|
Prep skin to 100cm2 other
|
$422.10 |
$422.10 |
$422.10 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,530.90 |
$1,530.90 |
$1,530.90 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$610.05 |
$610.05 |
$610.05 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$85.05 |
$85.05 |
$85.05 |
$253.00
|
|
Pressure velocity wire add ves
|
$592.20 |
$592.20 |
$592.20 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$16.80 |
$16.80 |
$16.80 |
$141.00
|
|
Pretreat rbc absorption reference
|
$33.43 |
$33.43 |
$33.43 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$32.13 |
$32.13 |
$32.13 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$24.28 |
$24.28 |
$24.28 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$5.95 |
$5.95 |
$5.95 |
$166.10
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,558.90 |
$1,558.90 |
$1,558.90 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$602.00 |
$602.00 |
$602.00 |
$827.94
|
|
Prgr stim/pace a/iv drug
|
$980.00 |
$980.00 |
$980.00 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$16,590.35 |
$16,590.35 |
$16,590.35 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,627.65 |
$5,627.65 |
$5,627.65 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$602.00 |
$602.00 |
$602.00 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$602.00 |
$602.00 |
$602.00 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$602.00 |
$602.00 |
$602.00 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$602.00 |
$602.00 |
$602.00 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$7,350.00 |
$7,350.00 |
$7,350.00 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$181.09 |
$181.09 |
$181.09 |
$546.07
|
|
Procalcitonin
|
$109.20 |
$109.20 |
$109.20 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$34.75 |
$34.75 |
$34.75 |
$44.76
|
|
Proctosigmoidoscopy dx 45300
|
$726.25 |
$726.25 |
$726.25 |
$1,073.68
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,128.75 |
$1,128.75 |
$1,128.75 |
$3,245.23
|
|
Progesterone
|
$109.20 |
$109.20 |
$109.20 |
$105.00
|
|
Prolactin
|
$113.75 |
$113.75 |
$113.75 |
$127.50
|
|
Promethazine 25 mg tablet
|
$0.61 |
$0.61 |
$0.61 |
$7.01
|
|
Promethazine hcl injection
|
$33.17 |
$33.17 |
$33.17 |
$23.45
|
|
Propofol infusion 10 mg/ml
|
$39.59 |
$39.59 |
$39.59 |
$71.09
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$33.31 |
$33.31 |
$33.31 |
$35.22
|
|
Prosthesis voc advantage 20f 14mm
|
$774.97 |
$774.97 |
$774.97 |
$961.35
|
|
Protamine 10 mg/ml intravenous solution
|
$33.33 |
$33.33 |
$33.33 |
$60.98
|
|
Protector nerve neurawrap 4cm
|
$3,314.97 |
$3,314.97 |
$3,314.97 |
$3,580.71
|
|
Protein electrophoretic fractionation & quantitation serum
|
$274.75 |
$274.75 |
$274.75 |
$85.20
|
|
Protein total 24 hour urine
|
$65.10 |
$65.10 |
$65.10 |
$52.50
|
|
Protein total body fluid
|
$65.10 |
$65.10 |
$65.10 |
$52.57
|
|
Protein total serum plasma whole blood
|
$37.80 |
$37.80 |
$37.80 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$82.95 |
$82.95 |
$82.95 |
$37.05
|
|
Prq cardiac angio addl art
|
$2,726.15 |
$2,726.15 |
$2,726.15 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$3,959.55 |
$3,959.55 |
$3,959.55 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$8,416.80 |
$8,416.80 |
$8,416.80 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$8,416.80 |
$8,416.80 |
$8,416.80 |
$20,854.53
|
|
Prq card stent w/angio addl
|
$3,771.95 |
$3,771.95 |
$3,771.95 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$8,034.60 |
$8,034.60 |
$8,034.60 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$3,959.55 |
$3,959.55 |
$3,959.55 |
$11,251.88
|
|
Prq skel fix sprcndlr hum fx
|
$4,544.05 |
$4,544.05 |
$4,544.05 |
$6,731.17
|
|
