|
Prolactin
|
$398.50 |
$398.50 |
$797.99 |
$123.50
|
|
_propoxygc/msur
|
$323.36 |
$323.36 |
$323.36 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$82.90 |
$82.90 |
$148.25 |
$32.93
|
|
Pros sheath/sock w gel cushn
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$127.82
|
|
Prostate biopsy, any mthd
|
$1,620.13 |
$1,620.13 |
$1,620.13 |
$481.77
|
|
Prost sock sgl ply blw knee ea
|
$127.00 |
$127.00 |
$127.00 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$57.89
|
|
Protect body sock ea pre ots
|
$894.00 |
$894.00 |
$894.00 |
$113.63
|
|
Protein electrophoretic fractionation & quantitation serum
|
$552.00 |
$552.00 |
$1,105.22 |
$84.00
|
|
Protein s total
|
$755.15 |
$755.15 |
$1,093.75 |
$83.52
|
|
Protein total 24 hour urine
|
$68.00 |
$68.00 |
$260.17 |
$52.50
|
|
Protein total serum plasma whole blood
|
$69.75 |
$69.75 |
$376.52 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$207.25 |
$207.25 |
$413.55 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$44,996.38 |
$44,996.38 |
$44,996.38 |
$15,190.50
|
|
PSA (Prostate) Test
|
$288.75 |
$288.75 |
$604.98 |
$107.50
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$275.50 |
$275.50 |
$275.50 |
$81.00
|
|
Pulmonary vent imaging
|
$2,527.17 |
$2,527.17 |
$2,527.17 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$830.17 |
$830.17 |
$830.17 |
$344.00
|
|
Pulse ox multiple
|
$516.21 |
$516.21 |
$516.21 |
$156.40
|
|
Pulse ox single
|
$644.22 |
$644.22 |
$644.22 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$73.75 |
$73.75 |
$183.87 |
$127.50
|
|
Pyridoxine hcl 100 mg
|
$89.50 |
$89.50 |
$128.50 |
$48.70
|
|
Pyruvate
|
$123.50 |
$123.50 |
$245.93 |
$66.00
|
|
Pyruvate kinase
|
$525.64 |
$525.64 |
$525.64 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$3,949.46 |
$3,949.46 |
$3,949.46 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$2,527.17 |
$2,527.17 |
$2,527.17 |
$1,199.16
|
|
Quest t3 uptake
|
$201.00 |
$201.00 |
$407.71 |
$52.25
|
|
Quinupristin/dalfopristin
|
$1,313.17 |
$1,313.17 |
$1,313.17 |
$1,066.32
|
|
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
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,129.00 |
$3,129.00 |
$8,557.96 |
$4,262.90
|
|
Radiation handling
|
$3,325.65 |
$3,325.65 |
$3,325.65 |
$324.80
|
|
Radiation treatment aid(s)
|
$3,464.29 |
$3,464.29 |
$3,464.29 |
$520.00
|
|
Radiation treatment delivery
|
$632.44 |
$632.44 |
$632.44 |
$257.01
|
|
Radiation treatment delivery
|
$4,141.57 |
$4,141.57 |
$4,141.57 |
$552.40
|
|
Radiation treatment delivery
|
$6,485.29 |
$6,485.29 |
$6,485.29 |
$920.00
|
|
Radiesse injection
|
$145.36 |
$145.36 |
$145.36 |
$1,171.09
|
|
Radium ra223 dichl ther/uci
|
$507.57 |
$507.57 |
$507.57 |
$215.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$18,489.01 |
$18,489.01 |
$18,489.01 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$10,248.15 |
$10,248.15 |
$10,248.15 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$14,802.02 |
$14,802.02 |
$14,802.02 |
$2,177.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,055.34 |
$2,055.34 |
$3,329.59 |
$4,331.80
|
|
Rb82 rubidium
|
$2,805.19 |
$2,805.19 |
$2,805.19 |
$866.88
|
|
Rbc count only automated
|
$109.50 |
$109.50 |
$215.22 |
$20.40
|
|
Rbc deglycerolized each unit
|
$5,179.68 |
$5,179.68 |
$5,179.68 |
$841.75
|
|
Rbc osmotic fragility
|
$338.75 |
$338.75 |
$681.66 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$225.19 |
$225.19 |
$225.19 |
$235.00
|
|
Red blood cells washed each unit
|
$1,437.73 |
$1,437.73 |
$1,437.73 |
$572.46
|
|
Red cell mass multiple
|
$6,135.06 |
$6,135.06 |
$6,135.06 |
$636.97
|
|
Red cell mass single
|
$6,018.11 |
$6,018.11 |
$6,018.11 |
$545.61
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$484.83 |
$484.83 |
$484.83 |
$364.47
|
|
