|
Pretreat rbc w chem/drugs reference
|
$49.80 |
$49.80 |
$49.80 |
|
|
Pretreat rbc w enzyme reference
|
$49.80 |
$49.80 |
$49.80 |
|
|
Prgrmg dev eval pm/ldls pm
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prgr stim/pace a/iv drug
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prim art mech thrmbc non-intracranial
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$0.60 |
$0.60 |
$0.60 |
|
|
Procalcitonin
|
$243.60 |
$243.60 |
$243.60 |
|
|
Progesterone
|
$24.00 |
$24.00 |
$24.00 |
|
|
Prolactin
|
$32.40 |
$32.40 |
$32.40 |
|
|
Propofol infusion 10 mg/ml
|
$11.40 |
$11.40 |
$11.40 |
|
|
Protein c activity
|
$97.20 |
$97.20 |
$97.20 |
|
|
Protein electrophoretic fractionation & quantitation serum
|
$40.20 |
$40.20 |
$40.20 |
|
|
Protein s total
|
$97.20 |
$97.20 |
$97.20 |
|
|
Protein total 24 hour urine
|
$16.20 |
$16.20 |
$16.20 |
|
|
Protein total body fluid
|
$16.20 |
$16.20 |
$16.20 |
|
|
Protein total serum plasma whole blood
|
$3.00 |
$3.00 |
$3.00 |
|
|
Prothrombin complex kcentra
|
$1.80 |
$1.80 |
$1.80 |
|
|
Prq cardiac angio addl art
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq card revasc chronic addl
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq card revasc mi 1 vsl
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq card stent w/angio addl
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq revasc byp graft 1 art and/or branches
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq revasc byp graft addl
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq tcat plmt ntrac st 1 les
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq trlml c athrc st angiop1
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq trluml c angiop 1art&/br
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq trluml c athrc 1 art&/br
|
$0.60 |
$0.60 |
$0.60 |
|
|
Prq trluml revsc ch occ ant
|
$0.60 |
$0.60 |
$0.60 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$0.60 |
$0.60 |
$0.60 |
|
|
PSA (Prostate) Test
|
$32.40 |
$32.40 |
$32.40 |
|
|
Psychotherapy group therapy
|
$58.20 |
$58.20 |
$58.20 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$146.40 |
$146.40 |
$146.40 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$175.80 |
$175.80 |
$175.80 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$263.40 |
$263.40 |
$263.40 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$34.20 |
$34.20 |
$34.20 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$22.80 |
$22.80 |
$22.80 |
|
|
Pt application of modality traction mechanical
|
$22.80 |
$22.80 |
$22.80 |
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$34.20 |
$34.20 |
$34.20 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$57.00 |
$57.00 |
$57.00 |
|
|
Pt wheelchair management each 15 minutes
|
$57.00 |
$57.00 |
$57.00 |
|
|
Pulmonary vent imaging
|
$172.20 |
$172.20 |
$172.20 |
|
|
Pulse ox continuous overnight monitoring
|
$98.40 |
$98.40 |
$98.40 |
|
|
Pulse ox multiple
|
$98.40 |
$98.40 |
$98.40 |
|
|
Pulse ox single
|
$25.80 |
$25.80 |
$25.80 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$49.20 |
$49.20 |
$49.20 |
|
|
Puncture spinal lumbar diagnostic
|
$175.80 |
$175.80 |
$175.80 |
|
|
Pyruvate
|
$48.60 |
$48.60 |
$48.60 |
|
|
Quant diff pulm perf and vent w/imaging
|
$282.00 |
$282.00 |
$282.00 |
|
|
Quant diff pulm perf w/imaging
|
$179.40 |
$179.40 |
$179.40 |
|
|
Quest t3 uptake
