|
Pq dr cath chg w cont s&i
|
$371.20 |
$371.20 |
$371.20 |
$633.97
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$14,750.00 |
$14,750.00 |
$14,750.00 |
$10,430.78
|
|
Pq thr inj ext pse
|
$473.20 |
$473.20 |
$473.20 |
$843.97
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,176.40 |
$3,176.40 |
$3,176.40 |
$2,582.15
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,109.20 |
$5,109.20 |
$5,109.20 |
$4,452.80
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,386.00 |
$6,386.00 |
$6,386.00 |
$4,432.24
|
|
Pr application splint static short arm
|
$32.00 |
$32.00 |
$32.00 |
$277.60
|
|
Prcrd drg 6+yr without anomly
|
$1,379.60 |
$1,379.60 |
$1,379.60 |
$2,724.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$196.80 |
$196.80 |
$196.80 |
$350.98
|
|
Prealbumin
|
$63.20 |
$63.20 |
$63.20 |
$80.40
|
|
Pr ecg 12 lead report only
|
$8.40 |
$8.40 |
$8.40 |
$22.10
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$555.20 |
$555.20 |
$555.20 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$594.80 |
$594.80 |
$594.80 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$723.60 |
$723.60 |
$723.60 |
$260.25
|
|
Pressure velocity wire add ves
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$1,463.40
|
|
Pretreat rbc absorption reference
|
$76.00 |
$76.00 |
$76.00 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$41.20 |
$41.20 |
$41.20 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$118.00 |
$118.00 |
$118.00 |
$170.31
|
|
Pr hospital ip/obs care subsequent high level per day
|
$55.60 |
$55.60 |
$55.60 |
$217.60
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$38.80 |
$38.80 |
$38.80 |
$145.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$26.40 |
$26.40 |
$26.40 |
$81.90
|
|
Pr incision & drainage abscess simple/single
|
$80.00 |
$80.00 |
$80.00 |
$437.53
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$127.20 |
$127.20 |
$127.20 |
$606.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$313.60 |
$313.60 |
$313.60 |
$266.64
|
|
Procalcitonin
|
$118.40 |
$118.40 |
$118.40 |
$133.20
|
|
Progesterone
|
$84.80 |
$84.80 |
$84.80 |
$100.24
|
|
Prolactin
|
$93.60 |
$93.60 |
$93.60 |
$123.20
|
|
Protein c activity
|
$94.80 |
$94.80 |
$94.80 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$34.80 |
$34.80 |
$34.80 |
$84.00
|
|
Protein s total
|
$56.40 |
$56.40 |
$56.40 |
$85.10
|
|
Protein total 24 hour urine
|
$18.00 |
$18.00 |
$18.00 |
$45.00
|
|
Protein total body fluid
|
$36.00 |
$36.00 |
$36.00 |
$49.20
|
|
Protein total serum plasma whole blood
|
$35.60 |
$35.60 |
$35.60 |
$40.70
|
|
Prothrombin time substitution plasma fractions each
|
$42.80 |
$42.80 |
$42.80 |
$37.05
|
|
Prq cardiac angio addl art
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$5,583.00
|
|
Prq card revasc mi 1 vsl
|
$7,258.00 |
$7,258.00 |
$7,258.00 |
$16,678.62
|
|
Prq card stent w/angio addl
|
$4,322.80 |
$4,322.80 |
$4,322.80 |
$9,768.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,246.00 |
$5,246.00 |
$5,246.00 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$7,294.80 |
$7,294.80 |
$7,294.80 |
$13,054.80
|
|
Prq trluml c angiop 1art&/br
|
$4,446.80 |
$4,446.80 |
$4,446.80 |
$9,255.50
|
|
Prq trluml revsc ch occ ant
|
$3,458.80 |
$3,458.80 |
$3,458.80 |
$17,474.24
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$43.60 |
$43.60 |
$43.60 |
$278.20
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$108.80 |
$108.80 |
$108.80 |
$742.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$70.40 |
$70.40 |
$70.40 |
$365.60
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$84.80 |
$84.80 |
$84.80 |
$387.40
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$63.20 |
$63.20 |
$63.20 |
$365.00
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$80.00 |
$80.00 |
$80.00 |
$370.93
|
|
PSA (Prostate) Test
|
$74.40 |
$74.40 |
$74.40 |
$103.85
|
|
Psychotherapy patient individual therapy 30 minutes
