|
Nm imaging gastrointestinal acute blood loss
|
$2,932.00 |
$2,932.00 |
$2,932.00 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$9,354.00 |
$9,354.00 |
$9,354.00 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$6,867.00 |
$6,867.00 |
$6,867.00 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$10,081.00 |
$10,081.00 |
$10,081.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$5,918.00 |
$5,918.00 |
$5,918.00 |
$1,186.03
|
|
Npm1 gene
|
$2,946.00 |
$2,946.00 |
$2,946.00 |
$430.95
|
|
Ntrk translocation analysis
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$727.74
|
|
Nuclear rx IV admin
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$13,036.00 |
$13,036.00 |
$13,036.00 |
$3,921.45
|
|
Obstetric panel inc HIV tstg
|
$503.00 |
$503.00 |
$503.00 |
$224.00
|
|
Obstetrics panel
|
$503.00 |
$503.00 |
$503.00 |
$204.80
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$35,141.00 |
$35,141.00 |
$35,141.00 |
$41,294.43
|
|
Olanzapine 10 mg intramuscular solution
|
$544.00 |
$544.00 |
$544.00 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$14,829.00 |
$14,829.00 |
$14,829.00 |
$4,595.01
|
|
Oncoprotein her-2/neu
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$161.60
|
|
Organic acids total quant ea spec
|
$311.00 |
$311.00 |
$311.00 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$3,541.00 |
$3,541.00 |
$3,541.00 |
$3,745.44
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$840.00 |
$840.00 |
$840.00 |
$56.42
|
|
Osmolality blood
|
$285.00 |
$285.00 |
$285.00 |
$67.60
|
|
Osmolality urine
|
$184.00 |
$184.00 |
$184.00 |
$65.65
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$76.00 |
$76.00 |
$76.00 |
$67.80
|
|
Oxytocin 10 unit/ml injection solution
|
$246.00 |
$246.00 |
$246.00 |
$48.29
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,152.00 |
$3,152.00 |
$3,152.00 |
$5,156.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$3,319.00 |
$3,319.00 |
$3,319.00 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$740.00 |
$740.00 |
$740.00 |
$35.43
|
|
Parathyrd planar w/spect&ct
|
$4,947.00 |
$4,947.00 |
$4,947.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$1,166.00
|
|
Pdgfra gene
|
$950.00 |
$950.00 |
$950.00 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$10,668.00 |
$10,668.00 |
$10,668.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$8,511.00 |
$8,511.00 |
$8,511.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$7,214.00 |
$7,214.00 |
$7,214.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$10,663.00 |
$10,663.00 |
$10,663.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$9,345.00 |
$9,345.00 |
$9,345.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$8,473.00 |
$8,473.00 |
$8,473.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,999.00 |
$2,999.00 |
$2,999.00 |
$643.80
|
|
Pentamidine 300 mg solution for injection
|
$2,945.00 |
$2,945.00 |
$2,945.00 |
$453.61
|
|
Pentamidine non-comp unit
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$279.76
|
|
Pentobarbital sodium inj
|
$274.00 |
$274.00 |
$274.00 |
$185.00
|
|
Pentostatin 10 mg intravenous solution
|
$18,946.00 |
$18,946.00 |
$18,946.00 |
$6,659.13
|
|
Pertussis ag if
|
$212.00 |
$212.00 |
$212.00 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$23,831.00 |
$23,831.00 |
$23,831.00 |
$15,007.91
|
|
Pet image w/ct lmtd
|
$19,687.00 |
$19,687.00 |
$19,687.00 |
$4,422.60
|
|
Ph body fluid
|
$73.00 |
$73.00 |
$73.00 |
$39.20
|
|
Phencyclidine (pcp)
|
$431.00 |
$431.00 |
$431.00 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$953.00 |
$953.00 |
$953.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$11,479.00 |
$11,479.00 |
$11,479.00 |
$1,028.40
|
|
Phosphorus 24 hour urine
|
$230.00 |
$230.00 |
