|
Pralidoxime 1 gram solution for injection
|
$2,824.12 |
$2,824.12 |
$2,824.12 |
$292.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$189.80 |
$189.80 |
$189.80 |
$48.00
|
|
Prednisone 1 mg tablet
|
$19.17 |
$19.17 |
$19.17 |
$2.88
|
|
Prefab stnlss steel crown pe
|
$2,702.05 |
$2,702.05 |
$2,702.05 |
$1,685.60
|
|
Pretreat rbc w chem/drugs reference
|
$87.75 |
$87.75 |
$87.75 |
$114.00
|
|
Prim art mech thrmbc non-intracranial
|
$29,179.80 |
$29,179.80 |
$29,179.80 |
$9,298.32
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,145.95 |
$1,145.95 |
$1,145.95 |
$7,350.00
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$48.88 |
$48.88 |
$48.88 |
$38.48
|
|
Protamine 10 mg/ml intravenous solution
|
$95.87 |
$95.87 |
$95.87 |
$56.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,918.30 |
$7,918.30 |
$7,918.30 |
$13,410.10
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$711.48
|
|
Psychoeducation 45 min +
|
$167.70 |
$167.70 |
$167.70 |
$201.45
|
|
Psychotherapy patient individual therapy 60 minutes
|
$309.40 |
$309.40 |
$309.40 |
$287.95
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$92.95 |
$92.95 |
$92.95 |
$80.30
|
|
Rabies ig ht&sol human im/sc
|
$4,047.81 |
$4,047.81 |
$4,047.81 |
$2,658.73
|
|
Radiation treatment aid(s)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$2,280.85 |
$2,280.85 |
$2,280.85 |
$921.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,048.45 |
$1,048.45 |
$1,048.45 |
$2,242.80
|
|
Removal sutr or stapl no anes
|
$3,786.90 |
$3,786.90 |
$3,786.90 |
$93.88
|
|
Removal sutr/staple req anes
|
$1,314.30 |
$1,314.30 |
$1,314.30 |
$2,431.38
|
|
Remove int/ext hem 1 group
|
$7,449.65 |
$7,449.65 |
$7,449.65 |
$4,281.96
|
|
Renal function panel
|
$111.80 |
$111.80 |
$111.80 |
$114.37
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,465.80 |
$3,465.80 |
$3,465.80 |
$1,928.07
|
|
Replace g-j tube perc
|
$1,701.05 |
$1,701.05 |
$1,701.05 |
$1,568.05
|
|
Revasc evasc ivt angio cplx 1st
|
$12,676.30 |
$12,676.30 |
$12,676.30 |
$10,094.56
|
|
Revision of infusion pump
|
$6,204.25 |
$6,204.25 |
$6,204.25 |
$4,306.60
|
|
Revision open av fistula without thromb
|
$10,553.40 |
$10,553.40 |
$10,553.40 |
$8,672.00
|
|
Rho d immune globulin 50 mcg
|
$162.04 |
$162.04 |
$162.04 |
$106.14
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$4,520.75 |
$4,520.75 |
$4,520.75 |
$5,004.42
|
|
Rmvl tv pm lead sgl
|
$5,737.55 |
$5,737.55 |
$5,737.55 |
$4,225.20
|
|
Screw cortex 2.0 x 10mm
|
$6,515.44 |
$6,515.44 |
$6,515.44 |
$29,785.18
|
|
Set radiation therapy field
|
$730.60 |
$730.60 |
$730.60 |
$782.61
|
|
Shoulder X-ray (single view, both shoulders)
|
$233.35 |
$233.35 |
$233.35 |
$263.25
|
|
Sirolimus, oral
|
$19.17 |
$19.17 |
$19.17 |
$41.70
|
|
Small bowel endoscopy
|
$2,466.75 |
$2,466.75 |
$2,466.75 |
$2,951.65
|
|
Sodium chloride 0.9 % intravenous solution
|
$121.55 |
$121.55 |
$121.55 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$121.55 |
$121.55 |
$121.55 |
$45.62
|
|
St cognitve performance testing healthcare professional each hour
|
$344.50 |
$344.50 |
$344.50 |
$286.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$13,436.80 |
$13,436.80 |
$13,436.80 |
$14,356.50
|
|
Strapping of elbow or wrist 29260
|
$221.65 |
$221.65 |
$221.65 |
$157.46
|
|
Strep b dna amp probe
|
$50.70 |
$50.70 |
$50.70 |
$124.15
|
|
Stress tte complete
|
$1,730.30 |
$1,730.30 |
$1,730.30 |
$1,900.96
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$68.12 |
$68.12 |
$68.12 |
$82.46
|
|
Swallowing Evaluation (Bedside)
|
$332.15 |
$332.15 |
$332.15 |
$316.80
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$108.74 |
$108.74 |
$108.74 |
$9.93
|
|
Tcd emboli detect w/inj
|
$557.05 |
$557.05 |
$557.05 |
$475.80
|
|
Team conf w/pat by hc prof
|
$382.85 |
$382.85 |
$382.85 |
$107.10
|
|
Telethx isodose plan simple
|
$1,051.70 |
$1,051.70 |
$1,051.70 |
$880.61
|
|
Temozolomide
|
$280.67 |
$280.67 |
$280.67 |
$540.06
|
|
Test for chlorohydrocarbons
|
$417.30 |
