|
Proctosigmoidoscopy dx 45300
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$1,078.88
|
|
Progenamatrix, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Progesterone
|
$43.55 |
$43.55 |
$43.55 |
$116.00
|
|
Prolactin
|
$425.10 |
$425.10 |
$1,466.00 |
$123.50
|
|
Promethazine 25 mg tablet
|
$66.00 |
$66.00 |
$66.00 |
$3.83
|
|
Promethazine hcl injection
|
$32.50 |
$32.50 |
$32.50 |
$12.37
|
|
Propofol infusion 10 mg/ml
|
$165.75 |
$165.75 |
$165.75 |
$73.36
|
|
_propoxygc/msur
|
$652.00 |
$652.00 |
$652.00 |
$95.55
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$96.85 |
$96.85 |
$96.85 |
$33.31
|
|
Prostatic rf thermotx
|
$9,611.55 |
$9,611.55 |
$9,611.55 |
$4,846.99
|
|
Prosthesis voc advantage 20f 14mm
|
$961.35 |
$961.35 |
$961.35 |
$1,088.12
|
|
Protamine 10 mg/ml intravenous solution
|
$443.30 |
$443.30 |
$443.30 |
$56.70
|
|
Protector nerve neurawrap 4cm
|
$11,696.75 |
$11,696.75 |
$11,696.75 |
$3,891.30
|
|
Protein c activity
|
$427.05 |
$427.05 |
$6,071.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$406.25 |
$406.25 |
$1,630.00 |
$84.00
|
|
Protein s total
|
$33.80 |
$33.80 |
$386.00 |
$85.10
|
|
Protein total 24 hour urine
|
$160.55 |
$160.55 |
$905.00 |
$52.50
|
|
Protein total body fluid
|
$111.80 |
$111.80 |
$111.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$54.60 |
$54.60 |
$988.00 |
$43.00
|
|
Prothrombin complex kcentra
|
$13.00 |
$13.00 |
$13.00 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$635.05 |
$635.05 |
$1,920.00 |
$42.00
|
|
Proton treatment complex
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$5,876.00
|
|
Proton trmt intermediate
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$4,402.28
|
|
Proton trmt simple w/comp
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$3,826.55
|
|
Proton trmt simple without comp
|
$2,804.10 |
$2,804.10 |
$2,804.10 |
$2,804.10
|
|
Prq av fstl crtj uxtr 1 acs
|
$52,691.60 |
$52,691.60 |
$52,691.60 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$52,691.60 |
$52,691.60 |
$52,691.60 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$17,275.05 |
$17,275.05 |
$17,275.05 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$9,964.50 |
$9,964.50 |
$9,964.50 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$14,557.40 |
$14,557.40 |
$14,557.40 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$32,326.45 |
$32,326.45 |
$32,326.45 |
$14,817.50
|
|
Prq card stent/ath/angio
|
$15,137.20 |
$15,137.20 |
$15,137.20 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$16,163.55 |
$16,163.55 |
$16,163.55 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$32,326.45 |
$32,326.45 |
$32,326.45 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$16,319.55 |
$16,319.55 |
$16,319.55 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$29,387.15 |
$29,387.15 |
$29,387.15 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$32,326.45 |
$32,326.45 |
$32,326.45 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$18,118.10 |
$18,118.10 |
$18,118.10 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$34,546.85 |
$34,546.85 |
$34,546.85 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$32,326.45 |
$32,326.45 |
$32,326.45 |
$15,349.60
|
|
Pr removal intrauterine device
|
$992.55 |
$992.55 |
$992.55 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$196.30 |
$196.30 |
$196.30 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$196.30 |
$196.30 |
$196.30 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$575.90 |
$575.90 |
$575.90 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$575.90 |
$575.90 |
$575.90 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,614.65 |
$3,614.65 |
$3,614.65 |
$1,761.00
|
|
PSA (Prostate) Test
|
$313.30 |
$313.30 |
$632.00 |
$107.50
|
|
Psychoanalysis
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$250.85
|
|
Psychotherapy group therapy
|
$559.00 |
