|
Protein s total
|
$388.44 |
$388.44 |
$388.44 |
$83.52
|
|
Protein total 24 hour urine
|
$83.83 |
$83.83 |
$83.83 |
$52.50
|
|
Protein total body fluid
|
$58.93 |
$58.93 |
$58.93 |
$49.80
|
|
Protein total serum plasma whole blood
|
$54.78 |
$54.78 |
$54.78 |
$42.81
|
|
Prothrombin complex kcentra
|
$1.54 |
$1.54 |
$1.54 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$49.80 |
$49.80 |
$49.80 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$1,318.04 |
$1,318.04 |
$1,318.04 |
$4,176.15
|
|
Pr removal drug delivery implant
|
$271.41 |
$271.41 |
$271.41 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$185.92 |
$185.92 |
$185.92 |
$251.43
|
|
Pr removal intrauterine device
|
$288.01 |
$288.01 |
$288.01 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$966.12 |
$966.12 |
$966.12 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$370.18 |
$370.18 |
$370.18 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$391.76 |
$391.76 |
$391.76 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$352.75 |
$352.75 |
$352.75 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$374.33 |
$374.33 |
$374.33 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$893.08 |
$893.08 |
$893.08 |
$1,720.93
|
|
PSA (Prostate) Test
|
$118.69 |
$118.69 |
$118.69 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$52.29 |
$52.29 |
$52.29 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$27.39 |
$27.39 |
$27.39 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$84.66 |
$84.66 |
$84.66 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$58.93 |
$58.93 |
$58.93 |
$81.00
|
|
Pt application of modality traction mechanical
|
$80.51 |
$80.51 |
$80.51 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$205.84 |
$205.84 |
$205.84 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$136.12 |
$136.12 |
$136.12 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$171.81 |
$171.81 |
$171.81 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$33,407.50 |
$33,407.50 |
$33,407.50 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$136.12 |
$136.12 |
$136.12 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$180.94 |
$180.94 |
$180.94 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$84.66 |
$84.66 |
$84.66 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$54.78 |
$54.78 |
$54.78 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$59.76 |
$59.76 |
$59.76 |
$87.50
|
|
Pulmonary vent imaging
|
$993.51 |
$993.51 |
$993.51 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$434.92 |
$434.92 |
$434.92 |
$344.00
|
|
Pulse ox multiple
|
$313.74 |
$313.74 |
$313.74 |
$156.40
|
|
Pulse ox single
|
$112.88 |
$112.88 |
$112.88 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$78.85 |
$78.85 |
$78.85 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$302.12 |
$302.12 |
$302.12 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$410.02 |
$410.02 |
$410.02 |
$1,051.80
|
|
Pyloroplasty 43800
|
$2,075.83 |
$2,075.83 |
$2,075.83 |
$1,748.40
|
|
Pyridoxine hcl 100 mg
|
$9.21 |
$9.21 |
$9.21 |
$48.70
|
|
Pyruvate
|
$151.06 |
$151.06 |
$151.06 |
$66.00
|
|
Quant diff pulm perf w/imaging
|
$2,199.50 |
$2,199.50 |
$2,199.50 |
$1,199.16
|
|
Quest t3 uptake
|
$104.58 |
$104.58 |
$104.58 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$335.58 |
$335.58 |
$335.58 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$403.13 |
$403.13 |
$403.13 |
$4,262.90
|
|
Radiesse injection
|
$2,232.79 |
$2,232.79 |
$2,232.79 |
$1,171.09
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,519.88 |
$2,519.88 |
$2,519.88 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$795.97 |
$795.97 |
$795.97 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$121.40 |
$121.40 |
$121.40 |
$13,136.04
|
|
Range of motion measurements
|
$136.95 |
$136.95 |
$136.95 |
$60.48
|
|
Rapid Strep Test
|
$88.81 |
