
$722.73 |
$722.73 |
$48.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$673.00 |
$673.00 |
$673.00 |
$104.98
|
|
Sodium serum/plasma/whole blood
|
$714.75 |
$714.75 |
$714.75 |
$43.00
|
|
Special physics consult
|
$1,936.22 |
$1,936.22 |
$1,936.22 |
$703.62
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,758.25 |
$1,758.25 |
$1,758.25 |
$559.30
|
|
St analysis behavior qualitative voice/resonance
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$302.00
|
|
St evaluate speech sound production
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$302.40
|
|
Strep a ag ia
|
$433.91 |
$433.91 |
$433.91 |
$75.40
|
|
Streptomycin injection
|
$200.00 |
$200.00 |
$200.00 |
$100.00
|
|
Stress test pulmonary
|
$666.83 |
$666.83 |
$666.83 |
$325.60
|
|
Stress tte complete
|
$10,930.17 |
$10,930.17 |
$10,930.17 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.00 |
$7.00 |
$7.00 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$399.00 |
$399.00 |
$399.00 |
$66.80
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$109.26
|