|
Neck (Cervical Spine) CT scan (with contrast)
|
$12,155.75 |
$12,155.75 |
$12,155.75 |
$1,786.00
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$11,125.50 |
$11,125.50 |
$11,125.50 |
$1,513.95
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$9,244.25 |
$9,244.25 |
$9,244.25 |
$2,659.98
|
|
Neisseria meningitidis
|
$395.25 |
$395.25 |
$395.25 |
$59.15
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$91.00 |
$91.00 |
$91.00 |
$63.59
|
|
Nerve teasing preparations
|
$884.25 |
$884.25 |
$884.25 |
$698.49
|
|
Nitroblue tetrazolium dye
|
$351.25 |
$351.25 |
$351.25 |
$18.78
|
|
Nm imaging bone/joint 3 phase study
|
$6,108.25 |
$6,108.25 |
$6,108.25 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$10,640.75 |
$10,640.75 |
$10,640.75 |
$1,723.50
|
|
Nm imaging gastric emptying study
|
$7,872.50 |
$7,872.50 |
$7,872.50 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$9,727.00 |
$9,727.00 |
$9,727.00 |
$1,272.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,285.50 |
$1,285.50 |
$1,285.50 |
$1,800.15
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$8,436.50 |
$8,436.50 |
$8,436.50 |
$1,577.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,387.50 |
$1,387.50 |
$1,387.50 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$7,430.75 |
$7,430.75 |
$7,430.75 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$911.75 |
$911.75 |
$911.75 |
$1,024.52
|
|
Nuclear Stress Test (Heart)
|
$22,634.75 |
$22,634.75 |
$22,634.75 |
$3,916.80
|
|
Obstetrics panel
|
$143.00 |
$143.00 |
$143.00 |
$204.80
|
|
Olanzapine 10 mg intramuscular solution
|
$145.00 |
$145.00 |
$145.00 |
$122.80
|
|
Oncoprotein her-2/neu
|
$1,923.75 |
$1,923.75 |
$1,923.75 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$33.00 |
$33.00 |
$33.00 |
$34.32
|
|
Osmolality urine
|
$82.50 |
$82.50 |
$82.50 |
$66.30
|
|
Ot evaluation high complexity patient/family
|
$435.50 |
$435.50 |
$435.50 |
$301.41
|
|
Ot evaluation low complexity patient/family
|
$435.50 |
$435.50 |
$435.50 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$435.50 |
$435.50 |
$435.50 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$214.25 |
$214.25 |
$214.25 |
$100.80
|
|
Ot re-evaluation patient/family
|
$435.50 |
$435.50 |
$435.50 |
$174.00
|
|
Oxytocin 10 unit/ml injection solution
|
$75.00 |
$75.00 |
$75.00 |
$46.75
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$382.00 |
$382.00 |
$382.00 |
$148.35
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$66.25 |
$66.25 |
$66.25 |
$38.06
|
|
Parathyroid planar imaging
|
$6,632.75 |
$6,632.75 |
$6,632.75 |
$1,159.15
|
|
Paricalcitol
|
$45.00 |
$45.00 |
$45.00 |
$47.38
|
|
Pelvic CT scan (with and without contrast)
|
$12,459.75 |
$12,459.75 |
$12,459.75 |
$1,918.80
|
|
Pelvic CT scan (with contrast)
|
$11,792.50 |
$11,792.50 |
$11,792.50 |
$1,678.50
|
|
Pelvic MRI (with and without contrast)
|
$2,161.25 |
$2,161.25 |
$2,161.25 |
$2,748.85
|
|
Pelvic MRI (without contrast)
|
$7,522.75 |
$7,522.75 |
$7,522.75 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$4,742.25 |
$4,742.25 |
$4,742.25 |
$647.87
|
|
Peng benzathine/procaine inj
|
$24.00 |
$24.00 |
$24.00 |
$254.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$88.70 |
$88.70 |
$88.70 |
$94.08
|
|
Pertussis ag if
|
$982.50 |
$982.50 |
$982.50 |
$49.00
|
|
Phlebotomy therapeutic
|
$60.00 |
$60.00 |
$60.00 |
$249.00
|
|
Phys blood bank serv reactj
|
$362.25 |
$362.25 |
$362.25 |
$219.94
|
|
Placement occlusive device venous/arterial access site post procedure
|
$554.25 |
$554.25 |
$554.25 |
$561.15
|
|
Placental lactogen
|
$612.75 |
$612.75 |
$612.75 |
$143.67
|
|
Platelet automated
|
$236.25 |
$236.25 |
$236.25 |
$44.00
|
|
Potassium 24 hour urine
|
$393.75 |
$393.75 |
$393.75 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$320.50 |
$320.50 |
$320.50 |
$45.00
|
|
Pr application splint static short arm
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$300.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$225.50 |
