|
Protamine 10 mg/ml intravenous solution
|
$28.36 |
$28.36 |
$28.36 |
$56.70
|
|
Protein c activity
|
$255.60 |
$255.60 |
$255.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$85.80 |
$85.80 |
$85.80 |
$84.00
|
|
Protein s total
|
$82.20 |
$82.20 |
$82.20 |
$85.10
|
|
Protein total 24 hour urine
|
$53.40 |
$53.40 |
$53.40 |
$52.50
|
|
Protein total body fluid
|
$49.80 |
$49.80 |
$49.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$73.20 |
$73.20 |
$73.20 |
$43.00
|
|
Prpertl pel pack hemrrg trma 49013
|
$913.80 |
$913.80 |
$913.80 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$169.20 |
$169.20 |
$169.20 |
$123.24
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$49.80 |
$49.80 |
$49.80 |
$53.62
|
|
Pr removal drug delivery implant
|
$291.00 |
$291.00 |
$291.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$241.20 |
$241.20 |
$241.20 |
$252.00
|
|
Pr removal intrauterine device
|
$297.60 |
$297.60 |
$297.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$578.40 |
$578.40 |
$578.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$296.40 |
$296.40 |
$296.40 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$310.80 |
$310.80 |
$310.80 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$295.20 |
$295.20 |
$295.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$309.60 |
$309.60 |
$309.60 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$3,247.19
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$87.60 |
$87.60 |
$87.60 |
$71.40
|
|
Pr tube thoracostomy w/connection to drainage open
|
$909.00 |
$909.00 |
$909.00 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$25.20 |
$25.20 |
$25.20 |
$27.30
|
|
PSA (Prostate) Test
|
$125.40 |
$125.40 |
$125.40 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$12.60 |
$12.60 |
$12.60 |
$51.15
|
|
Psychophysiological therapy
|
$106.20 |
$106.20 |
$106.20 |
$106.20
|
|
Psychophysiological therapy
|
$156.60 |
$156.60 |
$156.60 |
$175.28
|
|
Psychotherapy group therapy
|
$36.60 |
$36.60 |
$36.60 |
$225.39
|
|
Psychotherapy patient individual therapy 30 minutes
|
$58.80 |
$58.80 |
$58.80 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$114.00 |
$114.00 |
$114.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$146.40 |
$146.40 |
$146.40 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$248.40 |
$248.40 |
$248.40 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$190.20 |
$190.20 |
$190.20 |
$221.42
|
|
Psy evaluation of records
|
$111.00 |
$111.00 |
$111.00 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$53.40 |
$53.40 |
$53.40 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$45.00 |
$45.00 |
$45.00 |
$156.00
|
|
Psytx complex interactive
|
$7.20 |
$7.20 |
$7.20 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$52.80 |
$52.80 |
$52.80 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$62.40 |
$62.40 |
$62.40 |
$170.50
|
|
Psytx pt w/e&m 53+ min
|
$113.40 |
$113.40 |
$113.40 |
$236.32
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$94.80 |
$94.80 |
$94.80 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$75.60 |
$75.60 |
$75.60 |
$81.48
|
|
Pt application of modality traction mechanical
|
$75.00 |
$75.00 |
$75.00 |
$91.80
|
|
Pterygomaxillary fossa surg any appr 31040
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$7,000.36
|
|
Pt-focused hlth risk assmt
|
$9.00 |
$9.00 |
$9.00 |
$57.85
|
|
Pt init/spiromet rec/review/interp 94016
|
$48.60 |
$48.60 |
$48.60 |
$48.60
|
|
Pt repositioning canalith procedure(s) per day
|
$108.60 |
$108.60 |
$108.60 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$79.20 |
$79.20 |
$79.20 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$58.80 |
$58.80 |
$58.80 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$54.60 |
$54.60 |
$54.60 |
$88.00
|
|
Pulm endartercomy w/bypass 33916
|
$7,086.00 |
$7,086.00 |
$7,086.00 |
$5,881.45
|
|
Pulmonary decortication partial 32225
