|
_propoxygc/msur
|
$85.80 |
$85.80 |
$277.20 |
$104.00
|
|
Prostate biopsy, any mthd
|
$759.55 |
$759.55 |
$759.55 |
$492.80
|
|
Protector nerve neurawrap 4cm
|
$6,783.16 |
$6,783.16 |
$6,783.16 |
$3,580.71
|
|
Protein c activity
|
$196.35 |
$196.35 |
$472.45 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$123.20 |
$123.20 |
$161.15 |
$85.20
|
|
Protein s total
|
$153.45 |
$153.45 |
$472.45 |
$78.87
|
|
Protein total 24 hour urine
|
$28.05 |
$28.05 |
$36.30 |
$52.50
|
|
Protein total body fluid
|
$20.90 |
$20.90 |
$44.00 |
$52.57
|
|
Protein total serum plasma whole blood
|
$50.60 |
$50.60 |
$161.15 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$93.50 |
$93.50 |
$204.05 |
$37.05
|
|
Pr planning advance care 1st 30 minutes
|
$80.78 |
$80.78 |
$80.78 |
$135.80
|
|
Prq av fstl crtj uxtr 1 acs
|
$20,345.60 |
$20,345.60 |
$20,345.60 |
$19,875.58
|
|
Prq av fstl crt uxtr sep acs
|
$20,345.60 |
$20,345.60 |
$20,345.60 |
$20,328.00
|
|
Prq cardiac angio addl art
|
$4,928.87 |
$4,928.87 |
$7,700.00 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$7,763.80 |
$7,763.80 |
$7,763.80 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$9,350.00 |
$9,350.00 |
$9,350.00 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$18,150.00 |
$18,150.00 |
$18,150.00 |
$20,854.53
|
|
Prq card stent w/angio addl
|
$6,174.58 |
$6,174.58 |
$11,000.00 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$8,235.70 |
$8,235.70 |
$8,235.70 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$8,235.70 |
$8,235.70 |
$8,235.70 |
$11,251.88
|
|
Prq skel fix sprcndlr hum fx
|
$8,441.29 |
$8,441.29 |
$8,441.29 |
$6,731.17
|
|
Prq tcat plmt ntrac st 1 les
|
$10,524.88 |
$10,524.88 |
$13,750.00 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$27,500.00 |
$27,500.00 |
$27,500.00 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$8,800.00 |
$8,800.00 |
$9,430.04 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$22,550.00 |
$22,550.00 |
$22,550.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$8,800.00 |
$8,800.00 |
$8,800.00 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$491.92 |
$491.92 |
$542.85 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$238.15 |
$238.15 |
$289.58 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,160.44 |
$1,160.44 |
$1,742.95 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$338.20 |
$338.20 |
$755.15 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$423.28 |
$423.28 |
$801.35 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$348.92 |
$348.92 |
$752.40 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$475.48 |
$475.48 |
$813.45 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,121.40 |
$2,121.40 |
$3,119.05 |
$1,790.60
|
|
PSA (Prostate) Test
|
$77.00 |
$77.00 |
$89.10 |
$109.35
|
|
Psych test eval svc phys/qhp 1st hr
|
$340.34 |
$340.34 |
$340.34 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$239.52 |
$239.52 |
$239.52 |
$207.20
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$92.24 |
$92.24 |
$109.45 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$85.25 |
$85.25 |
$85.25 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$66.55 |
$66.55 |
$79.76 |
$82.55
|
|
Pt application of modality traction mechanical
|
$60.50 |
$60.50 |
$60.50 |
$88.20
|
|
Pten gene dup/delet variant
|
$1,343.10 |
$1,343.10 |
$1,343.10 |
$330.00
|
|
Pten gene full sequence
|
$1,506.45 |
$1,506.45 |
$1,506.45 |
$660.00
|
|
Pten gene known fam variant
|
$453.75 |
$453.75 |
$894.30 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$225.50 |
$225.50 |
$254.65 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$224.95 |
$224.95 |
$248.60 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$214.50 |
$214.50 |
$264.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$176.00 |
$176.00 |
$184.25 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$109.45 |
$109.45 |
