|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,339.04 |
$1,339.04 |
$1,339.04 |
$3,049.20
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,339.04 |
$1,339.04 |
$1,339.04 |
$4,680.77
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,896.16 |
$1,896.16 |
$1,896.16 |
$4,811.54
|
|
Pr application of long arm splint
|
$129.28 |
$129.28 |
$129.28 |
$328.78
|
|
Pr application splint static short arm
|
$129.12 |
$129.12 |
$129.12 |
$287.70
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$19.20 |
$19.20 |
$19.20 |
$48.60
|
|
Prcrd drg 6+yr without anomly
|
$858.40 |
$858.40 |
$858.40 |
$2,308.80
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$1,929.28 |
$1,929.28 |
$1,929.28 |
$4,881.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$116.32 |
$116.32 |
$116.32 |
$350.98
|
|
Prealbumin
|
$59.52 |
$59.52 |
$59.52 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.26 |
$4.26 |
$4.26 |
$14.63
|
|
Prednisone 1 mg tablet
|
$1.28 |
$1.28 |
$1.28 |
$3.00
|
|
Pregabalin - sendout
|
$11.00 |
$11.00 |
$11.00 |
$72.14
|
|
Pregnancy associated plasma protein-a
|
$2.14 |
$2.14 |
$2.14 |
$75.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$321.12 |
$321.12 |
$321.12 |
$598.10
|
|
Pregnancy Ultrasound (first trimester)
|
$249.76 |
$249.76 |
$249.76 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$59.84 |
$59.84 |
$59.84 |
$233.40
|
|
Pressure velocity wire add ves
|
$110.56 |
$110.56 |
$110.56 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$72.00 |
$72.00 |
$72.00 |
$152.85
|
|
Pretreat rbc absorption reference
|
$30.40 |
$30.40 |
$30.40 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$35.20 |
$35.20 |
$35.20 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$27.90 |
$27.90 |
$27.90 |
$112.45
|
|
Pretreat rbc w enzyme reference
|
$67.04 |
$67.04 |
$67.04 |
$165.50
|
|
Prgrmg dev eval pm/ldls pm
|
$238.56 |
$238.56 |
$238.56 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$333.44 |
$333.44 |
$333.44 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$382.24 |
$382.24 |
$382.24 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$430.08 |
$430.08 |
$430.08 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$1,054.56 |
$1,054.56 |
$1,054.56 |
$4,888.00
|
|
Prim art mech thrmbc non-intracranial
|
$4,563.20 |
$4,563.20 |
$4,563.20 |
$9,515.00
|
|
Prim art mech thrmbc non-intracranial add-on
|
$313.92 |
$313.92 |
$313.92 |
$3,799.43
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$89.76 |
$89.76 |
$89.76 |
$256.27
|
|
Procalcitonin
|
$66.40 |
$66.40 |
$66.40 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$10.25 |
$10.25 |
$10.25 |
$36.35
|
|
Progesterone
|
$59.20 |
$59.20 |
$59.20 |
$117.48
|
|
Prolactin
|
$54.56 |
$54.56 |
$54.56 |
$124.15
|
|
Promethazine hcl injection
|
$6.80 |
$6.80 |
$6.80 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$43.16 |
$43.16 |
$43.16 |
$73.36
|
|
_propoxygc/msur
|
$24.16 |
$24.16 |
$24.16 |
$85.14
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$16.53 |
$16.53 |
$16.53 |
$32.75
|
|
Protamine 10 mg/ml intravenous solution
|
$76.19 |
$76.19 |
$76.19 |
$57.62
|
|
Protein c activity
|
$1.97 |
$1.97 |
$1.97 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$36.64 |
$36.64 |
$36.64 |
$81.60
|
|
Protein s total
|
$1.65 |
$1.65 |
$1.65 |
$78.77
|
|
Protein total 24 hour urine
|
$46.72 |
$46.72 |
$46.72 |
$52.50
|
|
Protein total body fluid
|
$14.72 |
$14.72 |
$14.72 |
$50.94
|
|
Protein total serum plasma whole blood
|
$33.12 |
$33.12 |
$33.12 |
$43.00
|
|
Prothrombin complex kcentra
|
$2.34 |
$2.34 |
$2.34 |
$7.63
|
|
Prothrombin time substitution plasma fractions each
|
$59.84 |
$59.84 |
$59.84 |
$42.00
|
|
Prq card revasc mi 1 vsl
|
$5,775.20 |
$5,775.20 |
$5,775.20 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$7,031.84 |
$7,031.84 |
$7,031.84 |
$18,281.20
