|
Pouch uros new (both sides) 2.75in clr
|
$67.84 |
$67.84 |
$67.84 |
$15.80
|
|
Powder prem protct 1oz
|
$0.45 |
$0.45 |
$0.45 |
$5.43
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$24,540.35 |
$24,540.35 |
$24,540.35 |
$3,738.90
|
|
Pr application of long arm splint
|
$82.00 |
$82.00 |
$82.00 |
$332.75
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$31,473.14 |
$31,473.14 |
$31,473.14 |
$6,653.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$174.00 |
$174.00 |
$174.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$256.00 |
$256.00 |
$256.00 |
$182.65
|
|
Prealbumin
|
$65.00 |
$65.00 |
$65.00 |
$94.00
|
|
Pr ecg 12 lead report only
|
$26.00 |
$26.00 |
$26.00 |
$21.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.40 |
$4.40 |
$4.40 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.88
|
|
Pregnancy Ultrasound (first trimester)
|
$833.30 |
$833.30 |
$833.30 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$874.90 |
$874.90 |
$874.90 |
$459.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$333.45 |
$333.45 |
$333.45 |
$161.40
|
|
Pretreat rbc absorption reference
|
$49.40 |
$49.40 |
$49.40 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$84.50 |
$84.50 |
$84.50 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$86.45 |
$86.45 |
$86.45 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$75.40 |
$75.40 |
$75.40 |
$168.50
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$421.00 |
$421.00 |
$421.00 |
$313.30
|
|
Pr hospital ip/obs care initial high level per day
|
$483.00 |
$483.00 |
$483.00 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$328.00 |
$328.00 |
$328.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$241.00 |
$241.00 |
$241.00 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$255.00 |
$255.00 |
$255.00 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$173.00 |
$173.00 |
$173.00 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$106.00 |
$106.00 |
$106.00 |
$74.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$407.00 |
$407.00 |
$407.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$350.00 |
$350.00 |
$350.00 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$18,817.75 |
$18,817.75 |
$18,817.75 |
$592.62
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$23,384.56 |
$23,384.56 |
$23,384.56 |
$4,350.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,097.91 |
$4,097.91 |
$4,097.91 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,889.60 |
$2,889.60 |
$2,889.60 |
$674.78
|
|
Procalcitonin
|
$119.60 |
$119.60 |
$119.60 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$24.40 |
$24.40 |
$24.40 |
$38.48
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.09
|
|
Progesterone
|
$173.55 |
$173.55 |
$173.55 |
$116.00
|
|
Prolactin
|
$161.20 |
$161.20 |
$161.20 |
$123.50
|
|
Promethazine 25 mg tablet
|
$25.10 |
$25.10 |
$25.10 |
$3.83
|
|
Propofol infusion 10 mg/ml
|
$28,023.36 |
$28,023.36 |
$28,023.36 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$9.20 |
$9.20 |
$9.20 |
$33.31
|
|
Prosthesis voc advantage 20f 14mm
|
$2,365.32 |
$2,365.32 |
$2,365.32 |
$1,088.12
|
|
Prosthesis voc lopres 20f 22mm
|
$462.69 |
$462.69 |
$462.69 |
$622.73
|
|
Protamine 10 mg/ml intravenous solution
|
$150.50 |
$150.50 |
$150.50 |
$56.70
|
|
Protector nerve neurawrap 4cm
|
$3,580.71 |
$3,580.71 |
$3,580.71 |
$3,891.30
|
|
Protein c activity
|
$141.05 |
$141.05 |
$141.05 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$138.45 |
$138.45 |
$138.45 |
$84.00
|
|
Protein s total
|
$278.20 |
$278.20 |
$278.20 |
$85.10
|
|
Protein total 24 hour urine
|
$395.00 |
$395.00 |
$395.00 |
$52.50
|
|
Protein total body fluid
|
$40.30 |
$40.30 |
$40.30 |
$49.80
|
|
Protein total serum plasma whole blood
|
$31.85 |
$31.85 |
$31.85 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$70.85 |
$70.85 |
$70.85 |
$42.00
|
|
