|
Nm radiopharmaceutical therapy oral administration
|
$13,642.99 |
$13,642.99 |
$13,642.99 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$24,994.89 |
$24,994.89 |
$24,994.89 |
$608.56
|
|
Nuclear Stress Test (Heart)
|
$35,419.80 |
$35,419.80 |
$35,419.80 |
$3,921.45
|
|
Nushield 1 square cm
|
$6,634.25 |
$6,634.25 |
$6,634.25 |
$2,342.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$20,636.00 |
$20,636.00 |
$20,636.00 |
$14,506.60
|
|
Olanzapine 10 mg intramuscular solution
|
$386.12 |
$386.12 |
$386.12 |
$122.78
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,099.00 |
$4,099.00 |
$4,099.00 |
$4,797.94
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.07 |
$8.07 |
$8.07 |
$34.32
|
|
Oprelvekin injection
|
$8,711.00 |
$8,711.00 |
$8,711.00 |
$848.31
|
|
Oral busulfan
|
$29.00 |
$29.00 |
$29.00 |
$84.21
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$764.00 |
$764.00 |
$764.00 |
$65.07
|
|
Orthosis lso rigd frm hyperex
|
$1,466.63 |
$1,466.63 |
$1,466.63 |
$920.03
|
|
Osmolality blood
|
$1,527.98 |
$1,527.98 |
$1,527.98 |
$67.60
|
|
Osmolality urine
|
$1,527.98 |
$1,527.98 |
$1,527.98 |
$65.65
|
|
Other immunoelectrophoresis
|
$36.00 |
$36.00 |
$36.00 |
$46.40
|
|
Oth resp proc, group
|
$579.63 |
$579.63 |
$579.63 |
$154.00
|
|
Oth resp proc, indiv
|
$235.73 |
$235.73 |
$235.73 |
$87.45
|
|
Oxaliplatin 5 mg/ml desensitization
|
$13,633.00 |
$13,633.00 |
$13,633.00 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$219.00 |
$219.00 |
$219.00 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$133.00 |
$133.00 |
$133.00 |
$231.46
|
|
Paliperidone 117 mg/0.75 ml inj
|
$9,039.00 |
$9,039.00 |
$9,039.00 |
$6,493.54
|
|
Palonosetron hcl
|
$5,947.00 |
$5,947.00 |
$5,947.00 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$7,545.00 |
$7,545.00 |
$7,545.00 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$46.00 |
$46.00 |
$46.00 |
$44.25
|
|
Parathyroid planar imaging
|
$14,436.61 |
$14,436.61 |
$14,436.61 |
$1,166.00
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,592.36 |
$8,592.36 |
$8,592.36 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$18,693.41 |
$18,693.41 |
$18,693.41 |
$1,918.15
|
|
Pelvic CT scan (without contrast)
|
$18,693.41 |
$18,693.41 |
$18,693.41 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$18,241.06 |
$18,241.06 |
$18,241.06 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$14,365.46 |
$14,365.46 |
$14,365.46 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$13,418.31 |
$13,418.31 |
$13,418.31 |
$1,879.15
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,308.70 |
$18,308.70 |
$18,308.70 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$783.71 |
$783.71 |
$783.71 |
$258.72
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$766.00 |
$766.00 |
$766.00 |
$321.71
|
|
Perit-vens shunt pat tst
|
$8,304.33 |
$8,304.33 |
$8,304.33 |
$695.40
|
|
Pertussis ag if
|
$49.00 |
$49.00 |
$49.00 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$19,108.00 |
$19,108.00 |
$19,108.00 |
$18,443.20
|
|
Pet CT skull-mid thgh initial
|
$16,644.76 |
$16,644.76 |
$16,644.76 |
$4,854.75
|
|
Pet CT whole body initial
|
$17,242.02 |
$17,242.02 |
$17,242.02 |
$5,017.50
|
|
Pet image full body
|
$16,644.76 |
$16,644.76 |
$16,644.76 |
$4,795.47
|
|
Pet image w/ct lmtd
|
$16,649.96 |
$16,649.96 |
$16,649.96 |
$4,422.60
|
|
Phenobarbital therapeutic drug level
|
$1,479.67 |
$1,479.67 |
$1,479.67 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,969.35 |
$1,969.35 |
$1,969.35 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$1,745.74 |
$1,745.74 |
$1,745.74 |
$111.27
|
|
Phosphorus
|
$1,058.06 |
$1,058.06 |
$1,058.06 |
$47.81
|
|
Phosphorus 24 hour urine
|
$1,159.18 |
$1,159.18 |
$1,159.18 |
$42.81
|
|
Phys blood bank serv reactj
|
$1,261.22 |
$1,261.22 |
$1,261.22 |
$219.94
|
|
Phys blood bank serv xmatch
|
$1,687.25 |
$1,687.25 |
$1,687.25 |
$56.08
|
|
Pinworm exam
|
$45.27 |
$45.27 |
$45.27 |
