|
Potassium serum/plasma/whole blood
|
$72.00 |
$72.00 |
$72.00 |
$46.00
|
|
Pq thr inj ext pse
|
$520.00 |
$520.00 |
$520.00 |
$843.97
|
|
Pr application of long arm splint
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
$328.78
|
|
Pr application splint static short arm
|
$958.40 |
$958.40 |
$958.40 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$626.40 |
$626.40 |
$626.40 |
$456.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$439.20 |
$439.20 |
$439.20 |
$350.98
|
|
Prealbumin
|
$175.20 |
$175.20 |
$175.20 |
$93.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$970.40 |
$970.40 |
$970.40 |
$537.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$695.20 |
$695.20 |
$695.20 |
$147.84
|
|
Pretreat rbc absorption reference
|
$240.80 |
$240.80 |
$240.80 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$140.00 |
$140.00 |
$140.00 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$176.80 |
$176.80 |
$176.80 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$296.80 |
$296.80 |
$296.80 |
$164.99
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,908.09
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$626.40 |
$626.40 |
$626.40 |
$753.64
|
|
Prim art mech thrmbc non-intracranial
|
$14,049.60 |
$14,049.60 |
$14,049.60 |
$9,470.97
|
|
Prin care mgmt staff 1st 30
|
$180.00 |
$180.00 |
$180.00 |
$106.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$626.40 |
$626.40 |
$626.40 |
$689.01
|
|
Pr incision & drainage abscess simple/single
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$460.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$2,762.40 |
$2,762.40 |
$2,762.40 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$654.40 |
$654.40 |
$654.40 |
$570.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$246.40 |
$246.40 |
$246.40 |
$252.00
|
|
Procalcitonin
|
$454.40 |
$454.40 |
$454.40 |
$157.56
|
|
Proctosigmoidoscopy dx 45300
|
$1,306.40 |
$1,306.40 |
$1,306.40 |
$1,078.88
|
|
Progesterone
|
$439.20 |
$439.20 |
$439.20 |
$113.24
|
|
Prolactin
|
$253.60 |
$253.60 |
$253.60 |
$123.50
|
|
_propoxygc/msur
|
$217.60 |
$217.60 |
$217.60 |
$85.14
|
|
Prosthetic sock multi ply bk
|
$225.60 |
$225.60 |
$225.60 |
$57.60
|
|
Protein c activity
|
$377.60 |
$377.60 |
$377.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$173.60 |
$173.60 |
$173.60 |
$84.00
|
|
Protein s total
|
$300.00 |
$300.00 |
$300.00 |
$77.60
|
|
Protein total 24 hour urine
|
$120.00 |
$120.00 |
$120.00 |
$52.47
|
|
Protein total body fluid
|
$162.40 |
$162.40 |
$162.40 |
$52.00
|
|
Protein total serum plasma whole blood
|
$70.40 |
$70.40 |
$70.40 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$246.40 |
$246.40 |
$246.40 |
$40.30
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$251.40
|
|
Pr removal intrauterine device
|
$263.20 |
$263.20 |
$263.20 |
$367.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$380.00 |
$380.00 |
$380.00 |
$377.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$380.00 |
$380.00 |
$380.00 |
$404.80
|
|
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
|
$955.20 |
$955.20 |
$955.20 |
$391.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$7,377.60 |
$7,377.60 |
$7,377.60 |
$1,700.82
|
|
PSA (Prostate) Test
|
$215.20 |
$215.20 |
$215.20 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$135.20 |
$135.20 |
$135.20 |
$189.21
|
|
Psycl/nrpsyc tech 1st
|
$328.80 |
$328.80 |
$328.80 |
$330.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$107.20 |
$107.20 |
$107.20 |
$79.76
|
|
Pt application of modality traction mechanical
|
$107.20 |
$107.20 |
$107.20 |
$87.00
|
|
Pten gene full sequence
|
$5,681.60 |
$5,681.60 |
$5,681.60 |
$663.00
|
|
Pt evaluation high complexity patient/family
