|
Prgrmg dev eval impltbl sys
|
$509.60 |
$509.60 |
$509.60 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$388.70 |
$388.70 |
$388.70 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$367.25 |
$367.25 |
$367.25 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$445.90 |
$445.90 |
$445.90 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$512.20 |
$512.20 |
$512.20 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$581.10 |
$581.10 |
$581.10 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$5,185.70 |
$5,185.70 |
$5,185.70 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$20,855.90 |
$20,855.90 |
$20,855.90 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,565.60 |
$4,565.60 |
$4,565.60 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,036.10 |
$1,036.10 |
$1,036.10 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$906.10 |
$906.10 |
$906.10 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$861.25 |
$861.25 |
$861.25 |
$605.28
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$512.85 |
$512.85 |
$512.85 |
$255.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$18,552.30 |
$18,552.30 |
$18,552.30 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$3,574.35 |
$3,574.35 |
$3,574.35 |
$674.78
|
|
Procalcitonin
|
$57.20 |
$57.20 |
$57.20 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$54.60 |
$54.60 |
$54.60 |
$38.32
|
|
Progesterone
|
$43.55 |
$43.55 |
$43.55 |
$116.00
|
|
Prolactin
|
$425.10 |
$425.10 |
$425.10 |
$123.50
|
|
Promethazine hcl injection
|
$32.50 |
$32.50 |
$32.50 |
$12.16
|
|
Propofol infusion 10 mg/ml
|
$165.75 |
$165.75 |
$165.75 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$96.85 |
$96.85 |
$96.85 |
$33.31
|
|
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 |
$3,842.36
|
|
Protein c activity
|
$427.05 |
$427.05 |
$427.05 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$406.25 |
$406.25 |
$406.25 |
$84.00
|
|
Protein s total
|
$33.80 |
$33.80 |
$33.80 |
$85.10
|
|
Protein total 24 hour urine
|
$160.55 |
$160.55 |
$160.55 |
$52.50
|
|
Protein total body fluid
|
$111.80 |
$111.80 |
$111.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$54.60 |
$54.60 |
$54.60 |
$42.90
|
|
Prothrombin complex kcentra
|
$13.00 |
$13.00 |
$13.00 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$635.05 |
$635.05 |
$635.05 |
$41.50
|
|
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 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$14,557.40 |
$14,557.40 |
$14,557.40 |
$10,706.53
|
|
Prq card revasc mi 1 vsl
|
$32,326.45 |
$32,326.45 |
$32,326.45 |
$14,928.16
|
|
Prq card stent/ath/angio
|
$15,137.20 |
$15,137.20 |
$15,137.20 |
$9,853.00
|
|
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 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 |
$381.16
|
|
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 |
$397.80
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$2,855.45 |
$2,855.45 |
$2,855.45 |
$3,218.80
|
|
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 |
$313.30 |
$108.11
|
|
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 |
$160.55 |
$91.80
|
|
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 |
$88.20
|
|
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 |
$1,736.80 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$349.86
|
|
Pulse ox multiple
|
$445.25 |
$445.25 |
$445.25 |
$159.16
|
|
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 |
$1,082.90
|
|
Puraply 1 sq cm
|
$25,043.20 |
$25,043.20 |
$25,043.20 |
$301.80
|
|
Pyridoxine hcl 100 mg
|
$178.10 |
$178.10 |
$178.10 |
$49.08
|
|
Pyruvate
|
$14.30 |
$14.30 |
$14.30 |
$66.00
|
|
Pyruvate kinase
|
$118.95 |
$118.95 |
$118.95 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$5,587.40 |
$5,587.40 |
$5,587.40 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$3,835.65 |
$3,835.65 |
$3,835.65 |
$1,199.16
|
|
Quest t3 uptake
|
$12.35 |
$12.35 |
$12.35 |
$52.25
|
|
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 |
$3,848.39
|
|
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 |
$4,043.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,043.00 |
$4,043.00 |
$4,043.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,152.20 |
$4,152.20 |
$4,152.20 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,182.75 |
$4,182.75 |
$4,182.75 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,539.85 |
$1,539.85 |
$1,539.85 |
$1,126.32
|
|
Radphm quant measure sgl area add-on
|
$2,075.45 |
$2,075.45 |
$2,075.45 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$336.70 |
$336.70 |
$336.70 |
$13,136.04
|
|
Range of motion measurements
|
$141.70 |
$141.70 |
$141.70 |
$64.50
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,133.95 |
$2,133.95 |
$2,133.95 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$916.50 |
$916.50 |
$916.50 |
$41,926.70
|
|
Rbc deglycerolized each unit
|
$841.75 |
$841.75 |
$841.75 |
$856.71
|
|
Rbc irradiated each unit
|
$520.65 |
$520.65 |
$520.65 |
$560.00
|
|
Rechanneling of artery
|
$26,857.35 |
$26,857.35 |
$26,857.35 |
$2,697.60
|
|
Rechanneling of artery
|
$26,857.35 |
$26,857.35 |
$26,857.35 |
$1,800.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$27,108.25 |
$27,108.25 |
$27,108.25 |
$6,219.20
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$28,470.65 |
$28,470.65 |
$28,470.65 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$9,909.25 |
$9,909.25 |
$9,909.25 |
$3,143.32
|
|
Reconstruction of nail bed
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$2,164.64
|
|
Red blood cells each unit
|
$432.90 |
$432.90 |
$432.90 |
$393.90
|