|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$16.00 |
$16.00 |
$16.00 |
$6.16
|
|
Pq biliary strict dil s&i
|
$4,152.15 |
$4,152.15 |
$4,152.15 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$2,163.48 |
$2,163.48 |
$2,163.48 |
$720.00
|
|
Pralidoxime 1 gram solution for injection
|
$1,682.01 |
$1,682.01 |
$1,682.01 |
$267.69
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$66.05 |
$66.05 |
$66.05 |
$48.43
|
|
Prealbumin
|
$1,954.39 |
$1,954.39 |
$1,954.39 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$64.96 |
$64.96 |
$64.96 |
$13.80
|
|
Prednisone 1 mg tablet
|
$31.87 |
$31.87 |
$31.87 |
$3.00
|
|
Pre-tibial shell molded to p
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$630.00
|
|
Pretreat rbc absorption reference
|
$960.52 |
$960.52 |
$960.52 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$236.80 |
$236.80 |
$236.80 |
$182.31
|
|
Prgrmg dev eval pm/ldls pm
|
$637.10 |
$637.10 |
$637.10 |
$139.10
|
|
Prgr stim/pace a/iv drug
|
$6,241.99 |
$6,241.99 |
$6,241.99 |
$4,709.90
|
|
Pr incision & drainage abscess simple/single
|
$132.00 |
$132.00 |
$132.00 |
$460.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$271.89 |
$271.89 |
$271.89 |
$655.08
|
|
Procalcitonin
|
$1,058.90 |
$1,058.90 |
$1,058.90 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$185.85 |
$185.85 |
$185.85 |
$36.33
|
|
Progesterone
|
$1,102.28 |
$1,102.28 |
$1,102.28 |
$113.24
|
|
Prolactin
|
$1,427.44 |
$1,427.44 |
$1,427.44 |
$123.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$286.93 |
$286.93 |
$286.93 |
$30.26
|
|
Pros sheath/sock w gel cushn
|
$485.00 |
$485.00 |
$485.00 |
$84.00
|
|
Prosthetic sock multi ply bk
|
$313.00 |
$313.00 |
$313.00 |
$57.60
|
|
Protein c activity
|
$967.19 |
$967.19 |
$967.19 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,249.01 |
$1,249.01 |
$1,249.01 |
$84.00
|
|
Protein s total
|
$1,735.95 |
$1,735.95 |
$1,735.95 |
$77.60
|
|
Proton treatment complex
|
$2.30 |
$2.30 |
$2.30 |
$5,474.00
|
|
Proton trmt intermediate
|
$2.30 |
$2.30 |
$2.30 |
$4,402.28
|
|
Proton trmt simple w/comp
|
$2.30 |
$2.30 |
$2.30 |
$3,826.55
|
|
Proton trmt simple without comp
|
$2.30 |
$2.30 |
$2.30 |
$2,804.10
|
|
Prq av fstl crtj uxtr 1 acs
|
$14,520.00 |
$14,520.00 |
$14,520.00 |
$19,892.81
|
|
Prq av fstl crt uxtr sep acs
|
$14,520.00 |
$14,520.00 |
$14,520.00 |
$20,328.00
|
|
Pt application of modality traction mechanical
|
$315.18 |
$315.18 |
$315.18 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$837.23 |
$837.23 |
$837.23 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$326.47 |
$326.47 |
$326.47 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$459.02 |
$459.02 |
$459.02 |
$249.26
|
|
Pt re-evaluation patient/family
|
$407.30 |
$407.30 |
$407.30 |
$152.40
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$305.48 |
$305.48 |
$305.48 |
$87.10
|
|
Pulse ox continuous overnight monitoring
|
$2,044.86 |
$2,044.86 |
$2,044.86 |
$344.00
|
|
Pulse ox multiple
|
$2,970.99 |
$2,970.99 |
$2,970.99 |
$162.00
|
|
Pyridoxine hcl 100 mg
|
$127.11 |
$127.11 |
$127.11 |
$48.70
|
|
Pyruvate
|
$563.65 |
$563.65 |
$563.65 |
$66.00
|
|
Quinupristin/dalfopristin
|
$3,478.45 |
$3,478.45 |
$3,478.45 |
$1,066.32
|
|
Rabies ig heat-treated human im/subq 90376
|
$6,253.75 |
$6,253.75 |
$6,253.75 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,373.38 |
$4,373.38 |
$4,373.38 |
$3,770.01
|
|
Radiation physics consult
|
$2.30 |
$2.30 |
$2.30 |
$602.12
|
|
Radiation therapy dose plan
|
$2.30 |
$2.30 |
$2.30 |
$514.05
|
|
Radiation treatment aid(s)
|
$2.30 |
$2.30 |
$2.30 |
$526.80
|
|
Radiation treatment aid(s)
|
$2.30 |
$2.30 |
$2.30 |
$644.36
|
|
Radiation treatment aid(s)
|
$2.30 |
$2.30 |
$2.30 |
$1,075.03
|
|
Radiation treatment delivery
|
$2.30 |
$2.30 |
$2.30 |
$257.01
|
|
Radiation treatment delivery
|
$2.30 |
$2.30 |
$2.30 |
$552.40
|
|
