|
Protein total 24 hour urine
|
$24.40 |
$24.40 |
$24.40 |
$52.50
|
|
Protein total body fluid
|
$30.28 |
$30.28 |
$30.28 |
$52.57
|
|
Protein total serum plasma whole blood
|
$20.36 |
$20.36 |
$20.36 |
$42.81
|
|
Prothrombin complex kcentra
|
$3.19 |
$3.19 |
$3.19 |
$6.98
|
|
Prq cardiac angio addl art
|
$11,922.00 |
$11,922.00 |
$11,922.00 |
$5,655.72
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$12,389.20 |
$12,389.20 |
$12,389.20 |
$20,854.53
|
|
Prq trluml c angiop 1art&/br
|
$12,178.40 |
$12,178.40 |
$12,178.40 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$11,694.00 |
$11,694.00 |
$11,694.00 |
$13,419.98
|
|
PSA (Prostate) Test
|
$61.92 |
$61.92 |
$61.92 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$82.40 |
$82.40 |
$82.40 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$91.20 |
$91.20 |
$91.20 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$91.60 |
$91.60 |
$91.60 |
$82.55
|
|
Pt application of modality traction mechanical
|
$88.80 |
$88.80 |
$88.80 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$83.20 |
$83.20 |
$83.20 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$83.60 |
$83.60 |
$83.60 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$83.20 |
$83.20 |
$83.20 |
$263.90
|
|
Pt re-evaluation patient/family
|
$44.80 |
$44.80 |
$44.80 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$60.00 |
$60.00 |
$60.00 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$33.20 |
$33.20 |
$33.20 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$60.40 |
$60.40 |
$60.40 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$19.60 |
$19.60 |
$19.60 |
$85.00
|
|
Pyridoxine hcl 100 mg
|
$41.28 |
$41.28 |
$41.28 |
$43.51
|
|
Pyruvate
|
$9.30 |
$9.30 |
$9.30 |
$65.00
|
|
Pyruvate kinase
|
$16.12 |
$16.12 |
$16.12 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$687.20 |
$687.20 |
$687.20 |
$1,209.44
|
|
Quest t3 uptake
|
$11.04 |
$11.04 |
$11.04 |
$56.10
|
|
Quinupristin/dalfopristin
|
$244.80 |
$244.80 |
$244.80 |
$1,089.58
|
|
Rabies ig ht&sol human im/sc
|
$3,602.40 |
$3,602.40 |
$3,602.40 |
$5,401.91
|
|
Radiation physics consult
|
$452.80 |
$452.80 |
$452.80 |
$574.75
|
|
Radiation therapy dose plan
|
$548.00 |
$548.00 |
$548.00 |
$530.53
|
|
Radiation treatment aid(s)
|
$754.40 |
$754.40 |
$754.40 |
$541.45
|
|
Radiation treatment aid(s)
|
$756.40 |
$756.40 |
$756.40 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,223.20 |
$1,223.20 |
$1,223.20 |
$1,103.09
|
|
Radiesse injection
|
$1,112.56 |
$1,112.56 |
$1,112.56 |
$333.42
|
|
Radiology port images(s)
|
$86.80 |
$86.80 |
$86.80 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$4,031.60 |
$4,031.60 |
$4,031.60 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$429.60 |
$429.60 |
$429.60 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,447.20 |
$3,447.20 |
$3,447.20 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$5,454.80 |
$5,454.80 |
$5,454.80 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$860.00 |
$860.00 |
$860.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$3,447.20 |
$3,447.20 |
$3,447.20 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$194.40 |
$194.40 |
$194.40 |
$9,831.50
|
|
Rapid Strep Test
|
$46.24 |
$46.24 |
$46.24 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$375.00 |
$375.00 |
$375.00 |
$2,789.64
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$255.43 |
$255.43 |
$255.43 |
$41,926.70
|
|
Rbc count only automated
|
$32.96 |
$32.96 |
$32.96 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$146.80 |
$146.80 |
$146.80 |
$223.08
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$26.15 |
$26.15 |
$26.15 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$8.30 |
$8.30 |
$8.30 |
$1,560.00
|
|
Remote 30 day ecg tech supp
|
$834.80 |
$834.80 |
$834.80 |
$570.85
|
|
Removal/replacement ppm generator dual lead system
