|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$144.39 |
$144.39 |
$144.39 |
$10.80
|
|
Phlebotomy therapeutic
|
$494.40 |
$494.40 |
$494.40 |
$231.66
|
|
Phosphorus 24 hour urine
|
$455.64 |
$455.64 |
$455.64 |
$41.58
|
|
Pillow shldr abduc inflat univ
|
$635.00 |
$635.00 |
$635.00 |
$446.60
|
|
Pinworm exam
|
$214.78 |
$214.78 |
$214.78 |
$40.00
|
|
Plasma cryoprecipitate reduced each unit
|
$286.80 |
$286.80 |
$286.80 |
$157.95
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,645.84 |
$3,645.84 |
$3,645.84 |
$1,490.40
|
|
Platelets irradiated ea unit
|
$521.76 |
$521.76 |
$521.76 |
$262.80
|
|
Platelets leukocytes reduced each unit
|
$405.09 |
$405.09 |
$405.09 |
$322.50
|
|
Platelets leukocytes reduced irradiated each unit
|
$521.76 |
$521.76 |
$521.76 |
$413.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,259.06 |
$2,259.06 |
$2,259.06 |
$1,108.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,934.22 |
$2,934.22 |
$2,934.22 |
$970.00
|
|
Plethysmography lung volumes/airway resistance
|
$2,368.99 |
$2,368.99 |
$2,368.99 |
$399.50
|
|
Postop dress & 1 cast chg bk
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
$2,711.11
|
|
Potassium 24 hour urine
|
$530.82 |
$530.82 |
$530.82 |
$50.70
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$15.00 |
$15.00 |
$15.00 |
$6.16
|
|
Pq biliary strict dil s&i
|
$3,532.53 |
$3,532.53 |
$3,532.53 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$889.01 |
$889.01 |
$889.01 |
$720.00
|
|
Pralidoxime 1 gram solution for injection
|
$1,611.93 |
$1,611.93 |
$1,611.93 |
$267.69
|
|
Pr application splint static short arm
|
$206.44 |
$206.44 |
$206.44 |
$287.70
|
|
Prealbumin
|
$653.56 |
$653.56 |
$653.56 |
$93.60
|
|
Pregnancy Ultrasound (first trimester)
|
$2,248.56 |
$2,248.56 |
$2,248.56 |
$537.00
|
|
Pre-plan 3d model w/ccta
|
$1,219.63 |
$1,219.63 |
$1,219.63 |
$1,203.94
|
|
Pre-tibial shell molded to p
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$630.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$266.94 |
$266.94 |
$266.94 |
$147.84
|
|
Pretreat rbc absorption reference
|
$848.40 |
$848.40 |
$848.40 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$581.45 |
$581.45 |
$581.45 |
$182.31
|
|
Pretreat rbc w enzyme reference
|
$240.88 |
$240.88 |
$240.88 |
$164.99
|
|
Prgr stim/pace a/iv drug
|
$8,799.06 |
$8,799.06 |
$8,799.06 |
$4,709.90
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$207.61 |
$207.61 |
$207.61 |
$655.08
|
|
Procalcitonin
|
$771.70 |
$771.70 |
$771.70 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$233.78 |
$233.78 |
$233.78 |
$36.33
|
|
Progesterone
|
$688.86 |
$688.86 |
$688.86 |
$113.24
|
|
Prolactin
|
$837.65 |
$837.65 |
$837.65 |
$123.50
|
|
_propoxygc/msur
|
$156.49 |
$156.49 |
$156.49 |
$85.14
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$192.31 |
$192.31 |
$192.31 |
$30.26
|
|
Pros sheath/sock w gel cushn
|
$793.00 |
$793.00 |
$793.00 |
$84.00
|
|
Protein c activity
|
$1,129.14 |
$1,129.14 |
$1,129.14 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,035.56 |
$1,035.56 |
$1,035.56 |
$84.00
|
|
Protein s total
|
$1,764.28 |
$1,764.28 |
$1,764.28 |
$77.60
|
|
Prothrombin time substitution plasma fractions each
|
$483.28 |
$483.28 |
$483.28 |
$40.30
|
|
Pt application of modality traction mechanical
|
$199.95 |
$199.95 |
$199.95 |
$87.00
|
|
Pten gene dup/delet variant
|
$503.04 |
$503.04 |
$503.04 |
$300.00
|
|
Pten gene full sequence
|
$990.84 |
$990.84 |
$990.84 |
$663.00
|
|
Pt evaluation high complexity patient/family
|
$1,038.88 |
$1,038.88 |
$1,038.88 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$618.69 |
$618.69 |
$618.69 |
$222.24
|
|
Pt re-evaluation patient/family
|
$518.71 |
$518.71 |
$518.71 |
$152.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$89.82 |
$89.82 |
$89.82 |
$126.29
|
|
Pyridoxine hcl 100 mg
|
$228.90 |
$228.90 |
$228.90 |
$48.70
|
|
Pyruvate
|
$1,230.39 |
$1,230.39 |
