|
Platelets pheresis leukocytes reduced each unit
|
$107.46 |
$107.46 |
$107.46 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$137.30 |
$137.30 |
$137.30 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$275.62 |
$275.62 |
$275.62 |
$1,005.65
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$61.18 |
$61.18 |
$61.18 |
$187.32
|
|
Potassium 24 hour urine
|
$13.30 |
$13.30 |
$13.30 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$22.80 |
$22.80 |
$22.80 |
$47.85
|
|
Pq thr inj ext pse
|
$146.30 |
$146.30 |
$146.30 |
$781.62
|
|
Pr application splint static short arm
|
$94.30 |
$94.30 |
$94.30 |
$288.00
|
|
Prealbumin
|
$10.26 |
$10.26 |
$10.26 |
$94.00
|
|
Prednisone 1 mg tablet
|
$0.10 |
$0.10 |
$0.10 |
$2.88
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$127.80 |
$127.80 |
$127.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$95.23 |
$95.23 |
$95.23 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$89.89 |
$89.89 |
$89.89 |
$459.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$109.86 |
$109.86 |
$109.86 |
$161.40
|
|
Pretreat rbc absorption reference
|
$83.38 |
$83.38 |
$83.38 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$27.60 |
$27.60 |
$27.60 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$80.41 |
$80.41 |
$80.41 |
$168.50
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$79.92 |
$79.92 |
$79.92 |
$253.55
|
|
Probe cryo 1150mm endo flex ster disp
|
$11,205.59 |
$11,205.59 |
$11,205.59 |
$7,350.00
|
|
Procalcitonin
|
$39.14 |
$39.14 |
$39.14 |
$161.11
|
|
Progesterone
|
$11.97 |
$11.97 |
$11.97 |
$116.00
|
|
Prolactin
|
$11.21 |
$11.21 |
$11.21 |
$123.50
|
|
_propoxygc/msur
|
$10.64 |
$10.64 |
$10.64 |
$95.55
|
|
Prostate biopsy, any mthd
|
$196.55 |
$196.55 |
$196.55 |
$492.80
|
|
Protector nerve neurawrap 4cm
|
$1,432.14 |
$1,432.14 |
$1,432.14 |
$3,891.30
|
|
Protein c activity
|
$8.78 |
$8.78 |
$8.78 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$13.68 |
$13.68 |
$13.68 |
$84.00
|
|
Protein s total
|
$13.38 |
$13.38 |
$13.38 |
$85.10
|
|
Protein total 24 hour urine
|
$10.64 |
$10.64 |
$10.64 |
$52.50
|
|
Protein total body fluid
|
$10.64 |
$10.64 |
$10.64 |
$49.80
|
|
Protein total serum plasma whole blood
|
$10.64 |
$10.64 |
$10.64 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$12.12 |
$12.12 |
$12.12 |
$42.00
|
|
Pr removal intrauterine device
|
$98.06 |
$98.06 |
$98.06 |
$367.80
|
|
PSA (Prostate) Test
|
$10.64 |
$10.64 |
$10.64 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$12.38 |
$12.38 |
$12.38 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$35.30 |
$35.30 |
$35.30 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$24.77 |
$24.77 |
$24.77 |
$81.48
|
|
Pt repositioning canalith procedure(s) per day
|
$56.23 |
$56.23 |
$56.23 |
$118.20
|
|
Pt wheelchair management each 15 minutes
|
$32.68 |
$32.68 |
$32.68 |
$88.00
|
|
Punc of shunt for asp or inj
|
$179.55 |
$179.55 |
$179.55 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$43.79 |
$43.79 |
$43.79 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$112.67 |
$112.67 |
$112.67 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$239.97 |
$239.97 |
$239.97 |
$1,060.47
|
|
Pyruvate
|
$8.36 |
$8.36 |
$8.36 |
$66.00
|
|
Pyruvate kinase
|
$35.53 |
$35.53 |
$35.53 |
$78.95
|
|
Quest t3 uptake
|
$10.64 |
$10.64 |
$10.64 |
$53.20
|
|
Rapid Strep Test
|
$9.20 |
$9.20 |
$9.20 |
$76.00
|
|
Rbc count only automated
|
$2.09 |
$2.09 |
$2.09 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$255.25 |
$255.25 |
$255.25 |
$231.12
|
|
Recon, cta for surg plan
|
$382.51 |
$382.51 |
$382.51 |
$713.50
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$102.90 |