$225.50 |
$225.50 |
$48.71
|
|
Prealbumin
|
$179.25 |
$179.25 |
$179.25 |
$87.10
|
|
Pregnancy associated plasma protein-a
|
$455.75 |
$455.75 |
$455.75 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$4,123.25 |
$4,123.25 |
$4,123.25 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$4,123.25 |
$4,123.25 |
$4,123.25 |
$541.45
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$4,292.75 |
$4,292.75 |
$4,292.75 |
$273.38
|
|
Progesterone
|
$236.25 |
$236.25 |
$236.25 |
$104.40
|
|
Prolactin
|
$238.00 |
$238.00 |
$238.00 |
$127.40
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$8.25 |
$8.25 |
$8.25 |
$39.59
|
|
Protamine 10 mg/ml intravenous solution
|
$108.00 |
$108.00 |
$108.00 |
$53.50
|
|
Prothrombin complex kcentra
|
$5.50 |
$5.50 |
$5.50 |
$6.03
|
|
Prothrombin time substitution plasma fractions each
|
$785.50 |
$785.50 |
$785.50 |
$38.40
|
|
Protoporphyrin rbc screen
|
$236.25 |
$236.25 |
$236.25 |
$22.90
|
|
Pt application of modality traction mechanical
|
$411.75 |
$411.75 |
$411.75 |
$88.80
|
|
Pt evaluation high complexity patient/family
|
$387.00 |
$387.00 |
$387.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$387.00 |
$387.00 |
$387.00 |
$226.80
|
|
Pt evaluation moderate complexity patient/family
|
$387.00 |
$387.00 |
$387.00 |
$264.00
|
|
Pt re-evaluation patient/family
|
$387.00 |
$387.00 |
$387.00 |
$158.40
|
|
Pulse ox continuous overnight monitoring
|
$775.50 |
$775.50 |
$775.50 |
$365.60
|
|
Pyridoxine hcl 100 mg
|
$108.00 |
$108.00 |
$108.00 |
$43.24
|
|
Pyruvate kinase
|
$168.00 |
$168.00 |
$168.00 |
$65.00
|
|
Quest t3 uptake
|
$450.50 |
$450.50 |
$450.50 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$5,401.91
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$9,476.25 |
$9,476.25 |
$9,476.25 |
$2,014.64
|
|
Radphm lcl tumor plr sgl day
|
$2,949.25 |
$2,949.25 |
$2,949.25 |
$1,126.32
|
|
Rapid Strep Test
|
$131.75 |
$131.75 |
$131.75 |
$74.10
|
|
Rbc serum pretx incubj drugs
|
$463.50 |
$463.50 |
$463.50 |
$223.08
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$969.00 |
$969.00 |
$969.00 |
$674.98
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$1,864.71
|
|
Renal function panel
|
$696.00 |
$696.00 |
$696.00 |
$112.00
|
|
Reptilase test
|
$302.25 |
$302.25 |
$302.25 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$362.25 |
$362.25 |
$362.25 |
$48.00
|
|
Reticulocyte automated
|
$129.75 |
$129.75 |
$129.75 |
$54.60
|
|
Rheumatoid factor qualitative
|
$865.50 |
$865.50 |
$865.50 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$330.00 |
$330.00 |
$330.00 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$153.00 |
$153.00 |
$153.00 |
$186.03
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$328.00 |
$328.00 |
$328.00 |
$550.10
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$9,400.00 |
$9,400.00 |
$9,400.00 |
$9,916.57
|
|
Rotavirus antibody
|
$395.25 |
$395.25 |
$395.25 |
$38.40
|
|
Rsv assay w/optic
|
$362.25 |
$362.25 |
$362.25 |
$73.80
|
|
Salmonella antibody
|
$357.00 |
$357.00 |
$357.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.25 |
$37.25 |
$37.25 |
$60.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$300.00 |
$300.00 |
$300.00 |
$508.00
|
|
Screening HIV antigen/antibody combination assay
|
$49.75 |
$49.75 |
$49.75 |
$26.49
|
|
Screening Mammogram
|
$759.00 |
$759.00 |
$759.00 |
$299.01
|
|
Screening prostate cancer PSA
|
$148.25 |
$148.25 |
$148.25 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$406.25 |
$406.25 |
$406.25 |
$44.20
|
|
Semen analysis presence/motility
|
$373.50 |
$373.50 |
$373.50 |
$72.42
|
|
Sept9 promoter methylation analysis
|
$184.50 |
$184.50 |
$184.50 |
$316.68
|
|
Serpina1 gene
|
$199.75 |
$199.75 |
$199.75 |
$193.52
|
|
Sincalide 5 mcg solution for injection
|
$671.00 |
$671.00 |
$671.00 |
$412.96
|
|
Sinus CT scan (with and without contrast)
|
$12,459.75 |
$12,459.75 |
$12,459.75 |
$1,822.80
|
