|
Pretreat rbc density gradient separation reference
|
$640.05 |
$640.05 |
$640.05 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$275.11 |
$275.11 |
$275.11 |
$112.20
|
|
Prgr stim/pace a/iv drug
|
$36,030.20 |
$36,030.20 |
$36,030.20 |
$4,601.35
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$463.66 |
$463.66 |
$463.66 |
$670.00
|
|
Procalcitonin
|
$701.40 |
$701.40 |
$701.40 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$133.13 |
$133.13 |
$133.13 |
$36.72
|
|
Prolactin
|
$865.32 |
$865.32 |
$865.32 |
$123.50
|
|
_propoxygc/msur
|
$713.66 |
$713.66 |
$713.66 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$137.50 |
$137.50 |
$137.50 |
$32.93
|
|
Protect body sock ea pre ots
|
$791.00 |
$791.00 |
$791.00 |
$113.63
|
|
Psychotherapy group therapy
|
$71.04 |
$71.04 |
$71.04 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$204.78 |
$204.78 |
$204.78 |
$189.14
|
|
Pulmonary vent imaging
|
$2,603.00 |
$2,603.00 |
$2,603.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$8,487.44 |
$8,487.44 |
$8,487.44 |
$344.00
|
|
Pulse ox single
|
$180.25 |
$180.25 |
$180.25 |
$81.70
|
|
Pyridoxine hcl 100 mg
|
$166.50 |
$166.50 |
$166.50 |
$48.70
|
|
Pyruvate
|
$537.48 |
$537.48 |
$537.48 |
$66.00
|
|
Pyruvate kinase
|
$838.53 |
$838.53 |
$838.53 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$4,070.11 |
$4,070.11 |
$4,070.11 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$7,181.79 |
$7,181.79 |
$7,181.79 |
$1,199.16
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,628.10 |
$1,628.10 |
$1,628.10 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$2,756.77
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,674.26 |
$5,674.26 |
$5,674.26 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$5,863.38 |
$5,863.38 |
$5,863.38 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,937.06 |
$6,937.06 |
$6,937.06 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$6,358.35 |
$6,358.35 |
$6,358.35 |
$1,120.50
|
|
Rb82 rubidium
|
$3,544.64 |
$3,544.64 |
$3,544.64 |
$866.88
|
|
Rbc deglycerolized each unit
|
$1,111.26 |
$1,111.26 |
$1,111.26 |
$841.75
|
|
Rbc serum pretx incubj drugs
|
$206.37 |
$206.37 |
$206.37 |
$235.00
|
|
Red blood cells each unit
|
$715.45 |
$715.45 |
$715.45 |
$387.36
|
|
Red blood cells washed each unit
|
$2,012.47 |
$2,012.47 |
$2,012.47 |
$572.46
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,000.18 |
$2,000.18 |
$2,000.18 |
$1,524.70
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$756.21 |
$756.21 |
$756.21 |
$249.60
|
|
Remove cva lumen obstruct
|
$2,259.46 |
$2,259.46 |
$2,259.46 |
$490.80
|
|
Renal cyst study s&i
|
$11,509.37 |
$11,509.37 |
$11,509.37 |
$751.34
|
|
Renal venogram bil s&i
|
$16,796.30 |
$16,796.30 |
$16,796.30 |
$3,615.28
|
|
Resuscitation delivery/birthing room
|
$2,391.15 |
$2,391.15 |
$2,391.15 |
$780.42
|
|
Rho d immune globulin inj
|
$245.70 |
$245.70 |
$245.70 |
$217.71
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$507.50 |
$507.50 |
$507.50 |
$455.01
|
|
Right ventric recording
|
$7,373.88 |
$7,373.88 |
$7,373.88 |
$2,345.00
|
|
Rsv assay w/optic
|
$829.62 |
$829.62 |
$829.62 |
$79.38
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$8,208.31 |
$8,208.31 |
$8,208.31 |
$5,174.32
|
|
Sargramostim injection
|
$854.00 |
$854.00 |
$854.00 |
$609.00
|
|
Sarscov & inf vir a&b ag ia
|
$51.25 |
$51.25 |
$51.25 |
$104.00
|
|
Shoe lift elev heel/sole neo
|
$885.00 |
$885.00 |
$885.00 |
$175.04
|
|
Shrinker prosth above knee
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$168.89
|
|
Shrinker prosth below knee
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$105.12
|
|
Shuntogram nonvascular supervision & interpretation
|
$617.32 |
$617.32 |
$617.32 |
$349.20
|
|
