|
Pelvic CT scan (with contrast)
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,168.70 |
$1,168.70 |
$1,168.70 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$479.05 |
$479.05 |
$479.05 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$256.10 |
$256.10 |
$256.10 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$14,964.30 |
$14,964.30 |
$14,964.30 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$373.42 |
$373.42 |
$373.42 |
$122.56
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$428.78 |
$428.78 |
$428.78 |
$48.74
|
|
Peripheral vascular rehab
|
$123.50 |
$123.50 |
$123.50 |
$142.11
|
|
Pertuzumab 30 mg/ml desensitization
|
$16,798.98 |
$16,798.98 |
$16,798.98 |
$15,007.91
|
|
Phenobarbital therapeutic drug level
|
$158.60 |
$158.60 |
$158.60 |
$97.50
|
|
Phentolaine mesylate inj
|
$886.83 |
$886.83 |
$886.83 |
$881.36
|
|
Phenytoin total therapeutic drug level
|
$143.65 |
$143.65 |
$143.65 |
$100.75
|
|
Phlebotomy therapeutic
|
$166.40 |
$166.40 |
$166.40 |
$240.24
|
|
Phosphorus
|
$53.30 |
$53.30 |
$53.30 |
$42.37
|
|
Phosphorus 24 hour urine
|
$52.65 |
$52.65 |
$52.65 |
$41.51
|
|
Platelet aggregation each agent teg
|
$163.15 |
$163.15 |
$163.15 |
$145.60
|
|
Platelet automated
|
$66.30 |
$66.30 |
$66.30 |
$33.60
|
|
Platelet pheresis each unit
|
$1,035.45 |
$1,035.45 |
$1,035.45 |
$943.15
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,769.95 |
$1,769.95 |
$1,769.95 |
$1,642.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,032.85 |
$1,032.85 |
$1,032.85 |
$1,046.50
|
|
Plethysmography lung volumes/airway resistance
|
$135.85 |
$135.85 |
$135.85 |
$411.51
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$135.85 |
$135.85 |
$135.85 |
$146.15
|
|
Potassium 24 hour urine
|
$51.35 |
$51.35 |
$51.35 |
$45.00
|
|
Potassium serum/plasma/whole blood
|
$53.30 |
$53.30 |
$53.30 |
$40.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$50.70 |
$50.70 |
$50.70 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$377.65 |
$377.65 |
$377.65 |
$350.98
|
|
Prealbumin
|
$179.40 |
$179.40 |
$179.40 |
$80.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$512.20 |
$512.20 |
$512.20 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$274.30 |
$274.30 |
$274.30 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$252.85 |
$252.85 |
$252.85 |
$260.25
|
|
Pretreat rbc w chem/drugs reference
|
$139.10 |
$139.10 |
$139.10 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$38.35 |
$38.35 |
$38.35 |
$170.31
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$200.20 |
$200.20 |
$200.20 |
$266.64
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$528.12 |
$528.12 |
$528.12 |
$660.89
|
|
Procalcitonin
|
$59.80 |
$59.80 |
$59.80 |
$133.20
|
|
Progesterone
|
$224.25 |
$224.25 |
$224.25 |
$100.24
|
|
Prolactin
|
$225.55 |
$225.55 |
$225.55 |
$123.20
|
|
Protein c activity
|
$363.35 |
$363.35 |
$363.35 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$83.85 |
$83.85 |
$83.85 |
$84.00
|
|
Protein total 24 hour urine
|
$133.90 |
$133.90 |
$133.90 |
$45.00
|
|
Protein total body fluid
|
$93.60 |
$93.60 |
$93.60 |
$49.20
|
|
Protein total serum plasma whole blood
|
$81.25 |
$81.25 |
$81.25 |
$40.70
|
|
PSA (Prostate) Test
|
$158.60 |
$158.60 |
$158.60 |
$103.85
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$70.85 |
$70.85 |
$70.85 |
$87.49
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$81.90 |
$81.90 |
$81.90 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.40 |
$62.40 |
$62.40 |
$82.55
|
|
Pt application of modality traction mechanical
|
$51.35 |
$51.35 |
$51.35 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$105.30 |
$105.30 |
$105.30 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$105.30 |
$105.30 |
