|
Procalcitonin
|
$305.10 |
$305.10 |
$305.10 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$276.70 |
$276.70 |
$276.70 |
$46.50
|
|
Prochlorperazine maleate 5 mg tablet
|
$30.62 |
$30.62 |
$30.62 |
$4.25
|
|
Progesterone
|
$1,919.61 |
$1,919.61 |
$1,919.61 |
$105.00
|
|
Prolactin
|
$1,878.93 |
$1,878.93 |
$1,878.93 |
$127.50
|
|
Promethazine 25 mg tablet
|
$4.82 |
$4.82 |
$4.82 |
$7.01
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$78.25 |
$78.25 |
$78.25 |
$39.59
|
|
Protein c activity
|
$821.24 |
$821.24 |
$821.24 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,913.26 |
$1,913.26 |
$1,913.26 |
$85.20
|
|
Protein s total
|
$1,358.99 |
$1,358.99 |
$1,358.99 |
$78.87
|
|
Protein total 24 hour urine
|
$851.75 |
$851.75 |
$851.75 |
$52.50
|
|
Protein total serum plasma whole blood
|
$976.33 |
$976.33 |
$976.33 |
$42.81
|
|
Prothrombin complex kcentra
|
$4.54 |
$4.54 |
$4.54 |
$5.50
|
|
Prothrombin time substitution plasma fractions each
|
$451.30 |
$451.30 |
$451.30 |
$37.05
|
|
PSA (Prostate) Test
|
$921.67 |
$921.67 |
$921.67 |
$109.35
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$443.71 |
$443.71 |
$443.71 |
$105.30
|
|
Pulmonary vent imaging
|
$9,673.89 |
$9,673.89 |
$9,673.89 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$4,190.45 |
$4,190.45 |
$4,190.45 |
$368.00
|
|
Pulse ox single
|
$628.06 |
$628.06 |
$628.06 |
$88.63
|
|
Puraply 1 sq cm
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$8,176.14
|
|
Pyridoxine hcl 100 mg
|
$31.86 |
$31.86 |
$31.86 |
$43.24
|
|
Quant diff pulm perf and vent w/imaging
|
$19,904.66 |
$19,904.66 |
$19,904.66 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$9,673.89 |
$9,673.89 |
$9,673.89 |
$1,209.44
|
|
Quest t3 uptake
|
$921.67 |
$921.67 |
$921.67 |
$56.10
|
|
Radiation therapy dose plan
|
$465.43 |
$465.43 |
$465.43 |
$530.53
|
|
Radiesse injection
|
$2,630.00 |
$2,630.00 |
$2,630.00 |
$1,010.63
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,621.00 |
$1,621.00 |
$1,621.00 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$7,568.50 |
$7,568.50 |
$7,568.50 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,626.09 |
$1,626.09 |
$1,626.09 |
$1,139.40
|
|
Red blood cells each unit
|
$258.09 |
$258.09 |
$258.09 |
$353.60
|
|
Red blood cells leukocytes reduced each unit
|
$1,088.29 |
$1,088.29 |
$1,088.29 |
$398.20
|
|
Red blood cells washed each unit
|
$1,365.45 |
$1,365.45 |
$1,365.45 |
$494.40
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$213.76 |
$213.76 |
$213.76 |
$656.83
|
|
Relocation skin pocket aicd
|
$9,213.75 |
$9,213.75 |
$9,213.75 |
$3,153.93
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,849.55 |
$1,849.55 |
$1,849.55 |
$1,864.71
|
|
Rem endovas vena cava filter
|
$10,022.13 |
$10,022.13 |
$10,022.13 |
$5,819.40
|
|
Removal central venous catheter tunneled without port/pump
|
$1,975.22 |
$1,975.22 |
$1,975.22 |
$1,709.91
|
|
Removal/replacement ppm generator dual lead system
|
$33,574.73 |
$33,574.73 |
$33,574.73 |
$12,384.25
|
|
Renal function panel
|
$1,756.89 |
$1,756.89 |
$1,756.89 |
$110.10
|
|
Renal venogram bil s&i
|
$11,359.11 |
$11,359.11 |
$11,359.11 |
$3,615.28
|
|
Repair blood vessel dir lower extr
|
$2,212.19 |
$2,212.19 |
$2,212.19 |
$1,788.00
|
|
Repair pm/icd lead dual
|
$27,131.52 |
$27,131.52 |
$27,131.52 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$16,344.66 |
$16,344.66 |
$16,344.66 |
$4,343.82
|
|
Replace aortic valve open axillry 33363
|
$118,040.63 |
$118,040.63 |
$118,040.63 |
$18,333.90
|
|
Replace aortic valve open femoral 33362
|
$118,040.63 |
$118,040.63 |
$118,040.63 |
$22,888.58
|
|
Replace aortic valve open iliac 33364
|
$118,148.43 |
$118,148.43 |
$118,148.43 |
$14,751.10
|
|
Replace aortic valve open transaortic 33365
|
$116,832.18 |
$116,832.18 |
$116,832.18 |
$26,534.30
|
|
Replace g/c tube perc
|
$7,257.34 |
$7,257.34 |
$7,257.34 |
$1,413.60
|
|
Reposition pm/icd lead
|
$10,023.20 |
$10,023.20 |
$10,023.20 |
$3,827.46
|
|
Repos lv lead pm/icd
|
$16,952.88 |
$16,952.88 |
$16,952.88 |
$3,770.00
|
|
Repos sq defib eltrd
|
$12,347.35 |
$12,347.35 |
