|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$1,548.00
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$800.00 |
$800.00 |
$800.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,332.43
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$8,780.80 |
$8,780.80 |
$8,780.80 |
$13,964.50
|
|
Platelet aggregation each agent teg
|
$255.20 |
$255.20 |
$255.20 |
$146.50
|
|
Platelet automated
|
$89.60 |
$89.60 |
$89.60 |
$45.63
|
|
Platelets leukocytes reduced each unit
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,943.20 |
$1,943.20 |
$1,943.20 |
$1,127.54
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,046.40 |
$2,046.40 |
$2,046.40 |
$1,231.75
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$1,004.00
|
|
Plethysmography lung volumes/airway resistance
|
$516.00 |
$516.00 |
$516.00 |
$405.00
|
|
Plmt nephroureteral catheter
|
$2,651.20 |
$2,651.20 |
$2,651.20 |
$4,225.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$281.60 |
$281.60 |
$281.60 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,708.80 |
$4,708.80 |
$4,708.80 |
$3,751.48
|
|
Potassium 24 hour urine
|
$89.60 |
$89.60 |
$89.60 |
$52.00
|
|
Potassium serum/plasma/whole blood
|
$68.80 |
$68.80 |
$68.80 |
$47.85
|
|
Pq thr inj ext pse
|
$480.80 |
$480.80 |
$480.80 |
$798.40
|
|
Pr application of long arm splint
|
$421.60 |
$421.60 |
$421.60 |
$328.78
|
|
Pr application splint static short arm
|
$280.80 |
$280.80 |
$280.80 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$560.80 |
$560.80 |
$560.80 |
$457.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$260.80 |
$260.80 |
$260.80 |
$350.98
|
|
Prealbumin
|
$109.60 |
$109.60 |
$109.60 |
$94.25
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$920.80 |
$920.80 |
$920.80 |
$598.10
|
|
Pregnancy Ultrasound (first trimester)
|
$920.80 |
$920.80 |
$920.80 |
$539.37
|
|
Pretreat rbc density gradient separation reference
|
$144.00 |
$144.00 |
$144.00 |
$182.31
|
|
Pretreat rbc w enzyme reference
|
$276.00 |
$276.00 |
$276.00 |
$165.50
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$558.40 |
$558.40 |
$558.40 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$13,933.60 |
$13,933.60 |
$13,933.60 |
$9,515.00
|
|
Prin care mgmt staff 1st 30
|
$179.20 |
$179.20 |
$179.20 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$558.40 |
$558.40 |
$558.40 |
$696.80
|
|
Pr incision & drainage abscess simple/single
|
$534.40 |
$534.40 |
$534.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$753.60 |
$753.60 |
$753.60 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$516.80 |
$516.80 |
$516.80 |
$572.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$915.20 |
$915.20 |
$915.20 |
$256.27
|
|
Procalcitonin
|
$237.60 |
$237.60 |
$237.60 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$1,078.88
|
|
Progesterone
|
$183.20 |
$183.20 |
$183.20 |
$117.48
|
|
Prolactin
|
$232.80 |
$232.80 |
$232.80 |
$124.15
|
|
Protein c activity
|
$91.20 |
$91.20 |
$91.20 |
$120.25
|
|
Protein electrophoretic fractionation & quantitation serum
|
$156.00 |
$156.00 |
$156.00 |
$81.60
|
|
Protein s total
|
$247.20 |
$247.20 |
$247.20 |
$78.77
|
|
Protein total 24 hour urine
|
$147.20 |
$147.20 |
$147.20 |
$52.50
|
|
Protein total body fluid
|
$25.60 |
$25.60 |
$25.60 |
$51.03
|
|
Protein total serum plasma whole blood
|
$85.60 |
$85.60 |
$85.60 |
$43.20
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$280.80 |
$280.80 |
$280.80 |
$252.60
|
|
Pr removal intrauterine device
|
$245.60 |
$245.60 |
$245.60 |
$373.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$514.40 |
$514.40 |
$514.40 |
$736.90
|
|
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
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$1,719.44
|
|
PSA (Prostate) Test
|
$196.00 |
$196.00 |
$196.00 |
$108.29
|
|
Psychotherapy group therapy
|
$140.00 |
$140.00 |
$140.00 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$135.20 |
$135.20 |
$135.20 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$175.20 |
$175.20 |
$175.20 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$231.20 |
$231.20 |
$231.20 |
$287.47
|
|
Psycl/nrpsyc tech 1st
|
$335.20 |
$335.20 |
$335.20 |
$321.60
|
|
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 |
$102.86
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$107.20 |
$107.20 |
$107.20 |
$80.40
|
|
Pt application of modality traction mechanical
|
$107.20 |
$107.20 |
$107.20 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$371.20 |
$371.20 |
$371.20 |
$292.80
|
|
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 |
$250.25
|
|
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 |
$117.50
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$87.50
|
|
Pulmonary vent imaging
|
$908.00 |
$908.00 |
$908.00 |
$893.20
|
|
Pulse ox multiple
|
$165.60 |
$165.60 |
$165.60 |
$165.60
|
|
Pulse ox single
|
$39.20 |
$39.20 |
$39.20 |
$85.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$122.40 |
$122.40 |
$122.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$336.00 |
$336.00 |
$336.00 |
$509.60
|
|
Puncture spinal lumbar diagnostic
|
$581.60 |
$581.60 |
$581.60 |
$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 |
$171.12
|
|
Pyruvate kinase
|
$100.00 |
$100.00 |
$100.00 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$1,547.04
|
|
Quest t3 uptake
|
$162.40 |
$162.40 |
$162.40 |
$55.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$2,051.70
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,630.40 |
$3,630.40 |
$3,630.40 |
$2,289.50
|
|
Rapid Strep Test
|
$120.00 |
$120.00 |
$120.00 |
$75.24
|
|
Red blood cells leukocytes reduced each unit
|
$648.80 |
$648.80 |
$648.80 |
$434.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$751.20 |
$751.20 |
$751.20 |
$523.83
|
|
Removal central venous catheter tunneled without port/pump
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$1,604.85
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,272.80 |
$1,272.80 |
$1,272.80 |
$2,435.00
|
|
Removal cerumen impacted (both sides)
|
$421.60 |
$421.60 |
$421.60 |
$167.79
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$369.60 |
$369.60 |
$369.60 |
$237.54
|
|
Removal foreign body foot subcutaneous right
|
$753.60 |
$753.60 |
$753.60 |
$1,256.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$260.80 |
$260.80 |
$260.80 |
$292.50
|
|
Renal function panel
|
$212.80 |
$212.80 |
$212.80 |
$115.41
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$753.60 |
$753.60 |
$753.60 |
$1,025.95
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$308.80 |
$308.80 |
$308.80 |
$1,026.40
|
|
Replace g/c tube perc
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$1,275.60
|
|
Replace/revise brain shunt
|
$9,221.60 |
$9,221.60 |
$9,221.60 |
$7,592.10
|
|
Resuscitation cardiopulmonary
|
$1,281.60 |
$1,281.60 |
$1,281.60 |
$754.99
|
|
Reticulocyte automated
|
$129.60 |
$129.60 |
$129.60 |
$53.00
|
|
Rheumatoid factor qualitative
|
$174.40 |
$174.40 |
$174.40 |
$57.75
|
