|
Mumps antibody igg
|
$102.00 |
$102.00 |
$102.00 |
$81.45
|
|
Mycoplasma antibody igm
|
$120.60 |
$120.60 |
$120.60 |
$87.50
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$61.20 |
$61.20 |
$61.20 |
$115.05
|
|
Nalbuphine 10 mg/ml injection solution
|
$49.64 |
$49.64 |
$49.64 |
$22.20
|
|
Natriuretic peptide
|
$288.00 |
$288.00 |
$288.00 |
$161.60
|
|
Natural killer cells total count
|
$112.80 |
$112.80 |
$112.80 |
$121.70
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,226.60 |
$2,226.60 |
$2,226.60 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,994.60 |
$2,994.60 |
$2,994.60 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,205.20 |
$3,205.20 |
$3,205.20 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,670.60 |
$2,670.60 |
$2,670.60 |
$1,741.80
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$45.30 |
$45.30 |
$45.30 |
$34.13
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$189.42 |
$189.42 |
$189.42 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$65.30 |
$65.30 |
$65.30 |
$65.30
|
|
Nras gene variants exon 2&3
|
$601.80 |
$601.80 |
$601.80 |
$590.26
|
|
Observation direct referral from physician office for admission
|
$583.20 |
$583.20 |
$583.20 |
$359.40
|
|
Observation per hour
|
$70.20 |
$70.20 |
$70.20 |
$75.15
|
|
Obstetrics panel
|
$297.00 |
$297.00 |
$297.00 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$97.11 |
$97.11 |
$97.11 |
$59.15
|
|
Olanzapine 10 mg intramuscular solution
|
$120.17 |
$120.17 |
$120.17 |
$120.17
|
|
Oncoprotein dcp
|
$288.60 |
$288.60 |
$288.60 |
$175.25
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.90 |
$1.90 |
$1.90 |
$2.09
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$38.58 |
$38.58 |
$38.58 |
$12.51
|
|
Organic acids total quant ea spec
|
$59.40 |
$59.40 |
$59.40 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.92 |
$40.92 |
$40.92 |
$40.92
|
|
Osmolality blood
|
$106.20 |
$106.20 |
$106.20 |
$57.00
|
|
Osmolality urine
|
$106.20 |
$106.20 |
$106.20 |
$57.85
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$97.80 |
$97.80 |
$97.80 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$105.50
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$104.40 |
$104.40 |
$104.40 |
$96.11
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$123.60 |
$123.60 |
$123.60 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$113.40 |
$113.40 |
$113.40 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$108.60 |
$108.60 |
$108.60 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$42.74 |
$42.74 |
$42.74 |
$30.78
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,156.88 |
$5,156.88 |
$5,156.88 |
$5,156.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$129.80 |
$129.80 |
$129.80 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$40.46 |
$40.46 |
$40.46 |
$18.49
|
|
Parathormone (pth) intact
|
$445.80 |
$445.80 |
$445.80 |
$204.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,121.58 |
$9,121.58 |
$9,121.58 |
$9,121.58
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,961.60 |
$5,961.60 |
$5,961.60 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$2,057.40 |
$2,057.40 |
$2,057.40 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,631.40 |
$1,631.40 |
$1,631.40 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,205.20 |
$3,205.20 |
$3,205.20 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,670.60 |
$2,670.60 |
$2,670.60 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$602.40 |
$602.40 |
$602.40 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$451.80 |
$451.80 |
$451.80 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$35.36 |
$35.36 |
$35.36 |
$48.74
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$83.70 |
$83.70 |
$83.70 |
$269.36
|
|
Ph body fluid
|
$57.60 |
$57.60 |
$57.60 |
$35.75
|
|
Phencyclidine (pcp)
|
$142.80 |
$142.80 |
$142.80 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$135.50 |
$135.50 |
$135.50 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$185.40 |
$185.40 |
$185.40 |
$97.50
|
|
Phentolaine mesylate inj
|
$881.36 |
$881.36 |
$881.36 |
$881.36
|
|
Phenylephrine 10 mg/ml injection solution
|
$132.26 |
$132.26 |
$132.26 |
$28.92
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$38.86 |
$38.86 |
$38.86 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$187.80 |
$187.80 |
$187.80 |
$100.75
|
|
Phosphorus
|
$77.40 |
$77.40 |
$77.40 |
$42.37
|
|
Phosphorus 24 hour urine
|
$88.20 |
$88.20 |
$88.20 |
$41.51
|
|
Phys blood bank serv reactj
|
$292.80 |
$292.80 |
$292.80 |
$219.94
|
|
Phys blood bank serv xmatch
|
$173.40 |
$173.40 |
$173.40 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$133.36 |
$133.36 |
$133.36 |
$75.04
|
|
Pinworm exam
|
$119.40 |
$119.40 |
$119.40 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$104.73 |
$104.73 |
$104.73 |
$51.80
|
|
Platelet aggregation each agent teg
|
$255.00 |
$255.00 |
$255.00 |
$145.60
|
|
Platelet automated
|
$87.60 |
$87.60 |
$87.60 |
$33.60
|
|
Platelet pheresis each unit
|
$2,221.20 |
$2,221.20 |
$2,221.20 |
$943.15
|
|
Platelets each unit
|
$327.00 |
$327.00 |
$327.00 |
$187.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,811.00 |
$2,811.00 |
$2,811.00 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$709.80 |
$709.80 |
$709.80 |
$1,046.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$1,331.53
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$878.22
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$258.00 |
$258.00 |
$258.00 |
$146.15
|
|
Potassium 24 hour urine
|
$80.40 |
$80.40 |
$80.40 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$64.50 |
$64.50 |
$64.50 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$61.20 |
$61.20 |
$61.20 |
$40.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$415.80 |
$415.80 |
$415.80 |
$350.98
|
|
Prealbumin
|
$236.40 |
$236.40 |
$236.40 |
$80.40
|
|
Pr ecg 12 lead report only
|
$56.40 |
$56.40 |
$56.40 |
$22.10
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$8.88 |
$8.88 |
$8.88 |
$4.87
|
|
Prednisone 1 mg tablet
|
$1.90 |
$1.90 |
$1.90 |
$4.87
|
|
Pressure max expiratory/inspiratory
|
$228.60 |
$228.60 |
$228.60 |
$260.25
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$312.60 |
$312.60 |
$312.60 |
$266.64
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$728.44 |
$728.44 |
$728.44 |
$660.89
|
|
Procalcitonin
|
$294.60 |
$294.60 |
$294.60 |
$133.20
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$44.48 |
$44.48 |
$44.48 |
$35.00
|
|
Progesterone
|
$344.40 |
$344.40 |
$344.40 |
$100.24
|
|
Prolactin
|
$326.40 |
$326.40 |
$326.40 |
$123.20
|
|
Promethazine hcl injection
|
$63.05 |
$63.05 |
$63.05 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$45.25 |
$45.25 |
$45.25 |
$45.25
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$39.59 |
$39.59 |
$39.59 |
$28.79
|
|
Prostate biopsy, any mthd
|
$818.40 |
$818.40 |
$818.40 |
$599.68
|
|
Protamine 10 mg/ml intravenous solution
|
$119.18 |
$119.18 |
$119.18 |
$32.68
|