Reinforced solid stirrup
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$405.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,000.18 |
$2,000.18 |
$2,000.18 |
$1,524.70
|
|
Remove cva lumen obstruct
|
$2,190.41 |
$2,190.41 |
$2,190.41 |
$490.80
|
|
Renal function panel
|
$739.00 |
$739.00 |
$1,479.63 |
$113.52
|
|
Renal venogram bil s&i
|
$28,129.90 |
$28,129.90 |
$28,129.90 |
$3,615.28
|
|
Respirator motion mgmt simul
|
$4,476.88 |
$4,476.88 |
$4,476.88 |
$1,197.50
|
|
Reticulated platelet assay
|
$195.75 |
$195.75 |
$427.82 |
$75.00
|
|
Reticulocyte automated
|
$49.75 |
$49.75 |
$376.52 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$172.50 |
$172.50 |
$172.50 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$10.95 |
$10.95 |
$10.95 |
$15.56
|
|
Rheumatoid factor qualitative
|
$201.00 |
$201.00 |
$407.71 |
$57.20
|
|
Rheumatoid factor quantitative
|
$207.25 |
$207.25 |
$413.55 |
$57.00
|
|
Rho(d) immune globulin h, sd
|
$811.25 |
$811.25 |
$811.25 |
$3,709.00
|
|
Rho d immune globulin inj
|
$245.70 |
$245.70 |
$245.70 |
$217.71
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$200.10 |
$200.10 |
$200.10 |
$455.01
|
|
Right ventric recording
|
$6,958.34 |
$6,958.34 |
$6,958.34 |
$2,345.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$81.76 |
$81.76 |
$81.76 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$2,811.02 |
$2,811.02 |
$2,811.02 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$13,767.47 |
$13,767.47 |
$13,767.47 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$13,216.08 |
$13,216.08 |
$13,216.08 |
$3,139.20
|
|
Rsv assay w/optic
|
$333.00 |
$333.00 |
$667.90 |
$79.38
|
|
Sargramostim injection
|
$206.35 |
$206.35 |
$206.35 |
$609.00
|
|
Sarscov & inf vir a&b ag ia
|
$50.30 |
$50.30 |
$50.30 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,122.39 |
$1,122.39 |
$1,122.39 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,577.66 |
$1,577.66 |
$1,577.66 |
$497.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,688.75 |
$2,688.75 |
$2,688.75 |
$660.00
|
|
Screening prostate cancer PSA
|
$377.00 |
$377.00 |
$755.15 |
$100.63
|
|
Serpina1 gene
|
$1,083.00 |
$1,083.00 |
$2,555.78 |
$197.00
|
|
Set radiation therapy field
|
$8,161.96 |
$8,161.96 |
$8,161.96 |
$1,157.38
|
|
Set radiation therapy field
|
$11,313.59 |
$11,313.59 |
$11,313.59 |
$1,636.36
|
|
Shrinker prosth above knee
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$168.89
|
|
Shrinker prosth below knee
|
$2,225.00 |
$2,225.00 |
$2,225.00 |
$105.12
|
|
Shrinker upper limb
|
$750.00 |
$750.00 |
$750.00 |
$109.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$245.25 |
$245.25 |
$245.25 |
$349.20
|
|
Sialography s&i
|
$8,547.97 |
$8,547.97 |
$8,547.97 |
$499.20
|
|
Sickling rbc
|
$51.75 |
$51.75 |
$407.71 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$2,438.67 |
$2,438.67 |
$2,438.67 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$161.50 |
$161.50 |
$174.00 |
$307.58
|
|
Sinus CT scan (without contrast)
|
$5,367.75 |
$5,367.75 |
$5,367.75 |
$1,292.04
|
|
Sirolimus, oral
|
$12.75 |
$12.75 |
$12.75 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$246.10 |
$246.10 |
$246.10 |
$83.85
|
|
Sleep study attended
|
$6,425.98 |
$6,425.98 |
$6,425.98 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$16,907.32 |
$16,907.32 |
$16,907.32 |
$3,607.50
|
|
Sleep study unattended
|
$803.41 |
$803.41 |
$803.41 |
$580.87
|
|
Slp eval non-spch gen comm dev
|
$972.00 |
$972.00 |
$972.00 |
$285.09
|
|
Slp pure tone screening
|
$85.75 |
$85.75 |
$85.75 |
$60.48
|
|
Slp ther svc non-spch gen
|
$223.00 |
$223.00 |
$791.42 |
$188.50
|
|
Smear nasal eosinophil
|
$119.50 |
$119.50 |
$242.73 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$127.50 |
$127.50 |
$127.50 |
$73.15
|