$417.30 |
$417.30 |
$65.00
|
|
Test stress cardiovascular tracing only
|
$982.15 |
$982.15 |
$982.15 |
$953.40
|
|
Therapy Exercise Session (each 15 minutes)
|
$111.15 |
$111.15 |
$111.15 |
$98.58
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$54.08 |
$54.08 |
$54.08 |
$25.54
|
|
Tilt table study
|
$1,925.95 |
$1,925.95 |
$1,925.95 |
$1,561.82
|
|
Tomosynthesis breast diagnostic left
|
$79.95 |
$79.95 |
$79.95 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$85.15 |
$85.15 |
$85.15 |
$74.10
|
|
Total tau
|
$569.40 |
$569.40 |
$569.40 |
$312.50
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$89.70 |
$89.70 |
$89.70 |
$102.27
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$29.90 |
$29.90 |
$29.90 |
$56.38
|
|
Transcath biopsy
|
$7,613.45 |
$7,613.45 |
$7,613.45 |
$4,285.93
|
|
Transferrin
|
$98.80 |
$98.80 |
$98.80 |
$82.00
|
|
Tray bonemarrw oncontrol 102mm
|
$552.50 |
$552.50 |
$552.50 |
$940.80
|
|
Treat ankle dislocation
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$2,360.00
|
|
Treat knee fracture(s)
|
$365.95 |
$365.95 |
$365.95 |
$643.26
|
|
Treatment of thigh fracture
|
$6,647.55 |
$6,647.55 |
$6,647.55 |
$6,389.60
|
|
Treat thigh fracture
|
$7,279.35 |
$7,279.35 |
$7,279.35 |
$2,032.10
|
|
Trnscath plc stent crv crtd w/prtct
|
$9,699.95 |
$9,699.95 |
$9,699.95 |
$9,767.25
|
|
Tube trach disp innr can 5 xlt
|
$296.40 |
$296.40 |
$296.40 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$9.75 |
$9.75 |
$9.75 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$1,381.90 |
$1,381.90 |
$1,381.90 |
$160.88
|
|
Tubular dressing
|
$144.95 |
$144.95 |
$144.95 |
$28.46
|
|
Ultrasound encephalogram
|
$482.30 |
$482.30 |
$482.30 |
$494.92
|
|
Ultrasound Guidance for a Needle Procedure
|
$925.60 |
$925.60 |
$925.60 |
$720.15
|
|
Ultrasound joint complete left
|
$727.35 |
$727.35 |
$727.35 |
$557.99
|
|
Ultrasound prostate/transrectal
|
$1,041.95 |
$1,041.95 |
$1,041.95 |
$557.40
|
|
Unlisted dialysis procedure
|
$585.00 |
$585.00 |
$585.00 |
$1,144.00
|
|
Unlisted procedure larynx
|
$5,863.00 |
$5,863.00 |
$5,863.00 |
$924.00
|
|
Unlisted px external ear
|
$4,972.50 |
$4,972.50 |
$4,972.50 |
$325.68
|
|
Unlisted px foot/toes
|
$390.00 |
$390.00 |
$390.00 |
$1,239.20
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$582.40 |
$582.40 |
$582.40 |
$381.60
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$583.05 |
$583.05 |
$583.05 |
$236.50
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$0.01 |
$0.01 |
$0.01 |
$33.60
|
|
Vaccine mmr live subcutaneous
|
$529.94 |
$529.94 |
$529.94 |
$213.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,821.65 |
$2,821.65 |
$2,821.65 |
$1,105.21
|
|
Vacuum drain bottle/tube kit
|
$154.70 |
$154.70 |
$154.70 |
$325.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$242.06 |
$242.06 |
$242.06 |
$259.05
|
|
Vancomycin 750 mg intravenous solution
|
$109.13 |
$109.13 |
$109.13 |
$90.33
|
|
Varicella zoster antibody igg
|
$87.75 |
$87.75 |
$87.75 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$570.63 |
$570.63 |
$570.63 |
$325.80
|
|
Veeg unmon 12-26 hrs
|
$2,211.95 |
$2,211.95 |
$2,211.95 |
$1,794.68
|
|
Venous mech thrombectomy
|
$10,229.70 |
$10,229.70 |
$10,229.70 |
$8,184.00
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$135.20 |
$135.20 |
$135.20 |
$64.08
|
|
Warde 3016000 west nile virus antibody igg
|
$86.45 |
$86.45 |
$86.45 |
$70.74
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$102.05 |
$102.05 |
$102.05 |
$73.60
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$794.95 |
$794.95 |
$794.95 |
$368.00
|
|
Warde apolipoprotein b
|
$136.50 |
$136.50 |
$136.50 |
$61.82
|
|
Warde bile acids
|
$119.60 |
$119.60 |
$119.60 |
$64.28
|
|
Warde cobalt heavy metal quantitative each nes
|
$156.65 |
$156.65 |
$156.65 |
$116.16
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,379.95 |
$1,379.95 |
$1,379.95 |
$646.40
|
|
Warde thyroid stimulating immunoglobulins
|
$268.45 |
$268.45 |
$268.45 |
$180.01
|
