|
Prosthetic sock multi ply bk
|
$169.20 |
$169.20 |
$169.20 |
$52.32
|
|
Protein c activity
|
$146.40 |
$146.40 |
$146.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$151.80 |
$151.80 |
$151.80 |
$81.97
|
|
Protein s total
|
$268.80 |
$268.80 |
$268.80 |
$83.52
|
|
Protein total 24 hour urine
|
$120.00 |
$120.00 |
$120.00 |
$52.47
|
|
Protein total body fluid
|
$101.40 |
$101.40 |
$101.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$79.20 |
$79.20 |
$79.20 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$186.00 |
$186.00 |
$186.00 |
$41.40
|
|
Prq card revasc mi 1 vsl
|
$36,937.80 |
$36,937.80 |
$36,937.80 |
$15,113.00
|
|
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 trlml c athrc st angiop1
|
$28,655.40 |
$28,655.40 |
$28,655.40 |
$15,296.00
|
|
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
|
$26,607.60 |
$26,607.60 |
$26,607.60 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$36,937.80 |
$36,937.80 |
$36,937.80 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$718.20 |
$718.20 |
$718.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$491.40 |
$491.40 |
$491.40 |
$251.43
|
|
Pr removal intrauterine device
|
$225.60 |
$225.60 |
$225.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$702.60 |
$702.60 |
$702.60 |
$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
|
$373.80 |
$373.80 |
$373.80 |
$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 subsequent hospital care e/m normal newborn per day
|
$78.00 |
$78.00 |
$78.00 |
$71.40
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$1,720.93
|
|
PSA (Prostate) Test
|
$299.40 |
$299.40 |
$299.40 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$168.00 |
$168.00 |
$168.00 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$229.80 |
$229.80 |
$229.80 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$253.80 |
$253.80 |
$253.80 |
$287.47
|
|
Psycl/nrpsyc tech 1st
|
$251.40 |
$251.40 |
$251.40 |
$321.60
|
|
Psytx complex interactive
|
$76.20 |
$76.20 |
$76.20 |
$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 |
$90.60
|
|
Pten gene full sequence
|
$4,318.80 |
$4,318.80 |
$4,318.80 |
$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
|
$739.20 |
$739.20 |
$739.20 |
$344.00
|
|
Pulse ox multiple
|
$145.80 |
$145.80 |
$145.80 |
$156.40
|
|
Pulse ox single
|
$43.80 |
$43.80 |
$43.80 |
$79.38
|
|
Puncture arterial withdrawal blood for diagnosis
|
$168.60 |
$168.60 |
$168.60 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$616.20 |
$616.20 |
$616.20 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$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
|
$154.20 |
$154.20 |
$154.20 |
$66.00
|
|
Pyruvate kinase
|
$165.00 |
$165.00 |
$165.00 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$3,952.80 |
$3,952.80 |
$3,952.80 |
$1,199.16
|
|
Quest t3 uptake
|
$106.20 |
$106.20 |
$106.20 |
$51.70
|
|
Radiation handling
|
$289.80 |
$289.80 |
$289.80 |
$324.80
|
|
Radiation physics consult
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$602.12
|
|
Radiation therapy dose plan
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$514.05
|
|
Radiation treatment aid(s)
|
$708.00 |
$708.00 |
$708.00 |
$515.09
|
|
Radiation treatment aid(s)
|
$916.20 |
$916.20 |
$916.20 |
$644.16
|
|
Radiation treatment aid(s)
|
$2,147.40 |
$2,147.40 |
$2,147.40 |
$1,075.03
|
|
Radiation treatment delivery
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$552.40
|
|
Radiation treatment delivery
|
$5,693.40 |
$5,693.40 |
$5,693.40 |
$920.00
|
|
Radiology port images(s)
|
$472.80 |
$472.80 |
$472.80 |
$249.58
|
|
Radiotherapy dose plan imrt
|
$8,883.00 |
$8,883.00 |
$8,883.00 |
$5,736.72
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,067.60 |
$2,067.60 |
$2,067.60 |
$2,041.20
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,012.60 |
$3,012.60 |
$3,012.60 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,481.20 |
$3,481.20 |
$3,481.20 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,320.20 |
$2,320.20 |
$2,320.20 |
$2,167.98
|
|
Radphm lcl tumor plr sgl day
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$1,120.40
|
|
Rapid Strep Test
|
$85.80 |
$85.80 |
$85.80 |
$75.24
|
|
Rbc count only automated
|
$34.20 |
$34.20 |
$34.20 |
$20.03
|
|
Rbc deglycerolized each unit
|
$1,349.40 |
$1,349.40 |
$1,349.40 |
$841.75
|
|
Rbc irradiated each unit
|
$2,391.00 |
$2,391.00 |
$2,391.00 |
$560.00
|
|
Red blood cells each unit
|
$889.20 |
$889.20 |
$889.20 |
$387.36
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$1,717.80 |
$1,717.80 |
$1,717.80 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$787.20 |
$787.20 |
$787.20 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$985.20 |
$985.20 |
$985.20 |
$528.45
|
|
Red blood cells washed each unit
|
$500.40 |
$500.40 |
$500.40 |
$572.46
|
|
Redo endovas vena cava filtr
|
$4,669.80 |
$4,669.80 |
$4,669.80 |
$4,435.43
|
|
Reduction of procidentia 45900
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$1,226.10
|
|
Refill/maint pump/resvr syst
|
$412.20 |
$412.20 |
$412.20 |
$397.60
|
|
Release of lower leg tendon
|
$4,107.60 |
$4,107.60 |
$4,107.60 |
$3,821.05
|
|
Relocation skin pocket aicd
|
$5,116.20 |
$5,116.20 |
$5,116.20 |
$2,792.40
|
|
Relocation skin pocket pm
|
$5,116.20 |
$5,116.20 |
$5,116.20 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$324.00 |
$324.00 |
$324.00 |
$320.79
|
|
Rem endovas vena cava filter
|
$7,731.60 |
$7,731.60 |
$7,731.60 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$133.20 |
$133.20 |
$133.20 |
$139.10
|
|
Removal biliary drg cath
|
$869.40 |
$869.40 |
$869.40 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,519.20 |
$1,519.20 |
$1,519.20 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,132.80 |
$4,132.80 |
$4,132.80 |
$2,356.71
|
|
Removal cerclage w/anes
|
$3,055.80 |
$3,055.80 |
$3,055.80 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$197.40 |
$197.40 |
$197.40 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$325.20 |
$325.20 |
$325.20 |
$247.00
|
|
Removal duct glbldr calculi
|
$7,857.60 |
$7,857.60 |
$7,857.60 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$242.40 |
$242.40 |
$242.40 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$14,061.60 |
$14,061.60 |
$14,061.60 |
$12,384.25
|