$102.90 |
$102.90 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$104.96 |
$104.96 |
$104.96 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$51.45 |
$51.45 |
$51.45 |
$534.15
|
|
Red blood cells washed each unit
|
$73.06 |
$73.06 |
$73.06 |
$583.68
|
|
Removal sutr and stapl no anes
|
$70.25 |
$70.25 |
$70.25 |
$82.05
|
|
Removal sutr or stapl no anes
|
$56.24 |
$56.24 |
$56.24 |
$93.88
|
|
Remove esophagus obstruction
|
$130.72 |
$130.72 |
$130.72 |
$560.00
|
|
Remove renal tube w/fluoro
|
$302.67 |
$302.67 |
$302.67 |
$1,172.80
|
|
Renal function panel
|
$51.30 |
$51.30 |
$51.30 |
$114.37
|
|
Reptilase test
|
$6.27 |
$6.27 |
$6.27 |
$72.15
|
|
#resp virpnl dfa-adenovirus
|
$8.10 |
$8.10 |
$8.10 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$9.20 |
$9.20 |
$9.20 |
$35.20
|
|
Resp virus 6-11 targets
|
$120.52 |
$120.52 |
$120.52 |
$479.20
|
|
Reticulated platelet assay
|
$33.44 |
$33.44 |
$33.44 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$11.91 |
$11.91 |
$11.91 |
$36.57
|
|
Rheumatoid factor qualitative
|
$21.07 |
$21.07 |
$21.07 |
$57.20
|
|
Rheumatoid factor quantitative
|
$16.56 |
$16.56 |
$16.56 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$62.89 |
$62.89 |
$62.89 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$87.78 |
$87.78 |
$87.78 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$64.41 |
$64.41 |
$64.41 |
$397.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$601.35 |
$601.35 |
$601.35 |
$2,173.60
|
|
Rsv assay w/optic
|
$7.36 |
$7.36 |
$7.36 |
$76.32
|
|
Rubella antibody igg
|
$16.86 |
$16.86 |
$16.86 |
$77.40
|
|
Rubeola antibody igg
|
$18.06 |
$18.06 |
$18.06 |
$80.00
|
|
Russell viper venom diluted
|
$12.54 |
$12.54 |
$12.54 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$586.67 |
$586.67 |
$586.67 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$68.78 |
$68.78 |
$68.78 |
$314.26
|
|
Salmonella antibody
|
$21.97 |
$21.97 |
$21.97 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$214.60 |
$214.60 |
$214.60 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$105.71 |
$105.71 |
$105.71 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$174.68 |
$174.68 |
$174.68 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$215.43 |
$215.43 |
$215.43 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$245.82 |
$245.82 |
$245.82 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$213.43 |
$213.43 |
$213.43 |
$597.35
|
|
Screw cortex 2.0 x 10mm
|
$28,012.70 |
$28,012.70 |
$28,012.70 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$127.09 |
$127.09 |
$127.09 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$1.88 |
$1.88 |
$1.88 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$37.95 |
$37.95 |
$37.95 |
$96.00
|
|
Semen analysis w/count
|
$4.78 |
$4.78 |
$4.78 |
$56.44
|
|
Sheath gldlight lasr 12fx50cm
|
$2,962.14 |
$2,962.14 |
$2,962.14 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$44.70 |
$44.70 |
$44.70 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$57.19 |
$57.19 |
$57.19 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$68.97 |
$68.97 |
$68.97 |
$286.89
|
|
Shoulder X-ray
|
$73.72 |
$73.72 |
$73.72 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$53.01 |
$53.01 |
$53.01 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$61.94 |
$61.94 |
$61.94 |
$355.80
|
|
Sialography s&i
|
$130.72 |
$130.72 |
$130.72 |
$499.20
|
|
Sickling rbc
|
$11.70 |
$11.70 |
$11.70 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$183.80 |
$183.80 |
$183.80 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$374.74 |
$374.74 |
$374.74 |
$1,796.30
|
