|
Procalcitonin
|
$110.20 |
$110.20 |
$110.20 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$52.89 |
$52.89 |
$52.89 |
$46.50
|
|
Prochlorperazine maleate 5 mg tablet
|
$6.19 |
$6.19 |
$6.19 |
$4.25
|
|
Promethazine hcl injection
|
$48.31 |
$48.31 |
$48.31 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$168.91 |
$168.91 |
$168.91 |
$39.59
|
|
Prost sock sgl ply blw knee ea
|
$50.16 |
$50.16 |
$50.16 |
$46.77
|
|
Protein s total
|
$32.00 |
$32.00 |
$32.00 |
$78.87
|
|
Protein total serum plasma whole blood
|
$611.56 |
$611.56 |
$611.56 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$657.99 |
$657.99 |
$657.99 |
$37.05
|
|
Psychotherapy patient individual therapy 30 minutes
|
$780.53 |
$780.53 |
$780.53 |
$200.00
|
|
Pt application of modality traction mechanical
|
$217.79 |
$217.79 |
$217.79 |
$88.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$132.55 |
$132.55 |
$132.55 |
$85.68
|
|
Pulmonary vent imaging
|
$11,905.36 |
$11,905.36 |
$11,905.36 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$116.04 |
$116.04 |
$116.04 |
$43.24
|
|
Pyruvate
|
$8.91 |
$8.91 |
$8.91 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$19,265.44 |
$19,265.44 |
$19,265.44 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$9,614.21 |
$9,614.21 |
$9,614.21 |
$1,209.44
|
|
Quinupristin/dalfopristin
|
$1,885.27 |
$1,885.27 |
$1,885.27 |
$647.41
|
|
Rabies ig ht&sol human im/sc
|
$1,645.31 |
$1,645.31 |
$1,645.31 |
$5,401.91
|
|
Radiation physics consult
|
$595.75 |
$595.75 |
$595.75 |
$574.75
|
|
Radiation therapy dose plan
|
$373.90 |
$373.90 |
$373.90 |
$530.53
|
|
Radiation treatment aid(s)
|
$717.84 |
$717.84 |
$717.84 |
$541.45
|
|
Radiation treatment aid(s)
|
$717.84 |
$717.84 |
$717.84 |
$665.00
|
|
Radiation treatment aid(s)
|
$717.84 |
$717.84 |
$717.84 |
$1,103.09
|
|
Radiation treatment delivery
|
$649.11 |
$649.11 |
$649.11 |
$257.01
|
|
Radiation treatment delivery
|
$649.11 |
$649.11 |
$649.11 |
$552.40
|
|
Radiation treatment delivery
|
$780.97 |
$780.97 |
$780.97 |
$909.98
|
|
Radiology port images(s)
|
$552.92 |
$552.92 |
$552.92 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,981.03 |
$4,981.03 |
$4,981.03 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$6,165.18 |
$6,165.18 |
$6,165.18 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$9,501.57 |
$9,501.57 |
$9,501.57 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$8,474.79 |
$8,474.79 |
$8,474.79 |
$1,139.40
|
|
Rapid Strep Test
|
$455.75 |
$455.75 |
$455.75 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,748.38 |
$2,748.38 |
$2,748.38 |
$3,184.20
|
|
Rbc count only automated
|
$9.00 |
$9.00 |
$9.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,004.49 |
$1,004.49 |
$1,004.49 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,864.71
|
|
Renal cyst study s&i
|
$7,000.88 |
$7,000.88 |
$7,000.88 |
$648.84
|
|
Renal function panel
|
$3,975.74 |
$3,975.74 |
$3,975.74 |
$110.10
|
|
Renal venogram bil s&i
|
$5,321.71 |
$5,321.71 |
$5,321.71 |
$3,615.28
|
|
Reticulocyte automated
|
$593.35 |
$593.35 |
$593.35 |
$54.60
|
|
Rheumatoid factor qualitative
|
$173.02 |
$173.02 |
$173.02 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,025.97 |
$1,025.97 |
$1,025.97 |
$255.26
|
|
Rho d immune globulin inj
|
$2,238.20 |
$2,238.20 |
$2,238.20 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$2,645.30 |
$2,645.30 |
$2,645.30 |
$539.70
|
|
Right ventric recording
|
$11,678.37 |
$11,678.37 |
$11,678.37 |
$1,980.36
|
|
Rp loclzj tum 2+area 1+d img
|
$8,733.82 |
$8,733.82 |
$8,733.82 |
$1,458.95
|
|
Salivary gland function exam
|
$8,877.87 |
$8,877.87 |
$8,877.87 |
$549.70
|
|
Sargramostim injection
|
$1,133.58 |
$1,133.58 |
$1,133.58 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$59.60 |
$59.60 |
$59.60 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,182.76 |
