|
Nm imaging pulmonary ventilation/perfusion
|
$8,142.21 |
$8,142.21 |
$8,142.21 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$3,085.95 |
$3,085.95 |
$3,085.95 |
$1,186.03
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,109.38 |
$11,109.38 |
$11,109.38 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$8,963.09 |
$8,963.09 |
$8,963.09 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$8,963.09 |
$8,963.09 |
$8,963.09 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$642.14 |
$642.14 |
$642.14 |
$761.95
|
|
Nuclear Stress Test (Heart)
|
$7,629.58 |
$7,629.58 |
$7,629.58 |
$3,921.45
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$24,883.60 |
$24,883.60 |
$24,883.60 |
$12,749.16
|
|
Olanzapine 10 mg intramuscular solution
|
$530.15 |
$530.15 |
$530.15 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$61.11 |
$61.11 |
$61.11 |
$30.15
|
|
Organic acids total quant ea spec
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$178.73 |
$178.73 |
$178.73 |
$56.42
|
|
Osmolality blood
|
$219.30 |
$219.30 |
$219.30 |
$67.60
|
|
Osmolality urine
|
$1,097.58 |
$1,097.58 |
$1,097.58 |
$65.65
|
|
Ost urine pch w b/bltin conv
|
$65.00 |
$65.00 |
$65.00 |
$16.75
|
|
Oxytocin 10 unit/ml injection solution
|
$91.45 |
$91.45 |
$91.45 |
$48.29
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$9,335.00 |
$9,335.00 |
$9,335.00 |
$3,656.90
|
|
Palonosetron hcl
|
$346.66 |
$346.66 |
$346.66 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$823.48 |
$823.48 |
$823.48 |
$131.62
|
|
Parathormone (pth) intact
|
$1,739.69 |
$1,739.69 |
$1,739.69 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$4,892.21 |
$4,892.21 |
$4,892.21 |
$1,574.40
|
|
Parathyroid planar imaging
|
$2,601.55 |
$2,601.55 |
$2,601.55 |
$1,166.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$17.00 |
$17.00 |
$17.00 |
$4,418.35
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$38,531.74 |
$38,531.74 |
$38,531.74 |
$11,569.18
|
|
Pelvic MRI (with and without contrast)
|
$11,650.06 |
$11,650.06 |
$11,650.06 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$6,374.02 |
$6,374.02 |
$6,374.02 |
$1,879.15
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$25,073.57 |
$25,073.57 |
$25,073.57 |
$13,809.00
|
|
Penile vascular study
|
$467.90 |
$467.90 |
$467.90 |
$561.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,331.55 |
$1,331.55 |
$1,331.55 |
$321.71
|
|
Pertuzumab 30 mg/ml desensitization
|
$26,644.30 |
$26,644.30 |
$26,644.30 |
$15,007.91
|
|
Phenobarbital therapeutic drug level
|
$1,021.92 |
$1,021.92 |
$1,021.92 |
$104.50
|
|
Phentolaine mesylate inj
|
$433.28 |
$433.28 |
$433.28 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$637.15 |
$637.15 |
$637.15 |
$111.27
|
|
Platelet automated
|
$211.58 |
$211.58 |
$211.58 |
$44.00
|
|
Potassium 24 hour urine
|
$177.04 |
$177.04 |
$177.04 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$177.04 |
$177.04 |
$177.04 |
$44.64
|
|
Pralidoxime 1 gram solution for injection
|
$623.41 |
$623.41 |
$623.41 |
$297.18
|
|
Prealbumin
|
$266.68 |
$266.68 |
$266.68 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$34.42 |
$34.42 |
$34.42 |
$13.32
|
|
Pregnancy Ultrasound (first trimester)
|
$1,172.83 |
$1,172.83 |
$1,172.83 |
$541.45
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$712.72 |
$712.72 |
$712.72 |
$546.07
|
|
Procalcitonin
|
$642.27 |
$642.27 |
$642.27 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$175.29 |
$175.29 |
$175.29 |
$44.76
|
|
Progesterone
|
$836.42 |
$836.42 |
$836.42 |
$105.00
|
|
Prolactin
|
$961.31 |
$961.31 |
$961.31 |
$127.50
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$137.94 |
$137.94 |
$137.94 |
$35.22
|
|
Protein c activity
|
$1,314.68 |
$1,314.68 |
$1,314.68 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$657.48 |
$657.48 |
$657.48 |
$85.20
|
|
Protein s total
|
$2,152.19 |
$2,152.19 |
$2,152.19 |
$78.87
|
|
Protein total 24 hour urine
|
$672.02 |
$672.02 |
