|
Nm imaging pulmonary ventilation/perfusion
|
$21,947.84 |
$21,947.84 |
$21,947.84 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$8,125.16 |
$8,125.16 |
$8,125.16 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$12,402.72 |
$12,402.72 |
$12,402.72 |
$1,024.52
|
|
Non-card vasc flow imaging
|
$22,722.63 |
$22,722.63 |
$22,722.63 |
$608.56
|
|
Nuclear Stress Test (Heart)
|
$32,199.82 |
$32,199.82 |
$32,199.82 |
$3,916.80
|
|
Nushield 1 square cm
|
$6,634.25 |
$6,634.25 |
$6,634.25 |
$1,693.21
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$20,636.00 |
$20,636.00 |
$20,636.00 |
$14,251.13
|
|
Olanzapine 10 mg intramuscular solution
|
$386.12 |
$386.12 |
$386.12 |
$122.80
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,099.00 |
$4,099.00 |
$4,099.00 |
$4,797.94
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.07 |
$8.07 |
$8.07 |
$34.32
|
|
Oprelvekin injection
|
$8,711.00 |
$8,711.00 |
$8,711.00 |
$848.31
|
|
Oral busulfan
|
$29.00 |
$29.00 |
$29.00 |
$84.21
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$764.00 |
$764.00 |
$764.00 |
$65.07
|
|
Orthosis lso rigd frm hyperex
|
$2,772.10 |
$2,772.10 |
$2,772.10 |
$874.95
|
|
Osmolality blood
|
$1,389.07 |
$1,389.07 |
$1,389.07 |
$67.60
|
|
Osmolality urine
|
$1,389.07 |
$1,389.07 |
$1,389.07 |
$66.30
|
|
Other immunoelectrophoresis
|
$36.00 |
$36.00 |
$36.00 |
$46.40
|
|
Oth resp proc, group
|
$526.94 |
$526.94 |
$526.94 |
$152.38
|
|
Oth resp proc, indiv
|
$214.30 |
$214.30 |
$214.30 |
$87.45
|
|
Oxaliplatin 5 mg/ml desensitization
|
$13,633.00 |
$13,633.00 |
$13,633.00 |
$366.28
|
|
Oxytocin 10 unit/ml injection solution
|
$219.00 |
$219.00 |
$219.00 |
$46.75
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$133.00 |
$133.00 |
$133.00 |
$222.09
|
|
Paliperidone 117 mg/0.75 ml inj
|
$9,039.00 |
$9,039.00 |
$9,039.00 |
$6,272.41
|
|
Palonosetron hcl
|
$5,947.00 |
$5,947.00 |
$5,947.00 |
$409.64
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$7,545.00 |
$7,545.00 |
$7,545.00 |
$148.35
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$46.00 |
$46.00 |
$46.00 |
$38.06
|
|
Parathyroid planar imaging
|
$13,124.19 |
$13,124.19 |
$13,124.19 |
$1,159.15
|
|
Passy muir valve metal trach
|
$548.17 |
$548.17 |
$548.17 |
$236.63
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,592.36 |
$8,592.36 |
$8,592.36 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$18,188.77 |
$18,188.77 |
$18,188.77 |
$1,918.80
|
|
Pelvic CT scan (without contrast)
|
$18,188.77 |
$18,188.77 |
$18,188.77 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$16,582.78 |
$16,582.78 |
$16,582.78 |
$2,748.85
|
|
Pelvic MRI (with contrast)
|
$13,059.51 |
$13,059.51 |
$13,059.51 |
$2,096.25
|
|
Pelvic MRI (without contrast)
|
$12,198.46 |
$12,198.46 |
$12,198.46 |
$1,879.15
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,308.70 |
$18,308.70 |
$18,308.70 |
$16,273.24
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$2,848.32
|
|
Peng benzathine/procaine inj
|
$783.71 |
$783.71 |
$783.71 |
$254.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$766.00 |
$766.00 |
$766.00 |
$321.71
|
|
Perit-vens shunt pat tst
|
$7,549.39 |
$7,549.39 |
$7,549.39 |
$694.48
|
|
Pertussis ag if
|
$49.00 |
$49.00 |
$49.00 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$19,108.00 |
$19,108.00 |
$19,108.00 |
$18,443.20
|
|
Pet CT skull-mid thgh initial
|
$15,131.60 |
$15,131.60 |
$15,131.60 |
$4,854.75
|
|
Pet CT whole body initial
|
$15,674.56 |
$15,674.56 |
$15,674.56 |
$5,017.50
|
|
Pet image full body
|
$15,131.60 |
$15,131.60 |
$15,131.60 |
$4,567.11
|
|
Pet image w/ct lmtd
|
$15,136.33 |
$15,136.33 |
$15,136.33 |
$4,422.60
|
|
Phenobarbital therapeutic drug level
|
$1,345.15 |
$1,345.15 |
$1,345.15 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,969.35 |
$1,969.35 |
$1,969.35 |
$973.85
|
|
Phenytoin total therapeutic drug level
|
$1,587.04 |
$1,587.04 |
$1,587.04 |
$111.27
|
|
Phosphorus
|
$961.87 |
$961.87 |
$961.87 |
