|
Protein total serum plasma whole blood
|
$128.00 |
$128.00 |
$1,005.35 |
$42.81
|
|
Prothrombin complex kcentra
|
$13.00 |
$13.00 |
$13.00 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$40.20 |
$47.85 |
$318.00 |
$37.05
|
|
Provox xtraflange 17fr
|
$606.00 |
$606.00 |
$606.00 |
$84.23
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$92.00 |
$92.00 |
$92.00 |
$61.60
|
|
Prq cardiac angio addl art
|
$21,053.00 |
$21,053.00 |
$21,053.00 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$20,854.53
|
|
Prq card stent w/angio addl
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$26,237.00 |
$26,237.00 |
$26,237.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$41,970.00 |
$41,970.00 |
$41,970.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$593.00 |
$593.00 |
$593.00 |
$280.79
|
|
Pr removal intrauterine device
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$751.00 |
$751.00 |
$751.00 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$751.00 |
$751.00 |
$751.00 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$800.00 |
$800.00 |
$800.00 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$800.00 |
$800.00 |
$800.00 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$10,645.00 |
$10,645.00 |
$10,645.00 |
$2,753.28
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,010.00 |
$3,010.00 |
$3,010.00 |
$1,790.60
|
|
PSA (Prostate) Test
|
$504.00 |
$504.00 |
$504.00 |
$109.35
|
|
Psychotherapy group therapy
|
$450.00 |
$450.00 |
$487.65 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$626.35 |
$626.35 |
$971.00 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$388.00 |
$388.00 |
$728.00 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$524.00 |
$524.00 |
$524.00 |
$294.45
|
|
Psych test eval svc phys/qhp 1st hr
|
$864.00 |
$864.00 |
$864.00 |
$316.50
|
|
Psycl/nrpsyc tech 1st
|
$790.00 |
$790.00 |
$790.00 |
$330.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$790.00 |
$790.00 |
$790.00 |
$117.70
|
|
Psytx complex interactive
|
$43.35 |
$43.35 |
$876.00 |
$45.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$268.00 |
$268.00 |
$1,040.86 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$174.00 |
$174.00 |
$174.00 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$193.00 |
$193.00 |
$193.00 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$128.00 |
$128.00 |
$128.00 |
$82.55
|
|
Pt application of modality traction mechanical
|
$213.00 |
$213.00 |
$213.00 |
$88.20
|
|
Pten gene known fam variant
|
$303.00 |
$303.00 |
$303.00 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$1,084.00 |
$1,420.98 |
$1,683.80 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$879.00 |
$1,015.14 |
$1,203.30 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$988.00 |
$1,217.50 |
$1,442.90 |
$263.90
|
|
Pt re-evaluation patient/family
|
$1,015.14 |
$1,203.30 |
$1,517.00 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$304.00 |
$304.00 |
$304.00 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$228.00 |
$228.00 |
$697.63 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$193.00 |
$193.00 |
$193.00 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$213.00 |
$213.00 |
$213.00 |
$85.00
|
|
Pul art balloon repr percut
|
$25,939.00 |
$25,939.00 |
$25,939.00 |
$10,651.06
|
|
Pul art balloon repr percut
|
$15,235.00 |
$15,235.00 |
$15,235.00 |
$4,144.17
|
|
Pulmonary vent imaging
|
$3,530.00 |
$9,903.90 |
$10,596.60 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$383.00 |
$383.00 |
$419.90 |
$368.00
|
|
Pulse ox multiple
|
$581.00 |
$581.00 |
$581.00 |
$194.33
|
|
Pulse ox single
|
$146.00 |
$146.00 |
$146.00 |
$88.63
|
|
Punc of shunt for asp or inj
|
$909.00 |
$909.00 |
$909.00 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$211.00 |
$211.00 |
$211.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$1,134.64
|
|
Puraply 1 sq cm
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$6,501.85
|
|
Pvb thoracic 2nd+ inj site
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$1,013.20
|
|
Pvb thoracic cont infusion
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$2,047.68
|
|
Pvb thoracic single inj site
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$1,189.08
|
|
Pyridoxine hcl 100 mg
|
$201.25 |
$201.25 |
$201.25 |
$43.51
|
|
Pyruvate
|
$7.13 |
$7.15 |
$118.00 |
$65.00
|
|
Pyruvate kinase
|
$36.15 |
$36.15 |
$148.00 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$6,638.00 |
$22,995.58 |
$24,606.20 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$3,317.00 |
$22,212.92 |
$23,766.60 |
$1,209.44
|
|
Quest t3 uptake
|
$85.00 |
$85.00 |
$554.08 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$2,450.00 |
$2,450.00 |
$12,197.79 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,753.00 |
$1,893.25 |
$12,205.85 |
$3,213.80
|
|
Radiation handling
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$331.89
|
|
Radiation physics consult
|
$525.75 |
$1,646.00 |
$2,094.20 |
$574.75
|
|
Radiation therapy dose plan
|
$117.25 |
$1,717.00 |
$2,436.45 |
$530.53
|
|
Radiation treatment aid(s)
|
$126.00 |
$1,533.00 |
$1,978.06 |
$541.45
|
|
Radiation treatment aid(s)
|
$2,350.00 |
$2,350.00 |
$2,641.54 |
$665.00
|
|
Radiation treatment aid(s)
|
$281.50 |
$4,132.00 |
$5,260.85 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$257.01
|
|
Radiation treatment delivery
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$552.40
|
|
Radiation treatment delivery
|
$2,217.00 |
$2,217.00 |
$3,764.63 |
$909.98
|
|
Radiology port images(s)
|
$145.50 |
$659.00 |
$935.29 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$5,536.37 |
$5,536.37 |
$33,520.00 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,785.00 |
$6,966.58 |
$19,367.20 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,785.00 |
$4,785.00 |
$45,832.40 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,785.00 |
$9,282.21 |
$10,727.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,401.00 |
$4,803.24 |
$5,139.75 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$41,805.86 |
$41,805.86 |
$41,805.86 |
$10,173.81
|
|
Rapid Strep Test
|
$294.00 |
$294.00 |
$294.00 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$66,442.78 |
$66,442.78 |
$66,442.78 |
$41,926.70
|
|
Rbc count only automated
|
$14.36 |
$14.36 |
$123.00 |
$20.00
|
|
Rbc deglycerolized each unit
|
$4,073.00 |
$4,073.00 |
$4,073.00 |
$773.61
|
|
Rbc depletion of harvest
|
$5,153.00 |
$5,153.00 |
$5,153.00 |
$1,673.75
|
|
Rbc serum pretx incubj drugs
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$223.08
|
|
Reconstruction knee
|
$46,544.00 |
$46,544.00 |
$46,544.00 |
$8,814.96
|
|
Red blood cells each unit
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$398.45
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$4,599.00 |
$4,599.00 |
$4,599.00 |
$850.85
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$2,274.00 |
$2,274.00 |
$2,274.00 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$1,817.00 |
$1,817.00 |
$1,817.00 |
$425.75
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,739.00 |
$2,739.00 |
$2,739.00 |
$545.05
|
