|
Nr lnr acclrtr tx max 5 sessions
|
$13,999.00 |
$13,999.00 |
$13,999.00 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$10,584.00 |
$10,584.00 |
$10,584.00 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$8,896.00 |
$8,896.00 |
$8,896.00 |
$2,364.96
|
|
Nuclear rx IV admin
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$10,434.00 |
$10,434.00 |
$10,434.00 |
$3,921.45
|
|
Ob Ultrasound nuchal meas 1 gest
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$243.29
|
|
Oprelvekin injection
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
$848.31
|
|
Organic acids total quant ea spec
|
$728.00 |
$728.00 |
$728.00 |
$151.36
|
|
Oscillation chest wall mechanical per session
|
$317.00 |
$317.00 |
$317.00 |
$221.34
|
|
Osmolality blood
|
$284.00 |
$284.00 |
$284.00 |
$67.60
|
|
Osmolality urine
|
$284.00 |
$284.00 |
$284.00 |
$65.65
|
|
Parathormone (pth) intact
|
$427.00 |
$427.00 |
$427.00 |
$200.23
|
|
Parathyroid planar imaging
|
$5,892.00 |
$5,892.00 |
$5,892.00 |
$1,166.00
|
|
Pelvic CT scan (with and without contrast)
|
$8,985.00 |
$8,985.00 |
$8,985.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$6,749.00 |
$6,749.00 |
$6,749.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$6,527.00 |
$6,527.00 |
$6,527.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,157.00 |
$7,157.00 |
$7,157.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$8,561.00 |
$8,561.00 |
$8,561.00 |
$2,087.21
|
|
Peritoneogram rs&i
|
$2,147.00 |
$2,147.00 |
$2,147.00 |
$648.84
|
|
Pertussis ag if
|
$383.00 |
$383.00 |
$383.00 |
$49.00
|
|
Pet image full body
|
$8,348.00 |
$8,348.00 |
$8,348.00 |
$4,795.47
|
|
Pet image ltd area
|
$8,348.00 |
$8,348.00 |
$8,348.00 |
$2,519.20
|
|
Pet image skull-thigh
|
$8,348.00 |
$8,348.00 |
$8,348.00 |
$4,247.10
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$297.00 |
$297.00 |
$297.00 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$191.00 |
$191.00 |
$191.00 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$458.00 |
$458.00 |
$458.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$596.00 |
$596.00 |
$596.00 |
$249.00
|
|
Phosphorus
|
$43.00 |
$43.00 |
$43.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$156.00 |
$156.00 |
$156.00 |
$42.81
|
|
Photopheresis
|
$10,814.00 |
$10,814.00 |
$10,814.00 |
$5,988.98
|
|
Piflu f-18, dia 1 millicurie
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$1,035.81
|
|
Plasma cryoprecipitate reduced each unit
|
$575.00 |
$575.00 |
$575.00 |
$156.20
|
|
Platelet automated
|
$156.00 |
$156.00 |
$156.00 |
$44.00
|
|
Platelet pheresis each unit
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$864.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$4,920.00 |
$4,920.00 |
$4,920.00 |
$1,235.40
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,639.00 |
$3,639.00 |
$3,639.00 |
$1,180.31
|
|
Plethysmography lung volumes/airway resistance
|
$1,774.00 |
$1,774.00 |
$1,774.00 |
$411.51
|
|
Potassium 24 hour urine
|
$139.00 |
$139.00 |
$139.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$43.00 |
$43.00 |
$43.00 |
$44.64
|
|
Pouch high output 2pc 50mm red
|
$177.00 |
$177.00 |
$177.00 |
$20.15
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$45.00 |
$45.00 |
$45.00 |
$4.67
|
|
Pq biliary strict dil s&i
|
$10,619.00 |
$10,619.00 |
$10,619.00 |
$1,006.00
|
|
Prealbumin
|
$217.00 |
$217.00 |
$217.00 |
$87.20
|
|
Pregnancy associated plasma protein-a
|
$248.00 |
$248.00 |
$248.00 |
$67.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$464.00 |
$464.00 |
$464.00 |
$141.00
|
|
Pretreat rbc absorption reference
|
$658.00 |
$658.00 |
$658.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$765.00 |
$765.00 |
$765.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$383.00 |
$383.00 |
