|
Pelvic MRI (without contrast)
|
$11,353.41 |
$11,353.41 |
$11,353.41 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$6,433.12 |
$6,433.12 |
$6,433.12 |
$647.87
|
|
Pelvic Ultrasound (limited)
|
$3,561.92 |
$3,561.92 |
$3,561.92 |
$449.45
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$19,511.77 |
$19,511.77 |
$19,511.77 |
$16,273.24
|
|
Pentostatin 10 mg intravenous solution
|
$7,652.33 |
$7,652.33 |
$7,652.33 |
$6,112.62
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,723.81 |
$20,723.81 |
$20,723.81 |
$18,443.20
|
|
Phentolaine mesylate inj
|
$1,216.12 |
$1,216.12 |
$1,216.12 |
$973.85
|
|
Phenytoin total therapeutic drug level
|
$2,262.38 |
$2,262.38 |
$2,262.38 |
$111.27
|
|
Phlebotomy therapeutic
|
$1,795.73 |
$1,795.73 |
$1,795.73 |
$249.00
|
|
Phosphorus
|
$654.02 |
$654.02 |
$654.02 |
$47.81
|
|
Phosphorus 24 hour urine
|
$2.00 |
$2.00 |
$2.00 |
$42.81
|
|
Phys blood bank serv reactj
|
$144.26 |
$144.26 |
$144.26 |
$219.94
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$328.69 |
$328.69 |
$328.69 |
$98.00
|
|
Pms2 gene full seq analysis
|
$924.32 |
$924.32 |
$924.32 |
$860.68
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$11,534.28 |
$11,534.28 |
$11,534.28 |
$4,293.60
|
|
Potassium serum/plasma/whole blood
|
$794.01 |
$794.01 |
$794.01 |
$45.00
|
|
Powder prem protct 1oz
|
$8.36 |
$8.36 |
$8.36 |
$5.20
|
|
Pq dr cath chg w cont s&i
|
$3,517.95 |
$3,517.95 |
$3,517.95 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$1,825.81 |
$1,825.81 |
$1,825.81 |
$374.55
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$80.73 |
$80.73 |
$80.73 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,593.87 |
$1,593.87 |
$1,593.87 |
$356.40
|
|
Prealbumin
|
$597.16 |
$597.16 |
$597.16 |
$87.10
|
|
Pregnancy associated plasma protein-a
|
$50.00 |
$50.00 |
$50.00 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$4,388.07 |
$4,388.07 |
$4,388.07 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$4,287.97 |
$4,287.97 |
$4,287.97 |
$541.45
|
|
Pretreat rbc absorption reference
|
$129.60 |
$129.60 |
$129.60 |
$137.80
|
|
Prgr stim/pace a/iv drug
|
$9,566.43 |
$9,566.43 |
$9,566.43 |
$4,889.30
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$507.67 |
$507.67 |
$507.67 |
$273.38
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,114.55 |
$2,114.55 |
$2,114.55 |
$633.52
|
|
Procalcitonin
|
$999.85 |
$999.85 |
$999.85 |
$142.50
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$41.84 |
$41.84 |
$41.84 |
$46.61
|
|
Prochlorperazine maleate 5 mg tablet
|
$12.97 |
$12.97 |
$12.97 |
$4.25
|
|
Progesterone
|
$51.69 |
$51.69 |
$51.69 |
$104.40
|
|
Prolactin
|
$36.45 |
$36.45 |
$36.45 |
$127.40
|
|
Promethazine 25 mg tablet
|
$8.06 |
$8.06 |
$8.06 |
$7.39
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$138.84 |
$138.84 |
$138.84 |
$39.59
|
|
Prost sock sgl ply blw knee ea
|
$52.41 |
$52.41 |
$52.41 |
$46.77
|
|
Protein c activity
|
$15.23 |
$15.23 |
$15.23 |
$115.00
|
|
Protein s total
|
$17.28 |
$17.28 |
$17.28 |
$78.87
|
|
Prothrombin time substitution plasma fractions each
|
$1,399.56 |
$1,399.56 |
$1,399.56 |
$38.40
|
|
Psychotherapy group therapy
|
$497.42 |
$497.42 |
$497.42 |
$268.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$700.42 |
$700.42 |
$700.42 |
$199.81
|
|
Psychotherapy patient individual therapy 45 minutes
|
$828.79 |
$828.79 |
$828.79 |
$266.25
|
|
Pt evaluation high complexity patient/family
|
$1,227.59 |
$1,227.59 |
$1,227.59 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$545.60 |
$545.60 |
$545.60 |
$226.80
|
|
Pt evaluation moderate complexity patient/family
|
$818.40 |
$818.40 |
$818.40 |
$264.00
|
|
Pt re-evaluation patient/family
|
$463.77 |
$463.77 |
$463.77 |
$158.40
|
|
Pt repositioning canalith procedure(s) per day
|
$473.64 |
$473.64 |
$473.64 |
$124.50
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$321.29 |
$321.29 |
$321.29 |
$65.97
|
|
