|
Pretreat rbc density gradient separation reference
|
$132.60 |
$132.60 |
$132.60 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$141.00 |
$141.00 |
$141.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$219.00 |
$219.00 |
$219.00 |
$167.05
|
|
Prev med cnsl indiv apprx 60
|
$177.60 |
$177.60 |
$177.60 |
$223.68
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$10,756.80 |
$10,756.80 |
$10,756.80 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,937.40 |
$4,937.40 |
$4,937.40 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$160.80 |
$160.80 |
$160.80 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,319.40 |
$1,319.40 |
$1,319.40 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$171.60 |
$171.60 |
$171.60 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$158.40 |
$158.40 |
$158.40 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$294.00 |
$294.00 |
$294.00 |
$256.27
|
|
Procalcitonin
|
$260.40 |
$260.40 |
$260.40 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$1,078.88
|
|
Progesterone
|
$298.80 |
$298.80 |
$298.80 |
$115.64
|
|
Prolactin
|
$241.20 |
$241.20 |
$241.20 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$75.00 |
$75.00 |
$75.00 |
$61.10
|
|
Prosthetic sock multi ply bk
|
$169.20 |
$169.20 |
$169.20 |
$52.32
|
|
Protein c activity
|
$216.60 |
$216.60 |
$216.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$125.40 |
$125.40 |
$125.40 |
$84.00
|
|
Protein s total
|
$303.60 |
$303.60 |
$303.60 |
$83.52
|
|
Protein total 24 hour urine
|
$82.80 |
$82.80 |
$82.80 |
$52.50
|
|
Protein total body fluid
|
$53.40 |
$53.40 |
$53.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$54.00 |
$54.00 |
$54.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$168.60 |
$168.60 |
$168.60 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$8,527.80 |
$8,527.80 |
$8,527.80 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$18,045.00 |
$18,045.00 |
$18,045.00 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$18,440.40 |
$18,440.40 |
$18,440.40 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$28,655.40 |
$28,655.40 |
$28,655.40 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$28,655.40 |
$28,655.40 |
$28,655.40 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$18,045.00 |
$18,045.00 |
$18,045.00 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$6,652.80 |
$6,652.80 |
$6,652.80 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$16,808.40 |
$16,808.40 |
$16,808.40 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$8,527.80 |
$8,527.80 |
$8,527.80 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$952.20 |
$952.20 |
$952.20 |
$251.43
|
|
Pr removal intrauterine device
|
$774.00 |
$774.00 |
$774.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$993.60 |
$993.60 |
$993.60 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$334.80 |
$334.80 |
$334.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$334.80 |
$334.80 |
$334.80 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$334.80 |
$334.80 |
$334.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$345.00 |
$345.00 |
$345.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$1,720.93
|
|
PSA (Prostate) Test
|
$105.60 |
$105.60 |
$105.60 |
$107.50
|
|
Psychotherapy group therapy
|
$198.00 |
$198.00 |
$198.00 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$155.40 |
$155.40 |
$155.40 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$194.40 |
$194.40 |
$194.40 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$215.40 |
$215.40 |
$215.40 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$360.00 |
$360.00 |
$360.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$360.00 |
$360.00 |
$360.00 |
$221.42
|
|
Psycl/nrpsyc tech 1st
|
$251.40 |
$251.40 |
$251.40 |
$321.60
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$206.40 |
$206.40 |
$206.40 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$156.00 |
$156.00 |
$156.00 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$105.00 |
$105.00 |
$105.00 |
$123.63
|
|
Psytx complex interactive
|
$81.00 |
$81.00 |
$81.00 |
$47.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$81.00
|
|
Pt application of modality traction mechanical
|
$80.40 |
$80.40 |
$80.40 |
$91.00
|
|
Pten gene full sequence
|
$3,876.60 |
$3,876.60 |
$3,876.60 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$278.40 |
$278.40 |
$278.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$231.60 |
$231.60 |
$231.60 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$247.20 |
$247.20 |
$247.20 |
$254.88
|
|
Pt re-evaluation patient/family
|
$160.80 |
$160.80 |
$160.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$118.20 |
$118.20 |
$118.20 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$267.00 |
$267.00 |
$267.00 |
$344.00
|
|
Pulse ox multiple
|
$141.60 |
$141.60 |
$141.60 |
$156.40
|
|
Pulse ox single
|
$39.60 |
$39.60 |
$39.60 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$83.40 |
$83.40 |
$83.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$301.80 |
$301.80 |
$301.80 |
$304.50
|
|
Puraply xt 1 sq cm
|
$301.80 |
$301.80 |
$301.80 |
$171.12
|
|
Pwr pck base combo vad, rep
|
$20,627.40 |
$20,627.40 |
$20,627.40 |
$19,344.64
|
|
Pyruvate
|
$129.60 |
$129.60 |
$129.60 |
$66.00
|
|
Pyruvate kinase
|
$109.20 |
$109.20 |
$109.20 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,582.20 |
$1,582.20 |
$1,582.20 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,199.16
|
|
Quest t3 uptake
|
$88.80 |
$88.80 |
$88.80 |
$52.25
|
|
Radiation physics consult
|
$820.80 |
$820.80 |
$820.80 |
$606.50
|
|
Radiation therapy dose plan
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$831.00 |
$831.00 |
$831.00 |
$520.00
|
|
Radiation treatment aid(s)
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$2,499.60 |
$2,499.60 |
$2,499.60 |
$1,076.78
|
|
Radiation treatment delivery
|
$679.80 |
$679.80 |
$679.80 |
$552.40
|
|
Radiation treatment delivery
|
$3,176.40 |
$3,176.40 |
$3,176.40 |
$920.00
|
|
Radiology port images(s)
|
$571.20 |
$571.20 |
$571.20 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$8,284.20 |
$8,284.20 |
$8,284.20 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,131.20 |
$2,131.20 |
$2,131.20 |
$2,048.87
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,906.20 |
$1,906.20 |
$1,906.20 |
$2,177.00
|
|
Rapid Strep Test
|
$111.00 |
$111.00 |
$111.00 |
$75.24
|
|
Rbc irradiated each unit
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$560.00
|
|
Red blood cells each unit
|
$565.80 |
$565.80 |
$565.80 |
$387.36
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$353.40 |
$353.40 |
$353.40 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$350.40 |
$350.40 |
$350.40 |
$441.00
|