|
$371.20 |
$371.20 |
$371.20 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$308.80 |
$308.80 |
$308.80 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$329.60 |
$329.60 |
$329.60 |
$249.26
|
|
Pt re-evaluation patient/family
|
$214.40 |
$214.40 |
$214.40 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$157.60 |
$157.60 |
$157.60 |
$115.35
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$87.10
|
|
Pt wheelchair management each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$86.53
|
|
Pulmonary vent imaging
|
$3,990.40 |
$3,990.40 |
$3,990.40 |
$878.00
|
|
Pulse ox continuous overnight monitoring
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$344.00
|
|
Pulse ox multiple
|
$155.20 |
$155.20 |
$155.20 |
$162.00
|
|
Pulse ox single
|
$24.00 |
$24.00 |
$24.00 |
$85.60
|
|
Puncture arterial withdrawal blood for diagnosis
|
$220.80 |
$220.80 |
$220.80 |
$126.29
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$496.00
|
|
Puncture spinal lumbar diagnostic
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$1,082.90
|
|
Puraply 1 sq cm
|
$402.40 |
$402.40 |
$402.40 |
$304.50
|
|
Puraply xt 1 sq cm
|
$402.40 |
$402.40 |
$402.40 |
$172.80
|
|
Pwr pck base combo vad, rep
|
$27,503.20 |
$27,503.20 |
$27,503.20 |
$19,344.64
|
|
Pyruvate kinase
|
$160.00 |
$160.00 |
$160.00 |
$84.50
|
|
Quest t3 uptake
|
$124.80 |
$124.80 |
$124.80 |
$55.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,080.80 |
$3,080.80 |
$3,080.80 |
$2,014.64
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,426.40 |
$2,426.40 |
$2,426.40 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$1,102.80
|
|
Rapid Strep Test
|
$136.80 |
$136.80 |
$136.80 |
$74.25
|
|
Red blood cells leukocytes reduced each unit
|
$806.40 |
$806.40 |
$806.40 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,116.80 |
$1,116.80 |
$1,116.80 |
$523.83
|
|
Refill/maint pump/resvr syst
|
$835.20 |
$835.20 |
$835.20 |
$384.15
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,116.00 |
$4,116.00 |
$4,116.00 |
$2,422.70
|
|
Removal cerumen impacted (both sides)
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$161.85
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$296.00 |
$296.00 |
$296.00 |
$236.64
|
|
Removal embedded foreign body vestibule mouth smpl
|
$2,375.20 |
$2,375.20 |
$2,375.20 |
$838.33
|
|
Removal foreign body foot subcutaneous right
|
$1,671.20 |
$1,671.20 |
$1,671.20 |
$1,229.80
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$280.80 |
$280.80 |
$280.80 |
$283.40
|
|
Remove hip foreign body 27086
|
$3,837.60 |
$3,837.60 |
$3,837.60 |
$2,292.15
|
|
Remove shoulder foreign body subq 23330
|
$5,868.80 |
$5,868.80 |
$5,868.80 |
$1,788.80
|
|
Renal function panel
|
$232.00 |
$232.00 |
$232.00 |
$113.52
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$1,059.20
|
|
Repair eyelid wound
|
$8,968.80 |
$8,968.80 |
$8,968.80 |
$2,745.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$334.40 |
$334.40 |
$334.40 |
$940.86
|
|
Repair rpr lip full thickness vermilion only
|
$7,563.20 |
$7,563.20 |
$7,563.20 |
$1,217.60
|
|
Replace g/c tube perc
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$1,270.99
|
|
Replace g-j tube perc
|
$2,393.60 |
$2,393.60 |
$2,393.60 |
$1,479.75
|
|
Replace/revise brain shunt
|
$9,256.00 |
$9,256.00 |
$9,256.00 |
$7,592.10
|
|
Reptilase test
|
$248.80 |
$248.80 |
$248.80 |
$72.80
|
|
Resuscitation cardiopulmonary
|
$1,717.60 |
$1,717.60 |
$1,717.60 |
$745.80
|
|
Reticulocyte direct measurement automated
|
$361.60 |
$361.60 |
$361.60 |
$35.84
|
|
Rheumatoid factor qualitative
|
$155.20 |
$155.20 |
$155.20 |
$57.20
|
|
Rheumatoid factor quantitative
|
$127.20 |
$127.20 |
$127.20 |
$56.55
|