$12,347.35 |
$4,776.28
|
|
Reptilase test
|
$723.35 |
$723.35 |
$723.35 |
$65.65
|
|
Resuscitation cardiopulmonary
|
$8,889.01 |
$8,889.01 |
$8,889.01 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$3,323.07 |
$3,323.07 |
$3,323.07 |
$797.29
|
|
Revasc intra lithotrip-ather
|
$71,486.10 |
$71,486.10 |
$71,486.10 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$71,486.10 |
$71,486.10 |
$71,486.10 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$68,274.66 |
$68,274.66 |
$68,274.66 |
$12,393.88
|
|
Revasc lithotrip-stent-ather
|
$115,008.86 |
$115,008.86 |
$115,008.86 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$111,218.09 |
$111,218.09 |
$111,218.09 |
$13,419.98
|
|
Revision open av fistula without thromb
|
$17,278.54 |
$17,278.54 |
$17,278.54 |
$8,037.35
|
|
Rheumatoid factor qualitative
|
$877.18 |
$877.18 |
$877.18 |
$54.60
|
|
Rheumatoid factor quantitative
|
$910.23 |
$910.23 |
$910.23 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$192.78 |
$192.78 |
$192.78 |
$255.26
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$291.82 |
$291.82 |
$291.82 |
$539.70
|
|
Rmvl icd by tv extr
|
$16,573.85 |
$16,573.85 |
$16,573.85 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$74,113.55 |
$74,113.55 |
$74,113.55 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$103,441.73 |
$103,441.73 |
$103,441.73 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$74,113.55 |
$74,113.55 |
$74,113.55 |
$26,561.92
|
|
Rmvl perm pm pulse gen
|
$26,712.21 |
$26,712.21 |
$26,712.21 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$61,265.66 |
$61,265.66 |
$61,265.66 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$26,712.21 |
$26,712.21 |
$26,712.21 |
$10,427.04
|
|
Rmvl pq iabp
|
$8,356.66 |
$8,356.66 |
$8,356.66 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$4,431.87 |
$4,431.87 |
$4,431.87 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$12,009.69 |
$12,009.69 |
$12,009.69 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$7,866.89 |
$7,866.89 |
$7,866.89 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$21,344.82 |
$21,344.82 |
$21,344.82 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$18,250.50 |
$18,250.50 |
$18,250.50 |
$4,195.80
|
|
Rotavirus antibody
|
$1,103.46 |
$1,103.46 |
$1,103.46 |
$38.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,035.57 |
$5,035.57 |
$5,035.57 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$3,528.07 |
$3,528.07 |
$3,528.07 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$1,621.00 |
$1,621.00 |
$1,621.00 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$7,857.11 |
$7,857.11 |
$7,857.11 |
$3,074.50
|
|
Rpl tun cvc wo subq port
|
$15,444.98 |
$15,444.98 |
$15,444.98 |
$4,201.80
|
|
Rsv assay w/optic
|
$1,103.46 |
$1,103.46 |
$1,103.46 |
$73.80
|
|
Rubeola antibody igg
|
$1,296.69 |
$1,296.69 |
$1,296.69 |
$79.68
|
|
Russell viper venom diluted
|
$1,003.03 |
$1,003.03 |
$1,003.03 |
$70.16
|
|
Sarscov coronavirus ag ia
|
$57.20 |
$57.20 |
$57.20 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$63.57 |
$63.57 |
$63.57 |
$91.14
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,512.94 |
$1,512.94 |
$1,512.94 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$764.10 |
$764.10 |
$764.10 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$6,354.34 |
$6,354.34 |
$6,354.34 |
$589.60
|
|
Scope uretscp lithovue dig disp
|
$16,077.00 |
$16,077.00 |
$16,077.00 |
$5,235.51
|
|
Screening hepatitis b non-obstetric high risk
|
$1,017.01 |
$1,017.01 |
$1,017.01 |
$31.10
|
|
Screening Mammogram
|
$1,305.28 |
$1,305.28 |
$1,305.28 |
$303.55
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$289.50 |
$289.50 |
$289.50 |
$60.18
|
|
Sept9 promoter methylation analysis
|
$526.30 |
$526.30 |
$526.30 |
$316.68
|
|
Sevelamer carbonate 800 mg tablet
|
$45.77 |
$45.77 |
$45.77 |
$17.10
|
|
Sevelamer carbonate pdr 20mg
|
$110.61 |
$110.61 |
$110.61 |
$40.33
|
|
Shuntogram nonvascular supervision & interpretation
|
$563.04 |
$563.04 |
$563.04 |
$345.00
|
|
Sialography s&i
|
$4,715.96 |
$4,715.96 |
$4,715.96 |
$462.40
|
