|
Ph body fluid
|
$76.68 |
$76.68 |
$76.68 |
$39.20
|
|
Phenobarbital therapeutic drug level
|
$826.20 |
$826.20 |
$826.20 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$504.36 |
$504.36 |
$504.36 |
$111.27
|
|
Phosphorus 24 hour urine
|
$483.84 |
$483.84 |
$483.84 |
$42.81
|
|
Platelet aggregation each agent teg
|
$657.72 |
$657.72 |
$657.72 |
$147.96
|
|
Platelet automated
|
$171.72 |
$171.72 |
$171.72 |
$44.00
|
|
Potassium 24 hour urine
|
$141.48 |
$141.48 |
$141.48 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$141.48 |
$141.48 |
$141.48 |
$44.64
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$54.00 |
$54.00 |
$54.00 |
$4.67
|
|
Pq dr cath chg w cont s&i
|
$872.56 |
$872.56 |
$872.56 |
$711.36
|
|
Prealbumin
|
$212.76 |
$212.76 |
$212.76 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$149.04 |
$149.04 |
$149.04 |
$13.32
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$328.32 |
$328.32 |
$328.32 |
$141.00
|
|
Pretreat rbc absorption reference
|
$1,387.80 |
$1,387.80 |
$1,387.80 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$318.60 |
$318.60 |
$318.60 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$716.04 |
$716.04 |
$716.04 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$230.04 |
$230.04 |
$230.04 |
$166.10
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$521.64 |
$521.64 |
$521.64 |
$546.07
|
|
Procalcitonin
|
$774.36 |
$774.36 |
$774.36 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$108.00 |
$108.00 |
$108.00 |
$44.76
|
|
Progesterone
|
$677.16 |
$677.16 |
$677.16 |
$105.00
|
|
Prolactin
|
$779.76 |
$779.76 |
$779.76 |
$127.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$85.32 |
$85.32 |
$85.32 |
$35.22
|
|
Protamine 10 mg/ml intravenous solution
|
$1,475.28 |
$1,475.28 |
$1,475.28 |
$60.98
|
|
Protein c activity
|
$781.92 |
$781.92 |
$781.92 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$545.40 |
$545.40 |
$545.40 |
$85.20
|
|
Protein s total
|
$1,742.04 |
$1,742.04 |
$1,742.04 |
$78.87
|
|
Protein total 24 hour urine
|
$313.20 |
$313.20 |
$313.20 |
$52.50
|
|
Protein total serum plasma whole blood
|
$382.32 |
$382.32 |
$382.32 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$287.28 |
$287.28 |
$287.28 |
$37.05
|
|
PSA (Prostate) Test
|
$608.04 |
$608.04 |
$608.04 |
$109.35
|
|
Pt evaluation high complexity patient/family
|
$732.24 |
$732.24 |
$732.24 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$690.12 |
$690.12 |
$690.12 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$710.64 |
$710.64 |
$710.64 |
$263.90
|
|
Pt re-evaluation patient/family
|
$412.56 |
$412.56 |
$412.56 |
$157.30
|
|
Pyridoxine hcl 100 mg
|
$172.80 |
$172.80 |
$172.80 |
$43.51
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,490.48 |
$2,490.48 |
$2,490.48 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,987.44 |
$4,987.44 |
$4,987.44 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,125.44 |
$2,125.44 |
$2,125.44 |
$1,139.40
|
|
Rapid Strep Test
|
$451.44 |
$451.44 |
$451.44 |
$74.10
|
|
Rbc count only automated
|
$162.00 |
$162.00 |
$162.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,139.48 |
$2,139.48 |
$2,139.48 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,624.48 |
$3,624.48 |
$3,624.48 |
$1,560.00
|
|
Renal function panel
|
$867.24 |
$867.24 |
$867.24 |
$110.10
|
|
Reticulocyte direct measurement automated
|
$336.96 |
$336.96 |
$336.96 |
$33.57
|
|
Rheumatoid factor quantitative
|
$307.80 |
$307.80 |
$307.80 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$6,619.32 |
$6,619.32 |
$6,619.32 |
$243.11
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,320.84 |
$1,320.84 |
$1,320.84 |
$462.44
|
|
Rsv assay w/optic
|
$437.40 |
$437.40 |
$437.40 |
$73.80
|
|
Rubeola antibody igg
|
$379.08 |
$379.08 |
$379.08 |
$79.68
|
|
Russell viper venom diluted
