|
Prcrd drg 0-5yr or w/anomly
|
$1,707.21 |
$1,707.21 |
$1,707.21 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$1,707.21 |
$1,707.21 |
$1,707.21 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$106.58 |
$106.58 |
$106.58 |
$356.40
|
|
Prealbumin
|
$112.16 |
$112.16 |
$112.16 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$7.82 |
$7.82 |
$7.82 |
$13.32
|
|
Prednisone 1 mg tablet
|
$1.12 |
$1.12 |
$1.12 |
$3.41
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$528.71 |
$528.71 |
$528.71 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$433.57 |
$433.57 |
$433.57 |
$541.45
|
|
Pressure max expiratory/inspiratory
|
$94.31 |
$94.31 |
$94.31 |
$253.00
|
|
Pressure velocity wire add ves
|
$1,618.20 |
$1,618.20 |
$1,618.20 |
$1,595.78
|
|
Pretreat rbc w chem/drugs reference
|
$58.32 |
$58.32 |
$58.32 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$83.98 |
$83.98 |
$83.98 |
$166.10
|
|
Prgrmg dev eval pm/ldls pm
|
$159.87 |
$159.87 |
$159.87 |
$139.10
|
|
Prgr stim/pace a/iv drug
|
$931.59 |
$931.59 |
$931.59 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$6,386.31 |
$6,386.31 |
$6,386.31 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,799.43 |
$3,799.43 |
$3,799.43 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$733.22 |
$733.22 |
$733.22 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$366.61 |
$366.61 |
$366.61 |
$438.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$136.16 |
$136.16 |
$136.16 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,513.88 |
$5,513.88 |
$5,513.88 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$73.94 |
$73.94 |
$73.94 |
$546.07
|
|
Procalcitonin
|
$126.95 |
$126.95 |
$126.95 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$24.00 |
$24.00 |
$24.00 |
$44.76
|
|
Progesterone
|
$120.53 |
$120.53 |
$120.53 |
$105.00
|
|
Prolactin
|
$140.62 |
$140.62 |
$140.62 |
$127.50
|
|
Prolonged IV inf, req pump
|
$251.94 |
$251.94 |
$251.94 |
$500.12
|
|
Propofol infusion 10 mg/ml
|
$36.83 |
$36.83 |
$36.83 |
$71.09
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$10.61 |
$10.61 |
$10.61 |
$35.22
|
|
Protamine 10 mg/ml intravenous solution
|
$35.16 |
$35.16 |
$35.16 |
$60.98
|
|
Protein c activity
|
$6.70 |
$6.70 |
$6.70 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$138.11 |
$138.11 |
$138.11 |
$85.20
|
|
Protein s total
|
$177.73 |
$177.73 |
$177.73 |
$78.87
|
|
Protein total 24 hour urine
|
$137.55 |
$137.55 |
$137.55 |
$52.50
|
|
Protein total body fluid
|
$128.07 |
$128.07 |
$128.07 |
$52.57
|
|
Protein total serum plasma whole blood
|
$94.59 |
$94.59 |
$94.59 |
$42.81
|
|
Prothrombin complex kcentra
|
$3.91 |
$3.91 |
$3.91 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$54.13 |
$54.13 |
$54.13 |
$37.05
|
|
Prq card angio/athrect addl
|
$11,245.94 |
$11,245.94 |
$11,245.94 |
$9,672.00
|
|
Prq cardiac angio addl art
|
$5,574.15 |
$5,574.15 |
$5,574.15 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$8,116.95 |
$8,116.95 |
$8,116.95 |
$12,141.09
|
|
Prq card stent/ath/angio
|
$8,116.95 |
$8,116.95 |
$8,116.95 |
$9,161.65
|
|
Prq card stent w/angio addl
|
$8,116.95 |
$8,116.95 |
$8,116.95 |
$9,180.60
|
|
Prq revasc byp graft addl
|
$8,116.95 |
$8,116.95 |
$8,116.95 |
$11,251.88
|
|
Pr tube thoracostomy w/connection to drainage open
|
$786.23 |
$786.23 |
$786.23 |
$1,790.60
|
|
PSA (Prostate) Test
|
$150.11 |
$150.11 |
$150.11 |
$109.35
|
|
Psychotherapy group therapy
|
$219.86 |
$219.86 |
$219.86 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$275.94 |
$275.94 |
$275.94 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$367.17 |
$367.17 |
$367.17 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$549.08 |
$549.08 |
$549.08 |
$294.45
|
|
Psych test eval svc phys/qhp 1st hr
|
$147.04 |
$147.04 |
$147.04 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$147.04 |
