|
Prednisone 1 mg tablet
|
$0.22 |
$0.22 |
$0.22 |
$3.00
|
|
Pregnancy associated plasma protein-a
|
$148.32 |
$148.32 |
$148.32 |
$71.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$975.60 |
$975.60 |
$975.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$975.60 |
$975.60 |
$975.60 |
$535.60
|
|
Pretreat rbc absorption reference
|
$153.36 |
$153.36 |
$153.36 |
$149.45
|
|
Pretreat rbc density gradient separation reference
|
$216.00 |
$216.00 |
$216.00 |
$185.90
|
|
Pretreat rbc w chem/drugs reference
|
$152.64 |
$152.64 |
$152.64 |
$110.40
|
|
Pretreat rbc w enzyme reference
|
$216.00 |
$216.00 |
$216.00 |
$165.50
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$800.64 |
$800.64 |
$800.64 |
$696.80
|
|
Pr incision & drainage abscess simple/single
|
$402.48 |
$402.48 |
$402.48 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$421.92 |
$421.92 |
$421.92 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$692.64 |
$692.64 |
$692.64 |
$585.65
|
|
Procalcitonin
|
$334.80 |
$334.80 |
$334.80 |
$158.76
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$25.20 |
$25.20 |
$25.20 |
$36.33
|
|
Progesterone
|
$166.32 |
$166.32 |
$166.32 |
$114.60
|
|
Prolactin
|
$216.72 |
$216.72 |
$216.72 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$45.32 |
$45.32 |
$45.32 |
$61.10
|
|
Protein c activity
|
$159.84 |
$159.84 |
$159.84 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$184.32 |
$184.32 |
$184.32 |
$77.76
|
|
Protein s total
|
$312.48 |
$312.48 |
$312.48 |
$77.18
|
|
Protein total 24 hour urine
|
$92.16 |
$92.16 |
$92.16 |
$52.47
|
|
Protein total body fluid
|
$55.44 |
$55.44 |
$55.44 |
$49.80
|
|
Protein total serum plasma whole blood
|
$41.04 |
$41.04 |
$41.04 |
$42.81
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$168.48 |
$168.48 |
$168.48 |
$251.40
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$742.32 |
$742.32 |
$742.32 |
$736.90
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$298.80 |
$298.80 |
$298.80 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$327.60 |
$327.60 |
$327.60 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$275.76 |
$275.76 |
$275.76 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$303.84 |
$303.84 |
$303.84 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,098.80 |
$2,098.80 |
$2,098.80 |
$1,719.44
|
|
PSA (Prostate) Test
|
$177.84 |
$177.84 |
$177.84 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$115.92 |
$115.92 |
$115.92 |
$87.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$126.72 |
$126.72 |
$126.72 |
$101.40
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$96.48 |
$96.48 |
$96.48 |
$80.40
|
|
Pt application of modality traction mechanical
|
$119.52 |
$119.52 |
$119.52 |
$86.94
|
|
Pt evaluation high complexity patient/family
|
$789.84 |
$789.84 |
$789.84 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$263.52 |
$263.52 |
$263.52 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$526.32 |
$526.32 |
$526.32 |
$249.26
|
|
Pt re-evaluation patient/family
|
$202.32 |
$202.32 |
$202.32 |
$152.40
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$91.44 |
$91.44 |
$91.44 |
$79.68
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$263.52 |
$263.52 |
$263.52 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$113.76 |
$113.76 |
$113.76 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$106.56 |
$106.56 |
$106.56 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$312.48 |
$312.48 |
$312.48 |
$350.40
|
|
Pulse ox single
|
$47.52 |
$47.52 |
$47.52 |
$83.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$138.96 |
$138.96 |
$138.96 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$431.28 |
$431.28 |
$431.28 |
$514.64
|
|
Puncture spinal lumbar diagnostic
|
$1,395.36 |
$1,395.36 |
$1,395.36 |
$1,060.47
|
|
Quest t3 uptake
|
$59.04 |
$59.04 |
$59.04 |
$54.12
