|
Neck (Cervical Spine) CT scan (with contrast)
|
$17,972.51 |
$17,972.51 |
$17,972.51 |
$1,786.00
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$16,856.46 |
$16,856.46 |
$16,856.46 |
$1,526.40
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$16,750.95 |
$16,750.95 |
$16,750.95 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,534.22 |
$5,534.22 |
$5,534.22 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$8,285.33 |
$8,285.33 |
$8,285.33 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$18.83 |
$18.83 |
$18.83 |
$58.66
|
|
Nerve teasing preparations
|
$358.70 |
$358.70 |
$358.70 |
$698.49
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$538.58 |
$538.58 |
$538.58 |
$342.50
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$116.69 |
$116.69 |
$116.69 |
$61.86
|
|
Nm imaging bone/joint 3 phase study
|
$11,893.99 |
$11,893.99 |
$11,893.99 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$10,755.31 |
$10,755.31 |
$10,755.31 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$6,792.82 |
$6,792.82 |
$6,792.82 |
$1,446.64
|
|
Nm imaging gastric emptying study
|
$2,664.24 |
$2,664.24 |
$2,664.24 |
$1,457.30
|
|
Nm imaging gastrointestinal acute blood loss
|
$6,707.59 |
$6,707.59 |
$6,707.59 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$6,809.66 |
$6,809.66 |
$6,809.66 |
$1,813.50
|
|
Nm imaging pulmonary ventilation/perfusion
|
$14,052.28 |
$14,052.28 |
$14,052.28 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$5,048.74 |
$5,048.74 |
$5,048.74 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$298.35 |
$298.35 |
$298.35 |
$1,030.07
|
|
Nuclear Stress Test (Heart)
|
$12,584.65 |
$12,584.65 |
$12,584.65 |
$3,921.45
|
|
Olanzapine 10 mg intramuscular solution
|
$122.78 |
$122.78 |
$122.78 |
$122.78
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$214.19 |
$214.19 |
$214.19 |
$63.72
|
|
Osmolality blood
|
$891.26 |
$891.26 |
$891.26 |
$67.60
|
|
Osmolality urine
|
$891.26 |
$891.26 |
$891.26 |
$66.50
|
|
Oxytocin 10 unit/ml injection solution
|
$10.53 |
$10.53 |
$10.53 |
$45.86
|
|
Parathormone (pth) intact
|
$362.54 |
$362.54 |
$362.54 |
$196.48
|
|
Parathyroid planar imaging
|
$2,146.23 |
$2,146.23 |
$2,146.23 |
$1,166.00
|
|
Passy muir valve metal trach
|
$623.73 |
$623.73 |
$623.73 |
$234.81
|
|
Pelvic CT scan (with and without contrast)
|
$10,045.86 |
$10,045.86 |
$10,045.86 |
$1,891.05
|
|
Pelvic CT scan (with contrast)
|
$13,850.17 |
$13,850.17 |
$13,850.17 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$12,583.28 |
$12,583.28 |
$12,583.28 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,091.04 |
$3,091.04 |
$3,091.04 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$3,515.46 |
$3,515.46 |
$3,515.46 |
$1,878.41
|
|
Pelvic Ultrasound (complete)
|
$4,810.39 |
$4,810.39 |
$4,810.39 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,418.59 |
$1,418.59 |
$1,418.59 |
$442.65
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$321.71
|
|
Pertussis ag if
|
$16.30 |
$16.30 |
$16.30 |
$49.00
|
|
Ph body fluid
|
$341.34 |
$341.34 |
$341.34 |
$38.97
|
|
Phenobarbital therapeutic drug level
|
$1,565.78 |
$1,565.78 |
$1,565.78 |
$104.25
|
|
Phenytoin total therapeutic drug level
|
$834.38 |
$834.38 |
$834.38 |
$110.00
|
|
Phosphorus
|
$899.39 |
$899.39 |
$899.39 |
$47.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$222.82 |
$222.82 |
$222.82 |
$86.36
|
|
Piflu f-18, dia 1 millicurie
|
$2,611.34 |
$2,611.34 |
$2,611.34 |
$1,035.81
|
|
Pinworm exam
|
$758.52 |
$758.52 |
$758.52 |
$39.75
|
|
Platelet automated
|
$1,045.66 |
$1,045.66 |
$1,045.66 |
$43.50
|
|
Potassium 24 hour urine
|
$1,235.30 |
$1,235.30 |
$1,235.30 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$953.58 |
$953.58 |
$953.58 |
$44.22
|
|
Prealbumin
|
$509.29 |
$509.29 |
$509.29 |
$87.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$54.06 |
$54.06 |
$54.06 |
$18.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$5,462.88 |
$5,462.88 |