$105.30 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$105.30 |
$105.30 |
$105.30 |
$247.20
|
|
Pt re-evaluation patient/family
|
$74.75 |
$74.75 |
$74.75 |
$141.93
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$89.70 |
$89.70 |
$89.70 |
$43.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$66.95 |
$66.95 |
$66.95 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$50.05 |
$50.05 |
$50.05 |
$79.30
|
|
Pulse ox continuous overnight monitoring
|
$222.95 |
$222.95 |
$222.95 |
$351.20
|
|
Puncture arterial withdrawal blood for diagnosis
|
$582.40 |
$582.40 |
$582.40 |
$113.75
|
|
Quest t3 uptake
|
$72.15 |
$72.15 |
$72.15 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$6,767.57 |
$6,767.57 |
$6,767.57 |
$1,624.21
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$18,573.02 |
$18,573.02 |
$18,573.02 |
$115.89
|
|
Rapid Strep Test
|
$92.95 |
$92.95 |
$92.95 |
$67.80
|
|
Rasburicase 1.5 mg intravenous solution
|
$10,901.10 |
$10,901.10 |
$10,901.10 |
$568.06
|
|
Rbc count only automated
|
$28.60 |
$28.60 |
$28.60 |
$20.00
|
|
Red blood cells leukocytes reduced each unit
|
$479.05 |
$479.05 |
$479.05 |
$519.35
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,381.83 |
$1,381.83 |
$1,381.83 |
$1,888.50
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$185.25 |
$185.25 |
$185.25 |
$236.64
|
|
Renal function panel
|
$37.05 |
$37.05 |
$37.05 |
$95.76
|
|
Resuscitation cardiopulmonary
|
$532.35 |
$532.35 |
$532.35 |
$895.44
|
|
Reticulocyte automated
|
$40.30 |
$40.30 |
$40.30 |
$54.27
|
|
Rheumatoid factor qualitative
|
$91.00 |
$91.00 |
$91.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$36.40 |
$36.40 |
$36.40 |
$59.80
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$2,297.88 |
$2,297.88 |
$2,297.88 |
$201.92
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$2,068.83 |
$2,068.83 |
$2,068.83 |
$1,848.99
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$8,743.80 |
$8,743.80 |
$8,743.80 |
$31.05
|
|
Romiplostim 125 mcg subcutaneous solution
|
$11,273.57 |
$11,273.57 |
$11,273.57 |
$25.95
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,382.72 |
$5,382.72 |
$5,382.72 |
$5,400.67
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,182.05
|
|
Rsv assay w/optic
|
$52.00 |
$52.00 |
$52.00 |
$64.13
|
|
Rubella antibody igg
|
$85.15 |
$85.15 |
$85.15 |
$73.05
|
|
Rubeola antibody igg
|
$42.25 |
$42.25 |
$42.25 |
$80.00
|
|
Russell viper venom diluted
|
$91.65 |
$91.65 |
$91.65 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,381.30 |
$6,381.30 |
$6,381.30 |
$1,441.80
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$956.15 |
$956.15 |
$956.15 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$754.00 |
$754.00 |
$754.00 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$396.50 |
$396.50 |
$396.50 |
$788.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$311.35 |
$311.35 |
$311.35 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$561.60 |
$561.60 |
$561.60 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,032.85 |
$1,032.85 |
$1,032.85 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$572.00 |
$572.00 |
$572.00 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$544.05 |
$544.05 |
$544.05 |
$527.80
|
|
Screening Mammogram
|
$181.35 |
$181.35 |
$181.35 |
$287.12
|
|
Sedimentation rate erythrocyte automated
|
$67.60 |
$67.60 |
$67.60 |
$37.80
|
|
Shoulder MRI (with and without contrast)
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,465.45 |
$2,465.45 |
$2,465.45 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,274.35 |
$2,274.35 |
$2,274.35 |
$1,938.28
|
|
Shoulder X-ray
|
$331.50 |
$331.50 |
$331.50 |
$307.20
|
|
Sickling rbc
|
$29.25 |
$29.25 |
$29.25 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$5,782.63 |
$5,782.63 |
$5,782.63 |
$1,351.63
|