|
Pretreat rbc density gradient separation reference
|
$444.76 |
$444.76 |
$444.76 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$505.53 |
$505.53 |
$505.53 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$625.13 |
$625.13 |
$625.13 |
$164.99
|
|
Prgr stim/pace a/iv drug
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$4,709.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$32.44 |
$32.44 |
$32.44 |
$252.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$465.70 |
$465.70 |
$465.70 |
$655.08
|
|
Procalcitonin
|
$873.11 |
$873.11 |
$873.11 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$291.05 |
$291.05 |
$291.05 |
$36.33
|
|
Progesterone
|
$904.05 |
$904.05 |
$904.05 |
$113.24
|
|
Prolactin
|
$1,171.54 |
$1,171.54 |
$1,171.54 |
$123.50
|
|
Promethazine hcl injection
|
$127.11 |
$127.11 |
$127.11 |
$12.96
|
|
_propoxygc/msur
|
$849.80 |
$849.80 |
$849.80 |
$85.14
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$477.12 |
$477.12 |
$477.12 |
$30.26
|
|
Pros sheath/sock w gel cushn
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$84.00
|
|
Protein c activity
|
$797.45 |
$797.45 |
$797.45 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$971.31 |
$971.31 |
$971.31 |
$84.00
|
|
Protein s total
|
$1,327.43 |
$1,327.43 |
$1,327.43 |
$77.60
|
|
Protein total 24 hour urine
|
$497.11 |
$497.11 |
$497.11 |
$52.47
|
|
Protein total serum plasma whole blood
|
$679.37 |
$679.37 |
$679.37 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$638.11 |
$638.11 |
$638.11 |
$40.30
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$443.37 |
$443.37 |
$443.37 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$310.76 |
$310.76 |
$310.76 |
$79.76
|
|
Pt application of modality traction mechanical
|
$348.60 |
$348.60 |
$348.60 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$1,190.89 |
$1,190.89 |
$1,190.89 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$1,190.89 |
$1,190.89 |
$1,190.89 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$1,190.89 |
$1,190.89 |
$1,190.89 |
$249.26
|
|
Pt re-evaluation patient/family
|
$409.95 |
$409.95 |
$409.95 |
$152.40
|
|
Pulmonary vent imaging
|
$3,644.79 |
$3,644.79 |
$3,644.79 |
$878.00
|
|
Pulse ox continuous overnight monitoring
|
$1,901.32 |
$1,901.32 |
$1,901.32 |
$344.00
|
|
Pulse ox multiple
|
$556.14 |
$556.14 |
$556.14 |
$162.00
|
|
Pulse ox single
|
$556.14 |
$556.14 |
$556.14 |
$85.60
|
|
Pyridoxine hcl 100 mg
|
$37.91 |
$37.91 |
$37.91 |
$48.70
|
|
Pyruvate
|
$790.95 |
$790.95 |
$790.95 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$14,867.72 |
$14,867.72 |
$14,867.72 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$3,499.04 |
$3,499.04 |
$3,499.04 |
$1,199.16
|
|
Quest t3 uptake
|
$574.30 |
$574.30 |
$574.30 |
$55.00
|
|
Rabies ig heat-treated human im/subq 90376
|
$7,265.42 |
$7,265.42 |
$7,265.42 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$2,611.50 |
$2,611.50 |
$2,611.50 |
$2,997.00
|
|
Rabies vaccine id
|
$4,662.67 |
$4,662.67 |
$4,662.67 |
$340.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$7,343.85 |
$7,343.85 |
$7,343.85 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$24,028.97 |
$24,028.97 |
$24,028.97 |
$2,658.60
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,697.65 |
$3,697.65 |
$3,697.65 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$4,474.90 |
$4,474.90 |
$4,474.90 |
$1,102.80
|
|
Rbc count only automated
|
$254.48 |
$254.48 |
$254.48 |
$20.00
|
|
Rbc deglycerolized each unit
|
$3,675.50 |
$3,675.50 |
$3,675.50 |
$767.00
|
|
Rbc irradiated each unit
|
$912.14 |
$912.14 |
$912.14 |
$517.86
|
|
Rbc osmotic fragility
|
$713.76 |
$713.76 |
$713.76 |
$75.04
|
|
Red blood cells washed each unit
|
$2,277.73 |
$2,277.73 |
$2,277.73 |
$559.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$4,169.84 |
$4,169.84 |
$4,169.84 |
$378.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,342.73 |
$3,342.73 |