$5,462.88 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$4,267.00 |
$4,267.00 |
$4,267.00 |
$541.45
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$309.06 |
$309.06 |
$309.06 |
$139.80
|
|
Pretreat rbc w chem/drugs reference
|
$60.00 |
$60.00 |
$60.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$309.06 |
$309.06 |
$309.06 |
$164.99
|
|
Procalcitonin
|
$242.39 |
$242.39 |
$242.39 |
$142.47
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$44.09 |
$44.09 |
$44.09 |
$46.39
|
|
Progesterone
|
$193.26 |
$193.26 |
$193.26 |
$100.93
|
|
Prolactin
|
$180.99 |
$180.99 |
$180.99 |
$127.26
|
|
Promethazine 25 mg tablet
|
$15.03 |
$15.03 |
$15.03 |
$7.39
|
|
Protamine 10 mg/ml intravenous solution
|
$243.07 |
$243.07 |
$243.07 |
$50.70
|
|
Protein electrophoretic fractionation & quantitation serum
|
$109.36 |
$109.36 |
$109.36 |
$84.00
|
|
Protein s total
|
$4.75 |
$4.75 |
$4.75 |
$78.77
|
|
Protein total 24 hour urine
|
$977.97 |
$977.97 |
$977.97 |
$52.50
|
|
Protein total body fluid
|
$923.79 |
$923.79 |
$923.79 |
$52.80
|
|
Protein total serum plasma whole blood
|
$1,871.95 |
$1,871.95 |
$1,871.95 |
$42.63
|
|
Prothrombin time substitution plasma fractions each
|
$2,063.80 |
$2,063.80 |
$2,063.80 |
$39.60
|
|
PSA (Prostate) Test
|
$6.00 |
$6.00 |
$6.00 |
$107.50
|
|
Pt evaluation high complexity patient/family
|
$761.00 |
$761.00 |
$761.00 |
$300.13
|
|
Pt evaluation low complexity patient/family
|
$466.91 |
$466.91 |
$466.91 |
$226.85
|
|
Pt evaluation moderate complexity patient/family
|
$577.19 |
$577.19 |
$577.19 |
$264.00
|
|
Pt re-evaluation patient/family
|
$761.00 |
$761.00 |
$761.00 |
$162.29
|
|
Pt repositioning canalith procedure(s) per day
|
$554.32 |
$554.32 |
$554.32 |
$139.20
|
|
Pt wheelchair management each 15 minutes
|
$848.53 |
$848.53 |
$848.53 |
$86.40
|
|
Pulmonary vent imaging
|
$7,133.10 |
$7,133.10 |
$7,133.10 |
$828.73
|
|
Quant diff pulm perf and vent w/imaging
|
$14,052.28 |
$14,052.28 |
$14,052.28 |
$1,507.40
|
|
Quest t3 uptake
|
$73.90 |
$73.90 |
$73.90 |
$57.12
|
|
Radium ra223 dichl ther/uci
|
$136.98 |
$136.98 |
$136.98 |
$235.95
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,883.92 |
$3,883.92 |
$3,883.92 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,883.92 |
$3,883.92 |
$3,883.92 |
$2,315.52
|
|
Rapid Strep Test
|
$994.95 |
$994.95 |
$994.95 |
$74.10
|
|
Rbc serum pretx incubj drugs
|
$81.00 |
$81.00 |
$81.00 |
$223.08
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,265.19 |
$1,265.19 |
$1,265.19 |
$644.62
|
|
Renal function panel
|
$866.88 |
$866.88 |
$866.88 |
$112.00
|
|
#resp virpnl dfa-adenovirus
|
$293.27 |
$293.27 |
$293.27 |
$44.80
|
|
Rheumatoid factor quantitative
|
$19.00 |
$19.00 |
$19.00 |
$58.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$416.78 |
$416.78 |
$416.78 |
$255.26
|
|
Rho d immune globulin inj
|
$319.46 |
$319.46 |
$319.46 |
$328.09
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$40.70 |
$40.70 |
$40.70 |
$220.38
|
|
Rp loclzj tum 2+area 1+d img
|
$10,383.78 |
$10,383.78 |
$10,383.78 |
$1,462.61
|
|
Rubella antibody igg
|
$9.69 |
$9.69 |
$9.69 |
$73.10
|
|
Rubeola antibody igg
|
$127.09 |
$127.09 |
$127.09 |
$79.68
|
|
Russell viper venom diluted
|
$5.00 |
$5.00 |
$5.00 |
$72.54
|
|
Sarscov coronavirus ag ia
|
$48.40 |
$48.40 |
$48.40 |
$60.20
|
|
Screening prostate cancer PSA
|
$172.81 |
$172.81 |
$172.81 |
$80.84
|
|
Sincalide 5 mcg solution for injection
|
$670.93 |
$670.93 |
$670.93 |
$412.96
|
|
Sinus CT scan (with and without contrast)
|
$24,130.94 |
$24,130.94 |
$24,130.94 |
$1,822.80
|
|
Sinus CT scan (with contrast)
|
$22,230.64 |
$22,230.64 |
$22,230.64 |
$1,521.10
|
|
Sinus CT scan (without contrast)
|
$17,429.58 |
$17,429.58 |
$17,429.58 |
$1,287.65
|
|
Smear fluorescent and/or acid fast stain
|
$10.73 |
$10.73 |
$10.73 |
$62.88
|
|
Smear gram stain
|
$953.58 |
$953.58 |
$953.58 |
$57.85
|
|
Smear nasal eosinophil
|
$376.57 |
$376.57 |
$376.57 |
$50.00
|