$1,230.39 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$7,221.40 |
$7,221.40 |
$7,221.40 |
$1,538.60
|
|
Quest t3 uptake
|
$724.11 |
$724.11 |
$724.11 |
$55.00
|
|
Radiation treatment delivery
|
$193.78 |
$193.78 |
$193.78 |
$552.40
|
|
Radiation treatment delivery
|
$409.54 |
$409.54 |
$409.54 |
$911.04
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,657.04 |
$5,657.04 |
$5,657.04 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$8,653.96 |
$8,653.96 |
$8,653.96 |
$2,658.60
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,526.70 |
$4,526.70 |
$4,526.70 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,629.21 |
$4,629.21 |
$4,629.21 |
$2,242.80
|
|
Radphm quant measure sgl area add-on
|
$5,193.71 |
$5,193.71 |
$5,193.71 |
$711.20
|
|
Rapid Strep Test
|
$360.54 |
$360.54 |
$360.54 |
$74.25
|
|
Rasburicase 1.5 mg intravenous solution
|
$6,497.08 |
$6,497.08 |
$6,497.08 |
$4,782.24
|
|
Rbc count only automated
|
$257.72 |
$257.72 |
$257.72 |
$20.00
|
|
Rbc irradiated each unit
|
$915.51 |
$915.51 |
$915.51 |
$517.86
|
|
Rbc osmotic fragility
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$75.04
|
|
Red blood cells washed each unit
|
$1,176.40 |
$1,176.40 |
$1,176.40 |
$559.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$4,593.09 |
$4,593.09 |
$4,593.09 |
$378.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,262.83 |
$3,262.83 |
$3,262.83 |
$1,524.70
|
|
Remove cva lumen obstruct
|
$3,056.17 |
$3,056.17 |
$3,056.17 |
$490.80
|
|
Repair defect of artery
|
$45,820.62 |
$45,820.62 |
$45,820.62 |
$1,471.00
|
|
Reptilase test
|
$1,374.61 |
$1,374.61 |
$1,374.61 |
$72.80
|
|
#resp virpnl dfa-adenovirus
|
$273.09 |
$273.09 |
$273.09 |
$44.80
|
|
Revasc intra lithotrip-ather
|
$53,870.16 |
$53,870.16 |
$53,870.16 |
$18,808.65
|
|
Rheumatoid factor qualitative
|
$434.18 |
$434.18 |
$434.18 |
$57.20
|
|
Rheumatoid factor quantitative
|
$455.64 |
$455.64 |
$455.64 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,791.44 |
$1,791.44 |
$1,791.44 |
$247.55
|
|
Rho(d) immune globulin h, sd
|
$2,804.09 |
$2,804.09 |
$2,804.09 |
$3,856.80
|
|
Ring ostmy barr adapt 48mm
|
$23.00 |
$23.00 |
$23.00 |
$9.40
|
|
Rmvl perq right heart vad
|
$7,478.22 |
$7,478.22 |
$7,478.22 |
$1,745.00
|
|
Rocker bottom, contact afo
|
$969.00 |
$969.00 |
$969.00 |
$229.85
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,477.66 |
$6,477.66 |
$6,477.66 |
$8,971.89
|
|
Rp loclzj tum 2+area 1+d img
|
$1,471.18 |
$1,471.18 |
$1,471.18 |
$1,340.00
|
|
Rp loclzj tum spect w/ct 1
|
$4,526.70 |
$4,526.70 |
$4,526.70 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$5,724.93 |
$5,724.93 |
$5,724.93 |
$3,136.90
|
|
Rsv assay w/optic
|
$386.60 |
$386.60 |
$386.60 |
$82.68
|
|
Russell viper venom diluted
|
$428.04 |
$428.04 |
$428.04 |
$68.64
|
|
Salmonella antibody
|
$619.79 |
$619.79 |
$619.79 |
$37.58
|
|
Sargramostim injection
|
$3,300.45 |
$3,300.45 |
$3,300.45 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$74.83 |
$74.83 |
$74.83 |
$59.25
|
|
Screening prostate cancer PSA
|
$777.83 |
$777.83 |
$777.83 |
$98.28
|
|
Semen analysis presence/motility
|
$406.56 |
$406.56 |
$406.56 |
$75.40
|
|
Sex chromatin identification
|
$490.93 |
$490.93 |
$490.93 |
$45.60
|
|
Shoe metatarsal bar wedge ro
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$69.03
|
|
Sialography s&i
|
$404.36 |
$404.36 |
$404.36 |
$495.00
|
|
Sildenafil citrate, 25 mg
|
$194.75 |
$194.75 |
$194.75 |
$182.99
|
|
Sincalide 5 mcg solution for injection
|
$1,084.13 |
$1,084.13 |
$1,084.13 |
$309.14
|
|
Skin test unlisted antigen ea
|
$480.20 |
$480.20 |
$480.20 |
$48.57
|
|
Smear nasal eosinophil
|
$371.28 |
$371.28 |
$371.28 |
$45.57
|
|
Socket insert without lock mech
|
$4,363.00 |
$4,363.00 |
$4,363.00 |
$1,286.05
|
|
Socket insert w lock mech
|
$3,631.00 |
$3,631.00 |
$3,631.00 |
$1,544.50
|
|
Sodium chloride 0.9 % IV bolus
|
$147.25 |
$147.25 |
$147.25 |
$44.34
|
