|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$137.04 |
$137.04 |
$137.04 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$58.40 |
$58.40 |
$58.40 |
$47.85
|
|
Pralidoxime 1 gram solution for injection
|
$189.83 |
$189.83 |
$189.83 |
$292.00
|
|
Pr application of long arm splint
|
$281.60 |
$281.60 |
$281.60 |
$332.75
|
|
Pr application splint static short arm
|
$248.80 |
$248.80 |
$248.80 |
$288.00
|
|
Prealbumin
|
$108.80 |
$108.80 |
$108.80 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.40 |
$3.40 |
$3.40 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$932.00 |
$932.00 |
$932.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$783.20 |
$783.20 |
$783.20 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$604.00 |
$604.00 |
$604.00 |
$459.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$828.00 |
$828.00 |
$828.00 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$668.00 |
$668.00 |
$668.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$430.40 |
$430.40 |
$430.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$524.00 |
$524.00 |
$524.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$613.60 |
$613.60 |
$613.60 |
$592.62
|
|
Procalcitonin
|
$204.80 |
$204.80 |
$204.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$68.99 |
$68.99 |
$68.99 |
$38.48
|
|
Progesterone
|
$124.80 |
$124.80 |
$124.80 |
$116.00
|
|
Prolactin
|
$177.60 |
$177.60 |
$177.60 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$68.64 |
$68.64 |
$68.64 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$61.52 |
$61.52 |
$61.52 |
$33.31
|
|
Protamine 10 mg/ml intravenous solution
|
$60.98 |
$60.98 |
$60.98 |
$56.70
|
|
Protein c activity
|
$304.00 |
$304.00 |
$304.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$84.00 |
$84.00 |
$84.00 |
$84.00
|
|
Protein total 24 hour urine
|
$68.80 |
$68.80 |
$68.80 |
$52.50
|
|
Protein total body fluid
|
$61.60 |
$61.60 |
$61.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$58.40 |
$58.40 |
$58.40 |
$43.00
|
|
Prothrombin complex kcentra
|
$1,572.80 |
$1,572.80 |
$1,572.80 |
$6.98
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$252.80 |
$252.80 |
$252.80 |
$252.00
|
|
Pr removal intrauterine device
|
$540.80 |
$540.80 |
$540.80 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$683.20 |
$683.20 |
$683.20 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$334.40 |
$334.40 |
$334.40 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$352.80 |
$352.80 |
$352.80 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$320.80 |
$320.80 |
$320.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$339.20 |
$339.20 |
$339.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$94.40 |
$94.40 |
$94.40 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$113.60 |
$113.60 |
$113.60 |
$81.48
|
|
Pt application of modality traction mechanical
|
$128.00 |
$128.00 |
$128.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$147.20 |
$147.20 |
$147.20 |
$118.20
|
|
Pt wheelchair management each 15 minutes
|
$124.00 |
$124.00 |
$124.00 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$405.60 |
$405.60 |
$405.60 |
$347.11
|
|
Pulse ox multiple
|
$183.20 |
$183.20 |
$183.20 |
$157.30
|
|
Pulse ox single
|
$99.20 |
$99.20 |
$99.20 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$156.00 |
$156.00 |
$156.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$474.40 |
$474.40 |
$474.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$888.00 |
$888.00 |
$888.00 |
$1,060.47
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,848.39 |
$3,848.39 |
$3,848.39 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$5.92 |
$5.92 |
$5.92 |
$6.48
|
|
Radphm lcl tumor plr sgl day
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$1,126.32
|
|
Rapid Strep Test
|
$72.00 |
$72.00 |
$72.00 |
$76.00
|
|
Rbc count only automated
|
$47.20 |
$47.20 |
$47.20 |
$20.40
|
|
Rbc irradiated each unit
|
$595.20 |
$595.20 |
$595.20 |
$550.40
|
|
Red blood cells leukocytes reduced each unit
|
$531.20 |
$531.20 |
$531.20 |
$444.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$71.14 |
$71.14 |
$71.14 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$416.00 |
$416.00 |
$416.00 |
$1,555.39
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,336.80 |
$2,336.80 |
$2,336.80 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$147.20 |
$147.20 |
$147.20 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$1,260.80
|
|
Renal function panel
|
$124.80 |
$124.80 |
$124.80 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,431.20 |
$1,431.20 |
$1,431.20 |
$1,055.69
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$774.40 |
$774.40 |
$774.40 |
$954.20
|
|
#resp virpnl dfa-adenovirus
|
$48.00 |
$48.00 |
$48.00 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$45.60 |
$45.60 |
$45.60 |
$35.20
|
|
Reticulocyte automated
|
$52.80 |
$52.80 |
$52.80 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$52.80 |
$52.80 |
$52.80 |
$36.57
|
|
Rheumatoid factor qualitative
|
$97.60 |
$97.60 |
$97.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$54.40 |
$54.40 |
$54.40 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$132.00 |
$132.00 |
$132.00 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$267.20 |
$267.20 |
$267.20 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$444.00 |
$444.00 |
$444.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$653.60 |
$653.60 |
$653.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$437.60 |
$437.60 |
$437.60 |
$397.60
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,710.35 |
$4,710.35 |
$4,710.35 |
$9,301.22
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,441.92 |
$4,441.92 |
$4,441.92 |
$8,935.57
|
|
Rsv assay w/optic
|
$91.20 |
$91.20 |
$91.20 |
$76.32
|
|
Rubella antibody igg
|
$75.20 |
$75.20 |
$75.20 |
$77.40
|
|
Rubeola antibody igg
|
$149.60 |
$149.60 |
$149.60 |
$80.00
|
|
Russell viper venom diluted
|
$105.60 |
$105.60 |
$105.60 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$420.00 |
$420.00 |
$420.00 |
$314.26
|
|
Salivary glnd img serial img
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$701.73
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$764.00 |
$764.00 |
$764.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$720.00 |
$720.00 |
$720.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$848.00 |
$848.00 |
$848.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$805.60 |
$805.60 |
$805.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$832.80 |
$832.80 |
$832.80 |
$597.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$78.40 |
$78.40 |
$78.40 |
$85.15
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$434.40 |
$434.40 |
$434.40 |
$310.20
|
|
Screening prostate cancer PSA
|
$117.60 |
$117.60 |
$117.60 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$351.20 |
$351.20 |
$351.20 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$693.60 |
$693.60 |
$693.60 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$59.20 |
$59.20 |
$59.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$131.20 |
$131.20 |
$131.20 |
$96.00
|
