|
Oprelvekin injection
|
$3,474.00 |
$3,474.00 |
$3,474.00 |
$848.31
|
|
Oral busulfan
|
$33.00 |
$33.00 |
$33.00 |
$84.21
|
|
Oritavancin 400 mg intravenous solution
|
$12,401.00 |
$12,401.00 |
$12,401.00 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$266.00 |
$266.00 |
$266.00 |
$65.07
|
|
Oscillation chest wall mechanical per session
|
$734.25 |
$734.25 |
$734.25 |
$221.34
|
|
Osmolality blood
|
$259.75 |
$259.75 |
$259.75 |
$67.60
|
|
Osmolality urine
|
$224.75 |
$224.75 |
$224.75 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,855.75 |
$1,855.75 |
$1,855.75 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$908.25 |
$908.25 |
$908.25 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,383.25 |
$1,383.25 |
$1,383.25 |
$270.58
|
|
Ot re-evaluation patient/family
|
$882.00 |
$882.00 |
$882.00 |
$174.00
|
|
Oxytocin 10 unit/ml injection solution
|
$64.00 |
$64.00 |
$64.00 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$23.00 |
$23.00 |
$23.00 |
$231.46
|
|
Palonosetron hcl
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$3,129.00 |
$3,129.00 |
$3,129.00 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$33.75 |
$33.75 |
$33.75 |
$44.25
|
|
Parathyroid planar imaging
|
$4,247.50 |
$4,247.50 |
$4,247.50 |
$1,166.00
|
|
Paricalcitol
|
$333.00 |
$333.00 |
$333.00 |
$47.38
|
|
Pelvic CT scan (with and without contrast)
|
$20,861.25 |
$20,861.25 |
$20,861.25 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$18,138.00 |
$18,138.00 |
$18,138.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$19,747.25 |
$19,747.25 |
$19,747.25 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$15,262.50 |
$15,262.50 |
$15,262.50 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$14,502.50 |
$14,502.50 |
$14,502.50 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$18,069.25 |
$18,069.25 |
$18,069.25 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$5,646.25 |
$5,646.25 |
$5,646.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,475.50 |
$1,475.50 |
$1,475.50 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$56,087.00 |
$56,087.00 |
$56,087.00 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$22,942.00 |
$22,942.00 |
$22,942.00 |
$4,181.29
|
|
Pentamidine non-comp unit
|
$1,031.62 |
$1,031.62 |
$1,031.62 |
$299.25
|
|
Perit-vens shunt pat tst
|
$4,458.75 |
$4,458.75 |
$4,458.75 |
$695.40
|
|
Pet CT skull-mid thgh initial
|
$16,932.75 |
$16,932.75 |
$16,932.75 |
$4,854.75
|
|
Pet CT whole body initial
|
$20,087.50 |
$20,087.50 |
$20,087.50 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$7,565.00 |
$7,565.00 |
$7,565.00 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$14,748.25 |
$14,748.25 |
$14,748.25 |
$4,422.60
|
|
Phentolaine mesylate inj
|
$409.00 |
$409.00 |
$409.00 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$1,613.50 |
$1,613.50 |
$1,613.50 |
$111.27
|
|
Phlebotomy therapeutic
|
$700.00 |
$700.00 |
$700.00 |
$249.00
|
|
Phosphorus
|
$509.00 |
$509.00 |
$509.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$476.50 |
$476.50 |
$476.50 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$274.00 |
$274.00 |
$274.00 |
$86.36
|
|
Pinworm exam
|
$358.25 |
$358.25 |
$358.25 |
$39.75
|
|
Placement occlusive device venous/arterial access site post procedure
|
$4,436.50 |
$4,436.50 |
$4,436.50 |
$650.65
|
|
Placental lactogen
|
$79.75 |
$79.75 |
$79.75 |
$143.67
|
|
Platelet aggregation each agent teg
|
$217.50 |
$217.50 |
$217.50 |
$147.96
|
|
Platelet automated
|
$479.75 |
$479.75 |
$479.75 |
$44.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$1,068.25 |
$1,068.25 |
$1,068.25 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$14,624.75 |
$14,624.75 |
$14,624.75 |
$4,293.60
|
|
Potassium 24 hour urine
|
