|
Phenytoin total therapeutic drug level
|
$794.00 |
$794.00 |
$794.00 |
$111.27
|
|
Phosphorus
|
$354.00 |
$354.00 |
$354.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$70.00 |
$70.00 |
$70.00 |
$42.81
|
|
Platelet automated
|
$800.00 |
$800.00 |
$800.00 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$408.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$176.80
|
|
Potassium 24 hour urine
|
$356.00 |
$356.00 |
$356.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$356.00 |
$356.00 |
$356.00 |
$45.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$11.00 |
$11.00 |
$11.00 |
$4.67
|
|
Powder prem protct 1oz
|
$14.00 |
$14.00 |
$14.00 |
$5.20
|
|
Pralidoxime 1 gram solution for injection
|
$686.00 |
$686.00 |
$686.00 |
$374.55
|
|
Prealbumin
|
$213.00 |
$213.00 |
$213.00 |
$87.10
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$25.00 |
$25.00 |
$25.00 |
$17.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$5,036.00 |
$5,036.00 |
$5,036.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$541.45
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$26.00 |
$26.00 |
$26.00 |
$140.01
|
|
Pretreat rbc absorption reference
|
$239.00 |
$239.00 |
$239.00 |
$137.80
|
|
Pretreat rbc density gradient separation reference
|
$249.00 |
$249.00 |
$249.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$65.00 |
$65.00 |
$65.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$65.00 |
$65.00 |
$65.00 |
$164.99
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$98.00 |
$98.00 |
$98.00 |
$633.52
|
|
Procalcitonin
|
$313.00 |
$313.00 |
$313.00 |
$142.50
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$131.00 |
$131.00 |
$131.00 |
$46.61
|
|
Progesterone
|
$447.00 |
$447.00 |
$447.00 |
$104.40
|
|
Prolactin
|
$557.00 |
$557.00 |
$557.00 |
$127.40
|
|
Protein c activity
|
$201.00 |
$201.00 |
$201.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$836.00 |
$836.00 |
$836.00 |
$85.80
|
|
Protein s total
|
$239.00 |
$239.00 |
$239.00 |
$78.87
|
|
Protein total 24 hour urine
|
$779.00 |
$779.00 |
$779.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$847.00 |
$847.00 |
$847.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$873.00 |
$873.00 |
$873.00 |
$38.40
|
|
PSA (Prostate) Test
|
$201.00 |
$201.00 |
$201.00 |
$108.27
|
|
Pt application of modality traction mechanical
|
$571.00 |
$571.00 |
$571.00 |
$88.80
|
|
Pyridoxine hcl 100 mg
|
$197.00 |
$197.00 |
$197.00 |
$43.24
|
|
Rabies ig heat-treated human im/subq 90376
|
$4,184.00 |
$4,184.00 |
$4,184.00 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$4,473.70 |
$4,473.70 |
$4,473.70 |
$5,401.91
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$8,059.00 |
$8,059.00 |
$8,059.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$7,012.00 |
$7,012.00 |
$7,012.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,156.00 |
$6,156.00 |
$6,156.00 |
$2,379.29
|
|
Radphm lcl tumor plr sgl day
|
$1,711.00 |
$1,711.00 |
$1,711.00 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$7,028.00 |
$7,028.00 |
$7,028.00 |
$16,050.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
$3,053.25
|
|
Rbc count only automated
|
$44.00 |
$44.00 |
$44.00 |
$19.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$674.98
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,864.71
|
|
Renal function panel
|
$69.00 |
$69.00 |
$69.00 |
$112.00
|
|
Reticulocyte direct measurement automated
|
$23.00 |
$23.00 |
$23.00 |
$33.57
|
|
Rheumatoid factor quantitative
|
$459.00 |
$459.00 |
$459.00 |
$58.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$545.00 |
$545.00 |
$545.00 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,955.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$690.00 |
$690.00 |
$690.00 |
$550.10
|
|
Ring ostmy barr adapt 48mm
