|
Protein electrophoretic fractionation & quantitation serum
|
$97.50 |
$97.50 |
$97.50 |
$84.00
|
|
Protein s total
|
$62.50 |
$62.50 |
$62.50 |
$85.10
|
|
Protein total 24 hour urine
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Protein total body fluid
|
$52.50 |
$52.50 |
$52.50 |
$49.80
|
|
Protein total serum plasma whole blood
|
$45.00 |
$45.00 |
$45.00 |
$43.00
|
|
Prothrombin complex kcentra
|
$5.49 |
$5.49 |
$5.49 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$32.50 |
$32.50 |
$32.50 |
$42.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$15,580.00 |
$15,580.00 |
$15,580.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$18,175.00 |
$18,175.00 |
$18,175.00 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$6,245.00 |
$6,245.00 |
$6,245.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$3,290.00 |
$3,290.00 |
$3,290.00 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$12,180.00 |
$12,180.00 |
$12,180.00 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$19,260.00 |
$19,260.00 |
$19,260.00 |
$14,817.50
|
|
Prq card stent/ath/angio
|
$11,710.00 |
$11,710.00 |
$11,710.00 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$8,540.00 |
$8,540.00 |
$8,540.00 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$7,120.00 |
$7,120.00 |
$7,120.00 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$15,250.00 |
$15,250.00 |
$15,250.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$19,260.00 |
$19,260.00 |
$19,260.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$8,575.00 |
$8,575.00 |
$8,575.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$12,495.00 |
$12,495.00 |
$12,495.00 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$19,260.00 |
$19,260.00 |
$19,260.00 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$275.00 |
$275.00 |
$275.00 |
$252.00
|
|
Pr removal intrauterine device
|
$790.00 |
$790.00 |
$790.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$675.00 |
$675.00 |
$675.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$410.00 |
$410.00 |
$410.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$452.50 |
$452.50 |
$452.50 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$410.00 |
$410.00 |
$410.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$452.50 |
$452.50 |
$452.50 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$2,530.00 |
$2,530.00 |
$2,530.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$107.50 |
$107.50 |
$107.50 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$152.50 |
$152.50 |
$152.50 |
$190.13
|
|
Psytx pt w/e&m 16-37 min
|
$152.50 |
$152.50 |
$152.50 |
$126.14
|
|
Pt application of modality >=1 area hot/cold packs
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$72.50 |
$72.50 |
$72.50 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$81.48
|
|
Pt application of modality traction mechanical
|
$60.00 |
$60.00 |
$60.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$115.00 |
$115.00 |
$115.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$62.50 |
$62.50 |
$62.50 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$85.00 |
$85.00 |
$85.00 |
$88.00
|
|
Pulmonary vent imaging
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$282.50 |
$282.50 |
$282.50 |
$347.11
|
|
Pulse ox multiple
|
$80.00 |
$80.00 |
$80.00 |
$157.30
|
|
Pulse ox single
|
$60.00 |
$60.00 |
$60.00 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$125.00 |
$125.00 |
$125.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$550.00 |
$550.00 |
$550.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,060.47
|
|
Pyruvate
|
$60.00 |
$60.00 |
$60.00 |
$66.00
|
|
Pyruvate kinase
|
$60.00 |
$60.00 |
$60.00 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$1,199.16
|
|
Quest t3 uptake
|
$30.00 |
$30.00 |
$30.00 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$577.42 |
$577.42 |
$577.42 |
$4,017.00
|
|
Radiation physics consult
|
$525.00 |
$525.00 |
$525.00 |
$610.68
|
|
Radiation therapy dose plan
|
$820.00 |
$820.00 |
$820.00 |
$518.76
|
|
Radiation treatment aid(s)
|
$815.00 |
$815.00 |
$815.00 |
$526.80
|
|
Radiation treatment aid(s)
|
$980.00 |
$980.00 |
$980.00 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$590.00 |
$590.00 |
$590.00 |
$552.40
|
|
Radiation treatment delivery
|
$920.00 |
$920.00 |
$920.00 |
$921.00
|
|
Radiology port images(s)
|
$155.00 |
$155.00 |
$155.00 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$4,775.00 |
$4,775.00 |
$4,775.00 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$215.00 |
$215.00 |
$215.00 |
$217.50
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,495.00 |
$2,495.00 |
$2,495.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$820.00 |
$820.00 |
$820.00 |
$1,126.32
|
|
Radphm quant measure sgl area add-on
|
$665.00 |
$665.00 |
$665.00 |
$711.20
|
|
Range of motion measurements
|
$17.50 |
$17.50 |
$17.50 |
$64.50
|
|
Rapid Strep Test
|
$47.50 |
$47.50 |
$47.50 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$890.75 |
$890.75 |
$890.75 |
$4,331.80
|
|
Rbc count only automated
|
$20.00 |
$20.00 |
$20.00 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$856.71
|
|
Rbc irradiated each unit
|
$560.00 |
$560.00 |
$560.00 |
$550.40
|
|
Rbc osmotic fragility
|
$82.50 |
$82.50 |
$82.50 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$370.00 |
$370.00 |
$370.00 |
$231.12
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$6,120.00 |
$6,120.00 |
$6,120.00 |
$9,706.55
|
|
Red blood cells each unit
|
$382.50 |
$382.50 |
$382.50 |
$393.90
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$855.00 |
$855.00 |
$855.00 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$575.00 |
$575.00 |
$575.00 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$457.50 |
$457.50 |
$457.50 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$835.00 |
$835.00 |
$835.00 |
$534.15
|
|
Red blood cells washed each unit
|
$840.00 |
$840.00 |
$840.00 |
$583.68
|
|
Redo endovas vena cava filtr
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$4,545.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$58.45 |
$58.45 |
$58.45 |
$357.91
|
|
Relocation skin pocket aicd
|
$2,960.00 |
$2,960.00 |
$2,960.00 |
$2,935.84
|
|
Relocation skin pocket pm
|
$2,960.00 |
$2,960.00 |
$2,960.00 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$390.00 |
$390.00 |
$390.00 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$14.96 |
$14.96 |
$14.96 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$3,785.00 |
$3,785.00 |
$3,785.00 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$150.00 |
$150.00 |
$150.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$235.00 |
$235.00 |
$235.00 |
$255.97
|
|
Removal duct glbldr calculi
|
$3,145.00 |
$3,145.00 |
$3,145.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$615.00 |
$615.00 |
$615.00 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$800.00 |
$800.00 |
$800.00 |
$1,260.80
|
|
Removal of implant deep
|
$3,815.00 |
$3,815.00 |
$3,815.00 |
$4,520.60
|