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,661.28 |
$5,661.28 |
$5,661.28 |
$12,920.31
|
|
Prq tcat plmt ntrac st 1 les
|
$5,661.28 |
$5,661.28 |
$5,661.28 |
$13,419.98
|
|
Prq tcat plmt ntrac st 2+les
|
$14,982.88 |
$14,982.88 |
$14,982.88 |
$25,206.69
|
|
Prq trluml c angiop 1art&/br
|
$3,637.28 |
$3,637.28 |
$3,637.28 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,313.28 |
$7,313.28 |
$7,313.28 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$5,661.28 |
$5,661.28 |
$5,661.28 |
$15,411.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$156.80 |
$156.80 |
$156.80 |
$374.23
|
|
PSA (Prostate) Test
|
$59.84 |
$59.84 |
$59.84 |
$108.29
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$43.68 |
$43.68 |
$43.68 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$14.88 |
$14.88 |
$14.88 |
$35.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$48.32 |
$48.32 |
$48.32 |
$80.40
|
|
Pt application of modality traction mechanical
|
$52.00 |
$52.00 |
$52.00 |
$87.00
|
|
Pten gene dup/delet variant
|
$29.16 |
$29.16 |
$29.16 |
$330.00
|
|
Pten gene full sequence
|
$58.72 |
$58.72 |
$58.72 |
$828.00
|
|
Pten gene known fam variant
|
$6.09 |
$6.09 |
$6.09 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$140.64 |
$140.64 |
$140.64 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$131.04 |
$131.04 |
$131.04 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$135.84 |
$135.84 |
$135.84 |
$250.25
|
|
Pt prgrm for implt neurostim
|
$1,194.08 |
$1,194.08 |
$1,194.08 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$123.52 |
$123.52 |
$123.52 |
$152.40
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$48.96 |
$48.96 |
$48.96 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$36.80 |
$36.80 |
$36.80 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$34.88 |
$34.88 |
$34.88 |
$87.12
|
|
Pul art balloon repr percut
|
$2,381.76 |
$2,381.76 |
$2,381.76 |
$10,367.50
|
|
Pul art balloon repr percut
|
$1,609.76 |
$1,609.76 |
$1,609.76 |
$4,406.25
|
|
Pulmonary vent imaging
|
$514.72 |
$514.72 |
$514.72 |
$893.20
|
|
Pulse ox continuous overnight monitoring
|
$151.20 |
$151.20 |
$151.20 |
$350.40
|
|
Pulse ox multiple
|
$71.04 |
$71.04 |
$71.04 |
$169.20
|
|
Pulse ox single
|
$34.40 |
$34.40 |
$34.40 |
$85.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$36.80 |
$36.80 |
$36.80 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$177.76 |
$177.76 |
$177.76 |
$509.60
|
|
Puncture spinal lumbar diagnostic
|
$320.00 |
$320.00 |
$320.00 |
$1,082.90
|
|
Pyruvate
|
$1.85 |
$1.85 |
$1.85 |
$66.00
|
|
Pyruvate kinase
|
$1.34 |
$1.34 |
$1.34 |
$84.50
|
|
Quest t3 uptake
|
$44.00 |
$44.00 |
$44.00 |
$55.00
|
|
Rabies ig ht&sol human im/sc
|
$489.13 |
$489.13 |
$489.13 |
$2,997.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$491.62 |
$491.62 |
$491.62 |
$4,209.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$861.76 |
$861.76 |
$861.76 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,023.84 |
$1,023.84 |
$1,023.84 |
$2,736.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$593.60 |
$593.60 |
$593.60 |
$2,289.50
|
|
Radphm lcl tumor plr sgl day
|
$477.12 |
$477.12 |
$477.12 |
$1,120.40
|
|
Rapid Strep Test
|
$63.36 |
$63.36 |
$63.36 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$871.43 |
$871.43 |
$871.43 |
$4,782.24
|
|
Rbc count only automated
|
$0.43 |
$0.43 |
$0.43 |
$20.40
|
|
Rbc deglycerolized each unit
|
$171.49 |
$171.49 |
$171.49 |
$773.61
|
|
Rbc osmotic fragility
|
$11.64 |
$11.64 |
$11.64 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$22.08 |
$22.08 |
$22.08 |
$252.45
|
|
Red blood cells each unit
|
$54.48 |
$54.48 |
$54.48 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$66.48 |
$66.48 |
$66.48 |
$434.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$73.47 |
$73.47 |
$73.47 |
$523.83
|