|
$49.00 |
$49.00 |
$49.00 |
$5.97
|
|
Russell viper venom diluted
|
$179.00 |
$179.00 |
$179.00 |
$72.54
|
|
Sarscov coronavirus ag ia
|
$35.00 |
$35.00 |
$35.00 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$437.00 |
$437.00 |
$437.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$508.00
|
|
Scan duplex lower extremity arteries complete bilateral
|
$5,185.00 |
$5,185.00 |
$5,185.00 |
$995.47
|
|
Screening prostate cancer PSA
|
$63.00 |
$63.00 |
$63.00 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$53.00 |
$53.00 |
$53.00 |
$44.20
|
|
Sickling rbc
|
$760.00 |
$760.00 |
$760.00 |
$54.00
|
|
Sincalide 5 mcg solution for injection
|
$883.00 |
$883.00 |
$883.00 |
$412.96
|
|
Sinus CT scan (with contrast)
|
$14,075.00 |
$14,075.00 |
$14,075.00 |
$1,520.35
|
|
Sinus CT scan (without contrast)
|
$12,798.00 |
$12,798.00 |
$12,798.00 |
$1,281.80
|
|
Sirolimus, oral
|
$96.00 |
$96.00 |
$96.00 |
$31.60
|
|
Slp eval non-spch gen comm dev
|
$2,888.00 |
$2,888.00 |
$2,888.00 |
$285.09
|
|
Slp ther svc non-spch gen
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$186.40
|
|
Smear wet mount
|
$592.00 |
$592.00 |
$592.00 |
$68.64
|
|
Sodium 24 hour urine
|
$580.00 |
$580.00 |
$580.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$282.00 |
$282.00 |
$282.00 |
$46.85
|
|
Sodium chloride 0.9 % IV bolus
|
$210.00 |
$210.00 |
$210.00 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$343.00 |
$343.00 |
$343.00 |
$104.98
|
|
Sodium serum/plasma/whole blood
|
$580.00 |
$580.00 |
$580.00 |
$43.00
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$68,503.00 |
$68,503.00 |
$68,503.00 |
$228.31
|
|
St analysis behavior qualitative voice/resonance
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$302.00
|
|
St cognitve performance testing healthcare professional each hour
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$310.40
|
|
St evaluate speech sound production
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$302.40
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$389.64
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$2,965.00 |
$2,965.00 |
$2,965.00 |
$406.52
|
|
St evaluation swallow function
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$336.60
|
|
Strep a ag ia
|
$968.00 |
$968.00 |
$968.00 |
$75.40
|
|
Streptozocin injection
|
$981.00 |
$981.00 |
$981.00 |
$954.71
|
|
St treatment speech individual
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$256.55
|
|
St treatment swallow dysfunction/oral
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$260.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$117.00 |
$117.00 |
$117.00 |
$49.13
|
|
Sugars single quant
|
$34.59 |
$34.59 |
$34.59 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$302.00 |
$302.00 |
$302.00 |
$66.80
|
|
Sulfonylurea screen qn-sendout
|
$179.00 |
$179.00 |
$179.00 |
$172.00
|
|
Surgical pathology level 1 gross examination only
|
$434.00 |
$434.00 |
$434.00 |
$92.95
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$150.40
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$195.06
|
|
Surgical pathology level 4 gross & microscopic examination
|
$2,021.00 |
$2,021.00 |
$2,021.00 |
$254.94
|
|
Surgical pathology level 5 gross & microscopic examination
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$494.40
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,297.00 |
$3,297.00 |
$3,297.00 |
$791.85
|
|
Susceptibility agar dilution per agent
|
$35.00 |
$35.00 |
$35.00 |
$40.68
|
|
Susceptibility enzyme detection per enzyme
|
$16.00 |
$16.00 |
$16.00 |
$35.10
|
|
Suscept studies macrobroth dilution ea
|
$22.00 |
$22.00 |
$22.00 |
$51.50
|
|
Svc venogram s&i
|
$10,656.00 |
$10,656.00 |
$10,656.00 |
$1,908.00
|
|
T3 (triiodothyronine) free
|
$529.00 |
$529.00 |
$529.00 |
$89.82
|
