|
Pr incision & drainage abscess vulva/perineal
|
$710.40 |
$710.40 |
$710.40 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$809.60 |
$809.60 |
$809.60 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$460.80 |
$460.80 |
$460.80 |
$253.55
|
|
Procalcitonin
|
$96.00 |
$96.00 |
$96.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$25.51 |
$25.51 |
$25.51 |
$38.48
|
|
Progesterone
|
$84.00 |
$84.00 |
$84.00 |
$116.00
|
|
Prolactin
|
$102.40 |
$102.40 |
$102.40 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$32.00 |
$32.00 |
$32.00 |
$73.36
|
|
Protamine 10 mg/ml intravenous solution
|
$26.96 |
$26.96 |
$26.96 |
$56.70
|
|
Protein c activity
|
$55.20 |
$55.20 |
$55.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$136.80 |
$136.80 |
$136.80 |
$84.00
|
|
Protein total 24 hour urine
|
$40.00 |
$40.00 |
$40.00 |
$52.50
|
|
Protein total body fluid
|
$41.60 |
$41.60 |
$41.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$44.80 |
$44.80 |
$44.80 |
$43.00
|
|
Prothrombin complex kcentra
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$6.98
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$268.80 |
$268.80 |
$268.80 |
$252.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$852.00 |
$852.00 |
$852.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$365.60 |
$365.60 |
$365.60 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$376.00 |
$376.00 |
$376.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$365.60 |
$365.60 |
$365.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$365.60 |
$365.60 |
$365.60 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,628.80 |
$1,628.80 |
$1,628.80 |
$1,761.00
|
|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$107.20 |
$107.20 |
$107.20 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$94.40 |
$94.40 |
$94.40 |
$81.48
|
|
Pt application of modality traction mechanical
|
$100.00 |
$100.00 |
$100.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$141.60 |
$141.60 |
$141.60 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$98.40 |
$98.40 |
$98.40 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$102.40 |
$102.40 |
$102.40 |
$88.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$93.60 |
$93.60 |
$93.60 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$536.00 |
$536.00 |
$536.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$33.00 |
$33.00 |
$33.00 |
$49.08
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,038.11 |
$3,038.11 |
$3,038.11 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$3.60 |
$3.60 |
$3.60 |
$6.48
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,632.80 |
$2,632.80 |
$2,632.80 |
$2,242.80
|
|
Rapid Strep Test
|
$56.80 |
$56.80 |
$56.80 |
$76.00
|
|
Rbc count only automated
|
$12.80 |
$12.80 |
$12.80 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$505.60 |
$505.60 |
$505.60 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$734.40 |
$734.40 |
$734.40 |
$534.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$312.00 |
$312.00 |
$312.00 |
$357.91
|
|
Rem/biv cast full arm/leg
|
$408.00 |
$408.00 |
$408.00 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$996.55 |
$996.55 |
$996.55 |
$1,555.39
|
|
Removal central venous catheter tunneled without port/pump
|
$1,679.20 |
$1,679.20 |
$1,679.20 |
$1,588.50
|
|
Removal cerumen impacted (both sides)
|
$172.80 |
$172.80 |
$172.80 |
$163.20
|
|
Removal embedded foreign body vestibule mouth smpl
|
$451.20 |
$451.20 |
$451.20 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$1,260.80
|
|
Remove foreign body from eye
|
$3,752.80 |
$3,752.80 |
$3,752.80 |
$3,433.80
|
|
Renal function panel
|
$105.60 |
$105.60 |
$105.60 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$867.20 |
$867.20 |
$867.20 |
$1,055.69
|
|
Repair lip full thkns =<one-half vert height
|
$1,403.20 |
$1,403.20 |
$1,403.20 |
$1,308.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$1,244.09
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$560.80 |
$560.80 |
$560.80 |
$478.00
|
|
Reticulocyte direct measurement automated
|
$24.80 |
$24.80 |
$24.80 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$10.79 |
$10.79 |
$10.79 |
$15.56
|
|
Rheumatoid factor quantitative
|
$60.80 |
$60.80 |
$60.80 |
$57.50
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$258.40 |
$258.40 |
$258.40 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$430.40 |
$430.40 |
$430.40 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$588.80 |
$588.80 |
$588.80 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$574.40 |
$574.40 |
$574.40 |
$397.60
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,493.51 |
$3,493.51 |
$3,493.51 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,421.00 |
$3,421.00 |
$3,421.00 |
$5,309.20
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,291.02 |
$3,291.02 |
$3,291.02 |
$4,820.04
|
|
Rsv assay w/optic
|
$97.60 |
$97.60 |
$97.60 |
$76.32
|
|
Rubella antibody igg
|
$60.80 |
$60.80 |
$60.80 |
$77.40
|
|
Rubeola antibody igg
|
$107.20 |
$107.20 |
$107.20 |
$80.00
|
|
Russell viper venom diluted
|
$41.60 |
$41.60 |
$41.60 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$372.80 |
$372.80 |
$372.80 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$639.20 |
$639.20 |
$639.20 |
$497.68
|
|
Scan duplex extremity veins unilateral/limited study
|
$780.80 |
$780.80 |
$780.80 |
$726.18
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$780.80 |
$780.80 |
$780.80 |
$597.35
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening Mammogram
|
$452.80 |
$452.80 |
$452.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$116.80 |
$116.80 |
$116.80 |
$101.60
|
|
Scrotal (Testicle) Ultrasound
|
$664.00 |
$664.00 |
$664.00 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$36.80 |
$36.80 |
$36.80 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$85.60 |
$85.60 |
$85.60 |
$96.00
|
|
Semen analysis presence/motility
|
$58.40 |
$58.40 |
$58.40 |
$70.40
|
|
Shot (Injection into Muscle or Under the Skin)
|
$88.80 |
$88.80 |
$88.80 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$258.40 |
$258.40 |
$258.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$396.80 |
$396.80 |
$396.80 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,953.60 |
$3,953.60 |
$3,953.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,300.00 |
$3,300.00 |
$3,300.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
$2,096.84
|
|
Shoulder X-ray
|
$350.40 |
$350.40 |
$350.40 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$312.00 |
$312.00 |
$312.00 |
$263.25
|
|
Sickling rbc
|
$28.00 |
$28.00 |
$28.00 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$244.13 |
$244.13 |
$244.13 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,821.60 |
$2,821.60 |
$2,821.60 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,423.20 |
$2,423.20 |
$2,423.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$338.40 |
$338.40 |
$338.40 |
$346.45
|
|
Sinus X-ray (limited)
|
$253.60 |
$253.60 |
$253.60 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$401.60 |
$401.60 |
$401.60 |
$294.45
|
|
Skull X-ray (complete)
|
$570.40 |
$570.40 |
$570.40 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$3,734.50
|
|
Smear fluorescent and/or acid fast stain
|
$64.80 |
$64.80 |
$64.80 |
$64.35
|
