|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$67.00 |
$67.00 |
$67.00 |
$44.25
|
|
Parathormone (pth) intact
|
$224.00 |
$224.00 |
$224.00 |
$200.23
|
|
Parathyroid planar imaging
|
$2,179.00 |
$2,179.00 |
$2,179.00 |
$1,166.00
|
|
Paricalcitol
|
$65.00 |
$65.00 |
$65.00 |
$47.38
|
|
Passy muir valve metal trach
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$241.20
|
|
Paste skin barrier .5oz adapt
|
$26.00 |
$26.00 |
$26.00 |
$7.00
|
|
Pelvic CT scan (with and without contrast)
|
$22,071.00 |
$22,071.00 |
$22,071.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$18,153.00 |
$18,153.00 |
$18,153.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$16,169.00 |
$16,169.00 |
$16,169.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$10,680.00 |
$10,680.00 |
$10,680.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$7,205.00 |
$7,205.00 |
$7,205.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$7,729.00 |
$7,729.00 |
$7,729.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$5,360.00 |
$5,360.00 |
$5,360.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$445.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$21.73 |
$21.73 |
$21.73 |
$100.50
|
|
Penile vascular study
|
$649.00 |
$649.00 |
$649.00 |
$561.00
|
|
Pentobarbital sodium inj
|
$514.00 |
$514.00 |
$514.00 |
$167.64
|
|
Pentostatin 10 mg intravenous solution
|
$20,849.00 |
$20,849.00 |
$20,849.00 |
$6,112.62
|
|
Pertuzumab 30 mg/ml desensitization
|
$22,816.00 |
$22,816.00 |
$22,816.00 |
$18,443.20
|
|
Pet image w/ct lmtd
|
$8,965.00 |
$8,965.00 |
$8,965.00 |
$4,422.60
|
|
Ph body fluid
|
$276.00 |
$276.00 |
$276.00 |
$39.20
|
|
Phenobarbital therapeutic drug level
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$470.00 |
$470.00 |
$470.00 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$1,873.00 |
$1,873.00 |
$1,873.00 |
$111.27
|
|
Phosphorus
|
$242.00 |
$242.00 |
$242.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$39.00 |
$39.00 |
$39.00 |
$42.81
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,681.00 |
$1,681.00 |
$1,681.00 |
$650.65
|
|
Platelet automated
|
$356.00 |
$356.00 |
$356.00 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$2,153.00 |
$2,153.00 |
$2,153.00 |
$411.51
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$121,245.20 |
$121,245.20 |
$121,245.20 |
$43,674.71
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$14,674.00 |
$14,674.00 |
$14,674.00 |
$4,293.60
|
|
Potassium 24 hour urine
|
$57.00 |
$57.00 |
$57.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$178.00 |
$178.00 |
$178.00 |
$44.64
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$36.00 |
$36.00 |
$36.00 |
$4.67
|
|
Powder prem protct 1oz
|
$53.00 |
$53.00 |
$53.00 |
$5.20
|
|
Pq biliary strict dil s&i
|
$4,579.00 |
$4,579.00 |
$4,579.00 |
$1,006.00
|
|
Pralidoxime 1 gram solution for injection
|
$1,597.00 |
$1,597.00 |
$1,597.00 |
$374.55
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,799.00 |
$1,799.00 |
$1,799.00 |
$356.40
|
|
Prealbumin
|
$83.00 |
$83.00 |
$83.00 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$31.00 |
$31.00 |
$31.00 |
$16.30
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,229.00 |
$1,229.00 |
$1,229.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,229.00 |
$1,229.00 |
$1,229.00 |
$541.45
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$71.00 |
$71.00 |
$71.00 |
$141.00
|
|
Pretreat rbc absorption reference
|
$303.00 |
$303.00 |
$303.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$271.00 |
$271.00 |
$271.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$71.00 |
$71.00 |
$71.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$71.00 |
$71.00 |
$71.00 |
$166.10
|
|
