|
Protein total serum plasma whole blood
|
$84.60 |
$84.60 |
$84.60 |
$40.70
|
|
Prothrombin complex kcentra
|
$3.84 |
$3.84 |
$3.84 |
$3.84
|
|
Prothrombin time substitution plasma fractions each
|
$99.00 |
$99.00 |
$99.00 |
$37.05
|
|
Protoporphyrin rbc screen
|
$31.20 |
$31.20 |
$31.20 |
$24.00
|
|
Prq cardiac angio addl art
|
$11,866.80 |
$11,866.80 |
$11,866.80 |
$5,583.00
|
|
Prq card revasc chronic addl
|
$39,081.60 |
$39,081.60 |
$39,081.60 |
$13,928.62
|
|
Prq card revasc mi 1 vsl
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$16,678.62
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$21,078.63
|
|
Prq card stent w/angio addl
|
$13,293.00 |
$13,293.00 |
$13,293.00 |
$9,768.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$39,081.60 |
$39,081.60 |
$39,081.60 |
$11,988.60
|
|
Prq tcat plmt ntrac st 1 les
|
$18,610.20 |
$18,610.20 |
$18,610.20 |
$13,054.80
|
|
Prq trlml c athrc st angiop1
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$19,875.58
|
|
Prq trluml c angiop 1art&/br
|
$15,823.80 |
$15,823.80 |
$15,823.80 |
$9,255.50
|
|
Prq trluml c athrc 1 art&/br
|
$18,565.20 |
$18,565.20 |
$18,565.20 |
$14,212.25
|
|
Prq trluml revsc ch occ ant
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$17,474.24
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$361.80 |
$361.80 |
$361.80 |
$365.00
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$361.80 |
$361.80 |
$361.80 |
$370.93
|
|
PSA (Prostate) Test
|
$249.60 |
$249.60 |
$249.60 |
$103.85
|
|
Psychotherapy group therapy
|
$347.40 |
$347.40 |
$347.40 |
$268.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$225.00 |
$225.00 |
$225.00 |
$196.80
|
|
Psychotherapy patient individual therapy 45 minutes
|
$295.20 |
$295.20 |
$295.20 |
$267.00
|
|
Psytx complex interactive
|
$180.00 |
$180.00 |
$180.00 |
$54.00
|
|
Psytx pt w/e&m 16-37 min
|
$240.00 |
$240.00 |
$240.00 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$274.20 |
$274.20 |
$274.20 |
$194.90
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$72.60 |
$72.60 |
$72.60 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$37.80 |
$37.80 |
$37.80 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$82.20 |
$82.20 |
$82.20 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$70.80 |
$70.80 |
$70.80 |
$82.55
|
|
Pt application of modality traction mechanical
|
$73.20 |
$73.20 |
$73.20 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$216.60 |
$216.60 |
$216.60 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$140.40 |
$140.40 |
$140.40 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$178.80 |
$178.80 |
$178.80 |
$247.20
|
|
Pt re-evaluation patient/family
|
$129.00 |
$129.00 |
$129.00 |
$141.93
|
|
Pt repositioning canalith procedure(s) per day
|
$64.20 |
$64.20 |
$64.20 |
$140.80
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$64.20 |
$64.20 |
$64.20 |
$79.30
|
|
Pulmonary vent imaging
|
$1,564.80 |
$1,564.80 |
$1,564.80 |
$828.73
|
|
Pulse ox continuous overnight monitoring
|
$544.20 |
$544.20 |
$544.20 |
$351.20
|
|
Pulse ox multiple
|
$219.00 |
$219.00 |
$219.00 |
$190.25
|
|
Pulse ox single
|
$135.60 |
$135.60 |
$135.60 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$100.80 |
$100.80 |
$100.80 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$762.00 |
$762.00 |
$762.00 |
$478.80
|
|
Puncture spinal lumbar diagnostic
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$1,087.80
|
|
Pyridoxine hcl 100 mg
|
$43.24 |
$43.24 |
$43.24 |
$29.11
|
|
Pyruvate
|
$159.60 |
$159.60 |
$159.60 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$3,846.00 |
$3,846.00 |
$3,846.00 |
$1,507.40
|
|
Quant diff pulm perf w/imaging
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$1,228.80
|
|
Quest t3 uptake
|
$158.40 |
$158.40 |
$158.40 |
$55.00
|
|
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
|
