|
Pregnancy Ultrasound (first trimester)
|
$478.20 |
$478.20 |
$478.20 |
$539.37
|
|
Prep skin to 100cm2 other
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$1,144.00
|
|
Prep skin to 100cm2 trk/ext
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$1,862.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$776.49
|
|
Pressure max expiratory/inspiratory
|
$451.20 |
$508.20 |
$508.20 |
$260.25
|
|
Pressure velocity wire add ves
|
$1,463.40 |
$1,463.40 |
$1,463.40 |
$1,463.40
|
|
Pretreat rbc absorption reference
|
$319.20 |
$319.20 |
$319.20 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$247.80 |
$247.80 |
$247.80 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$183.60 |
$183.60 |
$183.60 |
$170.31
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$297.00 |
$297.00 |
$516.60 |
$328.28
|
|
Prgrmg dev eval impltbl sys
|
$2,997.60 |
$2,997.60 |
$2,997.60 |
$162.40
|
|
Prgr stim/pace a/iv drug
|
$5,402.40 |
$5,402.40 |
$5,402.40 |
$4,709.90
|
|
Prim art mech thrmbc non-intracranial
|
$6,385.20 |
$6,385.20 |
$6,385.20 |
$9,548.80
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,385.20 |
$6,385.20 |
$6,385.20 |
$3,966.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,518.60 |
$1,518.60 |
$1,518.60 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$843.60 |
$843.60 |
$843.60 |
$437.53
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$606.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$293.40 |
$293.40 |
$293.40 |
$266.64
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$728.44 |
$728.44 |
$728.44 |
$550.14
|
|
Procalcitonin
|
$304.20 |
$304.20 |
$304.20 |
$133.20
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$44.48 |
$44.48 |
$44.48 |
$35.00
|
|
Prochlorperazine maleate 5 mg tablet
|
$2.17 |
$2.17 |
$2.17 |
$2.17
|
|
Progesterone
|
$444.60 |
$444.60 |
$444.60 |
$100.24
|
|
Prolactin
|
$407.40 |
$407.40 |
$407.40 |
$123.20
|
|
Promethazine 25 mg tablet
|
$1.91 |
$1.91 |
$1.91 |
$1.91
|
|
Promethazine hcl injection
|
$38.85 |
$100.17 |
$100.17 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$45.25 |
$45.25 |
$45.25 |
$45.25
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$39.59 |
$40.00 |
$40.00 |
$26.77
|
|
Prostate biopsy, any mthd
|
$774.00 |
$774.00 |
$774.00 |
$599.68
|
|
Protamine 10 mg/ml intravenous solution
|
$119.18 |
$119.18 |
$119.18 |
$32.68
|
|
Protein c activity
|
$570.00 |
$570.00 |
$570.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$40.20 |
$81.60 |
$81.60 |
$84.00
|
|
Protein s total
|
$496.80 |
$496.80 |
$496.80 |
$85.10
|
|
Protein total 24 hour urine
|
$121.20 |
$121.20 |
$121.20 |
$44.90
|
|
Protein total body fluid
|
$128.40 |
$128.40 |
$128.40 |
$49.20
|
|
Protein total serum plasma whole blood
|
$73.80 |
$73.80 |
$73.80 |
$40.70
|
|
Prothrombin complex kcentra
|
$3.84 |
$3.84 |
$3.84 |
$3.84
|
|
Prothrombin time substitution plasma fractions each
|
$105.00 |
$105.00 |
$105.00 |
$37.05
|
|
Protoporphyrin rbc screen
|
$33.00 |
$33.00 |
$33.00 |
$24.00
|
|
Provide inr test mater/equip
|
$301.20 |
$301.20 |
$301.20 |
$151.14
|
|
Pr planning advance care 1st 30 minutes
|
$132.60 |
$132.60 |
$132.60 |
$153.60
|
|
Prq cardiac angio addl art
|
$10,483.20 |
$10,483.20 |
$10,915.20 |
$5,583.00
|
|
Prq card revasc chronic addl
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$13,928.62
|
|
Prq card revasc mi 1 vsl
|
$47,221.80 |
$47,221.80 |
$48,681.60 |
$16,678.62
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$47,221.80 |
$47,221.80 |
$48,681.60 |
$21,078.63
|
|
Prq card stent w/angio addl
|
$11,742.60 |
$11,742.60 |
$11,742.60 |
$9,768.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$47,221.80 |
$47,221.80 |
$48,681.60 |
$13,424.00
|
|
Prq revasc byp graft addl
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$11,988.60
|
|
Prq tcat plmt ntrac st 1 les
|
$16,439.40 |
$16,439.40 |
$17,118.00 |
$13,054.80
|
|
