|
Pet image ltd area
|
$7,258.80 |
$7,258.80 |
$7,258.80 |
$2,519.20
|
|
Pet image skull-thigh
|
$7,258.80 |
$7,258.80 |
$7,258.80 |
$4,247.10
|
|
Ph body fluid
|
$13.89 |
$13.89 |
$13.89 |
$39.20
|
|
Phencyclidine (pcp)
|
$24.24 |
$24.24 |
$24.24 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$2,132.25 |
$2,132.25 |
$2,132.25 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,328.25 |
$1,328.25 |
$1,328.25 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$1,975.83 |
$1,975.83 |
$1,975.83 |
$111.27
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$582.75 |
$582.75 |
$582.75 |
$86.36
|
|
Pinworm exam
|
$561.31 |
$561.31 |
$561.31 |
$39.75
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,173.95 |
$1,173.95 |
$1,173.95 |
$650.65
|
|
Platelet automated
|
$392.73 |
$392.73 |
$392.73 |
$44.00
|
|
Pm device progr eval dual
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$148.00
|
|
Pm device progr eval multi
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$160.55
|
|
Potassium 24 hour urine
|
$907.12 |
$907.12 |
$907.12 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$1,084.37 |
$1,084.37 |
$1,084.37 |
$44.64
|
|
Pouch uros new (both sides) 2.75in clr
|
$14.50 |
$14.50 |
$14.50 |
$14.48
|
|
Powder prem protct 1oz
|
$7.69 |
$7.69 |
$7.69 |
$5.20
|
|
Pq biliary strict dil s&i
|
$13,244.24 |
$13,244.24 |
$13,244.24 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$2,974.92 |
$2,974.92 |
$2,974.92 |
$711.36
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$157.81 |
$157.81 |
$157.81 |
$356.40
|
|
Prealbumin
|
$465.72 |
$465.72 |
$465.72 |
$87.20
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$2,588.27 |
$2,588.27 |
$2,588.27 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$3,744.47 |
$3,744.47 |
$3,744.47 |
$541.45
|
|
Pretreat rbc absorption reference
|
$293.69 |
$293.69 |
$293.69 |
$138.60
|
|
Prgrmg dev eval impltbl sys
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$148.00
|
|
Prgrmg dev eval pm/ldls pm
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$11,137.41 |
$11,137.41 |
$11,137.41 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$35,403.51 |
$35,403.51 |
$35,403.51 |
$4,889.30
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$13.65 |
$13.65 |
$13.65 |
$46.50
|
|
Promethazine hcl injection
|
$3.15 |
$3.15 |
$3.15 |
$33.34
|
|
_propoxygc/msur
|
$12.00 |
$12.00 |
$12.00 |
$104.00
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$9.45 |
$9.45 |
$9.45 |
$39.59
|
|
Protein s total
|
$8.80 |
$8.80 |
$8.80 |
$78.87
|
|
Protein total serum plasma whole blood
|
$251.99 |
$251.99 |
$251.99 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$79.94 |
$79.94 |
$79.94 |
$37.05
|
|
Pt evaluation high complexity patient/family
|
$618.76 |
$618.76 |
$618.76 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$618.76 |
$618.76 |
$618.76 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$618.76 |
$618.76 |
$618.76 |
$263.90
|
|
Pt re-evaluation patient/family
|
$171.66 |
$171.66 |
$171.66 |
$157.30
|
|
Pyridoxine hcl 100 mg
|
$25.20 |
$25.20 |
$25.20 |
$43.24
|
|
Pyruvate
|
$13.20 |
$13.20 |
$13.20 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$9,691.96 |
$9,691.96 |
$9,691.96 |
$1,209.44
|
|
Rabies ig ht&sol human im/sc
|
$1,645.31 |
$1,645.31 |
$1,645.31 |
$5,401.91
|
|
Radiation therapy dose plan
|
$1,799.60 |
$1,799.60 |
$1,799.60 |
$530.53
|
|
Radiation treatment aid(s)
|
$197.99 |
$197.99 |
$197.99 |
$541.45
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$6,877.97 |
$6,877.97 |
$6,877.97 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$7,083.37 |
$7,083.37 |
$7,083.37 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,533.20 |
$6,533.20 |
$6,533.20 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$14,181.42 |
$14,181.42 |
$14,181.42 |
$1,139.40
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,068.75 |
