|
Pr excision nail/nail matrix partial/complete permanent removal
|
$458.40 |
$458.40 |
$458.40 |
|
|
Prgrmg eval implantable dfb
|
$98.15 |
$98.15 |
$98.15 |
|
|
Prgr stim/pace a/iv drug
|
$6,425.90 |
$6,425.90 |
$6,425.90 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$55.60 |
$55.60 |
$55.60 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$38.80 |
$38.80 |
$38.80 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$26.40 |
$26.40 |
$26.40 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$738.40 |
$738.40 |
$738.40 |
|
|
Pr incision & drainage abscess simple/single
|
$80.00 |
$80.00 |
$122.40 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$127.20 |
$127.20 |
$535.20 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$313.60 |
$313.60 |
$343.85 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$11,178.09 |
$11,178.09 |
$11,178.09 |
|
|
Procalcitonin
|
$95.60 |
$118.40 |
$224.25 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$30.64 |
$30.64 |
$30.64 |
|
|
Proctosigmoidoscopy dx 45300
|
$1,876.93 |
$1,876.93 |
$1,876.93 |
|
|
Progesterone
|
$84.80 |
$90.40 |
$148.85 |
|
|
Prolactin
|
$93.60 |
$102.40 |
$192.40 |
|
|
Promethazine hcl injection
|
$7.81 |
$7.81 |
$7.81 |
|
|
Propofol infusion 10 mg/ml
|
$91.26 |
$91.26 |
$91.26 |
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$33.80 |
$33.80 |
$33.80 |
|
|
Protamine 10 mg/ml intravenous solution
|
$37.26 |
$37.26 |
$37.26 |
|
|
Protein c activity
|
$70.40 |
$94.80 |
$198.90 |
|
|
Protein electrophoretic fractionation & quantitation serum
|
$34.80 |
$44.00 |
$102.05 |
|
|
Protein s total
|
$56.40 |
$56.40 |
$116.80 |
|
|
Protein total 24 hour urine
|
$18.00 |
$32.40 |
$56.55 |
|
|
Protein total body fluid
|
$29.20 |
$36.00 |
$65.00 |
|
|
Protein total serum plasma whole blood
|
$32.40 |
$35.60 |
$41.60 |
|
|
Prothrombin complex kcentra
|
$3,389.75 |
$3,389.75 |
$3,389.75 |
|
|
Prothrombin time substitution plasma fractions each
|
$37.60 |
$37.60 |
$42.80 |
|
|
Prp i/hern init block >5 yr
|
$13,411.71 |
$13,411.71 |
$13,411.71 |
|
|
Prq cardiac angio addl art
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
|
|
Prq card revasc mi 1 vsl
|
$6,093.10 |
$6,093.10 |
$7,258.00 |
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$17,290.00 |
$17,290.00 |
$17,290.00 |
|
|
Prq card stent w/angio addl
|
$4,322.80 |
$4,322.80 |
$4,322.80 |
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,246.00 |
$5,246.00 |
$5,246.00 |
|
|
Prq tcat plmt ntrac st 1 les
|
$7,294.80 |
$7,294.80 |
$7,294.80 |
|
|
Prq tcat plmt ntrac st 2+les
|
$5,061.55 |
$5,061.55 |
$5,061.55 |
|
|
Prq trluml c angiop 1art&/br
|
$4,446.80 |
$4,446.80 |
$4,774.25 |
|
|
Prq trluml revsc ch occ ant
|
$3,458.80 |
$3,458.80 |
$3,458.80 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$43.60 |
$43.60 |
$135.60 |
|
|
Pr removal intrauterine device
|
$11,901.77 |
$11,901.77 |
$11,901.77 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$108.80 |
$224.80 |
$9,160.11 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$70.40 |
$70.40 |
$236.40 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$84.80 |
$84.80 |
$236.40 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$63.20 |
$63.20 |
$190.40 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$80.00 |
$227.20 |
$22,388.96 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$478.80 |
$478.80 |
$478.80 |
|
|
Pr visit complexity e&m service serious/complex condition
|
$26.65 |
$26.65 |
$26.65 |
|
|
PSA (Prostate) Test
|
$74.40 |
$83.85 |
$96.00 |
|
|
Psychotherapy group therapy
|
$126.40 |
$126.40 |