Prq trlml c athrc st angiop1
|
$47,221.80 |
$47,221.80 |
$47,221.80 |
$19,875.58
|
|
Prq trluml c angiop 1art&/br
|
$13,979.40 |
$13,979.40 |
$14,555.40 |
$9,255.50
|
|
Prq trluml c athrc 1 art&/br
|
$16,400.40 |
$16,400.40 |
$16,400.40 |
$14,166.38
|
|
Prq trluml revsc ch occ ant
|
$47,221.80 |
$47,221.80 |
$47,221.80 |
$17,474.24
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$249.60 |
$249.60 |
$249.60 |
$278.20
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$367.80 |
$367.80 |
$367.80 |
$370.93
|
|
PSA (Prostate) Test
|
$352.80 |
$352.80 |
$352.80 |
$103.85
|
|
Psychotherapy patient individual therapy 30 minutes
|
$84.60 |
$84.60 |
$84.60 |
$196.80
|
|
Psychotherapy patient individual therapy 45 minutes
|
$84.60 |
$84.60 |
$84.60 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$84.60 |
$84.60 |
$84.60 |
$294.00
|
|
Psytx complex interactive
|
$97.20 |
$97.20 |
$97.20 |
$54.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$79.20 |
$79.20 |
$79.20 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$17.40 |
$17.40 |
$17.40 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$85.80 |
$85.80 |
$85.80 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$70.20 |
$70.20 |
$70.20 |
$82.55
|
|
Pt application of modality traction mechanical
|
$100.80 |
$100.80 |
$100.80 |
$87.00
|
|
Pten gene dup/delet variant
|
$923.40 |
$923.40 |
$923.40 |
$300.00
|
|
Pten gene known fam variant
|
$161.40 |
$161.40 |
$161.40 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$279.00 |
$279.00 |
$279.00 |
$273.00
|
|
Pt evaluation low complexity patient/family
|
$111.00 |
$111.00 |
$111.00 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$159.00 |
$159.00 |
$159.00 |
$245.40
|
|
Pt re-evaluation patient/family
|
$152.40 |
$152.40 |
$152.40 |
$140.85
|
|
Pt repositioning canalith procedure(s) per day
|
$79.80 |
$79.80 |
$79.80 |
$140.80
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$79.80 |
$79.80 |
$79.80 |
$84.90
|
|
Pul art balloon repr percut
|
$14,353.80 |
$14,353.80 |
$14,353.80 |
$9,721.21
|
|
Pul art balloon repr percut
|
$10,766.40 |
$10,766.40 |
$10,766.40 |
$3,766.10
|
|
Pulmonary vent imaging
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$828.73
|
|
Pulse ox continuous overnight monitoring
|
$547.20 |
$547.20 |
$547.20 |
$351.20
|
|
Pulse ox multiple
|
$339.00 |
$339.00 |
$339.00 |
$186.28
|
|
Pulse ox single
|
$213.60 |
$213.60 |
$213.60 |
$78.99
|
|
Punc of shunt for asp or inj
|
$611.40 |
$611.40 |
$611.40 |
$877.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$100.20 |
$100.20 |
$100.20 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$663.60 |
$663.60 |
$663.60 |
$478.00
|
|
Puncture spinal lumbar diagnostic
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$1,087.80
|
|
Puraply 1 sq cm
|
$517.20 |
$517.20 |
$517.20 |
$256.38
|
|
Pyridoxine hcl 100 mg
|
$43.24 |
$43.24 |
$43.24 |
$29.11
|
|
Pyruvate
|
$183.60 |
$183.60 |
$183.60 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$3,174.60 |
$3,174.60 |
$3,174.60 |
$1,425.08
|
|
Quant diff pulm perf w/imaging
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,228.80
|
|
Quest t3 uptake
|
$190.80 |
$190.80 |
$190.80 |
$55.00
|
|
Quinupristin/dalfopristin
|
$1,066.32 |
$1,066.32 |
$1,066.32 |
$358.62
|
|
Rabies ig ht&sol human im/sc
|
$5,401.91 |
$5,401.91 |
$5,401.91 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,401.91 |
$5,401.91 |
$5,401.91 |
$1,624.21
|
|
Radiation handling
|
$677.40 |
$677.40 |
$677.40 |
$328.50
|
|
Radiation physics consult
|
$944.40 |
$944.40 |
$944.40 |
$595.40
|
|
Radiation therapy dose plan
|
$741.00 |
$741.00 |
$741.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$794.40 |
$794.40 |
$794.40 |
$520.00
|
|
Radiation treatment aid(s)
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$644.36
|
|
Radiation treatment aid(s)
|
$1,527.00 |
$1,527.00 |
$1,527.00 |
$1,075.03
|
