|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$35.64 |
$35.64 |
$35.64 |
$86.36
|
|
Pinworm exam
|
$4.76 |
$4.76 |
$4.76 |
$39.75
|
|
Placental lactogen
|
$120.05 |
$120.05 |
$120.05 |
$143.67
|
|
Platelet automated
|
$122.41 |
$122.41 |
$122.41 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$1,090.68 |
$1,090.68 |
$1,090.68 |
$411.51
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$16,457.90 |
$16,457.90 |
$16,457.90 |
$4,293.60
|
|
Potassium 24 hour urine
|
$147.13 |
$147.13 |
$147.13 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$84.74 |
$84.74 |
$84.74 |
$44.64
|
|
Pq biliary strict dil s&i
|
$10,874.22 |
$10,874.22 |
$10,874.22 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$798.66 |
$798.66 |
$798.66 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$941.76 |
$941.76 |
$941.76 |
$374.55
|
|
Prealbumin
|
$167.13 |
$167.13 |
$167.13 |
$87.20
|
|
Pregnancy associated plasma protein-a
|
$120.65 |
$120.65 |
$120.65 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,895.45 |
$3,895.45 |
$3,895.45 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$2,721.71 |
$2,721.71 |
$2,721.71 |
$541.45
|
|
Pretreat rbc absorption reference
|
$293.07 |
$293.07 |
$293.07 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$393.12 |
$393.12 |
$393.12 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$95.34 |
$95.34 |
$95.34 |
$106.00
|
|
Prgr stim/pace a/iv drug
|
$34,339.08 |
$34,339.08 |
$34,339.08 |
$4,889.30
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$41.14 |
$41.14 |
$41.14 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$155.52 |
$155.52 |
$155.52 |
$666.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$43.20 |
$43.20 |
$43.20 |
$46.50
|
|
Promethazine hcl injection
|
$10.80 |
$10.80 |
$10.80 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$62.64 |
$62.64 |
$62.64 |
$39.59
|
|
Protein s total
|
$103.81 |
$103.81 |
$103.81 |
$78.87
|
|
Protein total 24 hour urine
|
$422.54 |
$422.54 |
$422.54 |
$52.50
|
|
Protein total serum plasma whole blood
|
$124.76 |
$124.76 |
$124.76 |
$42.81
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$199.39 |
$199.39 |
$199.39 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$157.53 |
$157.53 |
$157.53 |
$82.55
|
|
Pt evaluation high complexity patient/family
|
$1,459.62 |
$1,459.62 |
$1,459.62 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$729.26 |
$729.26 |
$729.26 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,094.99 |
$1,094.99 |
$1,094.99 |
$263.90
|
|
Pt re-evaluation patient/family
|
$304.04 |
$304.04 |
$304.04 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$177.36 |
$177.36 |
$177.36 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$237.95 |
$237.95 |
$237.95 |
$85.68
|
|
Pt wheelchair management each 15 minutes
|
$167.44 |
$167.44 |
$167.44 |
$85.00
|
|
Pulmonary vent imaging
|
$10,742.80 |
$10,742.80 |
$10,742.80 |
$845.28
|
|
Pyruvate
|
$13.17 |
$13.17 |
$13.17 |
$65.00
|
|
Pyruvate kinase
|
$10.48 |
$10.48 |
$10.48 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$20,255.12 |
$20,255.12 |
$20,255.12 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$9,061.76 |
$9,061.76 |
$9,061.76 |
$1,209.44
|
|
Quinupristin/dalfopristin
|
$1,480.68 |
$1,480.68 |
$1,480.68 |
$647.41
|
|
Rabies ig heat-treated human im/subq 90376
|
$6,694.92 |
$6,694.92 |
$6,694.92 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$2,226.96 |
$2,226.96 |
$2,226.96 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,408.48 |
$3,408.48 |
$3,408.48 |
$3,213.80
|
|
Radiation physics consult
|
$674.18 |
$674.18 |
$674.18 |
$574.75
|
|
Radiation therapy dose plan
|
$1,495.97 |
$1,495.97 |
$1,495.97 |
$530.53
|
|
Radiation treatment aid(s)
|
$2,237.35 |
$2,237.35 |
$2,237.35 |
$1,103.09
|
|
Radiology port images(s)
|
$302.94 |
$302.94 |
$302.94 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,848.49 |
$5,848.49 |
$5,848.49 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$5,848.49 |
