|
Palonosetron hcl
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$351.00 |
$351.00 |
$351.00 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.00 |
$10.00 |
$10.00 |
$44.25
|
|
Parathyroid planar imaging
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,456.50 |
$2,456.50 |
$2,456.50 |
$1,398.75
|
|
Pelvic CT scan (with and without contrast)
|
$21,978.00 |
$21,978.00 |
$21,978.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$19,755.25 |
$19,755.25 |
$19,755.25 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$19,201.25 |
$19,201.25 |
$19,201.25 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$17,750.50 |
$17,750.50 |
$17,750.50 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$18,472.25 |
$18,472.25 |
$18,472.25 |
$2,087.21
|
|
Pelvic Ultrasound (complete)
|
$5,101.75 |
$5,101.75 |
$5,101.75 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$2,130.25 |
$2,130.25 |
$2,130.25 |
$445.00
|
|
Peng benzathine/procaine inj
|
$304.00 |
$304.00 |
$304.00 |
$258.72
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$58.00 |
$58.00 |
$58.00 |
$100.50
|
|
Pentobarbital sodium inj
|
$234.75 |
$234.75 |
$234.75 |
$167.64
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$372.00 |
$372.00 |
$372.00 |
$321.71
|
|
Peritoneogram rs&i
|
$6,056.25 |
$6,056.25 |
$6,056.25 |
$648.84
|
|
Perit-vens shunt pat tst
|
$6,691.25 |
$6,691.25 |
$6,691.25 |
$695.40
|
|
Perphenazine 4mg oral
|
$10.00 |
$10.00 |
$10.00 |
$9.93
|
|
Pertussis ag if
|
$19.75 |
$19.75 |
$19.75 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$11,927.00 |
$11,927.00 |
$11,927.00 |
$18,443.20
|
|
Pet image w/ct lmtd
|
$18,175.00 |
$18,175.00 |
$18,175.00 |
$4,422.60
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$216.00 |
$216.00 |
$216.00 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$157.75 |
$157.75 |
$157.75 |
$104.50
|
|
Phentolaine mesylate inj
|
$880.00 |
$880.00 |
$880.00 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$157.75 |
$157.75 |
$157.75 |
$111.27
|
|
Phlebotomy therapeutic
|
$925.75 |
$925.75 |
$925.75 |
$249.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$33.00 |
$33.00 |
$33.00 |
$86.36
|
|
Pinworm exam
|
$4.50 |
$4.50 |
$4.50 |
$39.75
|
|
Placental lactogen
|
$119.00 |
$119.00 |
$119.00 |
$143.67
|
|
Platelet automated
|
$134.00 |
$134.00 |
$134.00 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$1,164.75 |
$1,164.75 |
$1,164.75 |
$411.51
|
|
Pms2 gene full seq analysis
|
$1,528.00 |
$1,528.00 |
$1,528.00 |
$860.68
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$17,255.00 |
$17,255.00 |
$17,255.00 |
$4,293.60
|
|
Potassium 24 hour urine
|
$160.00 |
$160.00 |
$160.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$92.00 |
$92.00 |
$92.00 |
$44.64
|
|
Pouch uros new (both sides) 2.75in clr
|
$30.82 |
$30.82 |
$30.82 |
$14.48
|
|
Pq biliary strict dil s&i
|
$14,323.75 |
$14,323.75 |
$14,323.75 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$1,052.75 |
$1,052.75 |
$1,052.75 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$872.00 |
$872.00 |
$872.00 |
$374.55
|
|
Prealbumin
|
$182.75 |
$182.75 |
$182.75 |
$87.20
|
|
Pregnancy associated plasma protein-a
|
$119.50 |
$119.50 |
$119.50 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$4,284.00 |
$4,284.00 |
$4,284.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$541.45
|
|
Pretreat rbc absorption reference
|
$289.25 |
$289.25 |
$289.25 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$391.25 |
$391.25 |
$391.25 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$70.00 |
$70.00 |
$70.00 |
$106.00
|
|
Prgr stim/pace a/iv drug
|
$40,283.50 |
$40,283.50 |
$40,283.50 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$226.50 |
$226.50 |
$226.50 |
$666.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$40.00 |