Provox xtraflange 17fr
|
$84.23 |
$84.23 |
$84.23 |
$84.23
|
|
Pr planning advance care 1st 30 minutes
|
$190.00 |
$190.00 |
$190.00 |
$123.24
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$27,927.82 |
$27,927.82 |
$27,927.82 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$149.00 |
$149.00 |
$149.00 |
$380.40
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$179.00 |
$179.00 |
$179.00 |
$374.23
|
|
Pr robotic surgical system
|
$62,823.16 |
$62,823.16 |
$62,823.16 |
$0.52
|
|
PSA (Prostate) Test
|
$137.80 |
$137.80 |
$137.80 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$52.00 |
$52.00 |
$52.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$98.15 |
$98.15 |
$98.15 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$63.05 |
$63.05 |
$63.05 |
$81.48
|
|
Pt application of modality traction mechanical
|
$2,411.00 |
$2,411.00 |
$2,411.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$87.10 |
$87.10 |
$87.10 |
$83.00
|
|
Pulse ox continuous overnight monitoring
|
$269.10 |
$269.10 |
$269.10 |
$347.11
|
|
Pulse ox multiple
|
$75.40 |
$75.40 |
$75.40 |
$157.30
|
|
Pulse ox single
|
$26.65 |
$26.65 |
$26.65 |
$84.00
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$367.13 |
$367.13 |
$367.13 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$100.10 |
$100.10 |
$100.10 |
$129.36
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,213.80 |
$3,213.80 |
$3,213.80 |
$4,017.00
|
|
Radium ra223 dichl ther/uci
|
$507.10 |
$507.10 |
$507.10 |
$217.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$22,849.50 |
$22,849.50 |
$22,849.50 |
$13,136.04
|
|
Rapid Strep Test
|
$111.15 |
$111.15 |
$111.15 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$16,770.95 |
$16,770.95 |
$16,770.95 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$73,649.25 |
$73,649.25 |
$73,649.25 |
$41,926.70
|
|
Rbc count only automated
|
$19.50 |
$19.50 |
$19.50 |
$20.40
|
|
Rbc deglycerolized each unit
|
$767.00 |
$767.00 |
$767.00 |
$856.71
|
|
Reconstruct shoulder joint
|
$60,706.51 |
$60,706.51 |
$60,706.51 |
$11,340.00
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$787.15 |
$787.15 |
$787.15 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$877.50 |
$877.50 |
$877.50 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$2,779.00 |
$2,779.00 |
$2,779.00 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$534.15
|
|
Red blood cells washed each unit
|
$148.20 |
$148.20 |
$148.20 |
$583.68
|
|
Reinforce/graft eye wall
|
$35,716.69 |
$35,716.69 |
$35,716.69 |
$4,760.49
|
|
Release knuckle contracture
|
$30,146.65 |
$30,146.65 |
$30,146.65 |
$2,811.20
|
|
Release palm contracture
|
$2,638.00 |
$2,638.00 |
$2,638.00 |
$3,839.54
|
|
Release palm contracture
|
$24,951.70 |
$24,951.70 |
$24,951.70 |
$4,350.00
|
|
Release palm contracture
|
$24,433.35 |
$24,433.35 |
$24,433.35 |
$1,196.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$1,555.39
|
|
Removal of bone lesion
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$3,839.54
|
|
Removal of implant deep
|
$33,367.80 |
$33,367.80 |
$33,367.80 |
$4,520.60
|
|
Removal of inner eye fluid
|
$27,454.70 |
$27,454.70 |
$27,454.70 |
$5,479.92
|
|
Removal of kneecap bursa
|
$24,064.75 |
$24,064.75 |
$24,064.75 |
$3,839.54
|
|
Removal sutr/staple req anes
|
$22,509.55 |
$22,509.55 |
$22,509.55 |
$2,431.38
|
|
Remove knee cyst
|
$1,829.00 |
$1,829.00 |
$1,829.00 |
$3,839.54
|
|
Remove wrist/forearm lesion
|
$26,776.40 |
$26,776.40 |
$26,776.40 |
$3,496.72
|
|
Remove wrist tendon lesion
|
$22,035.75 |
$22,035.75 |
$22,035.75 |
$3,287.08
|
|
Renal function panel
|
$79.95 |
$79.95 |
$79.95 |
$114.37
|
|
Repair biceps tendon
|
$44,537.44 |
$44,537.44 |
$44,537.44 |
$7,807.24
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$37,266.00 |
$37,266.00 |
$37,266.00 |
$1,055.69
|
|
Repair detached retina
|
$37,982.37 |
$37,982.37 |
$37,982.37 |
$5,912.40
|