|
$8,856.80 |
$8,856.80 |
$8,856.80 |
$12,384.25
|
|
Remove cva lumen obstruct
|
$346.40 |
$346.40 |
$346.40 |
$494.00
|
|
Renal function panel
|
$31.48 |
$31.48 |
$31.48 |
$110.10
|
|
Renal venogram bil s&i
|
$1,918.40 |
$1,918.40 |
$1,918.40 |
$3,615.28
|
|
Reptilase test
|
$7.98 |
$7.98 |
$7.98 |
$65.65
|
|
Reslizumab 10 mg/ml intravenous solution
|
$8.88 |
$8.88 |
$8.88 |
$2,196.50
|
|
Respirator motion mgmt simul
|
$959.60 |
$959.60 |
$959.60 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$564.64 |
$564.64 |
$564.64 |
$363.38
|
|
Reteplase injection
|
$2,628.88 |
$2,628.88 |
$2,628.88 |
$3,155.69
|
|
Reticulocyte automated
|
$12.12 |
$12.12 |
$12.12 |
$54.60
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$33.24 |
$33.24 |
$33.24 |
$2,299.91
|
|
Rheumatoid factor qualitative
|
$10.44 |
$10.44 |
$10.44 |
$54.60
|
|
Rheumatoid factor quantitative
|
$68.36 |
$68.36 |
$68.36 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$25.62 |
$25.62 |
$25.62 |
$243.11
|
|
Rho(d) immune globulin h, sd
|
$31.56 |
$31.56 |
$31.56 |
$1,467.90
|
|
Rho d immune globulin inj
|
$141.36 |
$141.36 |
$141.36 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.12 |
$0.12 |
$0.12 |
$462.44
|
|
Right ventric recording
|
$2,494.80 |
$2,494.80 |
$2,494.80 |
$1,980.36
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$13.53 |
$13.53 |
$13.53 |
$18,265.61
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$129.92 |
$129.92 |
$129.92 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$31.60 |
$31.60 |
$31.60 |
$16,621.24
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$39.16 |
$39.16 |
$39.16 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$29.14 |
$29.14 |
$29.14 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$133.84 |
$133.84 |
$133.84 |
$5,831.80
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$14,340.00 |
$14,340.00 |
$14,340.00 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$21,831.60 |
$21,831.60 |
$21,831.60 |
$10,427.04
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$279.64 |
$279.64 |
$279.64 |
$7,626.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$9.93 |
$9.93 |
$9.93 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.60 |
$0.60 |
$0.60 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$25.84 |
$25.84 |
$25.84 |
$36,766.28
|
|
Rubella antibody igg
|
$43.48 |
$43.48 |
$43.48 |
$73.10
|
|
Rubeola antibody igg
|
$37.40 |
$37.40 |
$37.40 |
$79.68
|
|
Russell viper venom diluted
|
$50.68 |
$50.68 |
$50.68 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$33.30 |
$33.30 |
$33.30 |
$6,466.16
|
|
Salmonella antibody
|
$6.12 |
$6.12 |
$6.12 |
$37.58
|
|
Sargramostim injection
|
$50.64 |
$50.64 |
$50.64 |
$708.27
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,404.80 |
$1,404.80 |
$1,404.80 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,440.80 |
$1,440.80 |
$1,440.80 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$836.00 |
$836.00 |
$836.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$497.20 |
$497.20 |
$497.20 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$589.60 |
$589.60 |
$589.60 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$654.80 |
$654.80 |
$654.80 |
$759.20
|
|
Screening Mammogram
|
$494.40 |
$494.40 |
$494.40 |
$303.55
|
|
Screening prostate cancer PSA
|
$58.08 |
$58.08 |
$58.08 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$11.00 |
$11.00 |
$11.00 |
$44.20
|
|
Semen analysis presence/motility
|
$11.52 |
$11.52 |
$11.52 |
$70.85
|
|
Sertraline (zoloft) - sendout
|
$59.60 |
$59.60 |
$59.60 |
$173.16
|
|
Set radiation therapy field
|
$811.20 |
$811.20 |
$811.20 |
$731.50
|
|
Set radiation therapy field
|
$1,283.60 |
$1,283.60 |
$1,283.60 |
$1,102.40
|
|
Set radiation therapy field
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$1,636.36
|