Signal avg ecg w or without ecg 93278
|
$2,781.00 |
$2,781.00 |
$2,781.00 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$255.12 |
$255.12 |
$255.12 |
$307.58
|
|
Skeletal muscle relaxant 1/2
|
$597.70 |
$597.70 |
$597.70 |
$83.85
|
|
Sleep study attended
|
$5,582.58 |
$5,582.58 |
$5,582.58 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$27,942.64 |
$27,942.64 |
$27,942.64 |
$3,607.50
|
|
Sleep study unattended
|
$2,250.72 |
$2,250.72 |
$2,250.72 |
$580.87
|
|
Slp ther svc non-spch gen
|
$474.72 |
$474.72 |
$474.72 |
$188.50
|
|
Smear nasal eosinophil
|
$333.42 |
$333.42 |
$333.42 |
$46.20
|
|
Smear wet mount
|
$519.64 |
$519.64 |
$519.64 |
$67.49
|
|
Sock fracture or equal each
|
$183.00 |
$183.00 |
$183.00 |
$74.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$169.75 |
$169.75 |
$169.75 |
$77.77
|
|
Specific gravity body fluid
|
$195.15 |
$195.15 |
$195.15 |
$22.00
|
|
Specimen fat stain
|
$499.53 |
$499.53 |
$499.53 |
$35.10
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,004.91 |
$3,004.91 |
$3,004.91 |
$543.26
|
|
Split blood or products
|
$226.22 |
$226.22 |
$226.22 |
$127.48
|
|
Sputum specimen collection
|
$627.90 |
$627.90 |
$627.90 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$581.47 |
$581.47 |
$581.47 |
$286.00
|
|
St evaluate speech sound production
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$2,711.29 |
$2,711.29 |
$2,711.29 |
$399.60
|
|
St evaluation swallow function
|
$1,104.95 |
$1,104.95 |
$1,104.95 |
$314.40
|
|
Strapping of knee
|
$897.04 |
$897.04 |
$897.04 |
$205.20
|
|
Strep a ag ia
|
$489.51 |
$489.51 |
$489.51 |
$75.40
|
|
St treatment swallow dysfunction/oral
|
$651.37 |
$651.37 |
$651.37 |
$240.31
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$521.19 |
$521.19 |
$521.19 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$316.67 |
$316.67 |
$316.67 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$995.78 |
$995.78 |
$995.78 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,507.61 |
$1,507.61 |
$1,507.61 |
$181.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,057.57 |
$3,057.57 |
$3,057.57 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,393.20 |
$3,393.20 |
$3,393.20 |
$718.00
|
|
Susceptibility mic per plate
|
$258.69 |
$258.69 |
$258.69 |
$106.00
|
|
Tacrol astagraf ex rel oral
|
$8.32 |
$8.32 |
$8.32 |
$62.32
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.50 |
$7.50 |
$7.50 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$864.50 |
$864.50 |
$864.50 |
$601.95
|
|
Target gsa panel organ neop
|
$15,531.53 |
$15,531.53 |
$15,531.53 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$995.78 |
$995.78 |
$995.78 |
$194.35
|
|
Tc-99m bicisate
|
$263.98 |
$263.98 |
$263.98 |
$1,969.45
|
|
Tc-99m depreotide
|
$456.88 |
$456.88 |
$456.88 |
$1,486.80
|
|
Tc-99m exametazime diag
|
$15,086.16 |
$15,086.16 |
$15,086.16 |
$2,033.20
|
|
Tc-99m maa
|
$1,662.57 |
$1,662.57 |
$1,662.57 |
$292.80
|
|
Tc-99m mebrofenin
|
$356.39 |
$356.39 |
$356.39 |
$157.65
|
|
Tc-99m medronate
|
$479.72 |
$479.72 |
$479.72 |
$111.01
|
|
Tc-99m mertiatide
|
$3,389.85 |
$3,389.85 |
$3,389.85 |
$756.00
|
|
Tc-99m oxidronate
|
$214.33 |
$214.33 |
$214.33 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$25.37 |
$25.37 |
$25.37 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$1,306.78 |
$1,306.78 |
$1,306.78 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$78.71 |
$78.71 |
$78.71 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$118.01 |
$118.01 |
$118.01 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$3,425.37 |
$3,425.37 |
$3,425.37 |
$274.45
|
|
Tc-99m sulfur colloid
|
$125.63 |
$125.63 |
$125.63 |
$240.50
|
|
Tee w or without fol w/cont, mon
|
$4,155.30 |
$4,155.30 |
$4,155.30 |
$1,431.95
|
