|
Phenobarbital therapeutic drug level
|
$544.00 |
$544.00 |
$544.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$347.00 |
$347.00 |
$347.00 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$421.00 |
$421.00 |
$421.00 |
$111.27
|
|
Phosphorus
|
$252.00 |
$252.00 |
$252.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$296.00 |
$296.00 |
$296.00 |
$42.81
|
|
Piflu f-18, dia 1 millicurie
|
$6,921.00 |
$6,921.00 |
$6,921.00 |
$1,035.81
|
|
Pinworm exam
|
$146.00 |
$146.00 |
$146.00 |
$39.75
|
|
Platelet automated
|
$181.00 |
$181.00 |
$181.00 |
$44.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$480.00 |
$480.00 |
$480.00 |
$173.00
|
|
Potassium 24 hour urine
|
$269.00 |
$269.00 |
$269.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$228.00 |
$228.00 |
$228.00 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$1,363.00 |
$1,363.00 |
$1,363.00 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$487.00 |
$487.00 |
$487.00 |
$297.18
|
|
Prealbumin
|
$281.00 |
$281.00 |
$281.00 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$22.00 |
$22.00 |
$22.00 |
$13.32
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$592.71
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$123.00 |
$123.00 |
$123.00 |
$141.00
|
|
Pretreat rbc absorption reference
|
$125.00 |
$125.00 |
$125.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$220.00 |
$220.00 |
$220.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$125.00 |
$125.00 |
$125.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$369.00 |
$369.00 |
$369.00 |
$166.10
|
|
Procalcitonin
|
$861.00 |
$861.00 |
$861.00 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$124.00 |
$124.00 |
$124.00 |
$44.76
|
|
Prochlorperazine maleate 5 mg tablet
|
$25.00 |
$25.00 |
$25.00 |
$1.00
|
|
Progesterone
|
$645.00 |
$645.00 |
$645.00 |
$105.00
|
|
Prolactin
|
$769.00 |
$769.00 |
$769.00 |
$127.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$124.00 |
$124.00 |
$124.00 |
$35.22
|
|
Protein c activity
|
$839.00 |
$839.00 |
$839.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$458.00 |
$458.00 |
$458.00 |
$85.20
|
|
Protein s total
|
$443.00 |
$443.00 |
$443.00 |
$78.87
|
|
Protein total 24 hour urine
|
$286.00 |
$286.00 |
$286.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$252.00 |
$252.00 |
$252.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$483.00 |
$483.00 |
$483.00 |
$37.05
|
|
PSA (Prostate) Test
|
$458.00 |
$458.00 |
$458.00 |
$109.35
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$463.00 |
$463.00 |
$463.00 |
$105.30
|
|
Pten gene full sequence
|
$4,364.00 |
$4,364.00 |
$4,364.00 |
$660.00
|
|
Pt evaluation high complexity patient/family
|
$753.00 |
$753.00 |
$753.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$753.00 |
$753.00 |
$753.00 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$753.00 |
$753.00 |
$753.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$470.00 |
$470.00 |
$470.00 |
$157.30
|
|
Pulmonary vent imaging
|
$4,622.00 |
$4,622.00 |
$4,622.00 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$124.00 |
$124.00 |
$124.00 |
$43.51
|
|
Pyruvate
|
$269.00 |
$269.00 |
$269.00 |
$65.00
|
|
Quest t3 uptake
|
$324.00 |
$324.00 |
$324.00 |
$56.10
|
|
Radium ra223 dichl ther/uci
|
$752.00 |
$752.00 |
$752.00 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,686.00 |
$3,686.00 |
$3,686.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,633.00 |
$4,633.00 |
$4,633.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$2,377.65
|
|
Rbc count only automated
|
$117.00 |
$117.00 |
$117.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,578.00 |
$2,578.00 |
$2,578.00 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$1,560.00
|
|
Renal function panel
|
$832.00 |
$832.00 |
$832.00 |
$110.10
|
|
#resp virpnl dfa-parainfluenza
|
$421.00 |
$421.00 |
$421.00 |
$35.20
|
|
Reticulocyte automated
|
$216.00 |
$216.00 |
$216.00 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$216.00 |
$216.00 |
$216.00 |
$33.57
|
|
Rheumatoid factor qualitative
|
$286.00 |
$286.00 |
$286.00 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$2,615.00 |
$2,615.00 |
$2,615.00 |
$243.11
|
|
Rho(d) immune globulin h, sd
|
$109.00 |
$109.00 |
$109.00 |
$1,467.90
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
$462.44
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$76.00 |
$76.00 |
$76.00 |
$7,626.51
|
|
Russell viper venom diluted
|
$436.00 |
$436.00 |
$436.00 |
$70.16
|
|
Sargramostim injection
|
$402.00 |
$402.00 |
$402.00 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$53.00 |
$53.00 |
$53.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$211.00 |
$211.00 |
$211.00 |
$91.14
|
|
Screening prostate cancer PSA
|
$458.00 |
$458.00 |
$458.00 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$204.00 |
$204.00 |
$204.00 |
$44.20
|
|
Semen analysis w/count
|
$243.00 |
$243.00 |
$243.00 |
$56.44
|
|
Serpina1 gene
|
$877.00 |
$877.00 |
$877.00 |
$191.73
|
|
Sickling rbc
|
$144.00 |
$144.00 |
$144.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$924.00 |
$924.00 |
$924.00 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$11,082.00 |
$11,082.00 |
$11,082.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$10,824.00 |
$10,824.00 |
$10,824.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$9,019.00 |
$9,019.00 |
$9,019.00 |
$1,279.50
|
|
Smear nasal eosinophil
|
$243.00 |
$243.00 |
$243.00 |
$49.50
|
|
Sodium 24 hour urine
|
$281.00 |
$281.00 |
$281.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$203.00 |
$203.00 |
$203.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$203.00 |
$203.00 |
$203.00 |
$47.27
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$376.00 |
$376.00 |
$376.00 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$228.00 |
$228.00 |
$228.00 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$195.48
|
|
Specific gravity body fluid
|
$83.00 |
$83.00 |
$83.00 |
$23.63
|
|
Specimen fat stain
|
$384.00 |
$384.00 |
$384.00 |
$32.76
|
|
St cognitve performance testing healthcare professional each hour
|
$461.00 |
$461.00 |
$461.00 |
$313.96
|
|
St evaluate speech sound production
|
$714.00 |
$714.00 |
$714.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$714.00 |
$714.00 |
$714.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$753.00 |
$753.00 |
$753.00 |
$406.40
|
|
St evaluation swallow function
|
$753.00 |
$753.00 |
$753.00 |
$336.60
|
|
Strep a ag ia
|
$536.00 |
$536.00 |
$536.00 |
$75.40
|
|
Strep b assay w/optic
|
$286.00 |
$286.00 |
$286.00 |
$32.00
|
|
St treatment speech individual
|
$550.00 |
$550.00 |
$550.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$550.00 |
$550.00 |
$550.00 |
$261.60
|
|
Sugars single quant
|
$200.00 |
$200.00 |
$200.00 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$162.00 |
$162.00 |
$162.00 |
$74.79
|
|
Surgical pathology level 1 gross examination only
|
$919.00 |
$919.00 |
$919.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$4,510.00 |
$4,510.00 |
$4,510.00 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$117.00 |
$117.00 |
$117.00 |
$34.48
|