|
$24.00 |
$24.00 |
$24.00 |
|
|
Radiation handling
|
$72.00 |
$72.00 |
$72.00 |
|
|
Radiation physics consult
|
$126.60 |
$126.60 |
$126.60 |
|
|
Radiation therapy dose plan
|
$54.00 |
$54.00 |
$54.00 |
|
|
Radiation treatment aid(s)
|
$90.00 |
$90.00 |
$90.00 |
|
|
Radiation treatment aid(s)
|
$120.60 |
$120.60 |
$120.60 |
|
|
Radiation treatment aid(s)
|
$150.60 |
$150.60 |
$150.60 |
|
|
Radiation treatment delivery
|
$271.20 |
$271.20 |
$271.20 |
|
|
Radiation treatment delivery
|
$463.80 |
$463.80 |
$463.80 |
|
|
Radiology port images(s)
|
$18.00 |
$18.00 |
$18.00 |
|
|
Radiotherapy dose plan imrt
|
$2,562.60 |
$2,562.60 |
$2,562.60 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$300.60 |
$300.60 |
$300.60 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$550.20 |
$550.20 |
$550.20 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$311.40 |
$311.40 |
$311.40 |
|
|
Radphm lcl tumor plr sgl day
|
$168.60 |
$168.60 |
$168.60 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$8,319.60 |
$8,319.60 |
$8,319.60 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$3,184.20 |
$3,184.20 |
$3,184.20 |
|
|
Rbc count only automated
|
$6.00 |
$6.00 |
$6.00 |
|
|
Rbc deglycerolized each unit
|
$421.80 |
$421.80 |
$421.80 |
|
|
Rbc serum pretx incubj drugs
|
$49.80 |
$49.80 |
$49.80 |
|
|
Red blood cells each unit
|
$145.80 |
$145.80 |
$145.80 |
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$641.40 |
$641.40 |
$641.40 |
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$397.80 |
$397.80 |
$397.80 |
|
|
Red blood cells leukocytes reduced each unit
|
$438.60 |
$438.60 |
$438.60 |
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$365.40 |
$365.40 |
$365.40 |
|
|
Red blood cells washed each unit
|
$259.80 |
$259.80 |
$259.80 |
|
|
Redo endovas vena cava filtr
|
$0.60 |
$0.60 |
$0.60 |
|
|
Refill/maint pump/resvr syst
|
$175.80 |
$175.80 |
$175.80 |
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$231.60 |
$231.60 |
$231.60 |
|
|
Relocation skin pocket aicd
|
$0.60 |
$0.60 |
$0.60 |
|
|
Relocation skin pocket pm
|
$0.60 |
$0.60 |
$0.60 |
|
|
Remdesivir 100 mg intravenous powder for solution
|
$685.20 |
$685.20 |
$685.20 |
|
|
Rem endovas vena cava filter
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal biliary drg cath
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal central venous catheter tunneled without port/pump
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal cerclage without anes
|
$722.40 |
$722.40 |
$722.40 |
|
|
Removal duct glbldr calculi
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal of shunt
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal/replacement ppm generator dual lead system
|
$0.60 |
$0.60 |
$0.60 |
|
|
Removal tunnled intprtnl cath
|
$0.60 |
$0.60 |
$0.60 |
|
|
Remove renal tube w/fluoro
|
$0.60 |
$0.60 |
$0.60 |
|
|
Remove ureter stent percut
|
$0.60 |
$0.60 |
$0.60 |
|
|
Renal cyst study s&i
|
$0.60 |
$0.60 |
$0.60 |
|
|
Renal function panel
|
$19.20 |
$19.20 |
$19.20 |
|
|
Renal venogram bil s&i
|
$0.60 |
$0.60 |
$0.60 |
|
|
Repair pm/icd lead dual
|
$0.60 |
$0.60 |
$0.60 |
|
|
Repair pm/icd lead sgl
|
$0.60 |
$0.60 |
$0.60 |
|
|
Replace aortic valve open axillry 33363
|
$0.60 |
$0.60 |
$0.60 |
|
|
Replace aortic valve open femoral 33362
|
$0.60 |
$0.60 |
$0.60 |
|
|
Replace aortic valve open iliac 33364
|
$0.60 |
$0.60 |
$0.60 |
|