Pulmonary vent imaging
|
$11,353.77 |
$11,353.77 |
$11,353.77 |
$841.26
|
|
Pyridoxine hcl 100 mg
|
$103.15 |
$103.15 |
$103.15 |
$43.24
|
|
Pyruvate
|
$50.00 |
$50.00 |
$50.00 |
$65.00
|
|
Pyruvate kinase
|
$73.44 |
$73.44 |
$73.44 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$11,727.14 |
$11,727.14 |
$11,727.14 |
$1,522.89
|
|
Quant diff pulm perf w/imaging
|
$11,727.14 |
$11,727.14 |
$11,727.14 |
$1,209.44
|
|
Quest t3 uptake
|
$51.69 |
$51.69 |
$51.69 |
$56.10
|
|
Rabies ig heat-treated human im/subq 90376
|
$2,655.92 |
$2,655.92 |
$2,655.92 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$3,213.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$9,947.81 |
$9,947.81 |
$9,947.81 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,308.08 |
$4,308.08 |
$4,308.08 |
$2,728.42
|
|
Radphm lcl tumor plr sgl day
|
$8,467.58 |
$8,467.58 |
$8,467.58 |
$1,126.32
|
|
Rapid Strep Test
|
$1,785.50 |
$1,785.50 |
$1,785.50 |
$74.10
|
|
Rbc count only automated
|
$1.08 |
$1.08 |
$1.08 |
$19.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,072.52 |
$2,072.52 |
$2,072.52 |
$674.98
|
|
Remove cva lumen obstruct
|
$11,691.17 |
$11,691.17 |
$11,691.17 |
$490.80
|
|
Renal function panel
|
$3,824.66 |
$3,824.66 |
$3,824.66 |
$112.00
|
|
Reticulated platelet assay
|
$92.42 |
$92.42 |
$92.42 |
$62.70
|
|
Reticulocyte automated
|
$1,462.36 |
$1,462.36 |
$1,462.36 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$554.59 |
$554.59 |
$554.59 |
$33.57
|
|
Rheumatoid factor qualitative
|
$36.45 |
$36.45 |
$36.45 |
$54.60
|
|
Rheumatoid factor quantitative
|
$20.98 |
$20.98 |
$20.98 |
$58.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$520.94 |
$520.94 |
$520.94 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$673.88 |
$673.88 |
$673.88 |
$186.03
|
|
Rho d immune globulin inj
|
$1,634.59 |
$1,634.59 |
$1,634.59 |
$334.53
|
|
Ring ostmy barr adapt 48mm
|
$5.97 |
$5.97 |
$5.97 |
$5.97
|
|
Rp loclzj tum spect w/ct 1
|
$11,284.78 |
$11,284.78 |
$11,284.78 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$12,602.16 |
$12,602.16 |
$12,602.16 |
$3,064.53
|
|
Rsv assay w/optic
|
$1,565.28 |
$1,565.28 |
$1,565.28 |
$73.80
|
|
Sarscov coronavirus ag ia
|
$45.57 |
$45.57 |
$45.57 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$10,693.99 |
$10,693.99 |
$10,693.99 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$10,693.99 |
$10,693.99 |
$10,693.99 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$4,842.20 |
$4,842.20 |
$4,842.20 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$3,207.97 |
$3,207.97 |
$3,207.97 |
$586.30
|
|
Scan duplex lower extremity arteries complete bilateral
|
$12,207.80 |
$12,207.80 |
$12,207.80 |
$995.47
|
|
Screening Mammogram
|
$472.90 |
$472.90 |
$472.90 |
$299.01
|
|
Screening prostate cancer PSA
|
$62.56 |
$62.56 |
$62.56 |
$81.31
|
|
Serpina1 gene
|
$238.29 |
$238.29 |
$238.29 |
$193.52
|
|
Shrinker prosth above knee
|
$572.83 |
$572.83 |
$572.83 |
$157.49
|
|
Shrinker prosth below knee
|
$411.66 |
$411.66 |
$411.66 |
$153.13
|
|
Shuntogram nonvascular supervision & interpretation
|
$5,276.69 |
$5,276.69 |
$5,276.69 |
$345.00
|
|
Sialidase enzyme assay
|
$147.62 |
$147.62 |
$147.62 |
$48.88
|
|
Sincalide 5 mcg solution for injection
|
$1,162.09 |
$1,162.09 |
$1,162.09 |
$412.96
|
|
Sinus CT scan (with and without contrast)
|
$17,896.69 |
$17,896.69 |
$17,896.69 |
$1,822.80
|
|
Sinus CT scan (with contrast)
|
$16,791.82 |
$16,791.82 |
$16,791.82 |
$1,520.35
|
|
Sinus CT scan (without contrast)
|
$15,422.20 |
$15,422.20 |
$15,422.20 |
$1,281.80
|
|
Sleep Study (Polysomnography)
|
$9,793.25 |
$9,793.25 |
$9,793.25 |
$3,920.95
|
|
Smear nasal eosinophil
|
$605.89 |
$605.89 |
$605.89 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$51.69 |
$51.69 |
$51.69 |
$66.82
|
|
Smear wet mount
|
$719.82 |
$719.82 |
$719.82 |
$68.64
|
|
Snrpn/ube3a gene
|
$141.00 |
$141.00 |
$141.00 |
$230.63
|