$672.02 |
$52.50
|
|
Protein total serum plasma whole blood
|
$477.53 |
$477.53 |
$477.53 |
$42.81
|
|
Prothrombin complex kcentra
|
$7,658.58 |
$7,658.58 |
$7,658.58 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$358.87 |
$358.87 |
$358.87 |
$37.05
|
|
PSA (Prostate) Test
|
$749.36 |
$749.36 |
$749.36 |
$109.35
|
|
Pt application of modality traction mechanical
|
$227.02 |
$227.02 |
$227.02 |
$88.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$189.92 |
$189.92 |
$189.92 |
$87.26
|
|
Pulse ox multiple
|
$126.46 |
$126.46 |
$126.46 |
$194.33
|
|
Pyridoxine hcl 100 mg
|
$80.06 |
$80.06 |
$80.06 |
$43.51
|
|
Quant diff pulm perf w/imaging
|
$2,928.63 |
$2,928.63 |
$2,928.63 |
$1,209.44
|
|
Radiation handling
|
$399.56 |
$399.56 |
$399.56 |
$331.89
|
|
Radiation physics consult
|
$2,197.26 |
$2,197.26 |
$2,197.26 |
$574.75
|
|
Radiation therapy dose plan
|
$1,299.87 |
$1,299.87 |
$1,299.87 |
$530.53
|
|
Radiation treatment aid(s)
|
$1,477.56 |
$1,477.56 |
$1,477.56 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,184.99 |
$1,184.99 |
$1,184.99 |
$665.00
|
|
Radiation treatment aid(s)
|
$2,008.88 |
$2,008.88 |
$2,008.88 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,102.19 |
$1,102.19 |
$1,102.19 |
$552.40
|
|
Radiation treatment delivery
|
$2,371.04 |
$2,371.04 |
$2,371.04 |
$909.98
|
|
Radiology port images(s)
|
$1,255.58 |
$1,255.58 |
$1,255.58 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$12,828.84 |
$12,828.84 |
$12,828.84 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$6,478.50 |
$6,478.50 |
$6,478.50 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,708.22 |
$4,708.22 |
$4,708.22 |
$2,377.65
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,903.91 |
$4,903.91 |
$4,903.91 |
$2,789.64
|
|
Rbc count only automated
|
$159.50 |
$159.50 |
$159.50 |
$20.00
|
|
Red cell sequestration
|
$1,662.65 |
$1,662.65 |
$1,662.65 |
$475.51
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,072.22 |
$2,072.22 |
$2,072.22 |
$468.96
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,208.14 |
$2,208.14 |
$2,208.14 |
$1,560.00
|
|
Remove cva lumen obstruct
|
$559.44 |
$559.44 |
$559.44 |
$494.00
|
|
Renal function panel
|
$1,074.08 |
$1,074.08 |
$1,074.08 |
$110.10
|
|
Renal venogram bil s&i
|
$8,676.01 |
$8,676.01 |
$8,676.01 |
$3,615.28
|
|
Resp virus 6-11 targets
|
$731.16 |
$731.16 |
$731.16 |
$363.38
|
|
Reticulocyte direct measurement automated
|
$309.96 |
$309.96 |
$309.96 |
$33.57
|
|
Rheumatoid factor quantitative
|
$125.27 |
$125.27 |
$125.27 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$905.41 |
$905.41 |
$905.41 |
$243.11
|
|
Right ventric recording
|
$15,888.96 |
$15,888.96 |
$15,888.96 |
$1,980.36
|
|
Rp loclzj tum spect w/ct 1
|
$4,708.22 |
$4,708.22 |
$4,708.22 |
$2,531.25
|
|
Rsv assay w/optic
|
$468.29 |
$468.29 |
$468.29 |
$73.80
|
|
Rubella antibody igg
|
$429.78 |
$429.78 |
$429.78 |
$73.10
|
|
Rubeola antibody igg
|
$470.19 |
$470.19 |
$470.19 |
$79.68
|
|
Russell viper venom diluted
|
$757.44 |
$757.44 |
$757.44 |
$70.16
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,504.61 |
$2,504.61 |
$2,504.61 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,270.17 |
$1,270.17 |
$1,270.17 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,277.36 |
$1,277.36 |
$1,277.36 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,036.17 |
$2,036.17 |
$2,036.17 |
$1,006.85
|
|
Screening prostate cancer PSA
|
$728.54 |
$728.54 |
$728.54 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$353.01 |
$353.01 |
$353.01 |
$44.20
|
|
Semen analysis presence/motility
|
$336.78 |
$336.78 |
$336.78 |
$70.85
|
|
Set radiation therapy field
|
$2,576.54 |
$2,576.54 |
$2,576.54 |
$731.50
|
|
Set radiation therapy field
|
$5,041.07 |
$5,041.07 |
$5,041.07 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$28.75 |
$28.75 |
$28.75 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$63.24 |
$63.24 |
$63.24 |
$21.42
|