$109.45 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$87.45 |
$87.45 |
$87.45 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$71.50 |
$71.50 |
$91.30 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$85.25 |
$85.25 |
$108.88 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$60.50 |
$60.50 |
$80.45 |
$85.00
|
|
Pul art balloon repr percut
|
$11,387.75 |
$11,387.75 |
$15,192.84 |
$10,651.06
|
|
Pul art balloon repr percut
|
$8,795.42 |
$8,795.42 |
$8,795.42 |
$4,144.17
|
|
Pulmonary vent imaging
|
$766.15 |
$766.15 |
$893.20 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$369.05 |
$369.05 |
$369.05 |
$368.00
|
|
Pulse ox multiple
|
$134.20 |
$134.20 |
$223.08 |
$194.33
|
|
Pulse ox single
|
$114.40 |
$114.40 |
$114.40 |
$88.63
|
|
Punc of shunt for asp or inj
|
$1,646.64 |
$1,646.64 |
$3,341.80 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$107.80 |
$107.80 |
$153.01 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,096.10 |
$1,096.10 |
$1,336.50 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$2,004.75 |
$2,004.75 |
$2,008.44 |
$1,134.64
|
|
Pvb thoracic single inj site
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$1,189.08
|
|
Pyruvate
|
$51.15 |
$51.15 |
$134.75 |
$65.00
|
|
Pyruvate kinase
|
$55.00 |
$55.00 |
$55.00 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$789.80 |
$789.80 |
$2,539.35 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$752.40 |
$752.40 |
$1,210.55 |
$1,209.44
|
|
Quest t3 uptake
|
$51.70 |
$51.70 |
$84.70 |
$56.10
|
|
Radiation physics consult
|
$548.90 |
$548.90 |
$1,046.65 |
$574.75
|
|
Radiation therapy dose plan
|
$693.00 |
$693.00 |
$744.15 |
$530.53
|
|
Radiation treatment aid(s)
|
$212.85 |
$212.85 |
$723.80 |
$541.45
|
|
Radiation treatment aid(s)
|
$806.30 |
$806.30 |
$806.30 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,069.20 |
$1,069.20 |
$2,093.30 |
$1,103.09
|
|
Radiation treatment delivery
|
$389.95 |
$389.95 |
$475.20 |
$552.40
|
|
Radiation treatment delivery
|
$859.65 |
$859.65 |
$1,069.20 |
$909.98
|
|
Radiology port images(s)
|
$295.35 |
$295.35 |
$409.75 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$7,722.00 |
$7,722.00 |
$7,722.00 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,236.40 |
$1,236.40 |
$2,377.65 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,290.30 |
$1,290.30 |
$2,377.65 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,150.50 |
$2,150.50 |
$2,867.15 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,344.20 |
$1,344.20 |
$2,377.65 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$484.00 |
$484.00 |
$484.00 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$24.75 |
$24.75 |
$24.75 |
$678.81
|
|
Rapid desensitization
|
$212.35 |
$212.35 |
$212.35 |
$442.06
|
|
Rapid Strep Test
|
$61.05 |
$61.05 |
$66.00 |
$74.10
|
|
Rbc count only automated
|
$7.70 |
$7.70 |
$29.15 |
$20.00
|
|
Rbc deglycerolized each unit
|
$712.25 |
$712.25 |
$1,192.40 |
$785.20
|
|
Rbc depletion of harvest
|
$881.10 |
$881.10 |
$881.10 |
$1,673.75
|
|
Rbc serum pretx incubj drugs
|
$294.25 |
$294.25 |
$294.25 |
$223.08
|
|
Rebuild outer ear canal
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$6,017.08
|
|
Reconstruct extra finger
|
$3,534.24 |
$3,534.24 |
$3,534.24 |
$3,534.24
|
|
Reconstruct finger joint
|
$7,392.55 |
$7,392.55 |
$7,392.55 |
$4,017.51
|
|
Reconstruction of eyelid
|
$263.19 |
$263.19 |
$263.19 |
$2,760.73
|
|
Reconstruction of nail bed
|
$3,158.16 |
$3,158.16 |
$3,158.16 |
$2,164.64
|
|
Rectal sensation test
|
$306.02 |
$306.02 |
$306.02 |
$564.48
|
|
Red blood cells each unit
|
$264.55 |
$264.55 |
$264.55 |
$389.40
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$495.55 |
$495.55 |
$1,192.40 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$435.05 |
$435.05 |
$567.60 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$545.05 |
$545.05 |
$617.10 |
$540.00
|
