|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$26.01 |
$26.01 |
$26.01 |
$22.62
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$184.40 |
$184.40 |
$184.40 |
$50.63
|
|
Osmolality blood
|
$302.12 |
$302.12 |
$302.12 |
$69.55
|
|
Osmolality urine
|
$302.12 |
$302.12 |
$302.12 |
$65.65
|
|
Ostomy clamp, replacement
|
$13.00 |
$13.00 |
$13.00 |
$4.66
|
|
Ot evaluation high complexity patient/family
|
$1,493.55 |
$1,493.55 |
$1,493.55 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$938.23 |
$938.23 |
$938.23 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$1,104.61 |
$1,104.61 |
$1,104.61 |
$263.50
|
|
Ot re-evaluation patient/family
|
$751.77 |
$751.77 |
$751.77 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$270.65 |
$270.65 |
$270.65 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$270.65 |
$270.65 |
$270.65 |
$91.20
|
|
Oxytocin 10 unit/ml injection solution
|
$139.40 |
$139.40 |
$139.40 |
$50.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$598.57 |
$598.57 |
$598.57 |
$27.16
|
|
Parathormone (pth) intact
|
$879.00 |
$879.00 |
$879.00 |
$201.50
|
|
Parathyroid planar imaging
|
$2,990.81 |
$2,990.81 |
$2,990.81 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$1,262.76 |
$1,262.76 |
$1,262.76 |
$1,345.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$30.00 |
$30.00 |
$30.00 |
$4,706.31
|
|
Pet fdg brain metoblic eval sb
|
$7,027.80 |
$7,027.80 |
$7,027.80 |
$3,789.00
|
|
Pet image full body
|
$5,052.48 |
$5,052.48 |
$5,052.48 |
$5,070.50
|
|
Phenobarbital therapeutic drug level
|
$584.46 |
$584.46 |
$584.46 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,004.43 |
$1,004.43 |
$1,004.43 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$646.96 |
$646.96 |
$646.96 |
$112.50
|
|
Platelet automated
|
$396.23 |
$396.23 |
$396.23 |
$45.00
|
|
Platelet pheresis each unit
|
$4,587.28 |
$4,587.28 |
$4,587.28 |
$940.45
|
|
Platelets each unit
|
$820.11 |
$820.11 |
$820.11 |
$169.20
|
|
Platelets leukocytes reduced each unit
|
$820.11 |
$820.11 |
$820.11 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$4,587.28 |
$4,587.28 |
$4,587.28 |
$1,108.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,149.06 |
$2,149.06 |
$2,149.06 |
$970.00
|
|
Potassium 24 hour urine
|
$211.10 |
$211.10 |
$211.10 |
$50.70
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$739.67 |
$739.67 |
$739.67 |
$350.98
|
|
Prealbumin
|
$539.90 |
$539.90 |
$539.90 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$38.94 |
$38.94 |
$38.94 |
$13.80
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$126.00 |
$126.00 |
$126.00 |
$147.84
|
|
Pretreat rbc absorption reference
|
$126.00 |
$126.00 |
$126.00 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$126.00 |
$126.00 |
$126.00 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$123.66 |
$123.66 |
$123.66 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$126.00 |
$126.00 |
$126.00 |
$164.99
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$312.63 |
$312.63 |
$312.63 |
$655.08
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$225.21 |
$225.21 |
$225.21 |
$36.33
|
|
Progesterone
|
$1,080.42 |
$1,080.42 |
$1,080.42 |
$113.24
|
|
Prolactin
|
$648.21 |
$648.21 |
$648.21 |
$123.50
|
|
Promethazine hcl injection
|
$37.61 |
$37.61 |
$37.61 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$80.42 |
$80.42 |
$80.42 |
$30.26
|
|
Prostate biopsy, any mthd
|
$315.76 |
$315.76 |
$315.76 |
$462.66
|
|
Protamine 10 mg/ml intravenous solution
|
$423.95 |
$423.95 |
$423.95 |
$59.61
|
|
Protein c activity
|
$1,350.34 |
$1,350.34 |
$1,350.34 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$936.00 |
$936.00 |
$936.00 |
$84.00
|
|
Protein s total
|
$1,350.34 |
$1,350.34 |
$1,350.34 |
$77.60
|
|
Protein total 24 hour urine
|
$302.12 |
$302.12 |
$302.12 |
$52.47
|
|
Protein total serum plasma whole blood
|
$211.10 |
$211.10 |
$211.10 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$302.12 |
