|
Ot training self care/home management direct contact each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$93.60
|
|
Ovulation tests
|
$257.60 |
$257.60 |
$257.60 |
$29.60
|
|
Parathormone (pth) intact
|
$318.40 |
$318.40 |
$318.40 |
$200.85
|
|
Parathyroid planar imaging
|
$1,177.60 |
$1,177.60 |
$1,177.60 |
$1,129.91
|
|
Pelvic CT scan (with and without contrast)
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,739.20 |
$1,739.20 |
$1,739.20 |
$1,350.25
|
|
Pelvic MRI (with and without contrast)
|
$4,047.20 |
$4,047.20 |
$4,047.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,337.60 |
$3,337.60 |
$3,337.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,000.80 |
$3,000.80 |
$3,000.80 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$649.35
|
|
Pelvic Ultrasound (limited)
|
$547.20 |
$547.20 |
$547.20 |
$435.00
|
|
Pericardiocentesis wwo imaging
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$2,276.64
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$256.00 |
$256.00 |
$256.00 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$10,512.80 |
$10,512.80 |
$10,512.80 |
$4,707.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$122.40 |
$122.40 |
$122.40 |
$64.00
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$181.60 |
$181.60 |
$181.60 |
$92.30
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$63.20 |
$63.20 |
$63.20 |
$31.20
|
|
Ph body fluid
|
$224.80 |
$224.80 |
$224.80 |
$40.04
|
|
Phencyclidine (pcp)
|
$416.00 |
$416.00 |
$416.00 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$211.20 |
$211.20 |
$211.20 |
$104.25
|
|
Phenytoin total therapeutic drug level
|
$194.40 |
$194.40 |
$194.40 |
$111.27
|
|
Phlebotomy therapeutic
|
$231.20 |
$231.20 |
$231.20 |
$238.04
|
|
Phosphorus
|
$173.60 |
$173.60 |
$173.60 |
$48.96
|
|
Phosphorus 24 hour urine
|
$173.60 |
$173.60 |
$173.60 |
$41.51
|
|
Phys blood bank serv reactj
|
$168.80 |
$168.80 |
$168.80 |
$208.73
|
|
Pillow shldr abduc inflat univ
|
$410.40 |
$410.40 |
$410.40 |
$537.66
|
|
Pin service 60m per month
|
$179.20 |
$179.20 |
$179.20 |
$114.00
|
|
Pinworm exam
|
$49.60 |
$49.60 |
$49.60 |
$40.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,039.20 |
$3,039.20 |
$3,039.20 |
$1,537.43
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,328.80 |
$2,328.80 |
$2,328.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,674.40 |
$2,674.40 |
$2,674.40 |
$1,332.43
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$9,609.60 |
$9,609.60 |
$9,609.60 |
$13,964.50
|
|
Platelet aggregation each agent teg
|
$248.00 |
$248.00 |
$248.00 |
$143.00
|
|
Platelet automated
|
$82.40 |
$82.40 |
$82.40 |
$45.00
|
|
Platelets leukocytes reduced each unit
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$299.40
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,744.80 |
$1,744.80 |
$1,744.80 |
$1,140.80
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$1,259.94
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$1,004.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$339.20 |
$339.20 |
$339.20 |
$405.00
|
|
Plmt nephroureteral catheter
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$4,198.50
|
|
Plmt ureteral stent prq
|
$9,119.20 |
$9,119.20 |
$9,119.20 |
$4,846.99
|
|
Pmp22 gene dup/delet
|
$1,621.60 |
$1,621.60 |
$1,621.60 |
$1,029.75
|
|
Pms2 gene dup/delet variants
|
$712.80 |
$712.80 |
$712.80 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,002.60
|
|
#pnh-flow cytometry interp
|
$73.60 |
$73.60 |
$73.60 |
$132.48
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$252.80 |
$252.80 |
$252.80 |
$186.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,572.80 |
$5,572.80 |
$5,572.80 |
$3,751.48
|
|
Potassium 24 hour urine
|
$131.20 |
$131.20 |
$131.20 |
$50.40
|