$40.00 |
$40.00 |
$46.50
|
|
Prochlorperazine maleate 5 mg tablet
|
$6.00 |
$6.00 |
$6.00 |
$4.25
|
|
Promethazine 25 mg tablet
|
$22.75 |
$22.75 |
$22.75 |
$7.01
|
|
Promethazine hcl injection
|
$10.00 |
$10.00 |
$10.00 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$58.00 |
$58.00 |
$58.00 |
$39.59
|
|
Protein s total
|
$109.50 |
$109.50 |
$109.50 |
$78.87
|
|
Protein total 24 hour urine
|
$462.50 |
$462.50 |
$462.50 |
$52.50
|
|
Protein total serum plasma whole blood
|
$135.00 |
$135.00 |
$135.00 |
$42.81
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$217.50 |
$217.50 |
$217.50 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$170.00 |
$170.00 |
$170.00 |
$82.55
|
|
Pt evaluation high complexity patient/family
|
$1,586.25 |
$1,586.25 |
$1,586.25 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$793.00 |
$793.00 |
$793.00 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,189.25 |
$1,189.25 |
$1,189.25 |
$263.90
|
|
Pt re-evaluation patient/family
|
$329.50 |
$329.50 |
$329.50 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$192.00 |
$192.00 |
$192.00 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$257.25 |
$257.25 |
$257.25 |
$85.68
|
|
Pt wheelchair management each 15 minutes
|
$182.50 |
$182.50 |
$182.50 |
$85.00
|
|
Pulmonary vent imaging
|
$11,475.00 |
$11,475.00 |
$11,475.00 |
$845.28
|
|
Pyruvate
|
$13.00 |
$13.00 |
$13.00 |
$65.00
|
|
Pyruvate kinase
|
$10.25 |
$10.25 |
$10.25 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$21,637.00 |
$21,637.00 |
$21,637.00 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$9,681.75 |
$9,681.75 |
$9,681.75 |
$1,209.44
|
|
Quinupristin/dalfopristin
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$647.41
|
|
Radiation physics consult
|
$606.50 |
$606.50 |
$606.50 |
$574.75
|
|
Radiation therapy dose plan
|
$1,344.50 |
$1,344.50 |
$1,344.50 |
$530.53
|
|
Radiation treatment aid(s)
|
$2,010.75 |
$2,010.75 |
$2,010.75 |
$1,103.09
|
|
Radiology port images(s)
|
$273.00 |
$273.00 |
$273.00 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,146.50 |
$5,146.50 |
$5,146.50 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$15,897.75 |
$15,897.75 |
$15,897.75 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$7,008.50 |
$7,008.50 |
$7,008.50 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$8,090.75 |
$8,090.75 |
$8,090.75 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$8,116.75 |
$8,116.75 |
$8,116.75 |
$1,139.40
|
|
Refill maint impl spine pump
|
$705.50 |
$705.50 |
$705.50 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$1,864.71
|
|
Renal function panel
|
$347.50 |
$347.50 |
$347.50 |
$110.10
|
|
Renal venogram bil s&i
|
$17,340.50 |
$17,340.50 |
$17,340.50 |
$3,615.28
|
|
Reptilase test
|
$38.50 |
$38.50 |
$38.50 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$138.75 |
$138.75 |
$138.75 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$54.50 |
$54.50 |
$54.50 |
$35.20
|
|
Reticulocyte automated
|
$67.25 |
$67.25 |
$67.25 |
$54.60
|
|
Rheumatoid factor quantitative
|
$24.50 |
$24.50 |
$24.50 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$414.00 |
$414.00 |
$414.00 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$145.00 |
$145.00 |
$145.00 |
$170.00
|
|
Right ventric recording
|
$13,170.50 |
$13,170.50 |
$13,170.50 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$24.42 |
$24.42 |
$24.42 |
$5.97
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$2,233.44
|
|
Rp loclzj tum 2+area 1+d img
|
$7,672.50 |
$7,672.50 |
$7,672.50 |
$1,458.95
|
|
Salivary gland imaging
|
$2,968.25 |
$2,968.25 |
$2,968.25 |
$549.70
|
|
Salmonella antibody
|
$9.50 |
$9.50 |
$9.50 |
$37.58
|
|
Sargramostim injection
|
$1,214.00 |
$1,214.00 |
$1,214.00 |
$451.34
|
