|
Platelets each unit
|
$108.64 |
$108.64 |
$108.64 |
$187.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$446.32 |
$446.32 |
$446.32 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$108.64 |
$108.64 |
$108.64 |
$274.95
|
|
Platelets leukocytes reduced irradiated each unit
|
$120.40 |
$120.40 |
$120.40 |
$334.10
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$567.28 |
$567.28 |
$567.28 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$567.28 |
$567.28 |
$567.28 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$567.28 |
$567.28 |
$567.28 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$450.80 |
$450.80 |
$450.80 |
$1,046.50
|
|
Plethysmography lung volumes/airway resistance
|
$141.12 |
$141.12 |
$141.12 |
$411.51
|
|
Pms2 gene dup/delet variants
|
$44.80 |
$44.80 |
$44.80 |
$407.20
|
|
Pms2 gene full seq analysis
|
$143.36 |
$143.36 |
$143.36 |
$860.68
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$95.07 |
$95.07 |
$95.07 |
$146.15
|
|
Potassium 24 hour urine
|
$14.76 |
$14.76 |
$14.76 |
$45.00
|
|
Potassium serum/plasma/whole blood
|
$14.76 |
$14.76 |
$14.76 |
$40.00
|
|
Prealbumin
|
$47.24 |
$47.24 |
$47.24 |
$80.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.42 |
$1.42 |
$1.42 |
$4.87
|
|
Prednisone 1 mg tablet
|
$1.55 |
$1.55 |
$1.55 |
$4.87
|
|
Pregnancy associated plasma protein-a
|
$39.20 |
$39.20 |
$39.20 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$282.24 |
$282.24 |
$282.24 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$160.72 |
$160.72 |
$160.72 |
$539.37
|
|
Pressure velocity wire add ves
|
$563.36 |
$563.36 |
$563.36 |
$1,463.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$34.72 |
$34.72 |
$34.72 |
$140.01
|
|
Pretreat rbc absorption reference
|
$29.12 |
$29.12 |
$29.12 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$69.44 |
$69.44 |
$69.44 |
$178.20
|
|
Pretreat rbc w chem/drugs reference
|
$16.24 |
$16.24 |
$16.24 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$171.92 |
$171.92 |
$171.92 |
$170.31
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$98.00 |
$98.00 |
$98.00 |
$266.64
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$5,175.00
|
|
Procalcitonin
|
$58.80 |
$58.80 |
$58.80 |
$133.20
|
|
Progesterone
|
$64.95 |
$64.95 |
$64.95 |
$100.24
|
|
Prolactin
|
$33.07 |
$33.07 |
$33.07 |
$123.20
|
|
Prolonged IV inf, req pump
|
$280.56 |
$280.56 |
$280.56 |
$367.13
|
|
Prostate biopsy, any mthd
|
$376.32 |
$376.32 |
$376.32 |
$599.68
|
|
Protector nerve neurawrap 4cm
|
$1,723.68 |
$1,723.68 |
$1,723.68 |
$3,608.70
|
|
Protein c activity
|
$28.35 |
$28.35 |
$28.35 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$43.70 |
$43.70 |
$43.70 |
$84.00
|
|
Protein s total
|
$13.44 |
$13.44 |
$13.44 |
$85.10
|
|
Protein total 24 hour urine
|
$18.89 |
$18.89 |
$18.89 |
$45.00
|
|
Protein total body fluid
|
$18.89 |
$18.89 |
$18.89 |
$49.20
|
|
Protein total serum plasma whole blood
|
$18.89 |
$18.89 |
$18.89 |
$40.70
|
|
Prothrombin time substitution plasma fractions each
|
$18.31 |
$18.31 |
$18.31 |
$37.05
|
|
PSA (Prostate) Test
|
$47.83 |
$47.83 |
$47.83 |
$103.85
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$87.49
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$82.55
|
|
Pt application of modality traction mechanical
|
$52.64 |
$52.64 |
$52.64 |
$87.19
|
|
Pten gene dup/delet variant
|
$63.84 |
$63.84 |
$63.84 |
$300.00
|
|
Pten gene full sequence
|
$127.68 |
$127.68 |
$127.68 |
$777.60
|
|
Pt evaluation high complexity patient/family
|
$174.72 |
$174.72 |
$174.72 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$174.72 |
$174.72 |