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$2,014.80
|
|
Pulse ox continuous overnight monitoring
|
$238.80 |
$238.80 |
$238.80 |
$347.11
|
|
Pulse ox multiple
|
$153.00 |
$153.00 |
$153.00 |
$157.30
|
|
Pulse ox single
|
$77.40 |
$77.40 |
$77.40 |
$84.00
|
|
Punc of shunt for asp or inj
|
$415.80 |
$415.80 |
$415.80 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$60.60 |
$60.60 |
$60.60 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$243.60 |
$243.60 |
$243.60 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$159.60 |
$159.60 |
$159.60 |
$3,986.00
|
|
Puncture spinal lumbar diagnostic
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$1,060.47
|
|
Pyloroplasty 43800
|
$1,748.40 |
$1,748.40 |
$1,748.40 |
$1,748.40
|
|
Pyruvate
|
$39.00 |
$39.00 |
$39.00 |
$66.00
|
|
Pyruvate kinase
|
$111.60 |
$111.60 |
$111.60 |
$78.95
|
|
Quest t3 uptake
|
$45.60 |
$45.60 |
$45.60 |
$53.20
|
|
Quinupristin/dalfopristin
|
$190.43 |
$190.43 |
$190.43 |
$922.70
|
|
Rabies ig heat-treated human im/subq 90376
|
$188.40 |
$188.40 |
$188.40 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,949.85 |
$5,949.85 |
$5,949.85 |
$4,017.00
|
|
Radical abdominal hysterectomy 58210
|
$3,429.60 |
$3,429.60 |
$3,429.60 |
$3,429.60
|
|
Radical resection sternum 21630
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$2,982.40
|
|
Radic resect abd tumor<5cm 22904
|
$2,235.60 |
$2,235.60 |
$2,235.60 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$2,884.20 |
$2,884.20 |
$2,884.20 |
$4,460.78
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$1,437.60 |
$1,437.60 |
$1,437.60 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$3,786.00
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$3,386.84
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$13,320.57 |
$13,320.57 |
$13,320.57 |
$13,136.04
|
|
Rapid Strep Test
|
$36.60 |
$36.60 |
$36.60 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$9,833.13 |
$9,833.13 |
$9,833.13 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$42,463.34 |
$42,463.34 |
$42,463.34 |
$41,926.70
|
|
Rbc count only automated
|
$27.00 |
$27.00 |
$27.00 |
$20.40
|
|
Rebuild eardrum structures
|
$2,050.80 |
$2,050.80 |
$2,050.80 |
$6,547.81
|
|
Rebuild outer ear canal
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$6,017.08
|
|
Rechanneling of artery
|
$2,314.80 |
$2,314.80 |
$2,314.80 |
$3,173.94
|
|
Rechanneling of artery 35305
|
$1,867.20 |
$1,867.20 |
$1,867.20 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$4,439.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$2,551.80 |
$2,551.80 |
$2,551.80 |
$6,219.20
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$2,912.40 |
$2,912.40 |
$2,912.40 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$2,197.80 |
$2,197.80 |
$2,197.80 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$2,474.40 |
$2,474.40 |
$2,474.40 |
$3,143.32
|
|
Reconst major injured chest 32820
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
$3,236.80
|
|
Reconst pectus excavatum/carinatum opn 21740
|
$2,286.00 |
$2,286.00 |
$2,286.00 |
$2,510.40
|
|
Reconstruct ankle joint
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$5,110.00
|
|
Reconstruct cleft palate
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$5,855.00
|
|
Reconstruct cleft palate
|
$1,813.20 |
$1,813.20 |
$1,813.20 |
$6,547.81
|
|
Reconstruct extra finger
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$3,591.33
|
|
Reconstruction of bile ducts 47800
|
$3,009.00 |
$3,009.00 |
$3,009.00 |
$3,009.00
|
|
Reconstruction of nose
|
$2,495.40 |
$2,495.40 |
$2,495.40 |
$5,925.35
|
|
Reconstruction of nose
|
$2,665.80 |
$2,665.80 |
$2,665.80 |
$7,000.36
|
|
Reconstruction of throat
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$6,839.00
|
|
Reconstruction tongue fold
|
$670.20 |
$670.20 |
$670.20 |
$2,866.40
|
|
Reconstruct lip w/local flap 40525
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$3,837.72
|