|
Pretreat rbc absorption reference
|
$30.00 |
$30.00 |
$30.00 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$30.00 |
$30.00 |
$30.00 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$150.00 |
$150.00 |
$150.00 |
$166.10
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$112.50 |
$112.50 |
$112.50 |
$827.94
|
|
Prgrmg eval implantable dfb
|
$93.75 |
$93.75 |
$93.75 |
$143.55
|
|
Prgr stim/pace a/iv drug
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$750.00 |
$750.00 |
$750.00 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$175.00 |
$175.00 |
$175.00 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$105.00 |
$105.00 |
$105.00 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$162.50 |
$162.50 |
$162.50 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$112.50 |
$112.50 |
$112.50 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$66.25 |
$66.25 |
$66.25 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$202.23 |
$202.23 |
$202.23 |
$546.07
|
|
Procalcitonin
|
$53.75 |
$53.75 |
$53.75 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$43.05 |
$43.05 |
$43.05 |
$44.76
|
|
Progesterone
|
$53.75 |
$53.75 |
$53.75 |
$105.00
|
|
Prolactin
|
$53.75 |
$53.75 |
$53.75 |
$127.50
|
|
Promethazine 25 mg tablet
|
$0.47 |
$0.47 |
$0.47 |
$7.01
|
|
Promethazine hcl injection
|
$35.40 |
$35.40 |
$35.40 |
$23.45
|
|
Propofol infusion 10 mg/ml
|
$115.80 |
$115.80 |
$115.80 |
$71.09
|
|
_propoxygc/msur
|
$25.00 |
$25.00 |
$25.00 |
$104.00
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$23.80 |
$23.80 |
$23.80 |
$35.22
|
|
Prostate biopsy, any mthd
|
$250.00 |
$250.00 |
$250.00 |
$492.80
|
|
Protamine 10 mg/ml intravenous solution
|
$31.33 |
$31.33 |
$31.33 |
$60.98
|
|
Protein c activity
|
$35.00 |
$35.00 |
$35.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$58.75 |
$58.75 |
$58.75 |
$85.20
|
|
Protein s total
|
$35.00 |
$35.00 |
$35.00 |
$78.87
|
|
Protein total 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$52.50
|
|
Protein total body fluid
|
$21.25 |
$21.25 |
$21.25 |
$52.57
|
|
Protein total serum plasma whole blood
|
$20.00 |
$20.00 |
$20.00 |
$42.81
|
|
Prothrombin complex kcentra
|
$18.22 |
$18.22 |
$18.22 |
$6.98
|
|
Prq cardiac angio addl art
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$5,655.72
|
|
Prq card revasc mi 1 vsl
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$5,750.00 |
$5,750.00 |
$5,750.00 |
$20,854.53
|
|
Prq tcat plmt ntrac st 1 les
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$9,131.70
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$62.50 |
$62.50 |
$62.50 |
$280.79
|
|
Pr removal intrauterine device
|
$662.00 |
$662.00 |
$662.00 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$237.50 |
$237.50 |
$237.50 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$112.50 |
$112.50 |
$112.50 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$137.50 |
$137.50 |
$137.50 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$112.50 |
$112.50 |
$112.50 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$137.50 |
$137.50 |
$137.50 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$625.00 |
$625.00 |
$625.00 |
$1,790.60
|
|
PSA (Prostate) Test
|
$43.75 |
$43.75 |
$43.75 |
$109.35
|
|
Psychoeducation 45 min +
|
$85.00 |
$85.00 |
$85.00 |
$201.45
|
|
Psychotherapy group therapy
|
$80.00 |
$80.00 |
$80.00 |
$264.32
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$0.00 |
$0.00 |
$0.00 |
$34.69
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$82.55
|
|
Pt application of modality traction mechanical
|
$32.50 |
$32.50 |
$32.50 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$106.25 |
$106.25 |
$106.25 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$93.75 |
$93.75 |
$93.75 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$100.00 |
$100.00 |
$100.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$52.50 |
$52.50 |
$52.50 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$53.75 |
$53.75 |
$53.75 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$85.00
|
|
Pulse ox continuous overnight monitoring
|
$93.75 |
$93.75 |
$93.75 |
$368.00
|
|
Pulse ox multiple
|
$32.50 |
$32.50 |
$32.50 |
$194.33
|
|
Pulse ox single
|
$22.50 |
$22.50 |
$22.50 |
$88.63
|
|
Punc of shunt for asp or inj
|
$435.00 |
$435.00 |
$435.00 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$43.75 |
$43.75 |
$43.75 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$112.50 |
$112.50 |
$112.50 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$435.00 |
$435.00 |
$435.00 |
$1,134.64
|
|
Pyridoxine hcl 100 mg
|
$39.72 |
$39.72 |
$39.72 |
$43.51
|
|
Pyruvate kinase
|
$22.50 |
$22.50 |
$22.50 |
$65.00
|
|
Quest t3 uptake
|
$31.25 |
$31.25 |
$31.25 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$299.86 |
$299.86 |
$299.86 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$2,041.48 |
$2,041.48 |
$2,041.48 |
$3,213.80
|
|
Radiation physics consult
|
$217.50 |
$217.50 |
$217.50 |
$574.75
|
|
Radiation therapy dose plan
|
$222.50 |
$222.50 |
$222.50 |
$530.53
|
|
Radiation treatment aid(s)
|
$222.50 |
$222.50 |
$222.50 |
$541.45
|
|
Radiation treatment aid(s)
|
$275.00 |
$275.00 |
$275.00 |
$665.00
|
|
Radiation treatment aid(s)
|
$500.00 |
$500.00 |
$500.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$72.50 |
$72.50 |
$72.50 |
$552.40
|
|
Radiation treatment delivery
|
$300.00 |
$300.00 |
$300.00 |
$909.98
|
|
Radiology port images(s)
|
$137.50 |
$137.50 |
$137.50 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$386.40 |
$386.40 |
$386.40 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$643.75 |
$643.75 |
$643.75 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$643.75 |
$643.75 |
$643.75 |
$2,377.65
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$5,914.87 |
$5,914.87 |
$5,914.87 |
$9,831.50
|
|
Rapid Strep Test
|
$31.25 |
$31.25 |
$31.25 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,071.72 |
$4,071.72 |
$4,071.72 |
$2,789.64
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$17,636.62 |
$17,636.62 |
$17,636.62 |
$41,926.70
|
|
Rbc serum pretx incubj drugs
|
$235.00 |
$235.00 |
$235.00 |
$223.08
|
|
Red blood cells each unit
|
$143.75 |
$143.75 |
$143.75 |
$389.40
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$187.50 |
$187.50 |
$187.50 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$125.00 |
$125.00 |
$125.00 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$150.00 |
$150.00 |
$150.00 |
$540.00
|
|
Refill maint impl spine pump
|
$150.00 |
$150.00 |
$150.00 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$106.78 |
$106.78 |
$106.78 |
$468.96
|
|
Relocation skin pocket aicd
|
$450.00 |
$450.00 |
$450.00 |
$3,153.93
|
|
Relocation skin pocket pm
|
$450.00 |
$450.00 |
$450.00 |
$2,939.25
|
|
Remdesivir 100 mg intravenous powder for solution
|
$303.40 |
$303.40 |
$303.40 |
$1,560.00
|
|
Rem endovas vena cava filter
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$5,819.40
|
