|
Phenytoin total therapeutic drug level
|
$28.44 |
$28.44 |
$28.44 |
$111.27
|
|
Phlebotomy therapeutic
|
$94.07 |
$94.07 |
$94.07 |
$231.40
|
|
Phosphorus
|
$22.65 |
$22.65 |
$22.65 |
$49.20
|
|
Phosphorus 24 hour urine
|
$35.67 |
$35.67 |
$35.67 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$194.11 |
$194.11 |
$194.11 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$135.11 |
$135.11 |
$135.11 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$178.77 |
$178.77 |
$178.77 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$135.11 |
$135.11 |
$135.11 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$400.95 |
$400.95 |
$400.95 |
$463.20
|
|
Pin caspar distraction 12mm
|
$20,150.30 |
$20,150.30 |
$20,150.30 |
$11,759.36
|
|
Pinworm exam
|
$6.90 |
$6.90 |
$6.90 |
$39.62
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$274.55 |
$274.55 |
$274.55 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$164.41 |
$164.41 |
$164.41 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$368.87 |
$368.87 |
$368.87 |
$1,332.43
|
|
Platelet aggregation each agent teg
|
$36.15 |
$36.15 |
$36.15 |
$148.98
|
|
Platelet automated
|
$27.96 |
$27.96 |
$27.96 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$220.03 |
$220.03 |
$220.03 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$236.89 |
$236.89 |
$236.89 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$527.35 |
$527.35 |
$527.35 |
$1,005.65
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$504.20 |
$504.20 |
$504.20 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$233.85 |
$233.85 |
$233.85 |
$759.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$114.99 |
$114.99 |
$114.99 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$132.43 |
$132.43 |
$132.43 |
$408.05
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$38.08 |
$38.08 |
$38.08 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$7,133.98 |
$7,133.98 |
$7,133.98 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,575.85 |
$3,575.85 |
$3,575.85 |
$3,790.61
|
|
Potassium 24 hour urine
|
$33.74 |
$33.74 |
$33.74 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$39.52 |
$39.52 |
$39.52 |
$47.85
|
|
Prealbumin
|
$26.03 |
$26.03 |
$26.03 |
$94.00
|
|
Pregabalin - sendout
|
$45.79 |
$45.79 |
$45.79 |
$76.70
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$748.95 |
$748.95 |
$748.95 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$651.23 |
$651.23 |
$651.23 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$427.18 |
$427.18 |
$427.18 |
$459.00
|
|
Pretreat rbc absorption reference
|
$159.55 |
$159.55 |
$159.55 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$113.55 |
$113.55 |
$113.55 |
$114.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$329.77 |
$329.77 |
$329.77 |
$253.55
|
|
Procalcitonin
|
$67.96 |
$67.96 |
$67.96 |
$161.11
|
|
Progesterone
|
$30.37 |
$30.37 |
$30.37 |
$116.00
|
|
Prolactin
|
$28.44 |
$28.44 |
$28.44 |
$123.50
|
|
_propoxygc/msur
|
$26.99 |
$26.99 |
$26.99 |
$95.55
|
|
Protein c activity
|
$20.24 |
$20.24 |
$20.24 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$27.47 |
$27.47 |
$27.47 |
$84.00
|
|
Protein s total
|
$30.85 |
$30.85 |
$30.85 |
$85.10
|
|
Protein total 24 hour urine
|
$28.44 |
$28.44 |
$28.44 |
$52.50
|
|
Protein total body fluid
|
$26.99 |
$26.99 |
$26.99 |
$49.80
|
|
Protein total serum plasma whole blood
|
$26.99 |
$26.99 |
$26.99 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$27.96 |
$27.96 |
$27.96 |
$42.00
|
|
Pr removal intrauterine device
|
$222.40 |
$222.40 |
$222.40 |
$367.80
|
|
PSA (Prostate) Test
|
$26.99 |
$26.99 |
$26.99 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$31.62 |
$31.62 |
$31.62 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$60.80 |
