|
Oxytocin 10 unit/ml injection solution
|
$40.58 |
$40.58 |
$40.58 |
$50.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$61.13 |
$61.13 |
$61.13 |
$29.31
|
|
Parathyrd planar w/spect&ct
|
$9,259.57 |
$9,259.57 |
$9,259.57 |
$1,574.40
|
|
Parathyroid planar imaging
|
$9,259.57 |
$9,259.57 |
$9,259.57 |
$1,129.91
|
|
Pelvic control band & belt u
|
$828.50 |
$828.50 |
$828.50 |
$500.58
|
|
Pelvic control hip heavy dut
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$591.53
|
|
Pelvic CT scan (with and without contrast)
|
$8,112.36 |
$8,112.36 |
$8,112.36 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$6,680.21 |
$6,680.21 |
$6,680.21 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$5,455.57 |
$5,455.57 |
$5,455.57 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$10,844.07 |
$10,844.07 |
$10,844.07 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$8,521.13 |
$8,521.13 |
$8,521.13 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$7,316.38 |
$7,316.38 |
$7,316.38 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$2,497.39 |
$2,497.39 |
$2,497.39 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,892.98 |
$1,892.98 |
$1,892.98 |
$430.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,384.78 |
$1,384.78 |
$1,384.78 |
$321.71
|
|
Peri-proc device eval icd
|
$7,031.81 |
$7,031.81 |
$7,031.81 |
$192.40
|
|
Peri-proc device eval pm
|
$241.48 |
$241.48 |
$241.48 |
$159.90
|
|
Phencyclidine (pcp)
|
$308.15 |
$308.15 |
$308.15 |
$96.00
|
|
Phenobarbital therapeutic drug level
|
$567.15 |
$567.15 |
$567.15 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$552.28 |
$552.28 |
$552.28 |
$110.88
|
|
Phosphorus
|
$346.85 |
$346.85 |
$346.85 |
$48.80
|
|
Phosphorus 24 hour urine
|
$346.85 |
$346.85 |
$346.85 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$589.55 |
$589.55 |
$589.55 |
$87.50
|
|
Pinworm exam
|
$409.38 |
$409.38 |
$409.38 |
$39.75
|
|
Platelet automated
|
$241.16 |
$241.16 |
$241.16 |
$45.60
|
|
Platelet pheresis each unit
|
$3,359.68 |
$3,359.68 |
$3,359.68 |
$961.70
|
|
Platelets each unit
|
$183.36 |
$183.36 |
$183.36 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$787.53 |
$787.53 |
$787.53 |
$302.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,127.42 |
$3,127.42 |
$3,127.42 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,951.63 |
$3,951.63 |
$3,951.63 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$4,031.50 |
$4,031.50 |
$4,031.50 |
$1,004.00
|
|
Plethysmography lung volumes/airway resistance
|
$4,212.97 |
$4,212.97 |
$4,212.97 |
$405.00
|
|
Potassium 24 hour urine
|
$209.90 |
$209.90 |
$209.90 |
$50.40
|
|
Potassium serum/plasma/whole blood
|
$291.79 |
$291.79 |
$291.79 |
$46.75
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$13.00 |
$13.00 |
$13.00 |
$6.16
|
|
Pouch ostmy nb pouchkin ctf
|
$20.00 |
$20.00 |
$20.00 |
$1.55
|
|
Pq dr cath chg w cont s&i
|
$1,858.63 |
$1,858.63 |
$1,858.63 |
$720.00
|
|
Pralidoxime 1 gram solution for injection
|
$891.91 |
$891.91 |
$891.91 |
$271.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$117.48 |
$117.48 |
$117.48 |
$46.56
|
|
Prealbumin
|
$446.59 |
$446.59 |
$446.59 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$12.43 |
$12.43 |
$12.43 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$2,497.39 |
$2,497.39 |
$2,497.39 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$2,010.62 |
$2,010.62 |
$2,010.62 |
$539.37
|
|
Pretreat rbc absorption reference
|
$998.86 |
$998.86 |
$998.86 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$409.38 |
$409.38 |
$409.38 |
$174.00
|
|
Pretreat rbc w enzyme reference
|
$372.16 |
$372.16 |
$372.16 |
$167.05
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$152.00 |
$152.00 |
$152.00 |
$188.86
|
|
Prgr stim/pace a/iv drug
|
$10,306.24 |
$10,306.24 |
$10,306.24 |
$4,601.35
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$336.03 |
$336.03 |
$336.03 |
$256.27