$88.81 |
$88.81 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$3,710.24 |
$3,710.24 |
$3,710.24 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$1,807.21 |
$1,807.21 |
$1,807.21 |
$41,926.70
|
|
Rbc serum pretx incubj drugs
|
$275.56 |
$275.56 |
$275.56 |
$235.00
|
|
Reconstruct extra finger
|
$2,369.65 |
$2,369.65 |
$2,369.65 |
$3,591.33
|
|
Reconstruction of nail bed
|
$681.43 |
$681.43 |
$681.43 |
$2,164.64
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$440.73 |
$440.73 |
$440.73 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$468.95 |
$468.95 |
$468.95 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$839.13 |
$839.13 |
$839.13 |
$528.45
|
|
Refill/maint pump/resvr syst
|
$92.96 |
$92.96 |
$92.96 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$39.14 |
$39.14 |
$39.14 |
$364.47
|
|
Rem/biv cast full arm/leg
|
$144.42 |
$144.42 |
$144.42 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$526.93 |
$526.93 |
$526.93 |
$1,524.70
|
|
Removal anal seton other marker 46030
|
$609.22 |
$609.22 |
$609.22 |
$1,525.44
|
|
Removal central venous catheter tunneled without port/pump
|
$1,552.93 |
$1,552.93 |
$1,552.93 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,001.28 |
$3,001.28 |
$3,001.28 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$253.15 |
$253.15 |
$253.15 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$182.60 |
$182.60 |
$182.60 |
$249.60
|
|
Removal duct glbldr calculi
|
$2,047.61 |
$2,047.61 |
$2,047.61 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$440.73 |
$440.73 |
$440.73 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$570.21 |
$570.21 |
$570.21 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,400.21 |
$1,400.21 |
$1,400.21 |
$2,301.60
|
|
Removal foreign body jawbone
|
$1,400.21 |
$1,400.21 |
$1,400.21 |
$2,133.48
|
|
Removal foreign body mouth
|
$671.47 |
$671.47 |
$671.47 |
$1,424.80
|
|
Removal of anal fissure
|
$1,114.69 |
$1,114.69 |
$1,114.69 |
$3,038.07
|
|
Removal of anal tags
|
$733.72 |
$733.72 |
$733.72 |
$3,481.77
|
|
Removal of breast lesion
|
$1,180.26 |
$1,180.26 |
$1,180.26 |
$4,631.50
|
|
Removal of foreign body
|
$2,237.68 |
$2,237.68 |
$2,237.68 |
$3,994.09
|
|
Removal of gallbladder 47600
|
$2,389.57 |
$2,389.57 |
$2,389.57 |
$2,032.80
|
|
Removal of gallbladder 47610
|
$2,797.93 |
$2,797.93 |
$2,797.93 |
$2,358.00
|
|
Removal of gallbladder 47620
|
$3,061.87 |
$3,061.87 |
$3,061.87 |
$3,375.20
|
|
Removal of hydrocele
|
$782.69 |
$782.69 |
$782.69 |
$4,176.15
|
|
Removal of hydroceles
|
$1,183.58 |
$1,183.58 |
$1,183.58 |
$4,176.15
|
|
Removal of implant deep
|
$2,851.05 |
$2,851.05 |
$2,851.05 |
$4,484.80
|
|
Removal of infusion pump
|
$5,052.21 |
$5,052.21 |
$5,052.21 |
$3,054.44
|
|
Removal of palm tendon each
|
$943.71 |
$943.71 |
$943.71 |
$1,893.86
|
|
Removal of skin tags each add'l 10
|
$42.33 |
$42.33 |
$42.33 |
$134.02
|
|
Removal of spleen partial
|
$2,586.28 |
$2,586.28 |
$2,586.28 |
$1,646.51
|
|
Removal of spleen total 38102
|
$580.17 |
$580.17 |
$580.17 |
$496.80
|
|
Removal of testis
|
$755.30 |
$755.30 |
$755.30 |
$4,081.37
|
|
Removal of testis
|
$1,173.62 |
$1,173.62 |
$1,173.62 |
$5,187.65
|
|
Removal of thyroid
|
$2,079.15 |
$2,079.15 |
$2,079.15 |
$6,904.15
|
|
Removal of thyroid
|
$2,990.49 |
$2,990.49 |
$2,990.49 |
$6,553.49
|
|
Removal of thyroid
|
$2,394.55 |
$2,394.55 |
$2,394.55 |
$6,553.49
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$375.99 |
$375.99 |
$375.99 |
$292.50
|
|
Remove anal fist complex
|
$1,108.88 |
$1,108.88 |
$1,108.88 |
$3,229.60
|
|
Remove anal fist inter
|
$1,321.36 |
$1,321.36 |
$1,321.36 |
$3,545.60
|
|
Remove anal fist subq
|
$1,249.98 |
$1,249.98 |
$1,249.98 |
$3,721.44
|
|
Remove ext hem groups 2+
|
$1,123.82 |
$1,123.82 |
$1,123.82 |
$3,245.23
|
|
Remove foreign body from eye
|
$1,845.92 |
$1,845.92 |
$1,845.92 |
$3,364.50
|