|
Nuclear rx IV admin
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$12,867.00 |
$12,867.00 |
$12,867.00 |
$3,921.45
|
|
Olanzapine 10 mg intramuscular solution
|
$202.00 |
$202.00 |
$202.00 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$126.00 |
$126.00 |
$126.00 |
$30.15
|
|
Organic acids total quant ea spec
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$316.00 |
$316.00 |
$316.00 |
$56.42
|
|
Osmolality blood
|
$135.00 |
$135.00 |
$135.00 |
$67.60
|
|
Osmolality urine
|
$149.00 |
$149.00 |
$149.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$143.00 |
$143.00 |
$143.00 |
$100.75
|
|
Ot re-evaluation patient/family
|
$290.00 |
$290.00 |
$290.00 |
$174.00
|
|
Oxytocin 10 unit/ml injection solution
|
$93.00 |
$93.00 |
$93.00 |
$48.29
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$322.00 |
$322.00 |
$322.00 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$59.00 |
$59.00 |
$59.00 |
$35.43
|
|
Parathyrd planar w/spect&ct
|
$4,949.00 |
$4,949.00 |
$4,949.00 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,398.75
|
|
Pelvic CT scan (with and without contrast)
|
$5,654.00 |
$5,654.00 |
$5,654.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$5,375.00 |
$5,375.00 |
$5,375.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$4,849.00 |
$4,849.00 |
$4,849.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$17,073.00 |
$17,073.00 |
$17,073.00 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$7,710.00 |
$7,710.00 |
$7,710.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,501.00 |
$2,501.00 |
$2,501.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$445.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$92.00 |
$92.00 |
$92.00 |
$90.35
|
|
Pertussis ag if
|
$143.00 |
$143.00 |
$143.00 |
$49.00
|
|
Phencyclidine (pcp)
|
$431.00 |
$431.00 |
$431.00 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$276.00 |
$276.00 |
$276.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$2,714.00 |
$2,714.00 |
$2,714.00 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$437.00 |
$437.00 |
$437.00 |
$111.27
|
|
Phosphorus 24 hour urine
|
$105.00 |
$105.00 |
$105.00 |
$42.81
|
|
Pinworm exam
|
$245.00 |
$245.00 |
$245.00 |
$39.75
|
|
Platelet automated
|
$261.00 |
$261.00 |
$261.00 |
$44.00
|
|
Pmp22 gene dup/delet
|
$2,191.00 |
$2,191.00 |
$2,191.00 |
$1,029.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$562.00 |
$562.00 |
$562.00 |
$173.00
|
|
Potassium 24 hour urine
|
$181.00 |
$181.00 |
$181.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$181.00 |
$181.00 |
$181.00 |
$44.64
|
|
Prealbumin
|
$276.00 |
$276.00 |
$276.00 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$46.00 |
$46.00 |
$46.00 |
$13.32
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$541.45
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$393.00 |
$393.00 |
$393.00 |
$141.00
|
|
Pretreat rbc absorption reference
|
$136.00 |
$136.00 |
$136.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$393.00 |
$393.00 |
$393.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$136.00 |
$136.00 |
$136.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$393.00 |
$393.00 |
$393.00 |
$166.10
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$437.00 |
$437.00 |
$437.00 |
$546.07
|
|
Procalcitonin
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$93.00 |
$93.00 |
$93.00 |
$44.76
|
|
Progesterone
|
$328.00 |
$328.00 |
$328.00 |
$105.00
|
|
Prolactin
|
$357.00 |
$357.00 |
$357.00 |
$127.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$170.00 |
$170.00 |
$170.00 |
$35.22
|
|
Protein electrophoretic fractionation & quantitation serum
|
$491.00 |
$491.00 |
$491.00 |
$85.20
|
|
Protein s total
|
$326.00 |
$326.00 |
$326.00 |
$78.87
|
|
Protein total 24 hour urine
|
$380.00 |
$380.00 |
$380.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$380.00 |
$380.00 |
$380.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$435.00 |
$435.00 |
$435.00 |
$37.05
|
|
PSA (Prostate) Test
|
$343.00 |
$343.00 |
$343.00 |
$109.35
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$523.00 |
$523.00 |
$523.00 |
$105.30
|
|
Pt evaluation high complexity patient/family
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$290.00 |
$290.00 |
$290.00 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$415.00 |
$415.00 |
$415.00 |
$87.26
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$335.00 |
$335.00 |
$335.00 |
$80.85
|
|
Pyridoxine hcl 100 mg
|
$112.00 |
$112.00 |
$112.00 |
$43.51
|
|
Pyruvate kinase
|
$549.00 |
$549.00 |
$549.00 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$13,284.00 |
$13,284.00 |
$13,284.00 |
$1,524.16
|
|
Quest t3 uptake
|
$414.00 |
$414.00 |
$414.00 |
$56.10
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,035.00 |
$4,035.00 |
$4,035.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,743.00 |
$4,743.00 |
$4,743.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$5,532.00 |
$5,532.00 |
$5,532.00 |
$2,377.65
|
|
Rapid Strep Test
|
$418.00 |
$418.00 |
$418.00 |
$74.10
|
|
Rbc count only automated
|
$301.00 |
$301.00 |
$301.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$3,382.00 |
$3,382.00 |
$3,382.00 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$1,560.00
|
|
Renal function panel
|
$22.00 |
$22.00 |
$22.00 |
$110.10
|
|
Reptilase test
|
$358.00 |
$358.00 |
$358.00 |
$65.65
|
|
Reticulocyte automated
|
$172.00 |
$172.00 |
$172.00 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$218.00 |
$218.00 |
$218.00 |
$33.57
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$243.11
|
|
Rho d immune globulin inj
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$287.82
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$218.00 |
$218.00 |
$218.00 |
$188.50
|
|
Russell viper venom diluted
|
$1,234.00 |
$1,234.00 |
$1,234.00 |
$70.16
|
|
Sargramostim injection
|
$609.00 |
$609.00 |
$609.00 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$52.00 |
$52.00 |
$52.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$211.00 |
$211.00 |
$211.00 |
$91.14
|
|
Screening prostate cancer PSA
|
$343.00 |
$343.00 |
$343.00 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$197.00 |
$197.00 |
$197.00 |
$44.20
|
|
Semen analysis presence/motility
|
$513.00 |
$513.00 |
$513.00 |
$70.85
|
|
Serpina1 gene
|
$855.00 |
$855.00 |
$855.00 |
$191.73
|
|
Sickling rbc
|
$232.00 |
$232.00 |
$232.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$1,178.00 |
$1,178.00 |
$1,178.00 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$4,040.28 |
$4,040.28 |
$4,040.28 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$9,256.00 |
$9,256.00 |
$9,256.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$5,793.00 |
$5,793.00 |
$5,793.00 |
$1,279.50
|
|
Smear nasal eosinophil
|
$211.00 |
$211.00 |
$211.00 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$414.00 |
$414.00 |
$414.00 |
$64.35
|
|
Snrpn/ube3a gene
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$228.80
|
