|
Papaverin hcl injection
|
$40.00 |
$40.00 |
$40.00 |
$76.40
|
|
Parathyroid planar imaging
|
$10,215.00 |
$10,215.00 |
$10,215.00 |
$1,166.00
|
|
Passy muir valve metal trach
|
$3,439.00 |
$3,439.00 |
$3,439.00 |
$241.20
|
|
Pelvic MRI (with and without contrast)
|
$20,154.35 |
$20,154.35 |
$20,154.35 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$17,369.55 |
$17,369.55 |
$17,369.55 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$13,999.75 |
$13,999.75 |
$13,999.75 |
$1,879.15
|
|
Peng benzathine/procaine inj
|
$679.00 |
$679.00 |
$679.00 |
$258.72
|
|
Pentobarbital sodium inj
|
$107.00 |
$107.00 |
$107.00 |
$167.64
|
|
Pentostatin 10 mg intravenous solution
|
$8,825.00 |
$8,825.00 |
$8,825.00 |
$6,112.62
|
|
Peri-proc device eval icd
|
$316.60 |
$316.60 |
$316.60 |
$220.35
|
|
Peri-proc device eval pm
|
$316.60 |
$316.60 |
$316.60 |
$195.80
|
|
Perphenazine 4mg oral
|
$68.75 |
$68.75 |
$68.75 |
$9.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$17,814.00 |
$17,814.00 |
$17,814.00 |
$18,443.20
|
|
Pet fdg brain metoblic eval sb
|
$15,500.90 |
$15,500.90 |
$15,500.90 |
$3,559.05
|
|
Phencyclidine (pcp)
|
$83.31 |
$83.31 |
$83.31 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$98.00 |
$98.00 |
$98.00 |
$123.17
|
|
Phentolaine mesylate inj
|
$971.25 |
$971.25 |
$971.25 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$290.30 |
$290.30 |
$290.30 |
$111.27
|
|
Phosphorus 24 hour urine
|
$49.50 |
$49.50 |
$49.50 |
$42.81
|
|
Phys blood bank serv xmatch
|
$474.10 |
$474.10 |
$474.10 |
$56.08
|
|
Pinworm exam
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$39.75
|
|
Platelet automated
|
$533.65 |
$533.65 |
$533.65 |
$44.00
|
|
Potassium 24 hour urine
|
$588.30 |
$588.30 |
$588.30 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$19.85 |
$19.85 |
$19.85 |
$44.64
|
|
Pralatrexate injection
|
$37,830.00 |
$37,830.00 |
$37,830.00 |
$4,072.20
|
|
Pralidoxime 1 gram solution for injection
|
$455.00 |
$455.00 |
$455.00 |
$374.55
|
|
Pr application splint static short arm
|
$880.00 |
$880.00 |
$880.00 |
$301.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$48.75 |
$48.75 |
$48.75 |
$16.30
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$59.60 |
$59.60 |
$59.60 |
$141.00
|
|
Pretreat rbc absorption reference
|
$718.80 |
$718.80 |
$718.80 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$59.60 |
$59.60 |
$59.60 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$59.60 |
$59.60 |
$59.60 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$350.40 |
$350.40 |
$350.40 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$533.15 |
$533.15 |
$533.15 |
$313.30
|
|
Prgr stim/pace a/iv drug
|
$17,392.80 |
$17,392.80 |
$17,392.80 |
$4,889.30
|
|
Procalcitonin
|
$101.30 |
$101.30 |
$101.30 |
$144.10
|
|
Progesterone
|
$399.20 |
$399.20 |
$399.20 |
$105.00
|
|
Prolactin
|
$798.50 |
$798.50 |
$798.50 |
$127.50
|
|
_propoxygc/msur
|
$110.49 |
$110.49 |
$110.49 |
$104.00
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$93.00 |
$93.00 |
$93.00 |
$39.59
|
|
Protein c activity
|
$58.15 |
$58.15 |
$58.15 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$45.05 |
$45.05 |
$45.05 |
$85.20
|
|
Protein s total
|
$5.80 |
$5.80 |
$5.80 |
$78.87
|
|
Protein total serum plasma whole blood
|
$305.05 |
$305.05 |
$305.05 |
$42.81
|
|
Psychoanalysis
|
$566.55 |
$566.55 |
$566.55 |
$221.60
|
|
Psychotherapy group therapy
|
$271.50 |
$271.50 |
$271.50 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$533.15 |
$533.15 |
$533.15 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$533.15 |
$533.15 |
$533.15 |
$267.00
|
|
Psytx complex interactive
|
$533.15 |
$533.15 |
$533.15 |
$45.00
|
|
Psytx pt w/e&m 38-52 min
|
$533.15 |
$533.15 |
$533.15 |
$158.40
|
|
Psytx pt w/e&m 53+ min
|
$533.15 |
$533.15 |
