|
Platelets leukocytes reduced each unit
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
$299.40
|
|
Platelets leukocytes reduced irradiated each unit
|
$2,790.40 |
$2,790.40 |
$2,790.40 |
$427.50
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$1,140.80
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$1,259.94
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,790.40 |
$2,790.40 |
$2,790.40 |
$1,004.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$627.20 |
$627.20 |
$627.20 |
$405.00
|
|
Plmt nephroureteral catheter
|
$2,824.00 |
$2,824.00 |
$2,824.00 |
$4,198.50
|
|
Pmp22 gene dup/delet
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$846.54
|
|
Pms2 gene dup/delet variants
|
$772.00 |
$772.00 |
$772.00 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,511.20 |
$1,511.20 |
$1,511.20 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$406.40 |
$406.40 |
$406.40 |
$186.00
|
|
Polysom <6 yrs cpap/bilvl
|
$6,613.60 |
$6,613.60 |
$6,613.60 |
$3,409.00
|
|
Polysom any age 1-3> param
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$6,683.20 |
$6,683.20 |
$6,683.20 |
$3,751.48
|
|
Positional nystagmus test
|
$314.40 |
$314.40 |
$314.40 |
$73.50
|
|
Potassium 24 hour urine
|
$116.00 |
$116.00 |
$116.00 |
$50.40
|
|
Potassium serum/plasma/whole blood
|
$134.40 |
$134.40 |
$134.40 |
$46.75
|
|
Pq thr inj ext pse
|
$512.00 |
$512.00 |
$512.00 |
$798.40
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,904.80 |
$4,904.80 |
$4,904.80 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$12,355.20 |
$12,355.20 |
$12,355.20 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$12,355.20 |
$12,355.20 |
$12,355.20 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$5,005.60 |
$5,005.60 |
$5,005.60 |
$3,738.90
|
|
Pr application of long arm splint
|
$598.40 |
$598.40 |
$598.40 |
$329.00
|
|
Pr application splint static short arm
|
$689.60 |
$689.60 |
$689.60 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$406.40 |
$406.40 |
$406.40 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$52.00 |
$52.00 |
$52.00 |
$48.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$721.60 |
$721.60 |
$721.60 |
$351.60
|
|
Prealbumin
|
$193.60 |
$193.60 |
$193.60 |
$93.36
|
|
Pregnancy associated plasma protein-a
|
$265.60 |
$265.60 |
$265.60 |
$71.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,020.80 |
$1,020.80 |
$1,020.80 |
$535.00
|
|
Pretreat rbc density gradient separation reference
|
$144.00 |
$144.00 |
$144.00 |
$185.90
|
|
Pretreat rbc w enzyme reference
|
$282.40 |
$282.40 |
$282.40 |
$165.60
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,462.40 |
$1,462.40 |
$1,462.40 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$14,662.40 |
$14,662.40 |
$14,662.40 |
$9,470.97
|
|
Prin care mgmt staff 1st 30
|
$212.00 |
$212.00 |
$212.00 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$812.80 |
$812.80 |
$812.80 |
$696.80
|
|
Pr incision & drainage abscess simple/single
|
$812.80 |
$812.80 |
$812.80 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$812.80 |
$812.80 |
$812.80 |
$583.10
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$518.40 |
$518.40 |
$518.40 |
$256.27
|
|
Procalcitonin
|
$500.80 |
$500.80 |
$500.80 |
$159.25
|
|
Proctosigmoidoscopy dx 45300
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,078.88
|
|
Progesterone
|
$524.80 |
$524.80 |
$524.80 |
$114.60
|
|
Prolactin
|
$407.20 |
$407.20 |
$407.20 |
$123.50
|
|
_propoxygc/msur
|
$417.60 |
$417.60 |
$417.60 |
$83.48
|
|
Prostate biopsy, any mthd
|
$6,212.80 |
$6,212.80 |
$6,212.80 |
$475.20
|
|
Prosthetic sock multi ply bk
|
$225.60 |
$225.60 |
$225.60 |
$52.36
|
|
Protein c activity
|
$361.60 |
$361.60 |
$361.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$363.20 |
$363.20 |
$363.20 |
$77.76
|
|
Protein s total
|
$352.00 |
$352.00 |
$352.00 |
$77.60
|
|
Protein total 24 hour urine
|
$232.00 |
$232.00 |
$232.00 |
$52.46
|
|
Protein total body fluid
|
$177.60 |
$177.60 |
$177.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$118.40 |
$118.40 |
$118.40 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$234.40 |
$234.40 |
$234.40 |
$41.50
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$406.40 |
$406.40 |
$406.40 |
$251.40
|
|
Pr removal intrauterine device
|
$288.00 |
$288.00 |
$288.00 |
$392.50
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$352.00 |
$352.00 |
$352.00 |
$725.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$446.40 |
$446.40 |
$446.40 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$446.40 |
$446.40 |
$446.40 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$446.40 |
$446.40 |
$446.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$460.00 |
$460.00 |
$460.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,888.80 |
$2,888.80 |
$2,888.80 |
$1,719.44
|
|
PSA (Prostate) Test
|
$248.00 |
$248.00 |
$248.00 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$135.20 |
$135.20 |
$135.20 |
$190.13
|
|
Psycl/nrpsyc tech 1st
|
$335.20 |
$335.20 |
$335.20 |
$277.03
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$87.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$101.40
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$107.20 |
$107.20 |
$107.20 |
$79.95
|
|
Pt application of modality traction mechanical
|
$107.20 |
$107.20 |
$107.20 |
$86.94
|
|
Pten gene full sequence
|
$5,502.40 |
$5,502.40 |
$5,502.40 |
$826.00
|
|
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 |
$222.56
|
|
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 |
$116.82
|
|
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 |
$87.50
|
|
Pulmonary vent imaging
|
$2,627.20 |
$2,627.20 |
$2,627.20 |
$898.88
|
|
Pulse ox continuous overnight monitoring
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$350.40
|
|
Pulse ox multiple
|
$185.60 |
$185.60 |
$185.60 |
$161.39
|
|
Pulse ox single
|
$88.80 |
$88.80 |
$88.80 |
$83.32
|
|
Puncture arterial withdrawal blood for diagnosis
|
$107.20 |
$107.20 |
$107.20 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$509.60
|
|
Puncture spinal lumbar diagnostic
|
$2,421.60 |
$2,421.60 |
$2,421.60 |
$1,052.40
|
|
Puraply 1 sq cm
|
$402.40 |
$402.40 |
$402.40 |
$307.20
|
|
Puraply xt 1 sq cm
|
$402.40 |
$402.40 |
$402.40 |
$171.12
|
|
Pwr pck base combo vad, rep
|
$27,503.20 |
$27,503.20 |
$27,503.20 |
$19,344.64
|
|
Pyruvate
|
$199.20 |
$199.20 |
$199.20 |
$65.00
|
|
Pyruvate kinase
|
$199.20 |
$199.20 |
$199.20 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$2,627.20 |
$2,627.20 |
$2,627.20 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$2,627.20 |
$2,627.20 |
$2,627.20 |
$1,200.00
|
|
Quest t3 uptake
|
$157.60 |
$157.60 |
$157.60 |
$54.12
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,345.60 |
$2,345.60 |
$2,345.60 |
$2,051.70
|
