|
Promethazine hcl injection
|
$18.36 |
$18.36 |
$18.36 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$48.60 |
$48.60 |
$48.60 |
$73.36
|
|
_propoxygc/msur
|
$77.04 |
$77.04 |
$77.04 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$11.16 |
$11.16 |
$11.16 |
$32.93
|
|
Prostate biopsy, any mthd
|
$203.04 |
$203.04 |
$203.04 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$54.50 |
$54.50 |
$54.50 |
$57.89
|
|
Protein c activity
|
$113.76 |
$113.76 |
$113.76 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$77.28 |
$77.28 |
$77.28 |
$84.00
|
|
Protein s total
|
$121.44 |
$121.44 |
$121.44 |
$83.52
|
|
Protein total 24 hour urine
|
$48.00 |
$48.00 |
$48.00 |
$52.50
|
|
Protein total body fluid
|
$56.64 |
$56.64 |
$56.64 |
$49.80
|
|
Protein total serum plasma whole blood
|
$48.00 |
$48.00 |
$48.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$49.68 |
$49.68 |
$49.68 |
$41.50
|
|
Pr removal drug delivery implant
|
$102.00 |
$102.00 |
$102.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$46.32 |
$46.32 |
$46.32 |
$251.43
|
|
Pr removal intrauterine device
|
$79.44 |
$79.44 |
$79.44 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$473.04 |
$473.04 |
$473.04 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$161.28 |
$161.28 |
$161.28 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$161.28 |
$161.28 |
$161.28 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$161.28 |
$161.28 |
$161.28 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$161.28 |
$161.28 |
$161.28 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$358.08 |
$358.08 |
$358.08 |
$1,720.93
|
|
PSA (Prostate) Test
|
$142.08 |
$142.08 |
$142.08 |
$107.50
|
|
Psychotherapy group therapy
|
$35.04 |
$35.04 |
$35.04 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$58.56 |
$58.56 |
$58.56 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$58.56 |
$58.56 |
$58.56 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$58.56 |
$58.56 |
$58.56 |
$287.47
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$50.88 |
$50.88 |
$50.88 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$60.96 |
$60.96 |
$60.96 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$38.16 |
$38.16 |
$38.16 |
$81.00
|
|
Pt application of modality traction mechanical
|
$38.16 |
$38.16 |
$38.16 |
$91.00
|
|
Pten gene dup/delet variant
|
$242.88 |
$242.88 |
$242.88 |
$330.00
|
|
Pten gene full sequence
|
$486.00 |
$486.00 |
$486.00 |
$826.00
|
|
Pten gene known fam variant
|
$37.92 |
$37.92 |
$37.92 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$214.80 |
$214.80 |
$214.80 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$214.80 |
$214.80 |
$214.80 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$214.80 |
$214.80 |
$214.80 |
$254.88
|
|
Pt re-evaluation patient/family
|
$108.48 |
$108.48 |
$108.48 |
$152.80
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$45.84 |
$45.84 |
$45.84 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$53.28 |
$53.28 |
$53.28 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$49.68 |
$49.68 |
$49.68 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$49.68 |
$49.68 |
$49.68 |
$87.50
|
|
Pulmonary vent imaging
|
$457.68 |
$457.68 |
$457.68 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$99.84 |
$99.84 |
$99.84 |
$344.00
|
|
Pulse ox multiple
|
$113.28 |
$113.28 |
$113.28 |
$156.40
|
|
Pulse ox single
|
$49.92 |
$49.92 |
$49.92 |
$81.70
|
|
Punc of shunt for asp or inj
|
$196.32 |
$196.32 |
$196.32 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$36.00 |
$36.00 |
$36.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$144.72 |
$144.72 |
$144.72 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$320.64 |