$60.80 |
$60.80 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$68.10 |
$68.10 |
$68.10 |
$81.48
|
|
Pt application of modality traction mechanical
|
$74.78 |
$74.78 |
$74.78 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$107.62 |
$107.62 |
$107.62 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$44.99 |
$44.99 |
$44.99 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$49.25 |
$49.25 |
$49.25 |
$88.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$52.99 |
$52.99 |
$52.99 |
$129.36
|
|
Puncture spinal lumbar diagnostic
|
$214.15 |
$214.15 |
$214.15 |
$1,060.47
|
|
Quest t3 uptake
|
$26.99 |
$26.99 |
$26.99 |
$53.20
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$665.28 |
$665.28 |
$665.28 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,165.32 |
$1,165.32 |
$1,165.32 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$793.26 |
$793.26 |
$793.26 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$806.22 |
$806.22 |
$806.22 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$396.36 |
$396.36 |
$396.36 |
$1,126.32
|
|
Rapid Strep Test
|
$26.55 |
$26.55 |
$26.55 |
$76.00
|
|
Rbc count only automated
|
$30.37 |
$30.37 |
$30.37 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$488.45 |
$488.45 |
$488.45 |
$231.12
|
|
Red blood cells leukocytes reduced each unit
|
$214.91 |
$214.91 |
$214.91 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$105.35 |
$105.35 |
$105.35 |
$534.15
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$105.79 |
$105.79 |
$105.79 |
$255.97
|
|
Removal sutr and stapl no anes
|
$51.60 |
$51.60 |
$51.60 |
$82.05
|
|
Removal sutr or stapl no anes
|
$51.60 |
$51.60 |
$51.60 |
$93.88
|
|
Renal function panel
|
$75.19 |
$75.19 |
$75.19 |
$114.37
|
|
Reptilase test
|
$14.46 |
$14.46 |
$14.46 |
$72.15
|
|
Resp virus 6-11 targets
|
$347.80 |
$347.80 |
$347.80 |
$479.20
|
|
Reticulated platelet assay
|
$52.06 |
$52.06 |
$52.06 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$53.98 |
$53.98 |
$53.98 |
$36.57
|
|
Rheumatoid factor qualitative
|
$40.32 |
$40.32 |
$40.32 |
$57.20
|
|
Rheumatoid factor quantitative
|
$31.68 |
$31.68 |
$31.68 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$267.46 |
$267.46 |
$267.46 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$336.61 |
$336.61 |
$336.61 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$281.40 |
$281.40 |
$281.40 |
$397.60
|
|
Rp loclzj tum 2+area 1+d img
|
$525.42 |
$525.42 |
$525.42 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$871.02 |
$871.02 |
$871.02 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$871.02 |
$871.02 |
$871.02 |
$3,176.00
|
|
Rsv assay w/optic
|
$21.24 |
$21.24 |
$21.24 |
$76.32
|
|
Rubella antibody igg
|
$32.26 |
$32.26 |
$32.26 |
$77.40
|
|
Rubeola antibody igg
|
$34.56 |
$34.56 |
$34.56 |
$80.00
|
|
Russell viper venom diluted
|
$28.92 |
$28.92 |
$28.92 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$1,337.47 |
$1,337.47 |
$1,337.47 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$251.92 |
$251.92 |
$251.92 |
$314.26
|
|
Salmonella antibody
|
$42.05 |
$42.05 |
$42.05 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$387.20 |
$387.20 |
$387.20 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$345.36 |
$345.36 |
$345.36 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$561.81 |
$561.81 |
$561.81 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$407.89 |
$407.89 |
$407.89 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$454.06 |
$454.06 |
$454.06 |
$597.35
|
|
Screening Mammogram
|
$225.63 |
$225.63 |
$225.63 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$75,557.30 |
$75,557.30 |
$75,557.30 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$613.54 |
$613.54 |
$613.54 |
$611.91
|