|
$612.36 |
$612.36 |
$612.36 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,869.56 |
$2,869.56 |
$2,869.56 |
$1,012.55
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$560.52 |
$560.52 |
$560.52 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,384.56 |
$1,384.56 |
$1,384.56 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,451.52 |
$1,451.52 |
$1,451.52 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,692.36 |
$1,692.36 |
$1,692.36 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,452.60 |
$1,452.60 |
$1,452.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,454.76 |
$1,454.76 |
$1,454.76 |
$601.70
|
|
Screening prostate cancer PSA
|
$608.04 |
$608.04 |
$608.04 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$303.48 |
$303.48 |
$303.48 |
$44.20
|
|
Serpina1 gene
|
$765.72 |
$765.72 |
$765.72 |
$191.73
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,623.44 |
$1,623.44 |
$1,623.44 |
$345.00
|
|
Sickling rbc
|
$287.28 |
$287.28 |
$287.28 |
$53.55
|
|
Sildenafil citrate, 25 mg
|
$62.64 |
$62.64 |
$62.64 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$4,284.36 |
$4,284.36 |
$4,284.36 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$5,362.24 |
$5,362.24 |
$5,362.24 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$4,781.92 |
$4,781.92 |
$4,781.92 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,781.92 |
$4,781.92 |
$4,781.92 |
$1,279.50
|
|
Sirolimus, oral
|
$81.00 |
$81.00 |
$81.00 |
$42.11
|
|
Sodium 24 hour urine
|
$171.72 |
$171.72 |
$171.72 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$227.88 |
$227.88 |
$227.88 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$227.88 |
$227.88 |
$227.88 |
$47.27
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$75.60 |
$75.60 |
$75.60 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$171.72 |
$171.72 |
$171.72 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$959.04 |
$959.04 |
$959.04 |
$195.48
|
|
Split blood or products
|
$624.57 |
$624.57 |
$624.57 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$1,343.52 |
$1,343.52 |
$1,343.52 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$699.84 |
$699.84 |
$699.84 |
$313.96
|
|
St evaluate speech sound production
|
$1,343.52 |
$1,343.52 |
$1,343.52 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,343.52 |
$1,343.52 |
$1,343.52 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$507.60 |
$507.60 |
$507.60 |
$406.40
|
|
St evaluation swallow function
|
$680.40 |
$680.40 |
$680.40 |
$336.60
|
|
Strep a ag ia
|
$451.44 |
$451.44 |
$451.44 |
$75.40
|
|
St treatment swallow dysfunction/oral
|
$507.60 |
$507.60 |
$507.60 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$28.08 |
$28.08 |
$28.08 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$584.28 |
$584.28 |
$584.28 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$204.12 |
$204.12 |
$204.12 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$486.00 |
$486.00 |
$486.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$960.12 |
$960.12 |
$960.12 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,122.12 |
$1,122.12 |
$1,122.12 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,327.32 |
$1,327.32 |
$1,327.32 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$260.28 |
$260.28 |
$260.28 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$198.72 |
$198.72 |
$198.72 |
$34.48
|
|
Suscept studies macrobroth dilution ea
|
$275.40 |
$275.40 |
$275.40 |
$48.30
|
|
T3 (triiodothyronine) free
|
$212.76 |
$212.76 |
$212.76 |
$89.82
|
|
T3 (triiodothyronine) total
|
$178.20 |
$178.20 |
$178.20 |
$94.90
|
|
T4 (thyroxine) free
|
$455.76 |
$455.76 |
$455.76 |
$81.60
|
|
T4 (thyroxine) total
|
$151.20 |
$151.20 |
$151.20 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$889.92 |
$889.92 |
$889.92 |
$122.40
|