|
Potassium serum/plasma/whole blood
|
$118.40 |
$118.40 |
$118.40 |
$46.75
|
|
Pq thr inj ext pse
|
$526.40 |
$526.40 |
$526.40 |
$798.40
|
|
Pr application of long arm splint
|
$338.40 |
$338.40 |
$338.40 |
$329.00
|
|
Pr application splint static short arm
|
$152.80 |
$152.80 |
$152.80 |
$287.70
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$385.60 |
$385.60 |
$385.60 |
$351.60
|
|
Prealbumin
|
$190.40 |
$190.40 |
$190.40 |
$93.36
|
|
Pr ecg 12 lead report only
|
$60.00 |
$60.00 |
$60.00 |
$20.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$848.80 |
$848.80 |
$848.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$535.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$144.00 |
$144.00 |
$144.00 |
$152.85
|
|
Pretreat rbc absorption reference
|
$154.40 |
$154.40 |
$154.40 |
$149.45
|
|
Pretreat rbc density gradient separation reference
|
$144.00 |
$144.00 |
$144.00 |
$185.90
|
|
Pretreat rbc w chem/drugs reference
|
$120.00 |
$120.00 |
$120.00 |
$110.40
|
|
Pretreat rbc w enzyme reference
|
$286.40 |
$286.40 |
$286.40 |
$165.50
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$708.00 |
$708.00 |
$708.00 |
$779.35
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$334.40 |
$334.40 |
$334.40 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$320.80 |
$320.80 |
$320.80 |
$193.70
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$230.40 |
$230.40 |
$230.40 |
$120.90
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$74.60
|
|
Prim art mech thrmbc non-intracranial
|
$14,601.60 |
$14,601.60 |
$14,601.60 |
$9,420.00
|
|
Prin care mgmt staff 1st 30
|
$179.20 |
$179.20 |
$179.20 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$535.20 |
$535.20 |
$535.20 |
$696.80
|
|
Pr incision & drainage abscess simple/single
|
$290.40 |
$290.40 |
$290.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$634.40 |
$634.40 |
$634.40 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$504.00 |
$504.00 |
$504.00 |
$585.65
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$392.00 |
$392.00 |
$392.00 |
$256.80
|
|
Procalcitonin
|
$298.40 |
$298.40 |
$298.40 |
$159.25
|
|
Proctosigmoidoscopy dx 45300
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$1,078.88
|
|
Progesterone
|
$448.00 |
$448.00 |
$448.00 |
$114.60
|
|
Prolactin
|
$247.20 |
$247.20 |
$247.20 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$100.80 |
$100.80 |
$100.80 |
$61.10
|
|
Prosthetic sock multi ply bk
|
$225.60 |
$225.60 |
$225.60 |
$52.36
|
|
Protein c activity
|
$381.60 |
$381.60 |
$381.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$193.60 |
$193.60 |
$193.60 |
$77.76
|
|
Protein s total
|
$488.00 |
$488.00 |
$488.00 |
$77.60
|
|
Protein total 24 hour urine
|
$155.20 |
$155.20 |
$155.20 |
$52.47
|
|
Protein total body fluid
|
$128.80 |
$128.80 |
$128.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$97.60 |
$97.60 |
$97.60 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$231.20 |
$231.20 |
$231.20 |
$41.50
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$206.40 |
$206.40 |
$206.40 |
$251.40
|
|
Pr removal intrauterine device
|
$332.80 |
$332.80 |
$332.80 |
$392.50
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$569.60 |
$569.60 |
$569.60 |
$725.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$380.00 |
$380.00 |
$380.00 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$380.00 |
$380.00 |
$380.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$380.00 |
$380.00 |
$380.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$391.20 |
$391.20 |
$391.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$1,720.93
|
|
PSA (Prostate) Test
|
$200.80 |
$200.80 |
$200.80 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$135.20 |
$135.20 |
$135.20 |
$190.13
|