$4,068.75 |
$4,068.75 |
$3,184.20
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,195.95 |
$1,195.95 |
$1,195.95 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$4,043.00 |
$4,043.00 |
$4,043.00 |
$1,864.71
|
|
Remove cva lumen obstruct
|
$1,510.52 |
$1,510.52 |
$1,510.52 |
$494.00
|
|
Renal function panel
|
$2,518.03 |
$2,518.03 |
$2,518.03 |
$110.10
|
|
#resp virpnl dfa-adenovirus
|
$125.13 |
$125.13 |
$125.13 |
$48.00
|
|
Reteplase injection
|
$11,606.70 |
$11,606.70 |
$11,606.70 |
$3,155.69
|
|
Reticulocyte automated
|
$427.49 |
$427.49 |
$427.49 |
$54.60
|
|
Rheumatoid factor qualitative
|
$858.46 |
$858.46 |
$858.46 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,467.90 |
$1,467.90 |
$1,467.90 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$1,467.90 |
$1,467.90 |
$1,467.90 |
$2,034.31
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$461.70 |
$461.70 |
$461.70 |
$539.70
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$399.53 |
$399.53 |
$399.53 |
$6,877.90
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17,887.00 |
$17,887.00 |
$17,887.00 |
$8,779.01
|
|
Rp loclzj tum 2+area 1+d img
|
$5,066.05 |
$5,066.05 |
$5,066.05 |
$1,458.95
|
|
Salivary gland imaging
|
$4,314.87 |
$4,314.87 |
$4,314.87 |
$549.70
|
|
Salmonella antibody
|
$11.00 |
$11.00 |
$11.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$48.36 |
$48.36 |
$48.36 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,982.29 |
$1,982.29 |
$1,982.29 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,648.79 |
$1,648.79 |
$1,648.79 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,206.53 |
$2,206.53 |
$2,206.53 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,539.55 |
$1,539.55 |
$1,539.55 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,949.22 |
$1,949.22 |
$1,949.22 |
$1,006.85
|
|
Set radiation therapy field
|
$1,684.10 |
$1,684.10 |
$1,684.10 |
$1,636.36
|
|
Sialography s&i
|
$5,908.74 |
$5,908.74 |
$5,908.74 |
$462.40
|
|
Signal avg ecg w or without ecg 93278
|
$2,214.40 |
$2,214.40 |
$2,214.40 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$279.30 |
$279.30 |
$279.30 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$27,458.12 |
$27,458.12 |
$27,458.12 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$26,292.13 |
$26,292.13 |
$26,292.13 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$25,236.87 |
$25,236.87 |
$25,236.87 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$6,451.51 |
$6,451.51 |
$6,451.51 |
$2,489.25
|
|
Skin test unlisted antigen ea
|
$359.72 |
$359.72 |
$359.72 |
$39.77
|
|
Sleep study attended
|
$5,459.52 |
$5,459.52 |
$5,459.52 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$5,459.52 |
$5,459.52 |
$5,459.52 |
$3,936.80
|
|
Smear nasal eosinophil
|
$1,199.07 |
$1,199.07 |
$1,199.07 |
$49.50
|
|
Sodium 24 hour urine
|
$907.12 |
$907.12 |
$907.12 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$16.00 |
$16.00 |
$16.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$16.00 |
$16.00 |
$16.00 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$142.80 |
$142.80 |
$142.80 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$1,007.91 |
$1,007.91 |
$1,007.91 |
$42.70
|
|
Somatosensory testing
|
$1,494.98 |
$1,494.98 |
$1,494.98 |
$583.80
|
|
Special physics consult
|
$1,802.90 |
$1,802.90 |
$1,802.90 |
$700.74
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,685.33 |
$1,685.33 |
$1,685.33 |
$559.96
|
|
St analysis behavior qualitative voice/resonance
|
$693.50 |
$693.50 |
$693.50 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$693.50 |
$693.50 |
$693.50 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,269.36 |
$1,269.36 |
$1,269.36 |
$406.40
|
|
St evaluation swallow function
|
$693.50 |
$693.50 |
$693.50 |
$336.60
|
|
Strep a ag ia
|
$1,070.47 |
$1,070.47 |
$1,070.47 |
$75.40
|
