|
Polysom <6 yrs cpap/bilvl
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$3,494.55
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$3,751.48
|
|
Porfimer sodium injection
|
$29,486.00 |
$29,486.00 |
$29,486.00 |
$37,618.13
|
|
Potassium 24 hour urine
|
$59.00 |
$59.00 |
$59.00 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$158.28 |
$158.28 |
$158.28 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$27.50 |
$27.50 |
$27.50 |
$46.75
|
|
Pq thr inj ext pse
|
$658.50 |
$658.50 |
$658.50 |
$775.00
|
|
Pralatrexate injection
|
$35,639.75 |
$35,639.75 |
$35,639.75 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$1,734.38 |
$1,734.38 |
$1,734.38 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$772.00 |
$772.00 |
$772.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$288.50 |
$288.50 |
$288.50 |
$329.00
|
|
Pr application splint static short arm
|
$370.50 |
$370.50 |
$370.50 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$394.50 |
$394.50 |
$394.50 |
$458.25
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$173.50 |
$173.50 |
$173.50 |
$351.60
|
|
Prealbumin
|
$99.50 |
$99.50 |
$99.50 |
$93.36
|
|
Pr ecg 12 lead report only
|
$18.00 |
$18.00 |
$18.00 |
$20.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$126.36 |
$126.36 |
$126.36 |
$13.87
|
|
Prednisone 1 mg tablet
|
$17.09 |
$17.09 |
$17.09 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$614.50 |
$614.50 |
$614.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$590.00 |
$590.00 |
$590.00 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$162.00 |
$162.00 |
$162.00 |
$238.33
|
|
Pretreat rbc absorption reference
|
$93.00 |
$93.00 |
$93.00 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$387.50 |
$387.50 |
$387.50 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$119.00 |
$119.00 |
$119.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$166.00 |
$166.00 |
$166.00 |
$167.05
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$343.50 |
$343.50 |
$343.50 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$827.00 |
$827.00 |
$827.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$732.00 |
$732.00 |
$732.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$198.00 |
$198.00 |
$198.00 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$221.00 |
$221.00 |
$221.00 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$161.00 |
$161.00 |
$161.00 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$6,704.00 |
$6,704.00 |
$6,704.00 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,994.57 |
$1,994.57 |
$1,994.57 |
$670.00
|
|
Procalcitonin
|
$97.50 |
$97.50 |
$97.50 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$31.20 |
$31.20 |
$31.20 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.04 |
$1.04 |
$1.04 |
$1.50
|
|
Progesterone
|
$136.00 |
$136.00 |
$136.00 |
$115.64
|
|
Prolactin
|
$98.00 |
$98.00 |
$98.00 |
$123.50
|
|
Promethazine 25 mg tablet
|
$0.59 |
$0.59 |
$0.59 |
$4.06
|
|
Promethazine hcl injection
|
$31.16 |
$31.16 |
$31.16 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$67.52 |
$67.52 |
$67.52 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$79.69 |
$79.69 |
$79.69 |
$32.93
|
|
Protamine 10 mg/ml intravenous solution
|
$238.32 |
$238.32 |
$238.32 |
$57.89
|
|
Protein c activity
|
$122.50 |
$122.50 |
$122.50 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$50.00 |
$50.00 |
$50.00 |
$84.00
|
|
Protein s total
|
$143.00 |
$143.00 |
$143.00 |
$83.52
|
|
Protein total 24 hour urine
|
$21.50 |
$21.50 |
$21.50 |
$52.50
|
|
Protein total body fluid
|
$43.50 |
$43.50 |
$43.50 |
$49.80
|
|
Protein total serum plasma whole blood
|
$24.50 |
$24.50 |
$24.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$1,433.75 |
$1,433.75 |
$1,433.75 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$41.00 |
$41.00 |
$41.00 |
$41.50
|
|
Provide inr test mater/equip
|
$188.00 |
$188.00 |
$188.00 |
$253.47
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$174.00 |
$174.00 |
$174.00 |
$251.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$402.50 |
$402.50 |
$402.50 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$223.50 |
$223.50 |
$223.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$229.00 |
$229.00 |
$229.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$180.50 |
$180.50 |
$180.50 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$238.00 |
$238.00 |
$238.00 |
$396.00
|
|
Pr robotic surgical system
|
$0.00 |
$0.00 |
$0.00 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,556.50 |
$1,556.50 |
$1,556.50 |
$1,720.93
|
|
PSA (Prostate) Test
|
$84.50 |
$84.50 |
$84.50 |
$107.50
|
|
Psychotherapy group therapy
|
$89.50 |
$89.50 |
$89.50 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$97.00 |
$97.00 |
$97.00 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$137.50 |
$137.50 |
$137.50 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$236.50 |
$236.50 |
$236.50 |
$287.47
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$89.50 |
$89.50 |
$89.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$17.50 |
$17.50 |
$17.50 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$99.50 |
$99.50 |
$99.50 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$61.50 |
$61.50 |
$61.50 |
$81.00
|
|
Pt application of modality traction mechanical
|
$75.50 |
$75.50 |
$75.50 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$253.00 |
$253.00 |
$253.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$155.50 |
$155.50 |
$155.50 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$213.00 |
$213.00 |
$213.00 |
$254.88
|
|
Pt re-evaluation patient/family
|
$141.50 |
$141.50 |
$141.50 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$134.00 |
$134.00 |
$134.00 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$72.50 |
$72.50 |
$72.50 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$80.00 |
$80.00 |
$80.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$46.50 |
$46.50 |
$46.50 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$79.50 |
$79.50 |
$79.50 |
$87.50
|
|
Pulmonary vent imaging
|
$564.00 |
$564.00 |
$564.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$238.00 |
$238.00 |
$238.00 |
$344.00
|
|
Pulse ox single
|
$95.50 |
$95.50 |
$95.50 |
$81.70
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$764.80 |
$764.80 |
$764.80 |
$969.00
|
|
Punc of shunt for asp or inj
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$177.00 |
$177.00 |
$177.00 |
$127.50
|
|
Puncture spinal lumbar diagnostic
|
$1,859.50 |
$1,859.50 |
$1,859.50 |
$1,051.80
|
|
Puraply xt 1 sq cm
|
$5,440.00 |
$5,440.00 |
$5,440.00 |
$171.12
|
|
Pyridoxine hcl 100 mg
|
$82.80 |
$82.80 |
$82.80 |
$48.70
|
|
Pyruvate
|
$98.00 |
$98.00 |
$98.00 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$2,058.50 |
$2,058.50 |
$2,058.50 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$1,199.16
|
|
Quest t3 uptake
|
$79.00 |
$79.00 |
$79.00 |
$52.25
|
|
Quinupristin/dalfopristin
|
$1,559.68 |
$1,559.68 |
$1,559.68 |
$1,066.32
|
|
Rabies ig ht&sol human im/sc
|
$1,073.82 |
$1,073.82 |
$1,073.82 |
$2,756.77
|
|
Radiation therapy dose plan
|
$559.50 |
$559.50 |
$559.50 |
$514.05
|
|
Radium ra223 dichl ther/uci
|
$38,192.49 |
$38,192.49 |
$38,192.49 |
$215.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,624.50 |
$1,624.50 |
$1,624.50 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$696.50 |
$696.50 |
$696.50 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$18,235.88 |
$18,235.88 |
$18,235.88 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,712.30 |
$2,712.30 |
$2,712.30 |
$4,331.80
|