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,175.94 |
$1,175.94 |
$1,175.94 |
$3,792.40
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,777.04 |
$2,777.04 |
$2,777.04 |
$2,227.55
|
|
Range of motion measurements
|
$84.96 |
$84.96 |
$84.96 |
$60.48
|
|
Rapid Strep Test
|
$105.12 |
$105.12 |
$105.12 |
$74.10
|
|
Rbc count only automated
|
$21.60 |
$21.60 |
$21.60 |
$20.00
|
|
Recon, cta for surg plan
|
$1,605.60 |
$1,605.60 |
$1,605.60 |
$713.50
|
|
Red blood cells leukocytes reduced each unit
|
$457.92 |
$457.92 |
$457.92 |
$438.23
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$498.96 |
$498.96 |
$498.96 |
$523.83
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$25.92 |
$25.92 |
$25.92 |
$357.91
|
|
Removal cerumen impacted (both sides)
|
$193.68 |
$193.68 |
$193.68 |
$166.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$225.36 |
$225.36 |
$225.36 |
$245.28
|
|
Removal foreign body foot subcutaneous right
|
$2,130.48 |
$2,130.48 |
$2,130.48 |
$1,256.00
|
|
Renal function panel
|
$123.12 |
$123.12 |
$123.12 |
$113.52
|
|
Repair blood vessel direct hand finger
|
$7,236.00 |
$7,236.00 |
$7,236.00 |
$3,786.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,925.44 |
$3,925.44 |
$3,925.44 |
$1,042.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,105.92 |
$1,105.92 |
$1,105.92 |
$1,224.63
|
|
Replace duod/jej tube perc
|
$1,786.32 |
$1,786.32 |
$1,786.32 |
$1,354.54
|
|
#resp virpnl dfa-adenovirus
|
$214.56 |
$214.56 |
$214.56 |
$46.80
|
|
Resp virus 6-11 targets
|
$950.40 |
$950.40 |
$950.40 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$735.84 |
$735.84 |
$735.84 |
$751.33
|
|
Reticulocyte direct measurement automated
|
$122.40 |
$122.40 |
$122.40 |
$35.84
|
|
Rheumatoid factor quantitative
|
$100.08 |
$100.08 |
$100.08 |
$56.24
|
|
Rubella antibody igg
|
$103.68 |
$103.68 |
$103.68 |
$76.70
|
|
Rubeola antibody igg
|
$139.68 |
$139.68 |
$139.68 |
$80.00
|
|
Russell viper venom diluted
|
$53.28 |
$53.28 |
$53.28 |
$71.82
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$674.64 |
$674.64 |
$674.64 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,316.16 |
$1,316.16 |
$1,316.16 |
$661.20
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,316.16 |
$1,316.16 |
$1,316.16 |
$757.02
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$280.08 |
$280.08 |
$280.08 |
$475.24
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$231.12 |
$231.12 |
$231.12 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,013.76 |
$1,013.76 |
$1,013.76 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,406.88 |
$1,406.88 |
$1,406.88 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$318.96 |
$318.96 |
$318.96 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$280.08 |
$280.08 |
$280.08 |
$570.00
|
|
Screening Mammogram
|
$357.12 |
$357.12 |
$357.12 |
$313.35
|
|
Screening prostate cancer PSA
|
$200.88 |
$200.88 |
$200.88 |
$98.28
|
|
Sedimentation rate erythrocyte automated
|
$72.72 |
$72.72 |
$72.72 |
$42.25
|
|
Sertraline (zoloft) - sendout
|
$105.84 |
$105.84 |
$105.84 |
$126.43
|
|
Shoulder MRI (with and without contrast)
|
$3,722.40 |
$3,722.40 |
$3,722.40 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$2,949.12 |
$2,949.12 |
$2,949.12 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,943.36 |
$2,943.36 |
$2,943.36 |
$2,088.20
|
|
Shoulder X-ray
|
$425.52 |
$425.52 |
$425.52 |
$340.10
|
|
Sickling rbc
|
$53.28 |
$53.28 |
$53.28 |
$56.00
|
|
Sincalide 5 mcg solution for injection
|
$429.12 |
$429.12 |
$429.12 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,269.44 |
$2,269.44 |
$2,269.44 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$1,292.04
|
|
Sleep Study (Polysomnography)
|
$3,466.08 |
$3,466.08 |
$3,466.08 |
$3,598.50
|
|
Sleep study unattended
|
$295.92 |
$295.92 |
$295.92 |
$585.00
|
|
Smear fluorescent and/or acid fast stain
|
$71.28 |
$71.28 |
$71.28 |
$64.00
|