|
Pelvic MRI (without contrast)
|
$5,058.83 |
$5,058.83 |
$5,058.83 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$989.91 |
$989.91 |
$989.91 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$772.67 |
$772.67 |
$772.67 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$33,195.15 |
$33,195.15 |
$33,195.15 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,260.19 |
$1,260.19 |
$1,260.19 |
$643.59
|
|
Penile vascular study
|
$1,385.44 |
$1,385.44 |
$1,385.44 |
$460.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$517.93 |
$517.93 |
$517.93 |
$321.71
|
|
Pertuzumab 30 mg/ml desensitization
|
$19,207.53 |
$19,207.53 |
$19,207.53 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$24,556.12 |
$24,556.12 |
$24,556.12 |
$41,963.08
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$215.00 |
$215.00 |
$215.00 |
$123.17
|
|
Phenylephrine 10 mg/ml injection solution
|
$46.77 |
$46.77 |
$46.77 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$45.08 |
$45.08 |
$45.08 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$228.56 |
$228.56 |
$228.56 |
$111.27
|
|
Phlebotomy therapeutic
|
$450.54 |
$450.54 |
$450.54 |
$249.00
|
|
Phosphorus
|
$215.00 |
$215.00 |
$215.00 |
$47.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$61.12 |
$61.12 |
$61.12 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$480.93 |
$480.93 |
$480.93 |
$95.01
|
|
Platelet automated
|
$91.29 |
$91.29 |
$91.29 |
$44.00
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,588.64 |
$2,588.64 |
$2,588.64 |
$879.36
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$528.60 |
$528.60 |
$528.60 |
$173.00
|
|
Potassium 24 hour urine
|
$127.32 |
$127.32 |
$127.32 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$1,290.75 |
$1,290.75 |
$1,290.75 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$199.17 |
$199.17 |
$199.17 |
$44.64
|
|
Pr application of long arm splint
|
$1,046.59 |
$1,046.59 |
$1,046.59 |
$332.75
|
|
Pr application splint static short arm
|
$843.54 |
$843.54 |
$843.54 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$1,199.56 |
$1,199.56 |
$1,199.56 |
$472.79
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$77.32 |
$77.32 |
$77.32 |
$16.30
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$743.01 |
$743.01 |
$743.01 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,088.76 |
$1,088.76 |
$1,088.76 |
$541.45
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$739.49 |
$739.49 |
$739.49 |
$827.94
|
|
Pr incision & drainage abscess complicated/multiple
|
$997.85 |
$997.85 |
$997.85 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$1,131.06 |
$1,131.06 |
$1,131.06 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$2,197.23 |
$2,197.23 |
$2,197.23 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$987.22 |
$987.22 |
$987.22 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$1,467.95 |
$1,467.95 |
$1,467.95 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$1,467.95 |
$1,467.95 |
$1,467.95 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,835.31 |
$1,835.31 |
$1,835.31 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,073.92 |
$1,073.92 |
$1,073.92 |
$666.10
|
|
Procalcitonin
|
$348.42 |
$348.42 |
$348.42 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$44.91 |
$44.91 |
$44.91 |
$46.50
|
|
Progesterone
|
$243.35 |
$243.35 |
$243.35 |
$105.00
|
|
Prolactin
|
$368.33 |
$368.33 |
$368.33 |
$127.50
|
|
Promethazine hcl injection
|
$33.34 |
$33.34 |
$33.34 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$88.54 |
$88.54 |
$88.54 |
$80.95
|
|
Protamine 10 mg/ml intravenous solution
|
$40.36 |
$40.36 |
$40.36 |
$50.70
|
|
Protein c activity
|
$295.04 |
$295.04 |
$295.04 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$252.60 |
$252.60 |
$252.60 |
$85.20
|
|
Protein total 24 hour urine
|
$145.77 |
$145.77 |
$145.77 |
$52.50
|
|
Protein total serum plasma whole blood
|
$142.29 |
$142.29 |
$142.29 |
$42.81
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$765.81 |
$765.81 |
$765.81 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$2,253.20 |