$147.04 |
$147.04 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$585.90 |
$585.90 |
$585.90 |
$164.45
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$119.14 |
$119.14 |
$119.14 |
$203.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$73.66 |
$73.66 |
$73.66 |
$153.75
|
|
Pten gene full sequence
|
$40.61 |
$40.61 |
$40.61 |
$660.00
|
|
Pt repositioning canalith procedure(s) per day
|
$80.08 |
$80.08 |
$80.08 |
$123.92
|
|
Pul art balloon repr percut
|
$4,323.67 |
$4,323.67 |
$4,323.67 |
$10,651.06
|
|
Pul art balloon repr percut
|
$2,851.38 |
$2,851.38 |
$2,851.38 |
$4,144.17
|
|
Pulmonary vent imaging
|
$785.67 |
$785.67 |
$785.67 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$379.44 |
$379.44 |
$379.44 |
$368.00
|
|
Pulse ox multiple
|
$75.89 |
$75.89 |
$75.89 |
$194.33
|
|
Pulse ox single
|
$49.11 |
$49.11 |
$49.11 |
$88.63
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$876.62 |
$876.62 |
$876.62 |
$842.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$65.01 |
$65.01 |
$65.01 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$268.40 |
$268.40 |
$268.40 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$425.76 |
$425.76 |
$425.76 |
$1,134.64
|
|
Pyridoxine hcl 100 mg
|
$12.28 |
$12.28 |
$12.28 |
$43.51
|
|
Pyruvate
|
$6.89 |
$6.89 |
$6.89 |
$65.00
|
|
Pyruvate kinase
|
$9.77 |
$9.77 |
$9.77 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$978.46 |
$978.46 |
$978.46 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$636.12 |
$636.12 |
$636.12 |
$1,209.44
|
|
Quest t3 uptake
|
$69.75 |
$69.75 |
$69.75 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$2,495.94 |
$2,495.94 |
$2,495.94 |
$3,213.80
|
|
Radiation handling
|
$65.29 |
$65.29 |
$65.29 |
$331.89
|
|
Radiation physics consult
|
$445.29 |
$445.29 |
$445.29 |
$574.75
|
|
Radiation therapy dose plan
|
$291.56 |
$291.56 |
$291.56 |
$530.53
|
|
Radiation treatment aid(s)
|
$297.14 |
$297.14 |
$297.14 |
$541.45
|
|
Radiation treatment aid(s)
|
$539.03 |
$539.03 |
$539.03 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,100.38 |
$1,100.38 |
$1,100.38 |
$1,103.09
|
|
Radiation treatment delivery
|
$465.93 |
$465.93 |
$465.93 |
$552.40
|
|
Radiation treatment delivery
|
$690.53 |
$690.53 |
$690.53 |
$909.98
|
|
Radiology port images(s)
|
$141.74 |
$141.74 |
$141.74 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$5,927.92 |
$5,927.92 |
$5,927.92 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,340.88 |
$1,340.88 |
$1,340.88 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,352.53 |
$2,352.53 |
$2,352.53 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,293.73 |
$1,293.73 |
$1,293.73 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,411.47 |
$1,411.47 |
$1,411.47 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$799.90 |
$799.90 |
$799.90 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$1,293.73 |
$1,293.73 |
$1,293.73 |
$678.81
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$3,927.21 |
$3,927.21 |
$3,927.21 |
$9,831.50
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,403.87 |
$2,403.87 |
$2,403.87 |
$2,789.64
|
|
Rbc count only automated
|
$12.84 |
$12.84 |
$12.84 |
$20.00
|
|
Rbc deglycerolized each unit
|
$289.89 |
$289.89 |
$289.89 |
$841.75
|
|
Rbc irradiated each unit
|
$160.15 |
$160.15 |
$160.15 |
$490.75
|
|
Rbc osmotic fragility
|
$17.86 |
$17.86 |
$17.86 |
$65.52
|
|
Red blood cells each unit
|
$126.67 |
$126.67 |
$126.67 |
$389.40
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$289.89 |
$289.89 |
$289.89 |
$850.85
|
|
Red blood cells leukocytes reduced each unit
|
$160.15 |
$160.15 |
$160.15 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$160.15 |
$160.15 |
$160.15 |
$534.15
|
|
Red blood cells washed each unit
|
$222.65 |
$222.65 |
$222.65 |
$583.68
|