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$3,317.44 |
$3,317.44 |
$3,317.44 |
$670.00
|
|
Procalcitonin
|
$1,094.14 |
$1,094.14 |
$1,094.14 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$93.65 |
$93.65 |
$93.65 |
$36.72
|
|
Progesterone
|
$1,393.35 |
$1,393.35 |
$1,393.35 |
$115.64
|
|
Prolactin
|
$1,606.21 |
$1,606.21 |
$1,606.21 |
$123.50
|
|
Promethazine hcl injection
|
$83.19 |
$83.19 |
$83.19 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$202.75 |
$202.75 |
$202.75 |
$32.93
|
|
Prosthetic sock multi ply bk
|
$120.00 |
$120.00 |
$120.00 |
$52.32
|
|
Protein c activity
|
$1,030.12 |
$1,030.12 |
$1,030.12 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$498.68 |
$498.68 |
$498.68 |
$84.00
|
|
Protein s total
|
$924.43 |
$924.43 |
$924.43 |
$83.52
|
|
Protein total 24 hour urine
|
$588.00 |
$588.00 |
$588.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$778.54 |
$778.54 |
$778.54 |
$42.81
|
|
Pr tube thoracostomy w/connection to drainage open
|
$13,622.70 |
$13,622.70 |
$13,622.70 |
$1,720.93
|
|
PSA (Prostate) Test
|
$1,049.49 |
$1,049.49 |
$1,049.49 |
$107.50
|
|
Pt application of modality traction mechanical
|
$256.33 |
$256.33 |
$256.33 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$1,345.03 |
$1,345.03 |
$1,345.03 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$679.93 |
$679.93 |
$679.93 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$1,013.16 |
$1,013.16 |
$1,013.16 |
$254.88
|
|
Pt re-evaluation patient/family
|
$424.96 |
$424.96 |
$424.96 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$308.95 |
$308.95 |
$308.95 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$174.03 |
$174.03 |
$174.03 |
$87.50
|
|
Pulmonary vent imaging
|
$7,377.23 |
$7,377.23 |
$7,377.23 |
$908.00
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$6,734.16 |
$6,734.16 |
$6,734.16 |
$520.80
|
|
Pyridoxine hcl 100 mg
|
$120.50 |
$120.50 |
$120.50 |
$48.70
|
|
Pyruvate
|
$498.68 |
$498.68 |
$498.68 |
$66.00
|
|
Quest t3 uptake
|
$379.60 |
$379.60 |
$379.60 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,546.77 |
$3,546.77 |
$3,546.77 |
$4,262.90
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$6,829.95 |
$6,829.95 |
$6,829.95 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$7,741.67 |
$7,741.67 |
$7,741.67 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$7,024.09 |
$7,024.09 |
$7,024.09 |
$2,495.00
|
|
Radphm lcl tumor plr sgl day
|
$2,791.61 |
$2,791.61 |
$2,791.61 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$3,512.06 |
$3,512.06 |
$3,512.06 |
$711.20
|
|
Rapid Strep Test
|
$529.95 |
$529.95 |
$529.95 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$6,898.25 |
$6,898.25 |
$6,898.25 |
$4,331.80
|
|
Rbc count only automated
|
$235.20 |
$235.20 |
$235.20 |
$20.40
|
|
Rbc osmotic fragility
|
$2,570.82 |
$2,570.82 |
$2,570.82 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$409.38 |
$409.38 |
$409.38 |
$235.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,395.21 |
$1,395.21 |
$1,395.21 |
$528.45
|
|
Red blood cells washed each unit
|
$701.98 |
$701.98 |
$701.98 |
$572.46
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$315.77 |
$315.77 |
$315.77 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,468.29 |
$3,468.29 |
$3,468.29 |
$1,524.70
|
|
Removal tunnled intprtnl cath
|
$19,719.51 |
$19,719.51 |
$19,719.51 |
$4,195.00
|
|
Renal function panel
|
$1,475.21 |
$1,475.21 |
$1,475.21 |
$113.52
|
|
Renal venogram bil s&i
|
$4,599.71 |
$4,599.71 |
$4,599.71 |
$3,615.28
|
|
Reptilase test
|
$982.49 |
$982.49 |
$982.49 |
$72.00
|
|
Resuscitation delivery/birthing room
|
$3,142.92 |
$3,142.92 |
$3,142.92 |
$780.42
|
|
Reticulocyte automated
|
$390.02 |
$390.02 |
$390.02 |
$52.57
|
|
Revasc intra lithotrip-ather
|
$88,885.76 |
$88,885.76 |
$88,885.76 |
$19,624.54
|
|
Rheumatoid factor qualitative
|
$346.85 |
$346.85 |
$346.85 |
$57.20
|
|
Rheumatoid factor quantitative
|
$668.39 |
$668.39 |
$668.39 |
$57.00
|