$533.15 |
$183.00
|
|
Pt evaluation high complexity patient/family
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$656.65 |
$656.65 |
$656.65 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,292.35 |
$1,292.35 |
$1,292.35 |
$263.90
|
|
Pt re-evaluation patient/family
|
$352.25 |
$352.25 |
$352.25 |
$157.30
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$749.10 |
$749.10 |
$749.10 |
$80.85
|
|
Pulmonary vent imaging
|
$16,778.65 |
$16,778.65 |
$16,778.65 |
$845.28
|
|
Pulse ox single
|
$137.80 |
$137.80 |
$137.80 |
$88.63
|
|
Pyridoxine hcl 100 mg
|
$150.00 |
$150.00 |
$150.00 |
$43.24
|
|
Pyruvate
|
$8.85 |
$8.85 |
$8.85 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$26,253.00 |
$26,253.00 |
$26,253.00 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$16,778.65 |
$16,778.65 |
$16,778.65 |
$1,209.44
|
|
Quinupristin/dalfopristin
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$647.41
|
|
Rabies ig heat-treated human im/subq 90376
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$1,059.01
|
|
Rabies vaccine id
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$264.47
|
|
Radiation physics consult
|
$682.05 |
$682.05 |
$682.05 |
$574.75
|
|
Radiation therapy dose plan
|
$306.25 |
$306.25 |
$306.25 |
$530.53
|
|
Radiation treatment aid(s)
|
$701.40 |
$701.40 |
$701.40 |
$1,103.09
|
|
Radiology port images(s)
|
$342.95 |
$342.95 |
$342.95 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$16,692.55 |
$16,692.55 |
$16,692.55 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$21,902.55 |
$21,902.55 |
$21,902.55 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$7,088.05 |
$7,088.05 |
$7,088.05 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$13,040.35 |
$13,040.35 |
$13,040.35 |
$1,139.40
|
|
Rbc count only automated
|
$4.45 |
$4.45 |
$4.45 |
$20.00
|
|
Refill maint impl spine pump
|
$970.85 |
$970.85 |
$970.85 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,895.00 |
$1,895.00 |
$1,895.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$1,864.71
|
|
Renal function panel
|
$3,945.60 |
$3,945.60 |
$3,945.60 |
$110.10
|
|
Reticulocyte automated
|
$395.70 |
$395.70 |
$395.70 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$395.70 |
$395.70 |
$395.70 |
$33.57
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$659.00 |
$659.00 |
$659.00 |
$170.00
|
|
Rho(d) immune globulin h, sd
|
$10,134.00 |
$10,134.00 |
$10,134.00 |
$2,034.31
|
|
Right ventric recording
|
$17,392.80 |
$17,392.80 |
$17,392.80 |
$1,980.36
|
|
Rp loclzj tum 2+area 1+d img
|
$7,162.50 |
$7,162.50 |
$7,162.50 |
$1,458.95
|
|
Sargramostim injection
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$451.34
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$6,834.55 |
$6,834.55 |
$6,834.55 |
$589.60
|
|
Screening hepatitis b non-obstetric high risk
|
$1,344.70 |
$1,344.70 |
$1,344.70 |
$31.10
|
|
Screening Mammogram
|
$1,219.35 |
$1,219.35 |
$1,219.35 |
$303.55
|
|
Screening prostate cancer PSA
|
$2,125.50 |
$2,125.50 |
$2,125.50 |
$81.31
|
|
Set radiation therapy field
|
$749.85 |
$749.85 |
$749.85 |
$731.50
|
|
Set radiation therapy field
|
$1,329.15 |
$1,329.15 |
$1,329.15 |
$1,636.36
|
|
Sickling rbc
|
$252.05 |
$252.05 |
$252.05 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$606.00 |
$606.00 |
$606.00 |
$409.96
|
|
Sinus/juglr venogram s&i
|
$6,153.45 |
$6,153.45 |
$6,153.45 |
$2,489.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$293.00 |
$293.00 |
$293.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$474.00 |
$474.00 |
$474.00 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$195.00 |
$195.00 |
$195.00 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$20.30 |
$20.30 |
$20.30 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$450.00 |
$450.00 |
$450.00 |
$223.86
|
