|
Phencyclidine (pcp)
|
$36.00 |
$36.00 |
$36.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$70.20 |
$70.20 |
$70.20 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$189.60 |
$189.60 |
$189.60 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$80.40 |
$80.40 |
$80.40 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.60 |
$6.60 |
$6.60 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$184.20 |
$184.20 |
$184.20 |
$110.88
|
|
Phlebotomy therapeutic
|
$156.00 |
$156.00 |
$156.00 |
$231.66
|
|
Phosphorus
|
$72.00 |
$72.00 |
$72.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$70.80 |
$70.80 |
$70.80 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$99.60 |
$99.60 |
$99.60 |
$87.50
|
|
Pinworm exam
|
$93.60 |
$93.60 |
$93.60 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$31.20 |
$31.20 |
$31.20 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$1,332.43
|
|
Platelet automated
|
$57.00 |
$57.00 |
$57.00 |
$45.60
|
|
Platelets leukocytes reduced irradiated each unit
|
$90.60 |
$90.60 |
$90.60 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$504.00 |
$504.00 |
$504.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$571.20 |
$571.20 |
$571.20 |
$1,278.55
|
|
Plethysmography lung volumes/airway resistance
|
$88.80 |
$88.80 |
$88.80 |
$405.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$175.20 |
$175.20 |
$175.20 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$70,513.20 |
$70,513.20 |
$70,513.20 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,809.40 |
$3,809.40 |
$3,809.40 |
$3,751.48
|
|
Potassium 24 hour urine
|
$98.40 |
$98.40 |
$98.40 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$15.90 |
$15.90 |
$15.90 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$77.40 |
$77.40 |
$77.40 |
$46.75
|
|
Pr application of long arm splint
|
$203.40 |
$203.40 |
$203.40 |
$329.00
|
|
Pr application splint static short arm
|
$203.40 |
$203.40 |
$203.40 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$490.20 |
$490.20 |
$490.20 |
$458.25
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$249.60 |
$249.60 |
$249.60 |
$351.60
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$118.80 |
$118.80 |
$118.80 |
$182.65
|
|
Prealbumin
|
$118.80 |
$118.80 |
$118.80 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$11.40 |
$11.40 |
$11.40 |
$13.87
|
|
Pregnancy Ultrasound (first trimester)
|
$879.00 |
$879.00 |
$879.00 |
$539.37
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$551.40 |
$551.40 |
$551.40 |
$779.35
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$74.40 |
$74.40 |
$74.40 |
$119.60
|
|
Pr incision & drainage abscess complicated/multiple
|
$524.40 |
$524.40 |
$524.40 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$321.60 |
$321.60 |
$321.60 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$480.60 |
$480.60 |
$480.60 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$294.00 |
$294.00 |
$294.00 |
$256.27
|
|
Procalcitonin
|
$327.60 |
$327.60 |
$327.60 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$62.40 |
$62.40 |
$62.40 |
$36.72
|
|
Progesterone
|
$199.20 |
$199.20 |
$199.20 |
$115.64
|
|
Prolactin
|
$208.80 |
$208.80 |
$208.80 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$86.40 |
$86.40 |
$86.40 |
$73.36
|
|
_propoxygc/msur
|
$55.80 |
$55.80 |
$55.80 |
$96.85
|
|
Protamine 10 mg/ml intravenous solution
|
$123.60 |
$123.60 |
$123.60 |
$57.89
|
|
Protein c activity
|
$108.60 |
$108.60 |
$108.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$139.80 |
$139.80 |
$139.80 |
$84.00
|
|
Protein s total
|
$60.60 |
$60.60 |
$60.60 |
$83.52
|
|
Protein total 24 hour urine
|
$102.00 |
$102.00 |
$102.00 |
$52.50
|
|
Protein total body fluid
|
$9.00 |
$9.00 |
$9.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$102.00 |
$102.00 |
$102.00 |
$42.81
|
|
Prothrombin complex kcentra
|
$9.00 |
$9.00 |
$9.00 |
$7.40
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$186.60 |
$186.60 |
$186.60 |
$251.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$301.20 |
$301.20 |
$301.20 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$301.20 |
$301.20 |
$301.20 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$327.60 |
$327.60 |
$327.60 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$301.20 |
$301.20 |
$301.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$301.20 |
$301.20 |
$301.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,906.60 |
$3,906.60 |
$3,906.60 |
$1,720.93
|
|
PSA (Prostate) Test
|
$184.20 |
$184.20 |
$184.20 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$175.20 |
$175.20 |
$175.20 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$199.20 |
$199.20 |
$199.20 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$196.20 |
$196.20 |
$196.20 |
$81.00
|
|
Pt application of modality traction mechanical
|
$216.60 |
$216.60 |
$216.60 |
$91.00
|
|
Pt evaluation low complexity patient/family
|
$226.80 |
$226.80 |
$226.80 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$226.80 |
$226.80 |
$226.80 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$1,487.05 |
$1,487.05 |
$1,487.05 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$150.00 |
$150.00 |
$150.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$96.60 |
$96.60 |
$96.60 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$150.00 |
$150.00 |
$150.00 |
$87.50
|
|
Pulmonary vent imaging
|
$748.80 |
$748.80 |
$748.80 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$316.20 |
$316.20 |
$316.20 |
$344.00
|
|
Pulse ox multiple
|
$228.00 |
$228.00 |
$228.00 |
$156.40
|
|
Pulse ox single
|
$34.20 |
$34.20 |
$34.20 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$133.80 |
$133.80 |
$133.80 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$496.20 |
$496.20 |
$496.20 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$881.40 |
$881.40 |
$881.40 |
$1,051.80
|
|
Puraply xt 1 sq cm
|
$6,783.00 |
$6,783.00 |
$6,783.00 |
$171.12
|
|
Quest t3 uptake
|
$118.20 |
$118.20 |
$118.20 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$13,679.40 |
$13,679.40 |
$13,679.40 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$12,930.00 |
$12,930.00 |
$12,930.00 |
$4,262.90
|
|
Rapid Strep Test
|
$19.20 |
$19.20 |
$19.20 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$13,800.60 |
$13,800.60 |
$13,800.60 |
$4,331.80
|
|
Rbc count only automated
|
$57.60 |
$57.60 |
$57.60 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$185.40 |
$185.40 |
$185.40 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$232.20 |
$232.20 |
$232.20 |
$528.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$811.20 |
$811.20 |
$811.20 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$1,524.70
|
|
Removal cerumen impacted (both sides)
|
$221.40 |
$221.40 |
$221.40 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$249.60 |
$249.60 |
$249.60 |
$249.60
|
|
Removal foreign body foot subcutaneous right
|
$864.00 |
$864.00 |
$864.00 |
$1,256.00
|
|
Renal function panel
|
$202.80 |
$202.80 |
$202.80 |
$113.52
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$442.20 |
$442.20 |
$442.20 |
$1,025.95
|
|
Repair upper arm/elbow tendon/muscle ea
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$8,453.60
|
|
Resuscitation cardiopulmonary
|
$367.20 |
$367.20 |
$367.20 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$721.20 |
$721.20 |
$721.20 |
$780.42
|
|
Reticulocyte automated
|
$36.00 |
$36.00 |
$36.00 |
$52.57
|
|
Rheumatoid factor quantitative
|
$203.40 |
$203.40 |
$203.40 |
$57.00
|