|
Nm imaging gastric emptying study
|
$2,600.67 |
$2,600.67 |
$2,600.67 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,600.67 |
$2,600.67 |
$2,600.67 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,307.86 |
$2,307.86 |
$2,307.86 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,911.42 |
$2,911.42 |
$2,911.42 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,939.04 |
$2,939.04 |
$2,939.04 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,017.71 |
$4,017.71 |
$4,017.71 |
$1,091.00
|
|
Nuclear Stress Test (Heart)
|
$7,614.16 |
$7,614.16 |
$7,614.16 |
$3,804.45
|
|
Olanzapine 10 mg intramuscular solution
|
$59.24 |
$59.24 |
$59.24 |
$109.58
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.32 |
$8.32 |
$8.32 |
$22.62
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$326.32 |
$326.32 |
$326.32 |
$50.63
|
|
Osmolality blood
|
$138.81 |
$138.81 |
$138.81 |
$69.55
|
|
Osmolality urine
|
$144.76 |
$144.76 |
$144.76 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,287.75 |
$1,287.75 |
$1,287.75 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$823.81 |
$823.81 |
$823.81 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$1,026.79 |
$1,026.79 |
$1,026.79 |
$263.50
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$124.51 |
$124.51 |
$124.51 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$124.51 |
$124.51 |
$124.51 |
$91.20
|
|
Oxytocin 10 unit/ml injection solution
|
$33.25 |
$33.25 |
$33.25 |
$50.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$110.17 |
$110.17 |
$110.17 |
$27.16
|
|
Parathormone (pth) intact
|
$882.47 |
$882.47 |
$882.47 |
$201.50
|
|
Parathyroid planar imaging
|
$2,155.94 |
$2,155.94 |
$2,155.94 |
$1,073.82
|
|
Pelvic CT scan (with and without contrast)
|
$6,120.56 |
$6,120.56 |
$6,120.56 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$5,594.00 |
$5,594.00 |
$5,594.00 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$3,901.37 |
$3,901.37 |
$3,901.37 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$4,680.49 |
$4,680.49 |
$4,680.49 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$4,317.01 |
$4,317.01 |
$4,317.01 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$2,490.17 |
$2,490.17 |
$2,490.17 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$546.93 |
$546.93 |
$546.93 |
$430.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$482.21 |
$482.21 |
$482.21 |
$97.85
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$166.50 |
$166.50 |
$166.50 |
$335.79
|
|
Pet fdg brain metoblic eval sb
|
$4,638.56 |
$4,638.56 |
$4,638.56 |
$3,789.00
|
|
Ph body fluid
|
$83.29 |
$83.29 |
$83.29 |
$40.04
|
|
Phencyclidine (pcp)
|
$577.62 |
$577.62 |
$577.62 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$247.88 |
$247.88 |
$247.88 |
$104.50
|
|
Phentolaine mesylate inj
|
$4,730.72 |
$4,730.72 |
$4,730.72 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$283.58 |
$283.58 |
$283.58 |
$112.50
|
|
Phlebotomy therapeutic
|
$494.43 |
$494.43 |
$494.43 |
$231.66
|
|
Phosphorus
|
$105.09 |
$105.09 |
$105.09 |
$49.60
|
|
Phosphorus 24 hour urine
|
$958.80 |
$958.80 |
$958.80 |
$41.58
|
|
Platelet automated
|
$99.15 |
$99.15 |
$99.15 |
$45.00
|
|
Platelet pheresis each unit
|
$3,250.80 |
$3,250.80 |
$3,250.80 |
$940.45
|
|
Platelets each unit
|
$207.36 |
$207.36 |
$207.36 |
$169.20
|
|
Platelets leukocytes reduced each unit
|
$1,424.76 |
$1,424.76 |
$1,424.76 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$7,096.54 |
$7,096.54 |
$7,096.54 |
$1,108.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,452.60 |
$1,452.60 |
$1,452.60 |
$970.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$414.46 |
$414.46 |
$414.46 |
$187.04
|
|
Potassium 24 hour urine
|
$174.00 |
$174.00 |
$174.00 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$208.22 |
$208.22 |
$208.22 |
$46.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$85.93 |
$85.93 |
$85.93 |
$48.43
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,530.03 |
