|
Pregnancy Ultrasound (complete, after first trimester)
|
$196.01 |
$196.01 |
$196.01 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$146.06 |
$146.06 |
$146.06 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$137.86 |
$137.86 |
$137.86 |
$459.00
|
|
Pressure velocity wire add ves
|
$407.21 |
$407.21 |
$407.21 |
$1,596.10
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$62.05 |
$62.05 |
$62.05 |
$161.40
|
|
Pretreat rbc absorption reference
|
$47.09 |
$47.09 |
$47.09 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$43.05 |
$43.05 |
$43.05 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$125.42 |
$125.42 |
$125.42 |
$168.50
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$428.85 |
$428.85 |
$428.85 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$5,503.71 |
$5,503.71 |
$5,503.71 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,512.42 |
$1,512.42 |
$1,512.42 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$356.85 |
$356.85 |
$356.85 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$247.05 |
$247.05 |
$247.05 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$266.85 |
$266.85 |
$266.85 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$153.18 |
$153.18 |
$153.18 |
$253.55
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,358.90 |
$4,358.90 |
$4,358.90 |
$7,350.00
|
|
Procalcitonin
|
$23.28 |
$23.28 |
$23.28 |
$161.11
|
|
Progesterone
|
$7.12 |
$7.12 |
$7.12 |
$116.00
|
|
Prolactin
|
$6.67 |
$6.67 |
$6.67 |
$123.50
|
|
_propoxygc/msur
|
$6.33 |
$6.33 |
$6.33 |
$95.55
|
|
Prostate biopsy, any mthd
|
$211.14 |
$211.14 |
$211.14 |
$492.80
|
|
Protein c activity
|
$8.90 |
$8.90 |
$8.90 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$8.14 |
$8.14 |
$8.14 |
$84.00
|
|
Protein s total
|
$13.57 |
$13.57 |
$13.57 |
$85.10
|
|
Protein total 24 hour urine
|
$6.67 |
$6.67 |
$6.67 |
$52.50
|
|
Protein total body fluid
|
$6.33 |
$6.33 |
$6.33 |
$49.80
|
|
Protein total serum plasma whole blood
|
$6.33 |
$6.33 |
$6.33 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$12.30 |
$12.30 |
$12.30 |
$42.00
|
|
Prq card angio/athrect addl
|
$2,573.96 |
$2,573.96 |
$2,573.96 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$1,701.16 |
$1,701.16 |
$1,701.16 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$2,692.39 |
$2,692.39 |
$2,692.39 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$3,589.72 |
$3,589.72 |
$3,589.72 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$4,487.18 |
$4,487.18 |
$4,487.18 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$2,689.57 |
$2,689.57 |
$2,689.57 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$2,397.99 |
$2,397.99 |
$2,397.99 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$3,197.32 |
$3,197.32 |
$3,197.32 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$2,397.99 |
$2,397.99 |
$2,397.99 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$3,197.32 |
$3,197.32 |
$3,197.32 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$3,586.05 |
$3,586.05 |
$3,586.05 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$2,268.13 |
$2,268.13 |
$2,268.13 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$3,431.94 |
$3,431.94 |
$3,431.94 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$3,589.72 |
$3,589.72 |
$3,589.72 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$191.41 |
$191.41 |
$191.41 |
$533.00
|
|
Pr removal intrauterine device
|
$103.29 |
$103.29 |
$103.29 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$341.82 |
$341.82 |
$341.82 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$245.70 |
$245.70 |
$245.70 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$256.05 |
$256.05 |
$256.05 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$215.10 |
$215.10 |
$215.10 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$243.45 |