$230.00 |
$42.81
|
|
Piflu f-18, dia 1 millicurie
|
$2,864.00 |
$2,864.00 |
$2,864.00 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$400.95
|
|
Pinworm exam
|
$184.00 |
$184.00 |
$184.00 |
$39.75
|
|
Platelet automated
|
$213.00 |
$213.00 |
$213.00 |
$44.00
|
|
Potassium 24 hour urine
|
$184.00 |
$184.00 |
$184.00 |
$50.00
|
|
Pralidoxime 1 gram solution for injection
|
$2,984.00 |
$2,984.00 |
$2,984.00 |
$297.18
|
|
Prealbumin
|
$273.00 |
$273.00 |
$273.00 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$76.00 |
$76.00 |
$76.00 |
$13.32
|
|
Pregnancy associated plasma protein-a
|
$138.00 |
$138.00 |
$138.00 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,574.00 |
$3,574.00 |
$3,574.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$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
|
$349.00 |
$349.00 |
$349.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$2,041.00 |
$2,041.00 |
$2,041.00 |
$166.10
|
|
Procalcitonin
|
$794.00 |
$794.00 |
$794.00 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$306.00 |
$306.00 |
$306.00 |
$44.76
|
|
Progesterone
|
$243.00 |
$243.00 |
$243.00 |
$105.00
|
|
Prolactin
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$127.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$506.00 |
$506.00 |
$506.00 |
$35.22
|
|
Prostate biopsy, any mthd
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$492.80
|
|
Protein c activity
|
$683.00 |
$683.00 |
$683.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$414.00 |
$414.00 |
$414.00 |
$85.20
|
|
Protein s total
|
$163.00 |
$163.00 |
$163.00 |
$78.87
|
|
Protein total 24 hour urine
|
$462.00 |
$462.00 |
$462.00 |
$52.50
|
|
Protein total serum plasma whole blood
|
$462.00 |
$462.00 |
$462.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$416.00 |
$416.00 |
$416.00 |
$37.05
|
|
PSA (Prostate) Test
|
$674.00 |
$674.00 |
$674.00 |
$109.35
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$655.00 |
$655.00 |
$655.00 |
$105.30
|
|
Pt application of modality traction mechanical
|
$623.00 |
$623.00 |
$623.00 |
$88.20
|
|
Pten gene full sequence
|
$3,962.00 |
$3,962.00 |
$3,962.00 |
$660.00
|
|
Pulmonary vent imaging
|
$6,450.00 |
$6,450.00 |
$6,450.00 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$568.00 |
$568.00 |
$568.00 |
$43.51
|
|
Pyruvate
|
$156.00 |
$156.00 |
$156.00 |
$65.00
|
|
Pyruvate kinase
|
$593.00 |
$593.00 |
$593.00 |
$65.00
|
|
Quest t3 uptake
|
$264.00 |
$264.00 |
$264.00 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$2,013.00 |
$2,013.00 |
$2,013.00 |
$3,213.80
|
|
Radiesse injection
|
$13,457.00 |
$13,457.00 |
$13,457.00 |
$333.42
|
|
Radium ra223 dichl ther/uci
|
$834.00 |
$834.00 |
$834.00 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$6,391.00 |
$6,391.00 |
$6,391.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,992.00 |
$4,992.00 |
$4,992.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,066.00 |
$6,066.00 |
$6,066.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,561.00 |
$2,561.00 |
$2,561.00 |
$1,139.40
|
|
Range of motion measurements
|
$337.00 |
$337.00 |
$337.00 |
$41.60
|
|
Rapid Strep Test
|
$416.00 |
$416.00 |
$416.00 |
$74.10
|
|
Rbc count only automated
|
$139.00 |
$139.00 |
$139.00 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$6,765.00 |
$6,765.00 |
$6,765.00 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,631.00 |
$3,631.00 |
$3,631.00 |
$1,560.00
|
|
Remove cva lumen obstruct
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
$494.00
|
|
Renal function panel
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$110.10
|
|
Reptilase test
|
$811.00 |
$811.00 |
$811.00 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$667.00 |
$667.00 |
$667.00 |
$48.00
|
