|
Olanzapine 10 mg intramuscular solution
|
$732.00 |
$732.00 |
$732.00 |
$120.17
|
|
Osmolality blood
|
$359.00 |
$359.00 |
$359.00 |
$67.60
|
|
Osmolality urine
|
$528.00 |
$528.00 |
$528.00 |
$65.65
|
|
Ost pch drain for barrier fl
|
$29.00 |
$29.00 |
$29.00 |
$8.54
|
|
Ost skn barr extnd >4 sq
|
$187.00 |
$187.00 |
$187.00 |
$17.77
|
|
Ot evaluation high complexity patient/family
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$914.00 |
$914.00 |
$914.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$997.00 |
$997.00 |
$997.00 |
$270.58
|
|
Ot re-evaluation patient/family
|
$385.00 |
$385.00 |
$385.00 |
$174.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$726.00 |
$726.00 |
$726.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$726.00 |
$726.00 |
$726.00 |
$91.80
|
|
Ot training self care/home management direct contact each 15 minutes
|
$314.00 |
$314.00 |
$314.00 |
$93.75
|
|
Oxytocin 10 unit/ml injection solution
|
$319.00 |
$319.00 |
$319.00 |
$48.29
|
|
Palonosetron hcl
|
$5,499.00 |
$5,499.00 |
$5,499.00 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$1,522.00 |
$1,522.00 |
$1,522.00 |
$35.43
|
|
Parathormone (pth) intact
|
$953.00 |
$953.00 |
$953.00 |
$200.23
|
|
Parathyroid planar img w/tomo spect
|
$7,765.00 |
$7,765.00 |
$7,765.00 |
$1,398.75
|
|
Paricalcitol
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$47.38
|
|
Passy muir valve metal trach
|
$5,233.00 |
$5,233.00 |
$5,233.00 |
$242.47
|
|
Pelvic CT scan (with and without contrast)
|
$11,047.00 |
$11,047.00 |
$11,047.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$7,883.00 |
$7,883.00 |
$7,883.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$6,479.00 |
$6,479.00 |
$6,479.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,824.00 |
$7,824.00 |
$7,824.00 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,198.00 |
$2,198.00 |
$2,198.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$445.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$870.00 |
$870.00 |
$870.00 |
$4,181.29
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$321.71
|
|
Pet fdg brain metoblic eval sb
|
$10,851.00 |
$10,851.00 |
$10,851.00 |
$3,559.05
|
|
Ph body fluid
|
$171.00 |
$171.00 |
$171.00 |
$39.20
|
|
Phenobarbital therapeutic drug level
|
$478.00 |
$478.00 |
$478.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$904.00 |
$904.00 |
$904.00 |
$111.27
|
|
Piflu f-18, dia 1 millicurie
|
$7,403.00 |
$7,403.00 |
$7,403.00 |
$1,035.81
|
|
Platelet automated
|
$182.00 |
$182.00 |
$182.00 |
$44.00
|
|
Potassium 24 hour urine
|
$335.00 |
$335.00 |
$335.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$417.00 |
$417.00 |
$417.00 |
$44.64
|
|
Pouch uros new (both sides) 2.75in clr
|
$46.00 |
$46.00 |
$46.00 |
$14.48
|
|
Pralidoxime 1 gram solution for injection
|
$2,281.00 |
$2,281.00 |
$2,281.00 |
$297.18
|
|
Prealbumin
|
$359.00 |
$359.00 |
$359.00 |
$87.20
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,633.00 |
$1,633.00 |
$1,633.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,633.00 |
$1,633.00 |
$1,633.00 |
$541.45
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$375.00 |
$375.00 |
$375.00 |
$141.00
|
|
Pretreat rbc absorption reference
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$366.00 |
$366.00 |
$366.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$264.00 |
$264.00 |
$264.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$264.00 |
$264.00 |
$264.00 |
$166.10
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$926.00 |
$926.00 |
$926.00 |
$546.07
|
|
Procalcitonin
|
$751.00 |
$751.00 |
$751.00 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$426.00 |
$426.00 |
$426.00 |
$44.76
|
|
Progesterone
|
$597.00 |
$597.00 |
$597.00 |
$105.00
|
|
Prolactin
|
$751.00 |
$751.00 |
$751.00 |
$127.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$477.00 |
$477.00 |
$477.00 |
$35.22
|
|
Protamine 10 mg/ml intravenous solution
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$60.98
|
|
Protein c activity
|
$713.00 |
$713.00 |
$713.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$492.00 |
$492.00 |
$492.00 |
$85.20
|
|
Protein s total
|
$773.00 |
$773.00 |
$773.00 |
$78.87
|
|
Protein total 24 hour urine
|
$313.00 |
$313.00 |
$313.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$199.00 |
$199.00 |
$199.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$214.00 |
$214.00 |
$214.00 |
$37.05
|
|
PSA (Prostate) Test
|
$636.00 |
$636.00 |
$636.00 |
$109.35
|
|
Pt evaluation high complexity patient/family
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$914.00 |
$914.00 |
$914.00 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$997.00 |
$997.00 |
$997.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$385.00 |
$385.00 |
$385.00 |
$157.30
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$367.00 |
$367.00 |
$367.00 |
$80.85
|
|
Pyridoxine hcl 100 mg
|
$441.00 |
$441.00 |
$441.00 |
$43.51
|
|
Quest t3 uptake
|
$266.00 |
$266.00 |
$266.00 |
$56.10
|
|
Radium ra223 dichl ther/uci
|
$390.00 |
$390.00 |
$390.00 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,869.00 |
$4,869.00 |
$4,869.00 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,751.00 |
$4,751.00 |
$4,751.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,562.00 |
$1,562.00 |
$1,562.00 |
$1,139.40
|
|
Rbc count only automated
|
$335.00 |
$335.00 |
$335.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$323.00 |
$323.00 |
$323.00 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$4,001.00 |
$4,001.00 |
$4,001.00 |
$1,560.00
|
|
Reteplase injection
|
$10,043.00 |
$10,043.00 |
$10,043.00 |
$3,155.69
|
|
Rheumatoid factor quantitative
|
$287.00 |
$287.00 |
$287.00 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$243.11
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$3,032.00 |
$3,032.00 |
$3,032.00 |
$462.44
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$41,634.00 |
$41,634.00 |
$41,634.00 |
$8,485.68
|
|
Rubella antibody igg
|
$277.00 |
$277.00 |
$277.00 |
$73.10
|
|
Rubeola antibody igg
|
$751.00 |
$751.00 |
$751.00 |
$79.68
|
|
Russell viper venom diluted
|
$790.00 |
$790.00 |
$790.00 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,189.00 |
$1,189.00 |
$1,189.00 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,457.00 |
$1,457.00 |
$1,457.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$601.70
|
|
Screening HIV antigen/antibody combination assay
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$28.90
|
|
Screening prostate cancer PSA
|
$636.00 |
$636.00 |
$636.00 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$301.00 |
$301.00 |
$301.00 |
$44.20
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$345.00
|
|
Sickling rbc
|
$231.00 |
$231.00 |
$231.00 |
$53.55
|
|
Sildenafil citrate, 25 mg
|
$168.00 |
$168.00 |
$168.00 |
$4.87
|
|
Sincalide 5 mcg solution for injection
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$8,789.00 |
$8,789.00 |
$8,789.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$8,789.00 |
$8,789.00 |
$8,789.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$7,156.00 |
$7,156.00 |
$7,156.00 |
$1,279.50
|
