|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$7,904.55 |
$7,904.55 |
$7,904.55 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$452.46 |
$452.46 |
$452.46 |
$1,024.52
|
|
Nuclear rx intra-articular
|
$993.28 |
$993.28 |
$993.28 |
$288.75
|
|
Nuclear rx IV admin
|
$27,287.78 |
$27,287.78 |
$27,287.78 |
$863.20
|
|
Nuclear Stress Test (Heart)
|
$17,847.02 |
$17,847.02 |
$17,847.02 |
$3,916.80
|
|
Nuclr rx interstit colloid
|
$993.28 |
$993.28 |
$993.28 |
$372.06
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$43,516.92 |
$43,516.92 |
$43,516.92 |
$14,996.94
|
|
Olanzapine 10 mg intramuscular solution
|
$336.10 |
$336.10 |
$336.10 |
$122.80
|
|
Oritavancin 400 mg intravenous solution
|
$4,724.71 |
$4,724.71 |
$4,724.71 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$74.78 |
$74.78 |
$74.78 |
$65.07
|
|
Ot evaluation high complexity patient/family
|
$3,112.52 |
$3,112.52 |
$3,112.52 |
$301.41
|
|
Ot evaluation low complexity patient/family
|
$1,868.01 |
$1,868.01 |
$1,868.01 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$2,490.08 |
$2,490.08 |
$2,490.08 |
$270.58
|
|
Other immunoelectrophoresis
|
$5.37 |
$5.37 |
$5.37 |
$46.40
|
|
Ot re-evaluation patient/family
|
$1,451.86 |
$1,451.86 |
$1,451.86 |
$174.00
|
|
Oxytocin 10 unit/ml injection solution
|
$132.31 |
$132.31 |
$132.31 |
$46.75
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,846.72 |
$5,846.72 |
$5,846.72 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$7,653.00 |
$7,653.00 |
$7,653.00 |
$5,078.52
|
|
Palonosetron hcl
|
$2,584.51 |
$2,584.51 |
$2,584.51 |
$409.64
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$392.81 |
$392.81 |
$392.81 |
$38.06
|
|
Parathyroid planar imaging
|
$10,917.34 |
$10,917.34 |
$10,917.34 |
$1,159.15
|
|
Pegaspargase injection
|
$141,583.99 |
$141,583.99 |
$141,583.99 |
$29,285.00
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$12,656.90 |
$12,656.90 |
$12,656.90 |
$8,401.26
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,834.87 |
$8,834.87 |
$8,834.87 |
$5,961.60
|
|
Pelvic MRI (with and without contrast)
|
$9,824.27 |
$9,824.27 |
$9,824.27 |
$2,748.85
|
|
Pelvic MRI (with contrast)
|
$7,857.35 |
$7,857.35 |
$7,857.35 |
$2,096.25
|
|
Pelvic MRI (without contrast)
|
$1,053.13 |
$1,053.13 |
$1,053.13 |
$1,879.15
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$24,454.11 |
$24,454.11 |
$24,454.11 |
$16,273.24
|
|
Pentamidine 300 mg solution for injection
|
$1,253.22 |
$1,253.22 |
$1,253.22 |
$572.10
|
|
Pentostatin 10 mg intravenous solution
|
$10,298.60 |
$10,298.60 |
$10,298.60 |
$6,112.62
|
|
Peritoneogram rs&i
|
$2,527.37 |
$2,527.37 |
$2,527.37 |
$648.84
|
|
Perit-vens shunt pat tst
|
$1,635.98 |
$1,635.98 |
$1,635.98 |
$694.48
|
|
Phencyclidine (pcp)
|
$15.00 |
$15.00 |
$15.00 |
$88.00
|
|
Phentolaine mesylate inj
|
$2,580.13 |
$2,580.13 |
$2,580.13 |
$973.85
|
|
Phlebotomy therapeutic
|
$452.15 |
$452.15 |
$452.15 |
$249.00
|
|
Photopheresis
|
$19,000.00 |
$19,000.00 |
$19,000.00 |
$5,871.58
|
|
Pinworm exam
|
$20.11 |
$20.11 |
$20.11 |
$39.75
|
|
Plethysmography lung volumes/airway resistance
|
$1,708.56 |
$1,708.56 |
$1,708.56 |
$408.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$22,301.01 |
$22,301.01 |
$22,301.01 |
$4,293.60
|
|
Porfimer sodium injection
|
$110,658.21 |
$110,658.21 |
$110,658.21 |
$24,228.42
|
|
Pralatrexate injection
|
$10,676.62 |
$10,676.62 |
$10,676.62 |
$534.21
|
|
Pralidoxime 1 gram solution for injection
|
$387.06 |
$387.06 |
$387.06 |
$374.55
|
|
Pregnancy associated plasma protein-a
|
$70.87 |
$70.87 |
$70.87 |
$67.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$550.93 |
$550.93 |
$550.93 |
$140.01
|
|
Pretreat rbc absorption reference
|
$94.18 |
$94.18 |
$94.18 |
$137.80
|
|
Pretreat rbc density gradient separation reference
|
$550.93 |
$550.93 |
$550.93 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$550.93 |
$550.93 |
$550.93 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$550.93 |
$550.93 |
$550.93 |
$164.99
|
|
Prgr stim/pace a/iv drug