Prq tcat plmt ntrac st 1 les
|
$7,652.05 |
$7,652.05 |
$7,652.05 |
$13,419.98
|
|
Prq tcat plmt ntrac st 2+les
|
$3,771.95 |
$3,771.95 |
$3,771.95 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$7,652.05 |
$7,652.05 |
$7,652.05 |
$18,127.95
|
|
Prq trl rvs ch occ ant&rtrgr
|
$8,416.80 |
$8,416.80 |
$8,416.80 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$5,315.10 |
$5,315.10 |
$5,315.10 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$5,315.10 |
$5,315.10 |
$5,315.10 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$5,335.75 |
$5,335.75 |
$5,335.75 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$523.25 |
$523.25 |
$523.25 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$443.80 |
$443.80 |
$443.80 |
$280.79
|
|
Pr removal intrauterine device
|
$523.25 |
$523.25 |
$523.25 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$602.00 |
$602.00 |
$602.00 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$602.00 |
$602.00 |
$602.00 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$602.00 |
$602.00 |
$602.00 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$602.00 |
$602.00 |
$602.00 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$602.00 |
$602.00 |
$602.00 |
$422.00
|
|
Pr robotic surgical system
|
$0.35 |
$0.35 |
$0.35 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,437.70 |
$3,437.70 |
$3,437.70 |
$1,790.60
|
|
PSA (Prostate) Test
|
$54.95 |
$54.95 |
$54.95 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$63.00 |
$63.00 |
$63.00 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$82.55
|
|
Pt application of modality traction mechanical
|
$80.85 |
$80.85 |
$80.85 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$333.55 |
$333.55 |
$333.55 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$302.40 |
$302.40 |
$302.40 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$317.45 |
$317.45 |
$317.45 |
$263.90
|
|
Pt re-evaluation patient/family
|
$302.40 |
$302.40 |
$302.40 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$629.30 |
$629.30 |
$629.30 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$89.60 |
$89.60 |
$89.60 |
$85.00
|
|
Pulse ox continuous overnight monitoring
|
$155.40 |
$155.40 |
$155.40 |
$368.00
|
|
Pulse ox multiple
|
$18.55 |
$18.55 |
$18.55 |
$194.33
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$728.88 |
$728.88 |
$728.88 |
$898.88
|
|
Punc of shunt for asp or inj
|
$779.10 |
$779.10 |
$779.10 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$106.75 |
$106.75 |
$106.75 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$966.70 |
$966.70 |
$966.70 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$783.30 |
$783.30 |
$783.30 |
$1,134.64
|
|
Puraply 1 sq cm
|
$8,176.14 |
$8,176.14 |
$8,176.14 |
$8,176.14
|
|
Pyridoxine hcl 100 mg
|
$43.51 |
$43.51 |
$43.51 |
$43.51
|
|
Quant diff pulm perf and vent w/imaging
|
$1,389.85 |
$1,389.85 |
$1,389.85 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$1,209.44
|
|
Quest t3 uptake
|
$131.60 |
$131.60 |
$131.60 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,748.40 |
$1,748.40 |
$1,748.40 |
$3,213.80
|
|
Radiation handling
|
$1,591.10 |
$1,591.10 |
$1,591.10 |
$331.89
|
|
Radiation physics consult
|
$587.65 |
$587.65 |
$587.65 |
$574.75
|
|
Radiation therapy dose plan
|
$1,566.25 |
$1,566.25 |
$1,566.25 |
$530.53
|
|
Radiation treatment aid(s)
|
$654.15 |
$654.15 |
$654.15 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,089.20 |
$1,089.20 |
$1,089.20 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,510.95 |
$1,510.95 |
$1,510.95 |
$1,103.09
|
|
Radiation treatment delivery
|
$357.70 |
$357.70 |
$357.70 |
$257.01
|
|
Radiation treatment delivery
|
$487.55 |
$487.55 |
$487.55 |
$552.40
|