$302.12 |
$302.12 |
$40.30
|
|
PSA (Prostate) Test
|
$464.00 |
$464.00 |
$464.00 |
$107.50
|
|
Pt evaluation high complexity patient/family
|
$1,493.55 |
$1,493.55 |
$1,493.55 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$938.23 |
$938.23 |
$938.23 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$1,104.61 |
$1,104.61 |
$1,104.61 |
$249.26
|
|
Pt re-evaluation patient/family
|
$751.77 |
$751.77 |
$751.77 |
$152.40
|
|
Quant diff pulm perf and vent w/imaging
|
$1,937.11 |
$1,937.11 |
$1,937.11 |
$1,538.60
|
|
Rabies ig ht&sol human im/sc
|
$829.05 |
$829.05 |
$829.05 |
$2,997.00
|
|
Radiation physics consult
|
$2,320.32 |
$2,320.32 |
$2,320.32 |
$602.12
|
|
Radiation therapy dose plan
|
$1,741.51 |
$1,741.51 |
$1,741.51 |
$514.05
|
|
Radiation treatment aid(s)
|
$4,491.50 |
$4,491.50 |
$4,491.50 |
$1,075.03
|
|
Radiation treatment delivery
|
$2,139.60 |
$2,139.60 |
$2,139.60 |
$552.40
|
|
Radiation treatment delivery
|
$2,900.67 |
$2,900.67 |
$2,900.67 |
$911.04
|
|
Radiology port images(s)
|
$1,018.67 |
$1,018.67 |
$1,018.67 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$10,142.67 |
$10,142.67 |
$10,142.67 |
$5,718.50
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,596.49 |
$6,596.49 |
$6,596.49 |
$2,242.80
|
|
Rbc count only automated
|
$144.87 |
$144.87 |
$144.87 |
$20.00
|
|
Rbc deglycerolized each unit
|
$2,727.62 |
$2,727.62 |
$2,727.62 |
$767.00
|
|
Red blood cells each unit
|
$1,281.49 |
$1,281.49 |
$1,281.49 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$1,281.49 |
$1,281.49 |
$1,281.49 |
$422.84
|
|
Red blood cells washed each unit
|
$1,281.49 |
$1,281.49 |
$1,281.49 |
$559.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,239.70 |
$1,239.70 |
$1,239.70 |
$378.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,464.43 |
$1,464.43 |
$1,464.43 |
$1,524.70
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$714.85 |
$714.85 |
$714.85 |
$236.64
|
|
Respirator motion mgmt simul
|
$3,595.58 |
$3,595.58 |
$3,595.58 |
$1,189.20
|
|
Reticulocyte direct measurement automated
|
$211.10 |
$211.10 |
$211.10 |
$35.84
|
|
Rheumatoid factor quantitative
|
$563.40 |
$563.40 |
$563.40 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,073.76 |
$1,073.76 |
$1,073.76 |
$247.55
|
|
Rp loclzj tum 2+area 1+d img
|
$4,744.77 |
$4,744.77 |
$4,744.77 |
$1,340.00
|
|
Rubella antibody igg
|
$495.27 |
$495.27 |
$495.27 |
$76.86
|
|
Rubeola antibody igg
|
$280.41 |
$280.41 |
$280.41 |
$80.00
|
|
Russell viper venom diluted
|
$521.32 |
$521.32 |
$521.32 |
$68.64
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,940.05 |
$1,940.05 |
$1,940.05 |
$653.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,005.60 |
$2,005.60 |
$2,005.60 |
$744.47
|
|
Screening Mammogram
|
$655.14 |
$655.14 |
$655.14 |
$310.20
|
|
Screening prostate cancer PSA
|
$489.69 |
$489.69 |
$489.69 |
$98.28
|
|
Sedimentation rate erythrocyte automated
|
$404.26 |
$404.26 |
$404.26 |
$44.20
|
|
Set radiation therapy field
|
$3,332.84 |
$3,332.84 |
$3,332.84 |
$731.50
|
|
Set radiation therapy field
|
$6,522.19 |
$6,522.19 |
$6,522.19 |
$1,590.00
|
|
Sickling rbc
|
$206.14 |
$206.14 |
$206.14 |
$54.00
|
|
Sildenafil citrate, 25 mg
|
$127.08 |
$127.08 |
$127.08 |
$182.99
|
|
Smear special stain inclusion bodies/parasites
|
$510.76 |
$510.76 |
$510.76 |
$68.85
|
|
Sodium 24 hour urine
|
$211.10 |
$211.10 |
$211.10 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$91.26 |
$91.26 |
$91.26 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$96.72 |
$96.72 |
$96.72 |
$44.34
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$192.83 |
$192.83 |
$192.83 |
$77.77
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$160.50 |
$160.50 |
$160.50 |
$177.52
|
|
Special physics consult
|
$4,206.96 |
$4,206.96 |
$4,206.96 |
$702.24
|
|
Special radiation dosimetry
|
$2,174.21 |
$2,174.21 |
$2,174.21 |
$392.50
|
|
Special radiation treatment
|
$5,652.69 |
$5,652.69 |
$5,652.69 |
$1,932.96
|