$2,253.20 |
$2,253.20 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,306.12 |
$1,306.12 |
$1,306.12 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$102.10 |
$102.10 |
$102.10 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$390.12 |
$390.12 |
$390.12 |
$422.00
|
|
PSA (Prostate) Test
|
$311.91 |
$311.91 |
$311.91 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$109.40 |
$109.40 |
$109.40 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$65.65 |
$65.65 |
$65.65 |
$34.69
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$117.90 |
$117.90 |
$117.90 |
$82.55
|
|
Pt application of modality traction mechanical
|
$114.66 |
$114.66 |
$114.66 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$272.32 |
$272.32 |
$272.32 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$272.32 |
$272.32 |
$272.32 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$272.32 |
$272.32 |
$272.32 |
$263.90
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$108.05 |
$108.05 |
$108.05 |
$85.68
|
|
Pulse ox continuous overnight monitoring
|
$475.24 |
$475.24 |
$475.24 |
$368.00
|
|
Pulse ox multiple
|
$497.88 |
$497.88 |
$497.88 |
$194.33
|
|
Puncture arterial withdrawal blood for diagnosis
|
$151.47 |
$151.47 |
$151.47 |
$127.50
|
|
Rabies ig ht&sol human im/sc
|
$66,146.13 |
$66,146.13 |
$66,146.13 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$66,189.85 |
$66,189.85 |
$66,189.85 |
$3,213.80
|
|
Radiation treatment delivery
|
$1,270.08 |
$1,270.08 |
$1,270.08 |
$257.01
|
|
Radiation treatment delivery
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$552.40
|
|
Radiology port images(s)
|
$1,808.69 |
$1,808.69 |
$1,808.69 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$12,265.23 |
$12,265.23 |
$12,265.23 |
$5,996.21
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$20,715.47 |
$20,715.47 |
$20,715.47 |
$16,029.45
|
|
Rapid Strep Test
|
$165.99 |
$165.99 |
$165.99 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$12,885.64 |
$12,885.64 |
$12,885.64 |
$35,836.29
|
|
Red blood cells leukocytes reduced each unit
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$398.20
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$479.44 |
$479.44 |
$479.44 |
$656.83
|
|
Removal cerumen impacted (both sides)
|
$186.35 |
$186.35 |
$186.35 |
$177.60
|
|
Removal foreign body foot subcutaneous right
|
$291.68 |
$291.68 |
$291.68 |
$1,256.00
|
|
Renal function panel
|
$289.95 |
$289.95 |
$289.95 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,552.77 |
$3,552.77 |
$3,552.77 |
$1,193.40
|
|
#resp virpnl dfa-adenovirus
|
$39.35 |
$39.35 |
$39.35 |
$48.00
|
|
Resuscitation cardiopulmonary
|
$2,118.38 |
$2,118.38 |
$2,118.38 |
$847.29
|
|
Reticulocyte automated
|
$132.96 |
$132.96 |
$132.96 |
$54.60
|
|
Rheumatoid factor quantitative
|
$140.70 |
$140.70 |
$140.70 |
$58.00
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$13,238.89 |
$13,238.89 |
$13,238.89 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$14,663.39 |
$14,663.39 |
$14,663.39 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$5,224.80 |
$5,224.80 |
$5,224.80 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$4,970.85 |
$4,970.85 |
$4,970.85 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$5,170.40 |
$5,170.40 |
$5,170.40 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$8,856.88 |
$8,856.88 |
$8,856.88 |
$1,917.33
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,298.88 |
$5,298.88 |
$5,298.88 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$586.54 |
$586.54 |
$586.54 |
$180.55
|
|
Rubella antibody igg
|
$153.11 |
$153.11 |
$153.11 |
$73.10
|
|
Rubeola antibody igg
|
$95.62 |
$95.62 |
$95.62 |
$79.68
|
|
Russell viper venom diluted
|
$162.77 |
$162.77 |
$162.77 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,939.72 |
$2,939.72 |
$2,939.72 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$525.00 |
$525.00 |
$525.00 |
$670.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,234.70 |
$1,234.70 |
$1,234.70 |
$759.20
|