Prgrmg dev eval pm/ldls pm
|
$615.00 |
$615.00 |
$615.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$615.00 |
$615.00 |
$615.00 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$615.00 |
$615.00 |
$615.00 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$615.00 |
$615.00 |
$615.00 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$40,061.00 |
$40,061.00 |
$40,061.00 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$334.00 |
$334.00 |
$334.00 |
$666.10
|
|
Procalcitonin
|
$74.00 |
$74.00 |
$74.00 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$92.00 |
$92.00 |
$92.00 |
$46.50
|
|
Progesterone
|
$114.00 |
$114.00 |
$114.00 |
$105.00
|
|
Prolactin
|
$108.00 |
$108.00 |
$108.00 |
$127.50
|
|
Promethazine hcl injection
|
$27.00 |
$27.00 |
$27.00 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$119.00 |
$119.00 |
$119.00 |
$39.59
|
|
Protamine 10 mg/ml intravenous solution
|
$113.00 |
$113.00 |
$113.00 |
$50.70
|
|
Protein c activity
|
$77.00 |
$77.00 |
$77.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$58.00 |
$58.00 |
$58.00 |
$85.20
|
|
Protein total 24 hour urine
|
$53.00 |
$53.00 |
$53.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$438.00 |
$438.00 |
$438.00 |
$42.81
|
|
Prothrombin complex kcentra
|
$13.00 |
$13.00 |
$13.00 |
$5.50
|
|
Prothrombin time substitution plasma fractions each
|
$398.00 |
$398.00 |
$398.00 |
$37.05
|
|
PSA (Prostate) Test
|
$117.00 |
$117.00 |
$117.00 |
$109.35
|
|
Psychotherapy patient individual therapy 60 minutes
|
$555.00 |
$555.00 |
$555.00 |
$294.45
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$841.00 |
$841.00 |
$841.00 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$491.00 |
$491.00 |
$491.00 |
$105.30
|
|
Pt application of modality traction mechanical
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$949.00 |
$949.00 |
$949.00 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$841.00 |
$841.00 |
$841.00 |
$123.92
|
|
Pulse ox continuous overnight monitoring
|
$352.00 |
$352.00 |
$352.00 |
$368.00
|
|
Pulse ox single
|
$235.00 |
$235.00 |
$235.00 |
$88.63
|
|
Pyridoxine hcl 100 mg
|
$97.00 |
$97.00 |
$97.00 |
$43.24
|
|
Rabies ig heat-treated human im/subq 90376
|
$4,216.00 |
$4,216.00 |
$4,216.00 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,216.00 |
$4,216.00 |
$4,216.00 |
$3,213.80
|
|
Radiation therapy dose plan
|
$2,502.00 |
$2,502.00 |
$2,502.00 |
$530.53
|
|
Radiation treatment delivery
|
$2,984.00 |
$2,984.00 |
$2,984.00 |
$552.40
|
|
Radiation treatment delivery
|
$4,171.00 |
$4,171.00 |
$4,171.00 |
$909.98
|
|
Radiology port images(s)
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$6,134.00 |
$6,134.00 |
$6,134.00 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,924.00 |
$5,924.00 |
$5,924.00 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$8,542.00 |
$8,542.00 |
$8,542.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,747.00 |
$2,747.00 |
$2,747.00 |
$1,139.40
|
|
Rbc count only automated
|
$15.00 |
$15.00 |
$15.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,742.00 |
$2,742.00 |
$2,742.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,864.71
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$280.00 |
$280.00 |
$280.00 |
$78.00
|
|
Renal function panel
|
$2,418.00 |
$2,418.00 |
$2,418.00 |
$110.10
|
|
Respirator motion mgmt simul
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$1,200.53
|
|
Reticulocyte direct measurement automated
|
$121.00 |
$121.00 |
$121.00 |
$33.57
|
|
Rheumatoid factor quantitative
|
$58.00 |
$58.00 |
$58.00 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$424.00 |
$424.00 |
$424.00 |
$170.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$539.70
|