$126.40 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$74.80 |
$74.80 |
$116.00 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$74.80 |
$74.80 |
$158.40 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$176.80 |
$176.80 |
$176.80 |
|
|
Psych test eval svc phys/qhp 1st hr
|
$83.60 |
$83.60 |
$83.60 |
|
|
Psych test eval svc phys/qhp ea addl hr
|
$63.60 |
$63.60 |
$63.60 |
|
|
Psytx complex interactive
|
$10.80 |
$10.80 |
$10.80 |
|
|
Psytx pt w/e&m 16-37 min
|
$116.00 |
$116.00 |
$116.00 |
|
|
Psytx pt w/e&m 38-52 min
|
$158.40 |
$158.40 |
$158.40 |
|
|
Psytx pt w/e&m 53+ min
|
$176.80 |
$176.80 |
$176.80 |
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$18.40 |
$52.65 |
$59.60 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$14.95 |
$14.95 |
$14.95 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$55.20 |
$55.25 |
$82.00 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$44.20 |
$56.00 |
$66.80 |
|
|
Pt application of modality traction mechanical
|
$47.45 |
$64.80 |
$82.00 |
|
|
Pt evaluation high complexity patient/family
|
$96.85 |
$122.00 |
$131.60 |
|
|
Pt evaluation low complexity patient/family
|
$82.00 |
$88.40 |
$96.85 |
|
|
Pt evaluation moderate complexity patient/family
|
$96.85 |
$102.00 |
$110.00 |
|
|
Pt re-evaluation patient/family
|
$57.85 |
$74.80 |
$80.80 |
|
|
Pt repositioning canalith procedure(s) per day
|
$79.20 |
$79.20 |
$79.20 |
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$31.60 |
$42.90 |
$50.40 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$29.60 |
$47.45 |
$66.00 |
|
|
Pt wheelchair management each 15 minutes
|
$59.15 |
$65.20 |
$66.80 |
|
|
Pul art balloon repr percut
|
$9,435.40 |
$9,435.40 |
$9,435.40 |
|
|
Pulmonary vent imaging
|
$586.80 |
$586.80 |
$586.80 |
|
|
Pulse ox continuous overnight monitoring
|
$241.20 |
$241.20 |
$374.40 |
|
|
Pulse ox multiple
|
$81.90 |
$86.00 |
$94.40 |
|
|
Pulse ox single
|
$33.15 |
$33.15 |
$46.40 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$62.00 |
$74.00 |
$317.85 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$471.60 |
$471.60 |
$471.60 |
|
|
Puncture spinal lumbar diagnostic
|
$2,384.07 |
$2,384.07 |
$2,384.07 |
|
|
Pyruvate kinase
|
$70.40 |
$70.40 |
$70.40 |
|
|
Quest t3 uptake
|
$68.40 |
$68.40 |
$75.20 |
|
|
Rabies ig ht&sol human im/sc
|
$560.69 |
$560.69 |
$7,742.37 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$556.30 |
$556.30 |
$556.30 |
|
|
Radiation handling
|
$315.25 |
$315.25 |
$315.25 |
|
|
Radiation physics consult
|
$79.20 |
$79.20 |
$9,160.45 |
|
|
Radiation therapy dose plan
|
$79.20 |
$79.20 |
$4,680.00 |
|
|
Radiation treatment aid(s)
|
$79.20 |
$79.20 |
$30,027.40 |
|
|
Radiation treatment aid(s)
|
$87.60 |
$87.60 |
$716.95 |
|
|
Radiation treatment aid(s)
|
$209.60 |
$209.60 |
$1,278.39 |
|
|
Radiation treatment delivery
|
$76.40 |
$76.40 |
$12,413.05 |
|
|
Radiation treatment delivery
|
$148.00 |
$148.00 |
$5,621.85 |
|
|
Radiology port images(s)
|
$16.40 |
$16.40 |
$7,815.60 |
|
|
Radiotherapy dose plan imrt
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$922.40 |
$922.40 |
$922.40 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$876.80 |
$876.80 |
$876.80 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$950.40 |
$950.40 |
$950.40 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$898.80 |
$898.80 |
$2,194.40 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$13,622.30 |
$13,622.30 |
$13,622.30 |
|
|
Rapid Strep Test
|
$60.00 |
$60.00 |
$60.00 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,543.60 |
$2,543.60 |
$2,543.60 |
|