$604.80 |
$604.80 |
$604.80 |
$328.50
|
|
Radiation physics consult
|
$786.60 |
$786.60 |
$786.60 |
$595.40
|
|
Radiation therapy dose plan
|
$625.20 |
$625.20 |
$625.20 |
$514.05
|
|
Radiation treatment aid(s)
|
$706.20 |
$706.20 |
$706.20 |
$525.04
|
|
Radiation treatment aid(s)
|
$876.00 |
$876.00 |
$876.00 |
$644.36
|
|
Radiation treatment aid(s)
|
$1,186.80 |
$1,186.80 |
$1,186.80 |
$1,075.03
|
|
Radiation treatment delivery
|
$782.40 |
$782.40 |
$782.40 |
$573.52
|
|
Radiation treatment delivery
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$920.00
|
|
Radiology port images(s)
|
$450.00 |
$450.00 |
$450.00 |
$236.40
|
|
Radiotherapy dose plan imrt
|
$7,347.60 |
$7,347.60 |
$7,347.60 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$286.80 |
$286.80 |
$286.80 |
$286.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,690.40 |
$2,690.40 |
$2,690.40 |
$1,646.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,451.80 |
$3,451.80 |
$3,451.80 |
$2,582.32
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,874.00 |
$2,874.00 |
$2,874.00 |
$2,683.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,507.40 |
$2,507.40 |
$2,507.40 |
$2,177.00
|
|
Rapid Strep Test
|
$129.60 |
$129.60 |
$129.60 |
$67.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$35,222.00 |
$35,222.00 |
$35,222.00 |
$35,222.00
|
|
Rbc count only automated
|
$45.00 |
$45.00 |
$45.00 |
$20.00
|
|
Rbc deglycerolized each unit
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$785.20
|
|
Red blood cells each unit
|
$630.60 |
$630.60 |
$630.60 |
$380.25
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$537.70
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$703.20 |
$703.20 |
$703.20 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$988.20 |
$988.20 |
$988.20 |
$645.45
|
|
Red blood cells washed each unit
|
$933.60 |
$933.60 |
$933.60 |
$561.60
|
|
Redo endovas vena cava filtr
|
$10,120.80 |
$10,120.80 |
$10,120.80 |
$4,732.80
|
|
Refill/maint pump/resvr syst
|
$876.00 |
$876.00 |
$876.00 |
$403.76
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$117.00 |
$117.00 |
$117.00 |
$115.07
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,518.60 |
$2,518.60 |
$2,518.60 |
$1,888.50
|
|
Rem endovas vena cava filter
|
$9,881.40 |
$9,881.40 |
$9,881.40 |
$5,866.00
|
|
Removal central venous catheter tunneled without port/pump
|
$2,620.20 |
$2,620.20 |
$2,620.20 |
$1,538.15
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,844.20 |
$3,844.20 |
$3,844.20 |
$2,164.52
|
|
Removal cerumen impacted (both sides)
|
$459.60 |
$459.60 |
$459.60 |
$161.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$303.00 |
$303.00 |
$303.00 |
$236.64
|
|
Renal function panel
|
$266.40 |
$266.40 |
$266.40 |
$95.76
|
|
Renal venogram bil s&i
|
$2,242.20 |
$2,242.20 |
$2,242.20 |
$3,386.25
|
|
Replace g/c tube perc
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$1,243.19
|
|
Replace picvad cath
|
$6,028.20 |
$6,028.20 |
$6,028.20 |
$3,439.84
|
|
Reptilase test
|
$93.60 |
$93.60 |
$93.60 |
$65.72
|
|
Respirator motion mgmt simul
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$1,262.00
|
|
#resp virpnl dfa-adenovirus
|
$125.40 |
$125.40 |
$125.40 |
$62.40
|
|
#resp virpnl dfa-parainfluenza
|
$120.00 |
$120.00 |
$120.00 |
$44.40
|
|
Resuscitation cardiopulmonary
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$895.44
|
|
Resuscitation delivery/birthing room
|
$723.60 |
$723.60 |
$723.60 |
$726.60
|
|
Reticulocyte automated
|
$98.40 |
$98.40 |
$98.40 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$88.80 |
$88.80 |
$88.80 |
$32.50
|
|
Revision open av fistula without thromb
|
$12,879.60 |
$12,879.60 |
$12,879.60 |
$9,842.40
|
|
Revsc opn/prq tib/pero stent
|
$26,016.00 |
$26,016.00 |
$26,016.00 |
$11,094.73
|
|
Rheumatoid factor quantitative
|
$176.40 |
$176.40 |
$176.40 |
$59.80
|
