|
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
|
$126.60 |
$126.60 |
$126.60 |
$37.05
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$278.20
|
|
PSA (Prostate) Test
|
$271.80 |
$271.80 |
$271.80 |
$103.85
|
|
Psychotherapy group therapy
|
$268.80 |
$268.80 |
$268.80 |
$268.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$229.80 |
$229.80 |
$229.80 |
$196.80
|
|
Psychotherapy patient individual therapy 45 minutes
|
$287.40 |
$287.40 |
$287.40 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$314.40 |
$314.40 |
$314.40 |
$294.00
|
|
Psytx pt w/e&m 38-52 min
|
$137.40 |
$137.40 |
$137.40 |
$194.90
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$84.60 |
$84.60 |
$84.60 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$16.80 |
$16.80 |
$16.80 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$96.00 |
$96.00 |
$96.00 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$85.20 |
$85.20 |
$85.20 |
$82.55
|
|
Pt application of modality traction mechanical
|
$102.60 |
$102.60 |
$102.60 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$207.60 |
$207.60 |
$207.60 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$172.80 |
$172.80 |
$172.80 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$189.60 |
$189.60 |
$189.60 |
$247.20
|
|
Pt re-evaluation patient/family
|
$148.80 |
$148.80 |
$148.80 |
$141.93
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$78.00 |
$78.00 |
$78.00 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$96.60 |
$96.60 |
$96.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$76.80 |
$76.80 |
$76.80 |
$84.90
|
|
Pulse ox continuous overnight monitoring
|
$395.40 |
$395.40 |
$395.40 |
$351.20
|
|
Pulse ox multiple
|
$138.60 |
$138.60 |
$138.60 |
$190.25
|
|
Pulse ox single
|
$138.60 |
$138.60 |
$138.60 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$71.40 |
$71.40 |
$71.40 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$704.40 |
$704.40 |
$704.40 |
$478.80
|
|
Pyridoxine hcl 100 mg
|
$43.24 |
$43.24 |
$43.24 |
$29.11
|
|
Pyruvate
|
$223.80 |
$223.80 |
$223.80 |
$65.00
|
|
Quest t3 uptake
|
$174.60 |
$174.60 |
$174.60 |
$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
|
|
Rapid Strep Test
|
$124.80 |
$124.80 |
$124.80 |
$67.80
|
|
Rbc count only automated
|
$30.60 |
$30.60 |
$30.60 |
$20.00
|
|
Rbc irradiated each unit
|
$250.20 |
$250.20 |
$250.20 |
$443.95
|
|
Red blood cells leukocytes reduced each unit
|
$552.60 |
$552.60 |
$552.60 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$770.40 |
$770.40 |
$770.40 |
$645.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$626.62 |
$626.62 |
$626.62 |
$115.07
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,518.60 |
$2,518.60 |
$2,518.60 |
$1,888.50
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$202.80 |
$202.80 |
$202.80 |
$236.64
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$268.20 |
$268.20 |
$268.20 |
$313.53
|
|
Renal function panel
|
$315.60 |
$315.60 |
$315.60 |
$95.76
|
|
#resp virpnl dfa-adenovirus
|
$134.40 |
$134.40 |
$134.40 |
$62.40
|
|
Resuscitation cardiopulmonary
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$895.44
|
|
Reteplase injection
|
$3,103.91 |
$3,103.91 |
$3,103.91 |
$2,904.58
|
|
Reticulocyte automated
|
$107.40 |
$107.40 |
$107.40 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$126.60 |
$126.60 |
$126.60 |
$32.50
|
|
Rheumatoid factor qualitative
|
$54.60 |
$54.60 |
$54.60 |
$54.60
|
|
Rheumatoid factor quantitative
|
$198.00 |
$198.00 |
$198.00 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$511.80 |
$511.80 |
$511.80 |
$345.07
|
|
Rho d immune globulin inj
|
$149.65 |
$149.65 |
$149.65 |
$232.72
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$21.64 |
$21.64 |
$21.64 |
$20.29
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$49.70 |
$49.70 |
$49.70 |
$60.40
|
|
Rsv assay w/optic
|
$246.00 |
$246.00 |
$246.00 |
$64.13
|
|
Rubella antibody igg
|
$206.40 |
$206.40 |
$206.40 |
$73.05
|
|
Rubeola antibody igg
|
$187.20 |
$187.20 |
$187.20 |
$80.00
|
|
Russell viper venom diluted
|
$224.40 |
$224.40 |
$224.40 |
$73.03
|
|
Salmonella antibody
|
$79.20 |
$79.20 |
$79.20 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$998.40 |
$998.40 |
$998.40 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,480.80 |
$1,480.80 |
$1,480.80 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$891.00 |
$891.00 |
$891.00 |
$507.18
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$979.20 |
$979.20 |
$979.20 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$914.40 |
$914.40 |
$914.40 |
$527.80
|
|
Screening Mammogram
|
$206.40 |
$206.40 |
$206.40 |
$287.12
|
|
Screening prostate cancer PSA
|
$271.80 |
$271.80 |
$271.80 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$309.00 |
$309.00 |
$309.00 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$83.40 |
$83.40 |
$83.40 |
$37.80
|
|
Semen analysis w/count
|
$145.80 |
$145.80 |
$145.80 |
$56.44
|
|
Serpina1 gene
|
$441.60 |
$441.60 |
$441.60 |
$195.65
|
|
Shoulder MRI (with and without contrast)
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$5,166.00 |
$5,166.00 |
$5,166.00 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$4,131.60 |
$4,131.60 |
$4,131.60 |
$1,938.28
|
|
Shoulder X-ray
|
$520.80 |
$520.80 |
$520.80 |
$307.20
|
|
Sialidase enzyme assay
|
$73.80 |
$73.80 |
$73.80 |
$54.60
|
|
Sickling rbc
|
$132.60 |
$132.60 |
$132.60 |
$53.40
|
|
Sinus CT scan (with and without contrast)
|
$2,019.00 |
$2,019.00 |
$2,019.00 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$1,151.00
|
|
Skin Biopsy
|
$489.00 |
$489.00 |
$489.00 |
$362.40
|
|
Smear fluorescent and/or acid fast stain
|
$142.80 |
$142.80 |
$142.80 |
$50.70
|
|
Smear gram stain
|
$104.40 |
$104.40 |
$104.40 |
$48.00
|
|
Smear special stain inclusion bodies/parasites
|
$162.00 |
$162.00 |
$162.00 |
$60.00
|
|
Smear wet mount
|
$112.80 |
$112.80 |
$112.80 |
$56.13
|
|
Sodium 24 hour urine
|
$97.20 |
$97.20 |
$97.20 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$49.07 |
$49.07 |
$49.07 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$49.63 |
$49.63 |
$49.63 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$79.66 |
$79.66 |
$79.66 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$79.30 |
$79.30 |
$79.30 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$104.98 |
$104.98 |
$104.98 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$88.20 |
$88.20 |
$88.20 |
$42.43
|
|
Specific gravity body fluid
|
$54.60 |
$54.60 |
$54.60 |
$21.55
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,654.20 |
$1,654.20 |
$1,654.20 |
$1,416.00
|
|
St analysis behavior qualitative voice/resonance
|
$152.40 |
$152.40 |
$152.40 |
$295.10
|
|
Staph a dna amp probe
|
$107.40 |
$107.40 |
$107.40 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$164.40 |
$164.40 |
$164.40 |
$313.96
|
|
St evaluate speech sound production
|
$148.80 |
$148.80 |
$148.80 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$305.40 |
$305.40 |
$305.40 |
$387.00
|