$1,530.03 |
$1,530.03 |
$350.98
|
|
Prealbumin
|
$313.32 |
$313.32 |
$313.32 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$6.24 |
$6.24 |
$6.24 |
$13.80
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,284.44 |
$1,284.44 |
$1,284.44 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,125.62 |
$1,125.62 |
$1,125.62 |
$537.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$556.20 |
$556.20 |
$556.20 |
$147.84
|
|
Pretreat rbc absorption reference
|
$405.00 |
$405.00 |
$405.00 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$501.12 |
$501.12 |
$501.12 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$255.82 |
$255.82 |
$255.82 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$556.20 |
$556.20 |
$556.20 |
$164.99
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$943.05 |
$943.05 |
$943.05 |
$655.08
|
|
Procalcitonin
|
$263.75 |
$263.75 |
$263.75 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$326.32 |
$326.32 |
$326.32 |
$36.33
|
|
Progesterone
|
$442.00 |
$442.00 |
$442.00 |
$113.24
|
|
Prolactin
|
$414.46 |
$414.46 |
$414.46 |
$123.50
|
|
Promethazine hcl injection
|
$41.57 |
$41.57 |
$41.57 |
$12.96
|
|
Prostate biopsy, any mthd
|
$1,043.92 |
$1,043.92 |
$1,043.92 |
$462.66
|
|
Protamine 10 mg/ml intravenous solution
|
$54.04 |
$54.04 |
$54.04 |
$59.61
|
|
Protein c activity
|
$612.77 |
$612.77 |
$612.77 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$233.99 |
$233.99 |
$233.99 |
$84.00
|
|
Protein total 24 hour urine
|
$247.88 |
$247.88 |
$247.88 |
$52.47
|
|
Protein total serum plasma whole blood
|
$83.29 |
$83.29 |
$83.29 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$89.24 |
$89.24 |
$89.24 |
$40.30
|
|
PSA (Prostate) Test
|
$390.00 |
$390.00 |
$390.00 |
$107.50
|
|
Pt evaluation high complexity patient/family
|
$1,567.46 |
$1,567.46 |
$1,567.46 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$857.92 |
$857.92 |
$857.92 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$1,183.70 |
$1,183.70 |
$1,183.70 |
$249.26
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$284.84 |
$284.84 |
$284.84 |
$87.10
|
|
Quant diff pulm perf and vent w/imaging
|
$2,939.04 |
$2,939.04 |
$2,939.04 |
$1,538.60
|
|
Rabies ig ht&sol human im/sc
|
$3,884.79 |
$3,884.79 |
$3,884.79 |
$2,997.00
|
|
Rbc count only automated
|
$43.63 |
$43.63 |
$43.63 |
$20.00
|
|
Rbc deglycerolized each unit
|
$1,612.44 |
$1,612.44 |
$1,612.44 |
$767.00
|
|
Red blood cells each unit
|
$1,382.62 |
$1,382.62 |
$1,382.62 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$2,479.00 |
$2,479.00 |
$2,479.00 |
$422.84
|
|
Red blood cells washed each unit
|
$1,323.38 |
$1,323.38 |
$1,323.38 |
$559.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$677.59 |
$677.59 |
$677.59 |
$378.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,124.03 |
$3,124.03 |
$3,124.03 |
$1,524.70
|
|
Renal function panel
|
$154.68 |
$154.68 |
$154.68 |
$113.52
|
|
Reticulocyte direct measurement automated
|
$91.23 |
$91.23 |
$91.23 |
$35.84
|
|
Rheumatoid factor quantitative
|
$438.26 |
$438.26 |
$438.26 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$81.89 |
$81.89 |
$81.89 |
$247.55
|
|
Rubeola antibody igg
|
$279.62 |
$279.62 |
$279.62 |
$80.00
|
|
Russell viper venom diluted
|
$200.30 |
$200.30 |
$200.30 |
$68.64
|
|
Sarscov coronavirus ag ia
|
$34.42 |
$34.42 |
$34.42 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$386.60 |
$386.60 |
$386.60 |
$105.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,384.40 |
$1,384.40 |
$1,384.40 |
$966.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,108.65 |
$1,108.65 |
$1,108.65 |
$653.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,068.86 |
$1,068.86 |
$1,068.86 |
$744.47
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$881.24 |
$881.24 |
$881.24 |
$583.00
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,384.40 |
$1,384.40 |
$1,384.40 |
$985.20
|
|
Screening Mammogram
|
$765.14 |
$765.14 |
$765.14 |
$310.20
|