$3,342.73 |
$1,524.70
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$372.27 |
$372.27 |
$372.27 |
$236.64
|
|
Renal function panel
|
$1,473.39 |
$1,473.39 |
$1,473.39 |
$113.52
|
|
Reticulocyte automated
|
$489.10 |
$489.10 |
$489.10 |
$53.00
|
|
Rheumatoid factor qualitative
|
$541.44 |
$541.44 |
$541.44 |
$57.20
|
|
Rheumatoid factor quantitative
|
$585.76 |
$585.76 |
$585.76 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$2,589.88 |
$2,589.88 |
$2,589.88 |
$247.55
|
|
Rho d immune globulin inj
|
$1,835.63 |
$1,835.63 |
$1,835.63 |
$224.10
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$2,058.49 |
$2,058.49 |
$2,058.49 |
$459.00
|
|
Ring ostmy barr adapt 48mm
|
$11.00 |
$11.00 |
$11.00 |
$9.40
|
|
Rocker bottom, contact afo
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$229.85
|
|
Rsv assay w/optic
|
$414.97 |
$414.97 |
$414.97 |
$82.68
|
|
Russell viper venom diluted
|
$638.11 |
$638.11 |
$638.11 |
$68.64
|
|
Salmonella antibody
|
$693.91 |
$693.91 |
$693.91 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$42.54 |
$42.54 |
$42.54 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,153.65 |
$2,153.65 |
$2,153.65 |
$966.55
|
|
Scan duplex extremity veins unilateral/limited study
|
$3,018.92 |
$3,018.92 |
$3,018.92 |
$709.76
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,424.36 |
$3,424.36 |
$3,424.36 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,878.83 |
$1,878.83 |
$1,878.83 |
$645.21
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,878.83 |
$1,878.83 |
$1,878.83 |
$567.00
|
|
Screening Mammogram
|
$920.84 |
$920.84 |
$920.84 |
$310.20
|
|
Screening prostate cancer PSA
|
$833.37 |
$833.37 |
$833.37 |
$98.28
|
|
Sedimentation rate erythrocyte automated
|
$520.04 |
$520.04 |
$520.04 |
$44.20
|
|
Serpina1 gene
|
$1,061.48 |
$1,061.48 |
$1,061.48 |
$195.65
|
|
Sertraline (zoloft) - sendout
|
$282.37 |
$282.37 |
$282.37 |
$126.43
|
|
Sevelamer carbonate 800 mg tablet
|
$1.67 |
$1.67 |
$1.67 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$10.59 |
$10.59 |
$10.59 |
$21.42
|
|
Shoe metatarsal bar wedge ro
|
$2,413.00 |
$2,413.00 |
$2,413.00 |
$69.03
|
|
Sho insert w arch toe filler
|
$7,290.00 |
$7,290.00 |
$7,290.00 |
$1,242.39
|
|
Shrinker prosth below knee
|
$947.00 |
$947.00 |
$947.00 |
$140.56
|
|
Sialidase enzyme assay
|
$397.00 |
$397.00 |
$397.00 |
$54.60
|
|
Sildenafil citrate, 25 mg
|
$421.06 |
$421.06 |
$421.06 |
$182.99
|
|
Sincalide 5 mcg solution for injection
|
$1,604.22 |
$1,604.22 |
$1,604.22 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$5,672.97 |
$5,672.97 |
$5,672.97 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$4,645.38 |
$4,645.38 |
$4,645.38 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$4,724.64 |
$4,724.64 |
$4,724.64 |
$1,281.80
|
|
Skeletal muscle relaxant 1/2
|
$877.69 |
$877.69 |
$877.69 |
$80.08
|
|
Slp ther svc non-spch gen
|
$765.15 |
$765.15 |
$765.15 |
$187.75
|
|
Smear nasal eosinophil
|
$364.13 |
$364.13 |
$364.13 |
$45.57
|
|
Socket insert without lock mech
|
$8,476.00 |
$8,476.00 |
$8,476.00 |
$1,286.05
|
|
Socket insert w lock mech
|
$6,467.00 |
$6,467.00 |
$6,467.00 |
$1,544.50
|
|
Sodium 24 hour urine
|
$374.08 |
$374.08 |
$374.08 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$651.76 |
$651.76 |
$651.76 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$651.76 |
$651.76 |
$651.76 |
$44.34
|
|
Sodium chloride 3 % ivpb
|
$651.76 |
$651.76 |
$651.76 |
$42.25
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$967.46 |
$967.46 |
$967.46 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$354.58 |
$354.58 |
$354.58 |
$45.00
|
|
Soft interface below knee se
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$181.69
|
|
Special casting material
|
$27.36 |
$27.36 |
$27.36 |
$47.45
|
|
Specific gravity body fluid
|
$234.61 |
$234.61 |
$234.61 |
$21.55
|
|
Speech evaluation complex
|
$10.73 |
$10.73 |
$10.73 |
$527.06
|
