|
Olanzapine 10 mg intramuscular solution
|
$140.60 |
$140.60 |
$140.60 |
$122.78
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$17.87 |
$17.87 |
$17.87 |
$34.32
|
|
Oprelvekin injection
|
$2,794.19 |
$2,794.19 |
$2,794.19 |
$848.31
|
|
Organic acids total quant ea spec
|
$213.75 |
$213.75 |
$213.75 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$381.98 |
$381.98 |
$381.98 |
$65.07
|
|
Ot evaluation high complexity patient/family
|
$1,816.21 |
$1,816.21 |
$1,816.21 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$1,816.21 |
$1,816.21 |
$1,816.21 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,816.21 |
$1,816.21 |
$1,816.21 |
$270.58
|
|
Oth resp proc, group
|
$508.20 |
$508.20 |
$508.20 |
$154.00
|
|
Oth resp proc, indiv
|
$129.47 |
$129.47 |
$129.47 |
$87.45
|
|
Ot re-evaluation patient/family
|
$1,142.24 |
$1,142.24 |
$1,142.24 |
$174.00
|
|
Oxaliplatin 5 mg/ml desensitization
|
$5,401.33 |
$5,401.33 |
$5,401.33 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$10.56 |
$10.56 |
$10.56 |
$45.86
|
|
Parathyroid planar imaging
|
$1,566.95 |
$1,566.95 |
$1,566.95 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,566.95 |
$1,566.95 |
$1,566.95 |
$1,398.75
|
|
Paricalcitol
|
$528.44 |
$528.44 |
$528.44 |
$47.38
|
|
Pelvic MRI (with and without contrast)
|
$19,013.16 |
$19,013.16 |
$19,013.16 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$18,193.31 |
$18,193.31 |
$18,193.31 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$17,373.43 |
$17,373.43 |
$17,373.43 |
$1,879.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$664.32 |
$664.32 |
$664.32 |
$321.71
|
|
Perphenazine 4mg oral
|
$15.20 |
$15.20 |
$15.20 |
$9.93
|
|
Pertussis ag if
|
$17.00 |
$17.00 |
$17.00 |
$49.00
|
|
Phencyclidine (pcp)
|
$14.70 |
$14.70 |
$14.70 |
$88.00
|
|
Phentolaine mesylate inj
|
$2,253.68 |
$2,253.68 |
$2,253.68 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$1,312.85 |
$1,312.85 |
$1,312.85 |
$111.27
|
|
Pinworm exam
|
$480.37 |
$480.37 |
$480.37 |
$39.75
|
|
Placental lactogen
|
$97.40 |
$97.40 |
$97.40 |
$143.67
|
|
Platelet automated
|
$551.76 |
$551.76 |
$551.76 |
$44.00
|
|
Potassium serum/plasma/whole blood
|
$951.06 |
$951.06 |
$951.06 |
$44.64
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$4.67 |
$4.67 |
$4.67 |
$4.67
|
|
Powder prem protct 1oz
|
$7.60 |
$7.60 |
$7.60 |
$5.20
|
|
Pq biliary strict dil s&i
|
$15,898.19 |
$15,898.19 |
$15,898.19 |
$1,006.00
|
|
Prealbumin
|
$618.31 |
$618.31 |
$618.31 |
$87.20
|
|
Pretreat rbc absorption reference
|
$150.00 |
$150.00 |
$150.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$228.00 |
$228.00 |
$228.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$60.00 |
$60.00 |
$60.00 |
$106.00
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$36.44 |
$36.44 |
$36.44 |
$46.50
|
|
Prochlorperazine maleate 5 mg tablet
|
$28.64 |
$28.64 |
$28.64 |
$4.25
|
|
Progesterone
|
$26.62 |
$26.62 |
$26.62 |
$105.00
|
|
Prolactin
|
$20.57 |
$20.57 |
$20.57 |
$127.50
|
|
Promethazine hcl injection
|
$65.32 |
$65.32 |
$65.32 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$30.26 |
$30.26 |
$30.26 |
$39.59
|
|
Protamine 10 mg/ml intravenous solution
|
$100.75 |
$100.75 |
$100.75 |
$50.70
|
|
Protein c activity
|
$90.75 |
$90.75 |
$90.75 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$9.68 |
$9.68 |
$9.68 |
$85.20
|
|
Protein s total
|
$9.50 |
$9.50 |
$9.50 |
$78.87
|
|
Protein total serum plasma whole blood
|
$1,802.90 |
$1,802.90 |
$1,802.90 |
$42.81
|
|
Pt evaluation high complexity patient/family
|
$1,816.21 |
$1,816.21 |
$1,816.21 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$1,816.21 |
$1,816.21 |