$243.45 |
$243.45 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$577.27 |
$577.27 |
$577.27 |
$1,761.00
|
|
PSA (Prostate) Test
|
$6.33 |
$6.33 |
$6.33 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$9.33 |
$9.33 |
$9.33 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$35.10 |
$35.10 |
$35.10 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$21.96 |
$21.96 |
$21.96 |
$81.48
|
|
Pt application of modality traction mechanical
|
$18.51 |
$18.51 |
$18.51 |
$91.80
|
|
Pten gene full sequence
|
$284.40 |
$284.40 |
$284.40 |
$826.00
|
|
Pt repositioning canalith procedure(s) per day
|
$42.38 |
$42.38 |
$42.38 |
$118.20
|
|
Pt wheelchair management each 15 minutes
|
$28.98 |
$28.98 |
$28.98 |
$88.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$68.31 |
$68.31 |
$68.31 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$266.85 |
$266.85 |
$266.85 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$568.35 |
$568.35 |
$568.35 |
$1,060.47
|
|
Pyruvate
|
$4.97 |
$4.97 |
$4.97 |
$66.00
|
|
Pyruvate kinase
|
$21.13 |
$21.13 |
$21.13 |
$78.95
|
|
Quest t3 uptake
|
$6.33 |
$6.33 |
$6.33 |
$53.20
|
|
Radiation handling
|
$124.88 |
$124.88 |
$124.88 |
$324.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$323.28 |
$323.28 |
$323.28 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$687.73 |
$687.73 |
$687.73 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$742.89 |
$742.89 |
$742.89 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$405.82 |
$405.82 |
$405.82 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$214.73 |
$214.73 |
$214.73 |
$1,126.32
|
|
Range of motion measurements
|
$6.73 |
$6.73 |
$6.73 |
$64.50
|
|
Rapid Strep Test
|
$10.35 |
$10.35 |
$10.35 |
$76.00
|
|
Rbc count only automated
|
$2.12 |
$2.12 |
$2.12 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$144.16 |
$144.16 |
$144.16 |
$231.12
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$226.10 |
$226.10 |
$226.10 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$230.62 |
$230.62 |
$230.62 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$113.05 |
$113.05 |
$113.05 |
$534.15
|
|
Red blood cells washed each unit
|
$160.53 |
$160.53 |
$160.53 |
$583.68
|
|
Redo endovas vena cava filtr
|
$2,742.30 |
$2,742.30 |
$2,742.30 |
$4,545.10
|
|
Relocation skin pocket aicd
|
$1,322.68 |
$1,322.68 |
$1,322.68 |
$2,935.84
|
|
Relocation skin pocket pm
|
$1,246.78 |
$1,246.78 |
$1,246.78 |
$2,673.12
|
|
Rem endovas vena cava filter
|
$2,753.10 |
$2,753.10 |
$2,753.10 |
$5,509.05
|
|
Removal biliary drg cath
|
$582.81 |
$582.81 |
$582.81 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$474.78 |
$474.78 |
$474.78 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$655.10 |
$655.10 |
$655.10 |
$2,421.09
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$98.10 |
$98.10 |
$98.10 |
$255.97
|
|
Removal duct glbldr calculi
|
$1,101.35 |
$1,101.35 |
$1,101.35 |
$2,771.60
|
|
Removal/replacement ppm generator dual lead system
|
$5,093.20 |
$5,093.20 |
$5,093.20 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$147.60 |
$147.60 |
$147.60 |
$292.50
|
|
Removal sutr and stapl no anes
|
$153.45 |
$153.45 |
$153.45 |
$82.05
|
|
Removal sutr or stapl no anes
|
$122.85 |
$122.85 |
$122.85 |
$93.88
|
|
Removal tunnled intprtnl cath
|
$1,135.42 |
$1,135.42 |
$1,135.42 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$98.04 |
$98.04 |
$98.04 |
$494.00
|
|
Remove renal tube w/fluoro
|
$441.26 |
$441.26 |
$441.26 |
$1,172.80
|
|
Remove ureter stent percut
|
$1,654.52 |
$1,654.52 |
$1,654.52 |
$3,640.89
|
|
Renal function panel
|
$30.51 |
$30.51 |
$30.51 |
$114.37
|
|
Renal venogram bil s&i
|
$944.50 |
$944.50 |
$944.50 |
$3,615.28
|
|
Replace duod/jej tube perc
|
$344.86 |
$344.86 |
$344.86 |
$1,357.60
|
|
Replace g/c tube perc
|
$254.84 |
$254.84 |
$254.84 |
$1,366.30
|