|
Potassium 24 hour urine
|
$10.20 |
$10.20 |
$10.20 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$36.60 |
$36.60 |
$36.60 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$10.80 |
$10.80 |
$10.80 |
$47.85
|
|
Pq biliary strict dil s&i
|
$964.20 |
$964.20 |
$964.20 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$322.20 |
$322.20 |
$322.20 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,987.40 |
$5,987.40 |
$5,987.40 |
$10,195.00
|
|
Pq thr inj ext pse
|
$205.80 |
$205.80 |
$205.80 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,937.40 |
$1,937.40 |
$1,937.40 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,463.60 |
$2,463.60 |
$2,463.60 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,463.60 |
$2,463.60 |
$2,463.60 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$3,738.90
|
|
Pr application of long arm splint
|
$70.20 |
$70.20 |
$70.20 |
$334.08
|
|
Pr application splint static short arm
|
$70.20 |
$70.20 |
$70.20 |
$288.51
|
|
Pr biopsy skin punch single lesion
|
$379.80 |
$379.80 |
$379.80 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$30.00 |
$30.00 |
$30.00 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$742.20 |
$742.20 |
$742.20 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,322.20 |
$3,322.20 |
$3,322.20 |
$5,262.80
|
|
Prealbumin
|
$36.00 |
$36.00 |
$36.00 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$23.40 |
$23.40 |
$23.40 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.80 |
$0.80 |
$0.80 |
$2.88
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$979.80 |
$979.80 |
$979.80 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$137.40 |
$137.40 |
$137.40 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$181.80 |
$181.80 |
$181.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$181.80 |
$181.80 |
$181.80 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$94.80 |
$94.80 |
$94.80 |
$459.00
|
|
Pressure max expiratory/inspiratory
|
$240.00 |
$240.00 |
$240.00 |
$243.75
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$161.40 |
$161.40 |
$161.40 |
$162.00
|
|
Pretreat rbc absorption reference
|
$165.00 |
$165.00 |
$165.00 |
$150.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$118.80 |
$118.80 |
$118.80 |
$308.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$285.00 |
$285.00 |
$285.00 |
$780.60
|
|
Pr incision & drainage abscess complicated/multiple
|
$91.80 |
$91.80 |
$91.80 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$91.80 |
$91.80 |
$91.80 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$189.60 |
$189.60 |
$189.60 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$172.80 |
$172.80 |
$172.80 |
$605.28
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$249.60 |
$249.60 |
$249.60 |
$255.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$70.00 |
$70.00 |
$70.00 |
$674.78
|
|
Procalcitonin
|
$66.00 |
$66.00 |
$66.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$64.20 |
$64.20 |
$64.20 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$2.40 |
$2.40 |
$2.40 |
$2.09
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$2,850.60 |
$2,850.60 |
$2,850.60 |
$3,245.23
|
|
Progesterone
|
$51.00 |
$51.00 |
$51.00 |
$116.00
|
|
Prolactin
|
$47.40 |
$47.40 |
$47.40 |
$123.50
|
|
Promethazine hcl injection
|
$4.20 |
$4.20 |
$4.20 |
$12.16
|
|
Propofol infusion 10 mg/ml
|
$0.80 |
$0.80 |
$0.80 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$62.80 |
$62.80 |
$62.80 |
$33.31
|
|
Prostate biopsy, any mthd
|
$910.20 |
$910.20 |
$910.20 |
$492.88
|
|
Protamine 10 mg/ml intravenous solution
|
$31.20 |
$31.20 |
$31.20 |
$56.70
|
|
Protein c activity
|
$33.60 |
$33.60 |
$33.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$25.80 |
$25.80 |
$25.80 |
$84.00
|
|
Protein s total
|
$114.60 |
$114.60 |
$114.60 |
$85.10
|
|
Protein total 24 hour urine
|
$9.00 |
$9.00 |
$9.00 |
$52.50
|
|
Protein total body fluid
|
$9.00 |
$9.00 |
$9.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$9.00 |
$9.00 |
$9.00 |
$42.90
|
|
Prothrombin complex kcentra
|
$7.40 |
$7.40 |
$7.40 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$9.60 |
$9.60 |
$9.60 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$7,428.00 |
$7,428.00 |
$7,428.00 |
$4,176.15
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$10,461.00 |
$10,461.00 |
$10,461.00 |
$17,651.36
|
|
Pr removal drug delivery implant
|
$1,429.20 |
$1,429.20 |
$1,429.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$40.80 |
$40.80 |
$40.80 |
$252.00
|
|
Pr removal intrauterine device
|
$90.60 |
$90.60 |
$90.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$217.80 |
$217.80 |
$217.80 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$83.40 |
$83.40 |
$83.40 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$83.40 |
$83.40 |
$83.40 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$100.20 |
$100.20 |
$100.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$100.20 |
$100.20 |
$100.20 |
$397.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$367.20 |
$367.20 |
$367.20 |
$1,761.00
|
|
PSA (Prostate) Test
|
$45.00 |
$45.00 |
$45.00 |
$108.11
|
|
Psychotherapy group therapy
|
$44.40 |
$44.40 |
$44.40 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$158.40 |
$158.40 |
$158.40 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$212.40 |
$212.40 |
$212.40 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$240.00 |
$240.00 |
$240.00 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$255.00 |
$255.00 |
$255.00 |
$316.50
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$157.20 |
$157.20 |
$157.20 |
$206.40
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$91.20 |
$91.20 |
$91.20 |
$103.20
|
|
Pt wheelchair management each 15 minutes
|
$122.40 |
$122.40 |
$122.40 |
$88.20
|
|
Pulmonary vent imaging
|
$552.00 |
$552.00 |
$552.00 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$168.00 |
$168.00 |
$168.00 |
$349.86
|
|
Pulse ox multiple
|
$142.20 |
$142.20 |
$142.20 |
$159.16
|
|
Pulse ox single
|
$29.40 |
$29.40 |
$29.40 |
$84.80
|
|
Puncture arterial withdrawal blood for diagnosis
|
$18.60 |
$18.60 |
$18.60 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$91.80 |
$91.80 |
$91.80 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$261.60 |
$261.60 |
$261.60 |
$1,082.90
|
|
Quant diff pulm perf and vent w/imaging
|
$574.80 |
$574.80 |
$574.80 |
$1,547.04
|
|
Quest t3 uptake
|
$15.60 |
$15.60 |
$15.60 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$829.60 |
$829.60 |
$829.60 |
$3,848.39
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$6.60 |
$6.60 |
$6.60 |
$6.48
|
|
Radiation physics consult
|
$325.80 |
$325.80 |
$325.80 |
$610.68
|
|
Radiation therapy dose plan
|
$239.40 |
$239.40 |
$239.40 |
$518.76
|
|
Radiation treatment aid(s)
|
$257.40 |
$257.40 |
$257.40 |
$526.80
|
|
Radiation treatment aid(s)
|
$543.00 |
$543.00 |
$543.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$483.60 |
$483.60 |
$483.60 |
$921.00
|
|
Radiology port images(s)
|
$48.00 |
$48.00 |
$48.00 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$3,494.40 |
$3,494.40 |
$3,494.40 |
$5,750.25
|
|
Radium ra223 dichl ther/uci
|
$336.00 |
$336.00 |
$336.00 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,617.60 |
$1,617.60 |
$1,617.60 |
$2,051.70
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,764.20 |
$2,764.20 |
$2,764.20 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,764.20 |
$2,764.20 |
$2,764.20 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$648.00 |
$648.00 |
$648.00 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$186.60 |
$186.60 |
$186.60 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$4,331.80
|