$383.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$383.00 |
$383.00 |
$383.00 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$864.00 |
$864.00 |
$864.00 |
$313.30
|
|
Procalcitonin
|
$804.00 |
$804.00 |
$804.00 |
$144.10
|
|
Progesterone
|
$205.00 |
$205.00 |
$205.00 |
$105.00
|
|
Prolactin
|
$187.00 |
$187.00 |
$187.00 |
$127.50
|
|
Protein c activity
|
$910.00 |
$910.00 |
$910.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$264.00 |
$264.00 |
$264.00 |
$85.20
|
|
Protein s total
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$78.87
|
|
Protein total 24 hour urine
|
$205.00 |
$205.00 |
$205.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$43.00 |
$43.00 |
$43.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$156.00 |
$156.00 |
$156.00 |
$37.05
|
|
PSA (Prostate) Test
|
$265.00 |
$265.00 |
$265.00 |
$109.35
|
|
Puncture arterial withdrawal blood for diagnosis
|
$157.00 |
$157.00 |
$157.00 |
$127.50
|
|
Pyruvate
|
$451.00 |
$451.00 |
$451.00 |
$65.00
|
|
Quest t3 uptake
|
$183.00 |
$183.00 |
$183.00 |
$56.10
|
|
Quinupristin/dalfopristin
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$647.41
|
|
Radiation physics consult
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$574.75
|
|
Radiation treatment aid(s)
|
$2,893.00 |
$2,893.00 |
$2,893.00 |
$541.45
|
|
Radiation treatment aid(s)
|
$3,309.00 |
$3,309.00 |
$3,309.00 |
$665.00
|
|
Radiation treatment aid(s)
|
$3,748.00 |
$3,748.00 |
$3,748.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$552.40
|
|
Radiation treatment delivery
|
$2,878.00 |
$2,878.00 |
$2,878.00 |
$909.98
|
|
Radiology port images(s)
|
$622.00 |
$622.00 |
$622.00 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$15,862.00 |
$15,862.00 |
$15,862.00 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$2,119.00 |
$2,119.00 |
$2,119.00 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$9,131.00 |
$9,131.00 |
$9,131.00 |
$2,014.64
|
|
Rapid Strep Test
|
$245.00 |
$245.00 |
$245.00 |
$74.10
|
|
Rbc count only automated
|
$26.00 |
$26.00 |
$26.00 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$326.00 |
$326.00 |
$326.00 |
$223.08
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,102.00 |
$2,102.00 |
$2,102.00 |
$489.60
|
|
Red blood cells washed each unit
|
$3,319.00 |
$3,319.00 |
$3,319.00 |
$494.40
|
|
Remote 30 day ecg tech supp
|
$513.00 |
$513.00 |
$513.00 |
$570.85
|
|
Renal function panel
|
$191.00 |
$191.00 |
$191.00 |
$110.10
|
|
Renal venogram bil s&i
|
$6,990.00 |
$6,990.00 |
$6,990.00 |
$3,615.28
|
|
Reptilase test
|
$491.00 |
$491.00 |
$491.00 |
$65.65
|
|
Respirator motion mgmt simul
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,200.53
|
|
Resuscitation delivery/birthing room
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$797.29
|
|
Reteplase injection
|
$28,801.00 |
$28,801.00 |
$28,801.00 |
$3,155.69
|
|
Reticulated platelet assay
|
$311.00 |
$311.00 |
$311.00 |
$63.08
|
|
Reticulocyte automated
|
$187.00 |
$187.00 |
$187.00 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$187.00 |
$187.00 |
$187.00 |
$33.57
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$2,866.00 |
$2,866.00 |
$2,866.00 |
$159.25
|
|
Right ventric recording
|
$38,634.00 |
$38,634.00 |
$38,634.00 |
$1,980.36
|
|
Rotavirus antibody
|
$264.00 |
$264.00 |
$264.00 |
$38.40
|
|
Rp loclzj tum 2+area 1+d img
|
$6,343.00 |
$6,343.00 |
$6,343.00 |
$1,458.95
|
|
Rubeola antibody igg
|
$408.00 |
$408.00 |
$408.00 |
$79.68
|
|
Russell viper venom diluted
|
$124.00 |
$124.00 |
$124.00 |
$70.16
|
|
Sarscov coronavirus ag ia
|
$44.00 |
$44.00 |
$44.00 |
$60.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$2,726.00 |
$2,726.00 |
$2,726.00 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$4,742.00 |
$4,742.00 |
$4,742.00 |
$1,006.85
|