Radiation treatment delivery
|
$2.30 |
$2.30 |
$2.30 |
$911.04
|
|
Radiology port images(s)
|
$2.30 |
$2.30 |
$2.30 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$2.30 |
$2.30 |
$2.30 |
$5,718.50
|
|
Radium ra223 dichl ther/uci
|
$1,097.16 |
$1,097.16 |
$1,097.16 |
$193.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$10,013.03 |
$10,013.03 |
$10,013.03 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$11,552.92 |
$11,552.92 |
$11,552.92 |
$2,658.60
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$13,039.16 |
$13,039.16 |
$13,039.16 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$13,039.16 |
$13,039.16 |
$13,039.16 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$5,405.29 |
$5,405.29 |
$5,405.29 |
$1,102.80
|
|
Radphm quant measure sgl area add-on
|
$3,726.75 |
$3,726.75 |
$3,726.75 |
$711.20
|
|
Range of motion measurements
|
$638.42 |
$638.42 |
$638.42 |
$56.55
|
|
Rasburicase 1.5 mg intravenous solution
|
$6,978.88 |
$6,978.88 |
$6,978.88 |
$4,782.24
|
|
Rbc osmotic fragility
|
$717.06 |
$717.06 |
$717.06 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$231.79 |
$231.79 |
$231.79 |
$234.00
|
|
Red blood cells leukocytes reduced each unit
|
$1,574.55 |
$1,574.55 |
$1,574.55 |
$422.84
|
|
Refill maint impl spine pump
|
$1,144.24 |
$1,144.24 |
$1,144.24 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$3,920.70 |
$3,920.70 |
$3,920.70 |
$378.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,468.29 |
$3,468.29 |
$3,468.29 |
$1,524.70
|
|
Removal tunnled intprtnl cath
|
$4,840.00 |
$4,840.00 |
$4,840.00 |
$3,950.00
|
|
Renal cyst study s&i
|
$3,612.43 |
$3,612.43 |
$3,612.43 |
$751.34
|
|
Renal venogram bil s&i
|
$5,866.37 |
$5,866.37 |
$5,866.37 |
$3,615.28
|
|
#resp virpnl dfa-adenovirus
|
$310.18 |
$310.18 |
$310.18 |
$44.80
|
|
Resuscitation delivery/birthing room
|
$1,158.01 |
$1,158.01 |
$1,158.01 |
$774.37
|
|
Reticulocyte automated
|
$576.97 |
$576.97 |
$576.97 |
$53.00
|
|
Revasc intravasc lithotripsy
|
$83,473.67 |
$83,473.67 |
$83,473.67 |
$11,278.00
|
|
Rheumatoid factor quantitative
|
$775.41 |
$775.41 |
$775.41 |
$56.55
|
|
Right ventric recording
|
$4,299.47 |
$4,299.47 |
$4,299.47 |
$1,980.36
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$51,096.37 |
$51,096.37 |
$51,096.37 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$360.14 |
$360.14 |
$360.14 |
$5,849.09
|
|
Rocker bottom, contact afo
|
$539.00 |
$539.00 |
$539.00 |
$229.85
|
|
Rp loclzj tum 2+area 1+d img
|
$6,815.48 |
$6,815.48 |
$6,815.48 |
$1,340.00
|
|
Rp loclzj tum spect w/ct 1
|
$10,011.53 |
$10,011.53 |
$10,011.53 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$14,161.65 |
$14,161.65 |
$14,161.65 |
$3,136.90
|
|
Russell viper venom diluted
|
$645.35 |
$645.35 |
$645.35 |
$68.64
|
|
Sargramostim injection
|
$3,376.35 |
$3,376.35 |
$3,376.35 |
$552.52
|
|
Sbrt management
|
$2.30 |
$2.30 |
$2.30 |
$1,189.60
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$4,672.31 |
$4,672.31 |
$4,672.31 |
$744.47
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$4,004.83 |
$4,004.83 |
$4,004.83 |
$468.30
|
|
Screening Mammogram
|
$1,249.51 |
$1,249.51 |
$1,249.51 |
$310.20
|
|
Set radiation therapy field
|
$2.30 |
$2.30 |
$2.30 |
$731.50
|
|
Set radiation therapy field
|
$2.30 |
$2.30 |
$2.30 |
$1,101.92
|
|
Set radiation therapy field
|
$2.30 |
$2.30 |
$2.30 |
$1,590.00
|
|
Shoe metatarsal bar wedge ro
|
$912.00 |
$912.00 |
$912.00 |
$69.03
|
|
Sialography s&i
|
$2,192.61 |
$2,192.61 |
$2,192.61 |
$495.00
|
|
Sickling rbc
|
$645.35 |
$645.35 |
$645.35 |
$54.00
|
|
Sildenafil citrate, 25 mg
|
$468.21 |
$468.21 |
$468.21 |
$182.99
|
|
Sincalide 5 mcg solution for injection
|
$1,603.54 |
$1,603.54 |
$1,603.54 |
$309.14
|
|
Sinus/juglr venogram s&i
|
$5,847.97 |
$5,847.97 |
$5,847.97 |
$2,517.48
|
|
Sirolimus, oral
|
$288.57 |
$288.57 |
$288.57 |
$41.25
|