$1,182.76 |
$1,182.76 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$2,041.88 |
$2,041.88 |
$2,041.88 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,240.55 |
$3,240.55 |
$3,240.55 |
$1,006.85
|
|
Screening Mammogram
|
$722.14 |
$722.14 |
$722.14 |
$303.55
|
|
Screening prostate cancer PSA
|
$291.45 |
$291.45 |
$291.45 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$987.79 |
$987.79 |
$987.79 |
$44.20
|
|
Serpina1 gene
|
$162.90 |
$162.90 |
$162.90 |
$191.73
|
|
Set radiation therapy field
|
$609.49 |
$609.49 |
$609.49 |
$731.50
|
|
Set radiation therapy field
|
$817.27 |
$817.27 |
$817.27 |
$1,102.40
|
|
Set radiation therapy field
|
$501.36 |
$501.36 |
$501.36 |
$1,636.36
|
|
Shrinker prosth above knee
|
$548.27 |
$548.27 |
$548.27 |
$157.49
|
|
Shuntogram nonvascular supervision & interpretation
|
$5,348.78 |
$5,348.78 |
$5,348.78 |
$345.00
|
|
Sialidase enzyme assay
|
$73.93 |
$73.93 |
$73.93 |
$49.44
|
|
Sialography s&i
|
$681.69 |
$681.69 |
$681.69 |
$462.40
|
|
Sickling rbc
|
$4.14 |
$4.14 |
$4.14 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$1,997.83 |
$1,997.83 |
$1,997.83 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$1,231.28 |
$1,231.28 |
$1,231.28 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$11,088.04 |
$11,088.04 |
$11,088.04 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$10,634.84 |
$10,634.84 |
$10,634.84 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$9,020.77 |
$9,020.77 |
$9,020.77 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,713.67 |
$1,713.67 |
$1,713.67 |
$2,489.25
|
|
Sleep study unattended
|
$1,358.84 |
$1,358.84 |
$1,358.84 |
$595.50
|
|
Slp pure tone screening
|
$25.61 |
$25.61 |
$25.61 |
$67.60
|
|
Smear nasal eosinophil
|
$435.51 |
$435.51 |
$435.51 |
$49.50
|
|
Sodium 24 hour urine
|
$572.17 |
$572.17 |
$572.17 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$120.56 |
$120.56 |
$120.56 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$120.56 |
$120.56 |
$120.56 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$102.74 |
$102.74 |
$102.74 |
$46.35
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$393.96 |
$393.96 |
$393.96 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$447.66 |
$447.66 |
$447.66 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$819.56 |
$819.56 |
$819.56 |
$223.86
|
|
Somatosensory testing
|
$2,164.44 |
$2,164.44 |
$2,164.44 |
$583.80
|
|
Special physics consult
|
$365.46 |
$365.46 |
$365.46 |
$700.74
|
|
Special radiation dosimetry
|
$373.90 |
$373.90 |
$373.90 |
$445.50
|
|
Specific gravity body fluid
|
$157.47 |
$157.47 |
$157.47 |
$23.63
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,520.52 |
$3,520.52 |
$3,520.52 |
$559.96
|
|
Split blood or products
|
$137.05 |
$137.05 |
$137.05 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$8,654.90 |
$8,654.90 |
$8,654.90 |
$4,588.65
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,097.71 |
$1,097.71 |
$1,097.71 |
$406.40
|
|
St evaluation swallow function
|
$766.36 |
$766.36 |
$766.36 |
$336.60
|
|
Strep a ag ia
|
$183.29 |
$183.29 |
$183.29 |
$75.40
|
|
Strep b assay w/optic
|
$151.37 |
$151.37 |
$151.37 |
$32.00
|
|
St treatment speech individual
|
$279.02 |
$279.02 |
$279.02 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$279.02 |
$279.02 |
$279.02 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$23.12 |
$23.12 |
$23.12 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$158.36 |
$158.36 |
$158.36 |
$71.09
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$356.23 |
$356.23 |
$356.23 |
$91.67
|
|
Support clav 29.6-40.5in med
|
$59.76 |
$59.76 |
$59.76 |
$68.54
|
|
Susceptibility agar dilution per agent
|
$506.81 |
$506.81 |
$506.81 |
$40.30
|
|
Svc venogram s&i
|
$1,530.87 |
$1,530.87 |
$1,530.87 |
$1,908.00
|