$559.00 |
$559.00 |
$225.39
|
|
Psychotherapy patient individual therapy 30 minutes
|
$418.60 |
$418.60 |
$763.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$418.60 |
$418.60 |
$1,009.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$418.60 |
$418.60 |
$418.60 |
$287.95
|
|
Psytx pt w/e&m 16-37 min
|
$418.60 |
$418.60 |
$418.60 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$418.60 |
$418.60 |
$418.60 |
$170.50
|
|
Psytx pt w/e&m 53+ min
|
$418.60 |
$418.60 |
$418.60 |
$236.32
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$196.95 |
$196.95 |
$196.95 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$176.80 |
$176.80 |
$176.80 |
$81.48
|
|
Pt application of modality traction mechanical
|
$160.55 |
$160.55 |
$1,144.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$868.00 |
$868.00 |
$868.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$147.55 |
$147.55 |
$147.55 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$188.50 |
$188.50 |
$188.50 |
$88.00
|
|
Pul art balloon repr percut
|
$14,292.85 |
$14,292.85 |
$14,292.85 |
$9,760.40
|
|
Pul art balloon repr percut
|
$14,292.85 |
$14,292.85 |
$14,292.85 |
$3,766.10
|
|
Pulm endartercomy w/bypass 33916
|
$5,105.10 |
$5,105.10 |
$5,105.10 |
$5,881.45
|
|
Pulmonary vent imaging
|
$1,736.80 |
$1,736.80 |
$7,650.00 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$347.11
|
|
Pulse ox multiple
|
$445.25 |
$445.25 |
$445.25 |
$157.30
|
|
Pulse ox single
|
$86.00 |
$86.00 |
$86.00 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$322.40 |
$322.40 |
$322.40 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$566.15 |
$566.15 |
$566.15 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$911.95 |
$911.95 |
$911.95 |
$1,060.47
|
|
Puraply 1 sq cm
|
$1.00 |
$25,043.20 |
$25,043.20 |
$301.80
|
|
Puraply xt 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$151.20
|
|
Pyridoxine hcl 100 mg
|
$106.00 |
$178.10 |
$178.10 |
$49.08
|
|
Pyruvate
|
$14.30 |
$14.30 |
$14.30 |
$66.00
|
|
Pyruvate kinase
|
$118.95 |
$118.95 |
$401.00 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$5,587.40 |
$5,587.40 |
$7,684.00 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$3,835.65 |
$3,835.65 |
$6,590.00 |
$1,199.16
|
|
Quest t3 uptake
|
$12.35 |
$12.35 |
$1,371.00 |
$53.20
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,291.55 |
$1,291.55 |
$1,291.55 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$5,893.55 |
$5,893.55 |
$5,893.55 |
$2,658.73
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,197.95 |
$1,197.95 |
$1,197.95 |
$4,017.00
|
|
Radiation handling
|
$582.40 |
$582.40 |
$582.40 |
$324.80
|
|
Radiation physics consult
|
$793.65 |
$793.65 |
$793.65 |
$610.68
|
|
Radiation therapy dose plan
|
$1,367.60 |
$1,367.60 |
$1,367.60 |
$518.76
|
|
Radiation treatment aid(s)
|
$966.55 |
$966.55 |
$966.55 |
$526.80
|
|
Radiation treatment aid(s)
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,407.90 |
$1,407.90 |
$1,407.90 |
$1,100.38
|
|
Radiation treatment delivery
|
$412.75 |
$412.75 |
$412.75 |
$245.50
|
|
Radiation treatment delivery
|
$988.65 |
$988.65 |
$2,191.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,389.70 |
$1,389.70 |
$4,000.00 |
$921.00
|
|
Radic resect abd tumor<5cm 22904
|
$7,014.15 |
$7,014.15 |
$7,014.15 |
$3,786.00
|
|
Radiology port images(s)
|
$378.30 |
$378.30 |
$989.00 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$5,876.00 |
$5,876.00 |
$9,675.00 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$157.95 |
$157.95 |
$157.95 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,043.00 |
$4,043.00 |
$9,974.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,043.00 |
$4,043.00 |
$8,013.00 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,152.20 |
$4,152.20 |
$4,152.20 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,182.75 |
$4,182.75 |
$7,893.00 |
$2,242.80
|
