|
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
|
|
Postop app non-wgt bear dsg
|
$17,971.00 |
$17,971.00 |
$17,971.00 |
$1,013.83
|
|
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 drainable w barrier at
|
$32.00 |
$32.00 |
$32.00 |
$8.78
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$96.00 |
$96.00 |
$96.00 |
$4.67
|
|
Powder prem protct 1oz
|
$56.00 |
$56.00 |
$56.00 |
$5.20
|
|
Pq dr cath chg w cont s&i
|
$4,091.00 |
$4,091.00 |
$4,091.00 |
$711.36
|
|
Prealbumin
|
$359.00 |
$359.00 |
$359.00 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$108.00 |
$108.00 |
$108.00 |
$13.32
|
|
Pregnancy associated plasma protein-a
|
$603.00 |
$603.00 |
$603.00 |
$67.60
|
|
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)
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$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
|
|
Protector nerve neurawrap 4cm
|
$24,647.00 |
$24,647.00 |
$24,647.00 |
$3,580.71
|
|
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
|
|
Pulmonary vent imaging
|
$6,482.00 |
$6,482.00 |
$6,482.00 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$441.00 |
$441.00 |
$441.00 |
$43.51
|
|
Pyruvate
|
$432.00 |
$432.00 |
$432.00 |
$65.00
|
|
Quest t3 uptake
|
$272.00 |
$272.00 |
$272.00 |
$56.10
|
|
Radiesse injection
|
$18,663.00 |
$18,663.00 |
$18,663.00 |
$333.42
|
|
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 tmr plnr bdy two day img
|
$4,869.00 |
$4,869.00 |
$4,869.00 |
$2,728.42
|
|
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
|
|
Rapid Strep Test
|
$528.00 |
$528.00 |
$528.00 |
$74.10
|
|
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
|
|
Remove cva lumen obstruct
|
$728.00 |
$728.00 |
$728.00 |
$494.00
|
|
Renal function panel
|
$549.00 |
$549.00 |
$549.00 |
$110.10
|
|
Reticulocyte automated
|
$335.00 |
$335.00 |
$335.00 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$335.00 |
$335.00 |
$335.00 |
$33.57
|
|
Rheumatoid factor quantitative
|
$287.00 |
$287.00 |
$287.00 |
$58.00
|
|
Rho d immune globulin inj
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$287.82
|
|
Ring ostmy barr adapt 48mm
|
$135.00 |
$135.00 |
$135.00 |
$5.97
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$53,797.00 |
$53,797.00 |
$53,797.00 |
$18,265.61
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,802.00 |
$3,802.00 |
$3,802.00 |
$2,453.83
|
|
Rp loclzj tum spect w/ct 1
|
$4,869.00 |
$4,869.00 |
$4,869.00 |
$2,531.25
|
|
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 aorta/ivc/iliac or bypass grafts complete
|
$458.00 |
$458.00 |
$458.00 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$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
|
|
Serpina1 gene
|
$732.00 |
$732.00 |
$732.00 |
$191.73
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$345.00
|
|
Sickling rbc
|
$234.00 |
$234.00 |
$234.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$354.67
|
|
Sinus/juglr venogram s&i
|
$5,217.00 |
$5,217.00 |
$5,217.00 |
$2,489.25
|
|
Skyla, 13.5 mg
|
$6,898.00 |
$6,898.00 |
$6,898.00 |
$1,801.20
|
|
Sodium 24 hour urine
|
$335.00 |
$335.00 |
$335.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$47.27
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$482.00 |
$482.00 |
$482.00 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$777.00 |
$777.00 |
$777.00 |
$195.48
|
|
Solid skin barrier
|
$25.00 |
$25.00 |
$25.00 |
$5.61
|
|
Split blood or products
|
$402.00 |
$402.00 |
$402.00 |
$148.98
|
|
Strep a ag ia
|
$528.00 |
$528.00 |
$528.00 |
$75.40
|
|
Streptomycin injection
|
$275.00 |
$275.00 |
$275.00 |
$138.30
|
|
Streptozocin injection
|
$4,963.00 |
$4,963.00 |
$4,963.00 |
$943.23
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$49.13
|
|
Sugars multiple quant
|
$300.00 |
$300.00 |
$300.00 |
$26.95
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$2,419.00 |
$2,419.00 |
$2,419.00 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$294.00 |
$294.00 |
$294.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$423.00 |
$423.00 |
$423.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$549.00 |
$549.00 |
$549.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$783.00 |
$783.00 |
$783.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$241.00 |
$241.00 |
$241.00 |
$34.48
|
|
Suscept studies macrobroth dilution ea
|
$277.00 |
$277.00 |
$277.00 |
$48.30
|
|
Svc venogram s&i
|
$6,255.00 |
$6,255.00 |
$6,255.00 |
$1,908.00
|
|
T3 (triiodothyronine) free
|
$794.00 |
$794.00 |
$794.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$603.00 |
$603.00 |
$603.00 |
$94.90
|
|
T4 (thyroxine) free
|
$454.00 |
$454.00 |
$454.00 |
$81.60
|
|
T4 (thyroxine) total
|
$273.00 |
$273.00 |
$273.00 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$3,263.00 |
$3,263.00 |
$3,263.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$901.00 |
$901.00 |
$901.00 |
$122.40
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$70.00 |
$70.00 |
$70.00 |
$32.40
|