$254.00 |
$254.00 |
$254.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$496.25 |
$496.25 |
$496.25 |
$44.64
|
|
Powder prem protct 1oz
|
$12.00 |
$12.00 |
$12.00 |
$5.20
|
|
Pr application splint static short arm
|
$330.00 |
$330.00 |
$330.00 |
$301.60
|
|
Prealbumin
|
$1,297.75 |
$1,297.75 |
$1,297.75 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$14.50 |
$14.50 |
$14.50 |
$16.30
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,067.25 |
$3,067.25 |
$3,067.25 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$3,067.25 |
$3,067.25 |
$3,067.25 |
$541.45
|
|
Pretreat rbc absorption reference
|
$105.75 |
$105.75 |
$105.75 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$886.50 |
$886.50 |
$886.50 |
$106.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$650.00 |
$650.00 |
$650.00 |
$666.10
|
|
Procalcitonin
|
$661.25 |
$661.25 |
$661.25 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$150.00 |
$150.00 |
$150.00 |
$46.50
|
|
Progesterone
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$105.00
|
|
Prolactin
|
$1,685.25 |
$1,685.25 |
$1,685.25 |
$127.50
|
|
Promethazine hcl injection
|
$42.00 |
$42.00 |
$42.00 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$242.00 |
$242.00 |
$242.00 |
$39.59
|
|
Protein c activity
|
$151.25 |
$151.25 |
$151.25 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$916.00 |
$916.00 |
$916.00 |
$85.20
|
|
Protein s total
|
$480.75 |
$480.75 |
$480.75 |
$78.87
|
|
Protein total 24 hour urine
|
$329.25 |
$329.25 |
$329.25 |
$52.50
|
|
Protein total serum plasma whole blood
|
$537.25 |
$537.25 |
$537.25 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$886.50 |
$886.50 |
$886.50 |
$37.05
|
|
PSA (Prostate) Test
|
$1,085.25 |
$1,085.25 |
$1,085.25 |
$109.35
|
|
Pt application of modality traction mechanical
|
$982.50 |
$982.50 |
$982.50 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$1,855.75 |
$1,855.75 |
$1,855.75 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$908.25 |
$908.25 |
$908.25 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,383.25 |
$1,383.25 |
$1,383.25 |
$263.90
|
|
Pt re-evaluation patient/family
|
$882.00 |
$882.00 |
$882.00 |
$157.30
|
|
Pulmonary vent imaging
|
$11,719.50 |
$11,719.50 |
$11,719.50 |
$845.28
|
|
Pulse ox multiple
|
$532.75 |
$532.75 |
$532.75 |
$194.33
|
|
Pulse ox single
|
$603.25 |
$603.25 |
$603.25 |
$88.63
|
|
Puraply 1 sq cm
|
$213.60 |
$213.60 |
$213.60 |
$8,176.14
|
|
Pyridoxine hcl 100 mg
|
$44.00 |
$44.00 |
$44.00 |
$43.24
|
|
Quant diff pulm perf w/imaging
|
$9,227.25 |
$9,227.25 |
$9,227.25 |
$1,209.44
|
|
Quest t3 uptake
|
$929.00 |
$929.00 |
$929.00 |
$56.10
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,583.25 |
$5,583.25 |
$5,583.25 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$5,076.75 |
$5,076.75 |
$5,076.75 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$5,634.00 |
$5,634.00 |
$5,634.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,636.25 |
$1,636.25 |
$1,636.25 |
$1,139.40
|
|
Rapid Strep Test
|
$217.50 |
$217.50 |
$217.50 |
$74.10
|
|
Refill/maint pump/resvr syst
|
$569.75 |
$569.75 |
$569.75 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,864.71
|
|
Renal cyst study s&i
|
$2,709.00 |
$2,709.00 |
$2,709.00 |
$648.84
|
|
Renal function panel
|
$3,533.00 |
$3,533.00 |
$3,533.00 |
$110.10
|
|
Reptilase test
|
$750.00 |
$750.00 |
$750.00 |
$65.65
|
|
Reteplase injection
|
$19,316.00 |
$19,316.00 |
$19,316.00 |
$3,155.69
|
|
Rheumatoid factor qualitative
|
$3,417.75 |
$3,417.75 |
$3,417.75 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$2,034.31
|
|
Rho d immune globulin inj
|
$550.00 |
$550.00 |
$550.00 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,964.85 |
$1,964.85 |
$1,964.85 |
$539.70
|