$320.64 |
$320.64 |
$1,051.80
|
|
Pyridoxine hcl 100 mg
|
$20.18 |
$20.18 |
$20.18 |
$48.70
|
|
Pyruvate
|
$9.60 |
$9.60 |
$9.60 |
$66.00
|
|
Pyruvate kinase
|
$84.96 |
$84.96 |
$84.96 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$767.76 |
$767.76 |
$767.76 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$502.08 |
$502.08 |
$502.08 |
$1,199.16
|
|
Quest t3 uptake
|
$48.00 |
$48.00 |
$48.00 |
$52.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$848.16 |
$848.16 |
$848.16 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$975.84 |
$975.84 |
$975.84 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$999.36 |
$999.36 |
$999.36 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$379.44 |
$379.44 |
$379.44 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$1,107.12 |
$1,107.12 |
$1,107.12 |
$711.20
|
|
Rapid Strep Test
|
$80.16 |
$80.16 |
$80.16 |
$75.24
|
|
Rbc irradiated each unit
|
$896.64 |
$896.64 |
$896.64 |
$560.00
|
|
Rbc osmotic fragility
|
$107.52 |
$107.52 |
$107.52 |
$75.04
|
|
Red blood cells each unit
|
$275.52 |
$275.52 |
$275.52 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$255.12 |
$255.12 |
$255.12 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$367.44 |
$367.44 |
$367.44 |
$528.45
|
|
Refill/maint pump/resvr syst
|
$175.20 |
$175.20 |
$175.20 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$291.70 |
$291.70 |
$291.70 |
$364.47
|
|
Rem/biv cast full arm/leg
|
$78.72 |
$78.72 |
$78.72 |
$320.79
|
|
Removal central venous catheter tunneled without port/pump
|
$827.28 |
$827.28 |
$827.28 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$219.12 |
$219.12 |
$219.12 |
$2,356.71
|
|
Removal cerclage w/anes
|
$883.20 |
$883.20 |
$883.20 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$49.20 |
$49.20 |
$49.20 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$54.96 |
$54.96 |
$54.96 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$277.44 |
$277.44 |
$277.44 |
$783.75
|
|
Removal foreign body foot cmplx
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$290.64 |
$290.64 |
$290.64 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,014.96 |
$1,014.96 |
$1,014.96 |
$2,301.60
|
|
Removal foreign body mouth
|
$339.36 |
$339.36 |
$339.36 |
$1,424.80
|
|
Removal of foreign body
|
$1,711.44 |
$1,711.44 |
$1,711.44 |
$3,994.09
|
|
Removal of hip foreign body 27087
|
$2,125.92 |
$2,125.92 |
$2,125.92 |
$4,313.40
|
|
Removal of scrotum lesion
|
$1,343.76 |
$1,343.76 |
$1,343.76 |
$2,507.31
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$134.64 |
$134.64 |
$134.64 |
$292.50
|
|
Removal sutr and stapl no anes
|
$67.68 |
$67.68 |
$67.68 |
$82.05
|
|
Removal sutr or stapl no anes
|
$62.64 |
$62.64 |
$62.64 |
$95.00
|
|
Remove hip foreign body 27086
|
$1,779.84 |
$1,779.84 |
$1,779.84 |
$2,094.26
|
|
Remove shoulder fb deep
|
$1,779.84 |
$1,779.84 |
$1,779.84 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$467.04 |
$467.04 |
$467.04 |
$1,788.80
|
|
Remove vaginal foreign body 57415
|
$1,969.44 |
$1,969.44 |
$1,969.44 |
$3,762.53
|
|
Renal function panel
|
$135.36 |
$135.36 |
$135.36 |
$113.52
|
|
Repair blood vessel direct hand finger
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$449.76 |
$449.76 |
$449.76 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$2,088.72 |
$2,088.72 |
$2,088.72 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$151.20 |
$151.20 |
$151.20 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$68.64 |
$68.64 |
$68.64 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$2,224.00
|
|
Repair eyelid wound
|
$1,646.64 |
$1,646.64 |
$1,646.64 |
$2,760.73
|
|
Repair lip full thkns =<one-half vert height
|
$164.88 |
$164.88 |
$164.88 |
$1,308.00
|