$5,848.49 |
$5,848.49 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$7,346.57 |
$7,346.57 |
$7,346.57 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,126.09 |
$2,126.09 |
$2,126.09 |
$1,139.40
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,789.64 |
$2,789.64 |
$2,789.64 |
$3,184.20
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,953.72 |
$1,953.72 |
$1,953.72 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,460.16 |
$1,460.16 |
$1,460.16 |
$1,864.71
|
|
Renal function panel
|
$317.79 |
$317.79 |
$317.79 |
$110.10
|
|
Renal venogram bil s&i
|
$11,967.66 |
$11,967.66 |
$11,967.66 |
$3,615.28
|
|
Reptilase test
|
$38.96 |
$38.96 |
$38.96 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$140.06 |
$140.06 |
$140.06 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$51.79 |
$51.79 |
$51.79 |
$35.20
|
|
Reticulocyte automated
|
$62.38 |
$62.38 |
$62.38 |
$54.60
|
|
Rheumatoid factor quantitative
|
$6.50 |
$6.50 |
$6.50 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$439.56 |
$439.56 |
$439.56 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$170.00 |
$170.00 |
$170.00 |
$170.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$321.48 |
$321.48 |
$321.48 |
$539.70
|
|
Right ventric recording
|
$11,227.51 |
$11,227.51 |
$11,227.51 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$18.81 |
$18.81 |
$18.81 |
$5.97
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,233.44 |
$2,233.44 |
$2,233.44 |
$2,233.44
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$9,706.63 |
$9,706.63 |
$9,706.63 |
$7,582.77
|
|
Romiplostim 125 mcg subcutaneous solution
|
$49.30 |
$49.30 |
$49.30 |
$8,779.01
|
|
Rp loclzj tum 2+area 1+d img
|
$2,126.09 |
$2,126.09 |
$2,126.09 |
$1,458.95
|
|
Salivary gland imaging
|
$2,778.24 |
$2,778.24 |
$2,778.24 |
$549.70
|
|
Salmonella antibody
|
$9.42 |
$9.42 |
$9.42 |
$37.58
|
|
Sargramostim injection
|
$1,311.12 |
$1,311.12 |
$1,311.12 |
$451.34
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,218.37 |
$1,218.37 |
$1,218.37 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$3,421.57 |
$3,421.57 |
$3,421.57 |
$815.66
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$92.98 |
$92.98 |
$92.98 |
$27.44
|
|
Screening Mammogram
|
$1,144.04 |
$1,144.04 |
$1,144.04 |
$303.55
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$5,621.66 |
$5,621.66 |
$5,621.66 |
$195.60
|
|
Sedimentation rate erythrocyte automated
|
$258.94 |
$258.94 |
$258.94 |
$44.20
|
|
Serpina1 gene
|
$191.73 |
$191.73 |
$191.73 |
$191.73
|
|
Shuntogram nonvascular supervision & interpretation
|
$623.22 |
$623.22 |
$623.22 |
$345.00
|
|
Sialography s&i
|
$786.42 |
$786.42 |
$786.42 |
$462.40
|
|
Signal avg ecg w or without ecg 93278
|
$1,957.54 |
$1,957.54 |
$1,957.54 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$633.96 |
$633.96 |
$633.96 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$13,037.73 |
$13,037.73 |
$13,037.73 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$10,065.93 |
$10,065.93 |
$10,065.93 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$9,625.96 |
$9,625.96 |
$9,625.96 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$4,689.96 |
$4,689.96 |
$4,689.96 |
$2,489.25
|
|
Sleep Study (Polysomnography)
|
$14,961.93 |
$14,961.93 |
$14,961.93 |
$3,936.80
|
|
Smear nasal eosinophil
|
$286.01 |
$286.01 |
$286.01 |
$49.50
|
|
Smear wet mount
|
$201.27 |
$201.27 |
$201.27 |
$68.63
|
|
Sodium 24 hour urine
|
$42.37 |
$42.37 |
$42.37 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$55.08 |
$55.08 |
$55.08 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$55.08 |
$55.08 |
$55.08 |
$51.51
|
|
Sodium serum/plasma/whole blood
|
$84.74 |
$84.74 |
$84.74 |
$42.70
|
|
Sotalol hydrochloride IV
|
$17,028.10 |
$17,028.10 |
$17,028.10 |
$1,153.60
|
|
Special physics consult
|
$674.18 |
$674.18 |
$674.18 |
$700.74
|
|
Specific gravity body fluid
|
$84.74 |
$84.74 |
$84.74 |
$23.63
|