|
$74.80 |
$74.80 |
$74.80 |
$196.80
|
|
Psychotherapy patient individual therapy 45 minutes
|
$74.80 |
$74.80 |
$74.80 |
$267.00
|
|
Psych test eval svc phys/qhp 1st hr
|
$83.60 |
$83.60 |
$83.60 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$63.60 |
$63.60 |
$63.60 |
$207.20
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$59.60 |
$59.60 |
$59.60 |
$87.49
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$55.20 |
$55.20 |
$55.20 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$56.00 |
$56.00 |
$56.00 |
$82.55
|
|
Pt application of modality traction mechanical
|
$82.00 |
$82.00 |
$82.00 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$122.00 |
$122.00 |
$122.00 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$82.00 |
$82.00 |
$82.00 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$102.00 |
$102.00 |
$102.00 |
$247.20
|
|
Pt re-evaluation patient/family
|
$74.80 |
$74.80 |
$74.80 |
$141.93
|
|
Pt repositioning canalith procedure(s) per day
|
$79.20 |
$79.20 |
$79.20 |
$140.80
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$31.60 |
$31.60 |
$31.60 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$29.60 |
$29.60 |
$29.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$66.80 |
$66.80 |
$66.80 |
$84.90
|
|
Pulmonary vent imaging
|
$586.80 |
$586.80 |
$586.80 |
$828.73
|
|
Pulse ox continuous overnight monitoring
|
$241.20 |
$241.20 |
$241.20 |
$351.20
|
|
Pulse ox multiple
|
$94.40 |
$94.40 |
$94.40 |
$190.25
|
|
Pulse ox single
|
$46.40 |
$46.40 |
$46.40 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$62.00 |
$62.00 |
$62.00 |
$113.75
|
|
Pyruvate kinase
|
$70.40 |
$70.40 |
$70.40 |
$84.50
|
|
Quest t3 uptake
|
$75.20 |
$75.20 |
$75.20 |
$55.00
|
|
Rabies ig ht&sol human im/sc
|
$560.69 |
$560.69 |
$560.69 |
$5,401.91
|
|
Radiation physics consult
|
$79.20 |
$79.20 |
$79.20 |
$595.40
|
|
Radiation therapy dose plan
|
$79.20 |
$79.20 |
$79.20 |
$514.05
|
|
Radiation treatment aid(s)
|
$79.20 |
$79.20 |
$79.20 |
$525.04
|
|
Radiation treatment aid(s)
|
$87.60 |
$87.60 |
$87.60 |
$644.36
|
|
Radiation treatment aid(s)
|
$209.60 |
$209.60 |
$209.60 |
$1,075.03
|
|
Radiation treatment delivery
|
$76.40 |
$76.40 |
$76.40 |
$573.52
|
|
Radiation treatment delivery
|
$148.00 |
$148.00 |
$148.00 |
$920.00
|
|
Radiology port images(s)
|
$16.40 |
$16.40 |
$16.40 |
$236.40
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$922.40 |
$922.40 |
$922.40 |
$1,646.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$876.80 |
$876.80 |
$876.80 |
$2,582.32
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$950.40 |
$950.40 |
$950.40 |
$2,683.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$898.80 |
$898.80 |
$898.80 |
$2,177.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$873.60 |
$873.60 |
$873.60 |
$2,164.52
|
|
Removal cerclage w/anes
|
$1,933.20 |
$1,933.20 |
$1,933.20 |
$3,522.35
|
|
Remove spine eltrd perq aray
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$2,359.50
|
|
Renal function panel
|
$44.80 |
$44.80 |
$44.80 |
$95.76
|
|
Renal venogram bil s&i
|
$3,204.80 |
$3,204.80 |
$3,204.80 |
$3,386.25
|
|
Replace g-j tube perc
|
$649.20 |
$649.20 |
$649.20 |
$1,479.75
|
|
Resuscitation cardiopulmonary
|
$462.80 |
$462.80 |
$462.80 |
$895.44
|
|
Reticulocyte automated
|
$38.00 |
$38.00 |
$38.00 |
$54.27
|
|
Rheumatoid factor qualitative
|
$42.80 |
$42.80 |
$42.80 |
$54.60
|
|
Rheumatoid factor quantitative
|
$70.40 |
$70.40 |
$70.40 |
$59.80
|
|
Rmvl icd by tv extr
|
$4,316.00 |
$4,316.00 |
$4,316.00 |
$4,589.40
|
|
Rmvl icd pulse gen only
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$4,069.52
|
|
Rmvl subq card rhythm mntr
|
$544.00 |
$544.00 |
$544.00 |
$2,079.40
|
|
Rotavirus antibody
|
$80.00 |
$80.00 |
$80.00 |
$107.50
|
|
Rubella antibody igg
|
$58.00 |
$58.00 |
$58.00 |
$73.05
|
|
Rubeola antibody igg
|
$61.20 |
$61.20 |
$61.20 |
$80.00
|
