|
Prgrmg eval implantable dfb
|
$293.00 |
$293.00 |
$293.00 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$8,431.00 |
$8,431.00 |
$8,431.00 |
$4,555.93
|
|
Prim art mech thrmbc non-intracranial
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$7,126.00 |
$7,126.00 |
$7,126.00 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,091.00 |
$1,091.00 |
$1,091.00 |
$544.05
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$300.00 |
$300.00 |
$300.00 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$300.00 |
$300.00 |
$300.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$604.00 |
$604.00 |
$604.00 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$11,477.00 |
$11,477.00 |
$11,477.00 |
$7,372.61
|
|
Procalcitonin
|
$73.00 |
$73.00 |
$73.00 |
$159.25
|
|
Progesterone
|
$93.00 |
$93.00 |
$93.00 |
$116.00
|
|
Prolactin
|
$86.00 |
$86.00 |
$86.00 |
$123.50
|
|
Prolong service without contact
|
$235.00 |
$235.00 |
$235.00 |
$165.20
|
|
Prolong serv without contact add
|
$118.00 |
$118.00 |
$118.00 |
$81.20
|
|
Proph rta dtchmnt pc
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$1,077.50
|
|
Prostate biopsy, any mthd
|
$618.00 |
$618.00 |
$618.00 |
$518.40
|
|
Protein c activity
|
$58.00 |
$58.00 |
$58.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$63.00 |
$63.00 |
$63.00 |
$84.00
|
|
Protein total 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$52.50
|
|
Protein total body fluid
|
$36.00 |
$36.00 |
$36.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$17.00 |
$17.00 |
$17.00 |
$42.81
|
|
Proton treatment complex
|
$5,474.00 |
$5,474.00 |
$5,474.00 |
$5,474.00
|
|
Proton trmt intermediate
|
$5,474.00 |
$5,474.00 |
$5,474.00 |
$4,402.28
|
|
Proton trmt simple without comp
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$2,591.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$54,364.00 |
$54,364.00 |
$54,364.00 |
$21,321.00
|
|
Prq av fstl crt uxtr sep acs
|
$56,166.00 |
$56,166.00 |
$56,166.00 |
$21,249.26
|
|
Prq card revasc mi 1 vsl
|
$27,827.00 |
$27,827.00 |
$27,827.00 |
$14,749.41
|
|
Prq revasc byp graft 1 art and/or branches
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$13,098.36
|
|
Prq tcat plmt ntrac st 1 les
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$54,797.00 |
$54,797.00 |
$54,797.00 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$56,367.00 |
$56,367.00 |
$56,367.00 |
$14,975.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$34,508.00 |
$34,508.00 |
$34,508.00 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$17,519.00 |
$17,519.00 |
$17,519.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$28,269.00 |
$28,269.00 |
$28,269.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,465.00 |
$1,465.00 |
$1,465.00 |
$544.12
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$451.00 |
$451.00 |
$451.00 |
$252.80
|
|
Pr removal intrauterine device
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$383.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$716.10
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$872.00 |
$872.00 |
$872.00 |
$382.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$660.00 |
$660.00 |
$660.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$724.00 |
$724.00 |
$724.00 |
$374.85
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$833.00 |
$833.00 |
$833.00 |
$400.20
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$5,359.00 |
$5,359.00 |
$5,359.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,067.00 |
$3,067.00 |
$3,067.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$55.00 |
$55.00 |
$55.00 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$301.00 |
$301.00 |
$301.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$348.00 |
$348.00 |
$348.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$339.00 |
$339.00 |
$339.00 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$645.00 |
$645.00 |
$645.00 |
$318.50
|
|
Psycl/nrpsyc tech 1st
|
$980.00 |
$980.00 |
$980.00 |
$330.00
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$365.00 |
$365.00 |
$365.00 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$338.00 |
$338.00 |
$338.00 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$296.00 |
$296.00 |
$296.00 |
$124.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$19.00 |
$19.00 |
$19.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$164.00 |
$164.00 |
$164.00 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$115.00 |
$115.00 |
$115.00 |
$80.85
|
|
Pt application of modality traction mechanical
|
$122.00 |
$122.00 |
$122.00 |
$89.95
|
|
Pt repositioning canalith procedure(s) per day
|
$146.00 |
$146.00 |
$146.00 |
$119.34
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$61.00 |
$61.00 |
$61.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$185.00 |
$185.00 |
$185.00 |
$87.60
|
|
Pulse ox continuous overnight monitoring
|
$494.00 |
$494.00 |
$494.00 |
$350.40
|
|
Pulse ox multiple
|
$129.00 |
$129.00 |
$129.00 |
$157.30
|
|
Punc of shunt for asp or inj
|
$2,043.00 |
$2,043.00 |
$2,043.00 |
$987.81
|
|
Puncture arterial withdrawal blood for diagnosis
|
$422.00 |
$422.00 |
$422.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,087.80
|
|
Pyruvate kinase
|
$65.00 |
$65.00 |
$65.00 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,589.00 |
$1,589.00 |
$1,589.00 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$1,199.16
|
|
Radiation handling
|
$645.00 |
$645.00 |
$645.00 |
$324.80
|
|
Radiation physics consult
|
$987.00 |
$987.00 |
$987.00 |
$610.68
|
|
Radiation therapy dose plan
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$525.00
|
|
Radiation treatment aid(s)
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$525.60
|
|
Radiation treatment aid(s)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$655.52
|
|
Radiation treatment aid(s)
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$1,109.75
|
|
Radiation treatment delivery
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$552.40
|
|
Radiation treatment delivery
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,010.16
|
|
Radiology port images(s)
|
$534.00 |
$534.00 |
$534.00 |
$258.72
|
|
Radiotherapy dose plan imrt
|
$10,266.00 |
$10,266.00 |
$10,266.00 |
$5,786.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$5,151.00 |
$5,151.00 |
$5,151.00 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,285.70
|
|
Radphm lcl tumor plr sgl day
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$1,120.40
|
|
Rapid Strep Test
|
$76.00 |
$76.00 |
$76.00 |
$75.00
|
|
Recon, cta for surg plan
|
$367.00 |
$367.00 |
$367.00 |
$542.40
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$672.00 |
$672.00 |
$672.00 |
$748.34
|
|
Red blood cells leukocytes reduced each unit
|
$672.00 |
$672.00 |
$672.00 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$672.00 |
$672.00 |
$672.00 |
$535.00
|
|
Red blood cells washed each unit
|
$672.00 |
$672.00 |
$672.00 |
$583.68
|
|
Refill maint impl spine pump
|
$1,583.00 |
$1,583.00 |
$1,583.00 |
$366.60
|
|
Release of eye fluid
|
$3,292.00 |
$3,292.00 |
$3,292.00 |
$3,292.00
|
|
Relocation skin pocket aicd
|
$4,091.00 |
$4,091.00 |
$4,091.00 |
$3,004.80
|
|
Relocation skin pocket pm
|
$5,738.00 |
$5,738.00 |
$5,738.00 |
$2,688.70
|
|
Rem endovas vena cava filter
|
$9,801.00 |
$9,801.00 |
$9,801.00 |
$5,509.05
|
|
Rem interrog dev eval icpms
|
$153.00 |
$153.00 |
$153.00 |
$103.20
|