|
$10,124.92 |
$10,124.92 |
$10,124.92 |
$4,889.30
|
|
Procalcitonin
|
$194.24 |
$194.24 |
$194.24 |
$142.50
|
|
Progenamatrix, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$127.14
|
|
Progesterone
|
$4.87 |
$4.87 |
$4.87 |
$104.40
|
|
Promethazine hcl injection
|
$117.24 |
$117.24 |
$117.24 |
$33.17
|
|
_propoxygc/msur
|
$15.00 |
$15.00 |
$15.00 |
$99.72
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$166.27 |
$166.27 |
$166.27 |
$39.59
|
|
Protein c activity
|
$17.66 |
$17.66 |
$17.66 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1.52 |
$1.52 |
$1.52 |
$85.80
|
|
Protein s total
|
$4.56 |
$4.56 |
$4.56 |
$78.87
|
|
Psychotherapy group therapy
|
$823.18 |
$823.18 |
$823.18 |
$268.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$909.87 |
$909.87 |
$909.87 |
$199.81
|
|
Psychotherapy patient individual therapy 45 minutes
|
$1,101.31 |
$1,101.31 |
$1,101.31 |
$266.25
|
|
Psychotherapy patient individual therapy 60 minutes
|
$762.20 |
$762.20 |
$762.20 |
$294.00
|
|
Pt evaluation high complexity patient/family
|
$1,074.88 |
$1,074.88 |
$1,074.88 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$645.43 |
$645.43 |
$645.43 |
$226.80
|
|
Pt evaluation moderate complexity patient/family
|
$860.34 |
$860.34 |
$860.34 |
$264.00
|
|
Pt re-evaluation patient/family
|
$576.07 |
$576.07 |
$576.07 |
$158.40
|
|
Pulmonary vent imaging
|
$3,712.10 |
$3,712.10 |
$3,712.10 |
$841.26
|
|
Puraply 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$2,733.30
|
|
Pyridoxine hcl 100 mg
|
$29.58 |
$29.58 |
$29.58 |
$43.24
|
|
Pyruvate
|
$68.18 |
$68.18 |
$68.18 |
$65.00
|
|
Pyruvate kinase
|
$80.64 |
$80.64 |
$80.64 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$5,493.26 |
$5,493.26 |
$5,493.26 |
$1,209.44
|
|
Quest t3 uptake
|
$8.51 |
$8.51 |
$8.51 |
$56.10
|
|
Radiation physics consult
|
$2,010.07 |
$2,010.07 |
$2,010.07 |
$587.65
|
|
Radiation therapy dose plan
|
$1,910.77 |
$1,910.77 |
$1,910.77 |
$530.53
|
|
Radiation treatment aid(s)
|
$3,946.55 |
$3,946.55 |
$3,946.55 |
$1,100.38
|
|
Radiation treatment delivery
|
$1,523.80 |
$1,523.80 |
$1,523.80 |
$552.40
|
|
Radiation treatment delivery
|
$1,122.50 |
$1,122.50 |
$1,122.50 |
$909.98
|
|
Radiology port images(s)
|
$741.36 |
$741.36 |
$741.36 |
$262.50
|
|
Radiotherapy dose plan imrt
|
$16,236.73 |
$16,236.73 |
$16,236.73 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$13,215.52 |
$13,215.52 |
$13,215.52 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$14,533.52 |
$14,533.52 |
$14,533.52 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$5,550.66 |
$5,550.66 |
$5,550.66 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$18,943.40 |
$18,943.40 |
$18,943.40 |
$2,379.29
|
|
Radphm lcl tumor plr sgl day
|
$1,886.35 |
$1,886.35 |
$1,886.35 |
$1,126.32
|
|
Rbc count only automated
|
$5.89 |
$5.89 |
$5.89 |
$19.60
|
|
Red cell sequestration
|
$2,926.41 |
$2,926.41 |
$2,926.41 |
$475.51
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,173.23 |
$1,173.23 |
$1,173.23 |
$674.98
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,734.90 |
$2,734.90 |
$2,734.90 |
$1,864.71
|
|
Respirator motion mgmt simul
|
$3,394.79 |
$3,394.79 |
$3,394.79 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$277.81 |
$277.81 |
$277.81 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$165.06 |
$165.06 |
$165.06 |
$35.20
|
|
Reticulocyte direct measurement automated
|
$26.23 |
$26.23 |
$26.23 |
$33.57
|
|
Revitalon 1 square cm
|
$1.00 |
$1.00 |
$1.00 |
$236.22
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$343.78 |
$343.78 |
$343.78 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$482.39 |
$482.39 |
$482.39 |
$1,955.00
|
|
Rho d immune globulin inj
|
$654.78 |
$654.78 |
$654.78 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,333.76 |
$1,333.76 |
$1,333.76 |
$550.10
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$320.77 |
$320.77 |
$320.77 |
$5,707.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,700.50 |
$5,700.50 |
$5,700.50 |
$7,141.65
|