$174.72 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$174.72 |
$174.72 |
$174.72 |
$247.20
|
|
Pt re-evaluation patient/family
|
$78.40 |
$78.40 |
$78.40 |
$141.93
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$52.64 |
$52.64 |
$52.64 |
$43.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$83.20
|
|
Pt wheelchair management each 15 minutes
|
$48.16 |
$48.16 |
$48.16 |
$84.90
|
|
Pulse ox continuous overnight monitoring
|
$115.36 |
$115.36 |
$115.36 |
$351.20
|
|
Pulse ox multiple
|
$29.68 |
$29.68 |
$29.68 |
$190.25
|
|
Pulse ox single
|
$15.68 |
$15.68 |
$15.68 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$34.16 |
$34.16 |
$34.16 |
$113.75
|
|
Puncture spinal lumbar diagnostic
|
$353.36 |
$353.36 |
$353.36 |
$1,087.80
|
|
Pyruvate
|
$8.92 |
$8.92 |
$8.92 |
$65.00
|
|
Quest t3 uptake
|
$11.81 |
$11.81 |
$11.81 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$2,245.02 |
$2,245.02 |
$2,245.02 |
$1,624.21
|
|
Rapid Strep Test
|
$50.19 |
$50.19 |
$50.19 |
$67.80
|
|
Rbc count only automated
|
$10.63 |
$10.63 |
$10.63 |
$20.00
|
|
Rbc deglycerolized each unit
|
$595.28 |
$595.28 |
$595.28 |
$785.20
|
|
Rbc serum pretx incubj drugs
|
$15.68 |
$15.68 |
$15.68 |
$223.08
|
|
Red blood cells each unit
|
$278.88 |
$278.88 |
$278.88 |
$380.25
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$389.20 |
$389.20 |
$389.20 |
$537.70
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$360.64 |
$360.64 |
$360.64 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$320.88 |
$320.88 |
$320.88 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$326.48 |
$326.48 |
$326.48 |
$645.45
|
|
Red blood cells washed each unit
|
$206.08 |
$206.08 |
$206.08 |
$561.60
|
|
Renal function panel
|
$34.25 |
$34.25 |
$34.25 |
$95.76
|
|
Reptilase test
|
$16.84 |
$16.84 |
$16.84 |
$65.72
|
|
#resp virpnl dfa-parainfluenza
|
$33.66 |
$33.66 |
$33.66 |
$44.40
|
|
Resuscitation cardiopulmonary
|
$424.48 |
$424.48 |
$424.48 |
$895.44
|
|
Reticulocyte automated
|
$14.76 |
$14.76 |
$14.76 |
$54.27
|
|
Rheumatoid factor qualitative
|
$31.89 |
$31.89 |
$31.89 |
$54.60
|
|
Rheumatoid factor quantitative
|
$68.50 |
$68.50 |
$68.50 |
$59.80
|
|
Rho d immune globulin inj
|
$68.88 |
$68.88 |
$68.88 |
$232.72
|
|
Rp loclzj tum 2+area 1+d img
|
$401.52 |
$401.52 |
$401.52 |
$1,283.66
|
|
Rsv assay w/optic
|
$28.35 |
$28.35 |
$28.35 |
$64.13
|
|
Rubella antibody igg
|
$29.53 |
$29.53 |
$29.53 |
$73.05
|
|
Rubeola antibody igg
|
$22.44 |
$22.44 |
$22.44 |
$80.00
|
|
Russell viper venom diluted
|
$15.50 |
$15.50 |
$15.50 |
$73.03
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$349.44 |
$349.44 |
$349.44 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$132.16 |
$132.16 |
$132.16 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$288.40 |
$288.40 |
$288.40 |
$788.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$177.52 |
$177.52 |
$177.52 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$239.12 |
$239.12 |
$239.12 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$177.52 |
$177.52 |
$177.52 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$177.52 |
$177.52 |
$177.52 |
$527.80
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$27.75 |
$27.75 |
$27.75 |
$27.44
|
|
Screening Mammogram
|
$198.80 |
$198.80 |
$198.80 |
$287.12
|
|
Screw cortex 2.0 x 10mm
|
$18,707.36 |
$18,707.36 |
$18,707.36 |
$22,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$98.00 |
$98.00 |
$98.00 |
$194.35
|
|
Semen analysis presence/motility
|
$20.67 |
$20.67 |
$20.67 |
$79.92
|
|
Serpina1 gene
|
$51.52 |
$51.52 |
$51.52 |
$195.65
|
|
Sheath gldlight lasr 12fx50cm
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$7,076.25
|