$39.75
|
|
Placental lactogen
|
$75.00 |
$75.00 |
$75.00 |
$143.67
|
|
Platelet automated
|
$802.87 |
$802.87 |
$802.87 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$275.41 |
$275.41 |
$275.41 |
$411.51
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$24,813.35 |
$24,813.35 |
$24,813.35 |
$4,293.60
|
|
Potassium 24 hour urine
|
$1,159.18 |
$1,159.18 |
$1,159.18 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$1,159.18 |
$1,159.18 |
$1,159.18 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$3,671.17 |
$3,671.17 |
$3,671.17 |
$711.36
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$139.38 |
$139.38 |
$139.38 |
$48.71
|
|
Prealbumin
|
$1,176.31 |
$1,176.31 |
$1,176.31 |
$87.20
|
|
Pregnancy associated plasma protein-a
|
$24.44 |
$24.44 |
$24.44 |
$67.60
|
|
Pretreat rbc absorption reference
|
$1,448.62 |
$1,448.62 |
$1,448.62 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$849.43 |
$849.43 |
$849.43 |
$106.00
|
|
Prgr stim/pace a/iv drug
|
$18,639.58 |
$18,639.58 |
$18,639.58 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$194.00 |
$194.00 |
$194.00 |
$666.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$268.00 |
$268.00 |
$268.00 |
$46.50
|
|
Promethazine hcl injection
|
$10.42 |
$10.42 |
$10.42 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$237.31 |
$237.31 |
$237.31 |
$39.59
|
|
Prostate biopsy, any mthd
|
$2,368.12 |
$2,368.12 |
$2,368.12 |
$555.26
|
|
Protamine 10 mg/ml intravenous solution
|
$101.00 |
$101.00 |
$101.00 |
$50.70
|
|
Protein total 24 hour urine
|
$1,131.19 |
$1,131.19 |
$1,131.19 |
$52.50
|
|
Protein total serum plasma whole blood
|
$155.68 |
$155.68 |
$155.68 |
$42.81
|
|
Pt repositioning canalith procedure(s) per day
|
$995.80 |
$995.80 |
$995.80 |
$123.92
|
|
Pulmonary vent imaging
|
$12,922.94 |
$12,922.94 |
$12,922.94 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$723.00 |
$723.00 |
$723.00 |
$43.24
|
|
Quant diff pulm perf and vent w/imaging
|
$24,142.62 |
$24,142.62 |
$24,142.62 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$12,922.94 |
$12,922.94 |
$12,922.94 |
$1,209.44
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,059.01
|
|
Radiation physics consult
|
$426.60 |
$426.60 |
$426.60 |
$574.75
|
|
Radiation therapy dose plan
|
$186.90 |
$186.90 |
$186.90 |
$530.53
|
|
Radiation treatment aid(s)
|
$284.10 |
$284.10 |
$284.10 |
$541.45
|
|
Radiation treatment aid(s)
|
$264.60 |
$264.60 |
$264.60 |
$665.00
|
|
Radiation treatment aid(s)
|
$450.40 |
$450.40 |
$450.40 |
$1,103.09
|
|
Radiation treatment delivery
|
$249.50 |
$249.50 |
$249.50 |
$552.40
|
|
Radiation treatment delivery
|
$326.20 |
$326.20 |
$326.20 |
$909.98
|
|
Radiology port images(s)
|
$104.80 |
$104.80 |
$104.80 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$10,884.46 |
$10,884.46 |
$10,884.46 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$10,589.48 |
$10,589.48 |
$10,589.48 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$10,693.56 |
$10,693.56 |
$10,693.56 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$10,338.06 |
$10,338.06 |
$10,338.06 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$5,111.00 |
$5,111.00 |
$5,111.00 |
$16,029.45
|
|
Rapid Strep Test
|
$401.43 |
$401.43 |
$401.43 |
$74.10
|
|
Rbc count only automated
|
$622.39 |
$622.39 |
$622.39 |
$20.00
|
|
Red cell sequestration
|
$3,872.37 |
$3,872.37 |
$3,872.37 |
$475.51
|
|
Red cell survival study
|
$9,754.32 |
$9,754.32 |
$9,754.32 |
$475.51
|
|
Refill/maint pump/resvr syst
|
$4,332.59 |
$4,332.59 |
$4,332.59 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$4,832.00 |
$4,832.00 |
$4,832.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,222.00 |
$2,222.00 |
$2,222.00 |
$1,864.71
|
|
Remove cva lumen obstruct
|
$1,618.18 |
$1,618.18 |
$1,618.18 |
$494.00
|
|
Remove esophagus obstruction
|
$1,283.37 |
$1,283.37 |
$1,283.37 |
$351.20
|
|
Renal function panel
|
$2,685.56 |
$2,685.56 |
$2,685.56 |
$110.10
|