$47.81
|
|
Phosphorus 24 hour urine
|
$1,053.80 |
$1,053.80 |
$1,053.80 |
$42.81
|
|
Phys blood bank serv reactj
|
$1,242.58 |
$1,242.58 |
$1,242.58 |
$219.94
|
|
Phys blood bank serv xmatch
|
$1,662.32 |
$1,662.32 |
$1,662.32 |
$56.08
|
|
Pinworm exam
|
$41.15 |
$41.15 |
$41.15 |
$39.75
|
|
Placental lactogen
|
$75.00 |
$75.00 |
$75.00 |
$143.67
|
|
Platelet automated
|
$729.88 |
$729.88 |
$729.88 |
$44.00
|
|
Plethysmography lung volumes/airway resistance
|
$250.37 |
$250.37 |
$250.37 |
$408.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$22,557.59 |
$22,557.59 |
$22,557.59 |
$4,293.60
|
|
Potassium 24 hour urine
|
$1,053.80 |
$1,053.80 |
$1,053.80 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$1,053.80 |
$1,053.80 |
$1,053.80 |
$45.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$17.52 |
$17.52 |
$17.52 |
$4.67
|
|
Pq dr cath chg w cont s&i
|
$3,337.43 |
$3,337.43 |
$3,337.43 |
$711.36
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$126.71 |
$126.71 |
$126.71 |
$48.71
|
|
Prealbumin
|
$1,069.37 |
$1,069.37 |
$1,069.37 |
$87.10
|
|
Pregnancy associated plasma protein-a
|
$24.44 |
$24.44 |
$24.44 |
$67.60
|
|
Pretreat rbc absorption reference
|
$1,316.93 |
$1,316.93 |
$1,316.93 |
$137.80
|
|
Pretreat rbc w chem/drugs reference
|
$772.21 |
$772.21 |
$772.21 |
$106.00
|
|
Prgr stim/pace a/iv drug
|
$16,945.07 |
$16,945.07 |
$16,945.07 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$194.00 |
$194.00 |
$194.00 |
$633.52
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$268.00 |
$268.00 |
$268.00 |
$46.61
|
|
Promethazine hcl injection
|
$10.42 |
$10.42 |
$10.42 |
$33.17
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$237.31 |
$237.31 |
$237.31 |
$39.59
|
|
Prostate biopsy, any mthd
|
$2,152.84 |
$2,152.84 |
$2,152.84 |
$585.39
|
|
Protamine 10 mg/ml intravenous solution
|
$101.00 |
$101.00 |
$101.00 |
$53.50
|
|
Protein total 24 hour urine
|
$1,028.35 |
$1,028.35 |
$1,028.35 |
$52.50
|
|
Protein total serum plasma whole blood
|
$141.53 |
$141.53 |
$141.53 |
$42.81
|
|
Pt repositioning canalith procedure(s) per day
|
$905.27 |
$905.27 |
$905.27 |
$124.50
|
|
Pulmonary vent imaging
|
$11,748.13 |
$11,748.13 |
$11,748.13 |
$841.26
|
|
Pyridoxine hcl 100 mg
|
$723.00 |
$723.00 |
$723.00 |
$43.24
|
|
Quant diff pulm perf and vent w/imaging
|
$21,947.84 |
$21,947.84 |
$21,947.84 |
$1,522.89
|
|
Quant diff pulm perf w/imaging
|
$11,748.13 |
$11,748.13 |
$11,748.13 |
$1,209.44
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,059.01
|
|
Radiation physics consult
|
$426.60 |
$426.60 |
$426.60 |
$587.65
|
|
Radiation therapy dose plan
|
$186.90 |
$186.90 |
$186.90 |
$530.53
|
|
Radiation treatment aid(s)
|
$284.10 |
$284.10 |
$284.10 |
$544.83
|
|
Radiation treatment aid(s)
|
$264.60 |
$264.60 |
$264.60 |
$695.00
|
|
Radiation treatment aid(s)
|
$450.40 |
$450.40 |
$450.40 |
$1,100.38
|
|
Radiation treatment delivery
|
$249.50 |
$249.50 |
$249.50 |
$552.40
|
|
Radiation treatment delivery
|
$326.20 |
$326.20 |
$326.20 |
$909.98
|
|
Radiology port images(s)
|
$104.80 |
$104.80 |
$104.80 |
$262.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$9,894.96 |
$9,894.96 |
$9,894.96 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$9,626.80 |
$9,626.80 |
$9,626.80 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$9,721.42 |
$9,721.42 |
$9,721.42 |
$2,379.29
|
|
Radphm lcl tumor plr sgl day
|
$9,398.24 |
$9,398.24 |
$9,398.24 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$5,111.00 |
$5,111.00 |
$5,111.00 |
$16,050.00
|
|
Rapid Strep Test
|
$364.94 |
$364.94 |
$364.94 |
$74.10
|
|
Rbc count only automated
|
$565.81 |
$565.81 |
$565.81 |
$19.60
|
|
Red cell sequestration
|
$3,520.34 |
$3,520.34 |
$3,520.34 |
$475.51
|
|
Red cell survival study
|
$8,867.56 |
$8,867.56 |
$8,867.56 |
$475.51
|
|
Refill/maint pump/resvr syst
|
$3,938.72 |
$3,938.72 |
$3,938.72 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$4,832.00 |
$4,832.00 |
$4,832.00 |
$674.98
|