$1,816.21 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,816.21 |
$1,816.21 |
$1,816.21 |
$263.90
|
|
Pt re-evaluation patient/family
|
$1,134.98 |
$1,134.98 |
$1,134.98 |
$157.30
|
|
Puraply 1 sq cm
|
$9,761.83 |
$9,761.83 |
$9,761.83 |
$8,176.14
|
|
Pyridoxine hcl 100 mg
|
$108.51 |
$108.51 |
$108.51 |
$43.24
|
|
Pyruvate
|
$6.00 |
$6.00 |
$6.00 |
$65.00
|
|
Pyruvate kinase
|
$63.48 |
$63.48 |
$63.48 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$4,674.23 |
$4,674.23 |
$4,674.23 |
$1,209.44
|
|
Quest t3 uptake
|
$3.63 |
$3.63 |
$3.63 |
$56.10
|
|
Rabies ig heat-treated human im/subq 90376
|
$3,389.89 |
$3,389.89 |
$3,389.89 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$3,213.80
|
|
Radiation physics consult
|
$2,583.05 |
$2,583.05 |
$2,583.05 |
$574.75
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,901.04 |
$3,901.04 |
$3,901.04 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,882.35 |
$4,882.35 |
$4,882.35 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$7,448.76 |
$7,448.76 |
$7,448.76 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,901.04 |
$3,901.04 |
$3,901.04 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,472.03 |
$2,472.03 |
$2,472.03 |
$1,139.40
|
|
Rbc count only automated
|
$3.00 |
$3.00 |
$3.00 |
$20.00
|
|
Red cell survival study
|
$1,566.95 |
$1,566.95 |
$1,566.95 |
$475.51
|
|
Refill/maint pump/resvr syst
|
$1,354.10 |
$1,354.10 |
$1,354.10 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,143.10 |
$2,143.10 |
$2,143.10 |
$1,864.71
|
|
Renal function panel
|
$2,429.68 |
$2,429.68 |
$2,429.68 |
$110.10
|
|
Renal venogram bil s&i
|
$17,860.81 |
$17,860.81 |
$17,860.81 |
$3,615.28
|
|
#resp virpnl dfa-adenovirus
|
$1,385.45 |
$1,385.45 |
$1,385.45 |
$48.00
|
|
Reticulocyte automated
|
$468.27 |
$468.27 |
$468.27 |
$54.60
|
|
Rheumatoid factor qualitative
|
$7.26 |
$7.26 |
$7.26 |
$54.60
|
|
Rheumatoid factor quantitative
|
$20.57 |
$20.57 |
$20.57 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$80.63 |
$80.63 |
$80.63 |
$255.26
|
|
Rho d immune globulin inj
|
$80.63 |
$80.63 |
$80.63 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$742.41 |
$742.41 |
$742.41 |
$539.70
|
|
Ring barrier skin cx 1 9/16 adapt
|
$31.96 |
$31.96 |
$31.96 |
$10.02
|
|
Ring ostmy barr adapt 48mm
|
$5.43 |
$5.43 |
$5.43 |
$5.97
|
|
Rp loclzj tum 2+area 1+d img
|
$4,346.32 |
$4,346.32 |
$4,346.32 |
$1,458.95
|
|
Sarscov coronavirus ag ia
|
$36.30 |
$36.30 |
$36.30 |
$60.40
|
|
Screening Mammogram
|
$1,027.29 |
$1,027.29 |
$1,027.29 |
$303.55
|
|
Screening prostate cancer PSA
|
$64.13 |
$64.13 |
$64.13 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$1,068.43 |
$1,068.43 |
$1,068.43 |
$44.20
|
|
Set radiation therapy field
|
$2,533.74 |
$2,533.74 |
$2,533.74 |
$1,102.40
|
|
Set radiation therapy field
|
$3,489.95 |
$3,489.95 |
$3,489.95 |
$1,636.36
|
|
Sialidase enzyme assay
|
$67.21 |
$67.21 |
$67.21 |
$49.44
|
|
Sincalide 5 mcg solution for injection
|
$550.40 |
$550.40 |
$550.40 |
$409.96
|
|
Sinus/juglr venogram s&i
|
$14,731.75 |
$14,731.75 |
$14,731.75 |
$2,489.25
|
|
Smear nasal eosinophil
|
$751.41 |
$751.41 |
$751.41 |
$49.50
|
|
Sock wool above knee
|
$199.71 |
$199.71 |
$199.71 |
$216.33
|
|
Sodium chloride 0.9 % intravenous solution
|
$81.54 |
$81.54 |
$81.54 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$81.54 |
$81.54 |
$81.54 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$477.21 |
$477.21 |
$477.21 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$644.93 |
$644.93 |
$644.93 |
$42.70
|
|
Specific gravity body fluid
|
$480.37 |
$480.37 |
$480.37 |
$23.63
|
|
Specimen fat stain
|
$15.00 |
$15.00 |
$15.00 |
$32.76
|
|
Sperm antibody test
|
$49.90 |
$49.90 |
$49.90 |
$56.44
|
