|
Neck (Cervical Spine) MRI (without contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,009.20 |
$2,009.20 |
$2,009.20 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,155.20 |
$1,155.20 |
$1,155.20 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$895.20 |
$895.20 |
$895.20 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$15.54 |
$15.54 |
$15.54 |
$56.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.14 |
$0.14 |
$0.14 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$3.26 |
$3.26 |
$3.26 |
$65.30
|
|
Nm imaging bone/joint 3 phase study
|
$2,536.40 |
$2,536.40 |
$2,536.40 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$876.40 |
$876.40 |
$876.40 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,093.60 |
$2,093.60 |
$2,093.60 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,187.60 |
$2,187.60 |
$2,187.60 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,426.80 |
$1,426.80 |
$1,426.80 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,384.40 |
$1,384.40 |
$1,384.40 |
$1,020.34
|
|
Npm1 gene
|
$120.00 |
$120.00 |
$120.00 |
$430.95
|
|
Nuclear rx IV admin
|
$1,595.60 |
$1,595.60 |
$1,595.60 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$4,977.60 |
$4,977.60 |
$4,977.60 |
$3,921.45
|
|
Nushield 1 square cm
|
$164.18 |
$164.18 |
$164.18 |
$2,342.13
|
|
Obstetrics panel
|
$35.11 |
$35.11 |
$35.11 |
$204.80
|
|
Obtaining screen pap smear
|
$20.80 |
$20.80 |
$20.80 |
$29.55
|
|
Ob Ultrasound nuchal meas 1 gest
|
$288.00 |
$288.00 |
$288.00 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$181.60 |
$181.60 |
$181.60 |
$243.29
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$13.91 |
$13.91 |
$13.91 |
$73.13
|
|
Oncoprotein her-2/neu
|
$99.48 |
$99.48 |
$99.48 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.74 |
$2.74 |
$2.74 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$12.72 |
$12.72 |
$12.72 |
$34.32
|
|
Oprelvekin injection
|
$438.17 |
$438.17 |
$438.17 |
$848.31
|
|
Oral aprepitant
|
$16.48 |
$16.48 |
$16.48 |
$374.43
|
|
Organic acids total quant ea spec
|
$12.18 |
$12.18 |
$12.18 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$20.23 |
$20.23 |
$20.23 |
$65.07
|
|
Orthopantogram
|
$160.40 |
$160.40 |
$160.40 |
$219.22
|
|
Osmolality blood
|
$43.54 |
$43.54 |
$43.54 |
$67.60
|
|
Osmolality urine
|
$52.34 |
$52.34 |
$52.34 |
$65.65
|
|
Other immunoelectrophoresis
|
$228.26 |
$228.26 |
$228.26 |
$46.40
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$5.50 |
$5.50 |
$5.50 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$21.17 |
$21.17 |
$21.17 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$41.71 |
$41.71 |
$41.71 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.33 |
$0.33 |
$0.33 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$20.75 |
$20.75 |
$20.75 |
$4,014.63
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$524.58 |
$524.58 |
$524.58 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$205.77 |
$205.77 |
$205.77 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$5.32 |
$5.32 |
$5.32 |
$44.25
|
|
Parathormone (pth) intact
|
$138.66 |
$138.66 |
$138.66 |
$200.23
|
|
Parathyroid planar imaging
|
$2,517.20 |
$2,517.20 |
$2,517.20 |
$1,166.00
|
|
Pdgfra gene
|
$200.00 |
$200.00 |
$200.00 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,293.20 |
$1,293.20 |
$1,293.20 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,382.80 |
$1,382.80 |
$1,382.80 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,009.20 |
$1,009.20 |
$1,009.20 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$698.00 |
$698.00 |
$698.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$255.20 |
$255.20 |
$255.20 |
$445.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$24.98 |
$24.98 |
$24.98 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$2.30 |
$2.30 |
$2.30 |
$100.50
|
|
Penile vascular study
|
$383.60 |
$383.60 |
$383.60 |
$561.00
|
|
Penile vascular study
|
$209.60 |
$209.60 |
$209.60 |
$460.20
|
|
Pentobarbital sodium inj
|
$37.42 |
$37.42 |
$37.42 |
$167.64
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$68.46 |
$68.46 |
$68.46 |
$321.71
|
|
Ph body fluid
|
$18.92 |
$18.92 |
$18.92 |
$39.20
|
|
Phencyclidine (pcp)
|
$53.57 |
$53.57 |
$53.57 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$73.03 |
$73.03 |
$73.03 |
$104.50
|
|
Phentolaine mesylate inj
|
$845.20 |
$845.20 |
$845.20 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$5.89 |
$5.89 |
$5.89 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$12.20 |
$12.20 |
$12.20 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$71.43 |
$71.43 |
$71.43 |
$111.27
|
|
Phosphorus
|
$37.36 |
$37.36 |
$37.36 |
$47.81
|
|
Phosphorus 24 hour urine
|
$4.20 |
$4.20 |
$4.20 |
$42.81
|
|
Phys blood bank serv reactj
|
$127.12 |
$127.12 |
$127.12 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$46.18 |
$46.18 |
$46.18 |
$86.36
|
|
Pik3ca gene trgt seq alys
|
$153.20 |
$153.20 |
$153.20 |
$400.95
|
|
Pinworm exam
|
$37.08 |
$37.08 |
$37.08 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$26.04 |
$26.04 |
$26.04 |
$95.01
|
|
Platelet automated
|
$63.74 |
$63.74 |
$63.74 |
$44.00
|
|
#pnh-flow cytometry interp
|
$30.00 |
$30.00 |
$30.00 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$43.66 |
$43.66 |
$43.66 |
$173.00
|
|
Potassium 24 hour urine
|
$45.80 |
$45.80 |
$45.80 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$18.68 |
$18.68 |
$18.68 |
$71.74
|
|
Potassium hydroxide preps
|
$3.70 |
$3.70 |
$3.70 |
$6.41
|
|
Potassium serum/plasma/whole blood
|
$20.72 |
$20.72 |
$20.72 |
$44.64
|
|
Pralidoxime 1 gram solution for injection
|
$247.66 |
$247.66 |
$247.66 |
$374.55
|
|
Prealbumin
|
$32.36 |
$32.36 |
$32.36 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.58 |
$0.58 |
$0.58 |
$16.30
|
|
Prednisone 1 mg tablet
|
$0.46 |
$0.46 |
$0.46 |
$4.57
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$294.80 |
$294.80 |
$294.80 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$232.00 |
$232.00 |
$232.00 |
$541.45
|
|
Pretreat rbc absorption reference
|
$44.54 |
$44.54 |
$44.54 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$43.23 |
$43.23 |
$43.23 |
$106.00
|
|
Procalcitonin
|
$94.16 |
$94.16 |
$94.16 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$47.06 |
$47.06 |
$47.06 |
$46.50
|
|
Progesterone
|
$134.06 |
$134.06 |
$134.06 |
$105.00
|
|
Prolactin
|
$219.06 |
$219.06 |
$219.06 |
$127.50
|
|
Promethazine hcl injection
|
$45.69 |
$45.69 |
$45.69 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$8.42 |
$8.42 |
$8.42 |
$80.95
|
|
Protamine 10 mg/ml intravenous solution
|
$7.59 |
$7.59 |
$7.59 |
$50.70
|
|
Protein c activity
|
$274.78 |
$274.78 |
$274.78 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$133.97 |
$133.97 |
$133.97 |
$85.20
|