|
Prosthesis voc advantage 20f 14mm
|
$191.35 |
$191.35 |
$191.35 |
$1,088.12
|
|
Protamine 10 mg/ml intravenous solution
|
$90.75 |
$90.75 |
$90.75 |
$56.70
|
|
Protein c activity
|
$282.43 |
$282.43 |
$282.43 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$166.78 |
$166.78 |
$166.78 |
$84.00
|
|
Protein s total
|
$317.28 |
$317.28 |
$317.28 |
$85.10
|
|
Protein total 24 hour urine
|
$85.93 |
$85.93 |
$85.93 |
$52.50
|
|
Protein total body fluid
|
$68.68 |
$68.68 |
$68.68 |
$49.80
|
|
Protein total serum plasma whole blood
|
$85.93 |
$85.93 |
$85.93 |
$42.90
|
|
Prothrombin complex kcentra
|
$22.50 |
$22.50 |
$22.50 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$33.80 |
$33.80 |
$33.80 |
$41.50
|
|
Proton treatment complex
|
$6,016.25 |
$6,016.25 |
$6,016.25 |
$5,876.00
|
|
Proton trmt intermediate
|
$4,402.28 |
$4,402.28 |
$4,402.28 |
$4,402.28
|
|
Proton trmt simple w/comp
|
$3,826.55 |
$3,826.55 |
$3,826.55 |
$3,826.55
|
|
Proton trmt simple without comp
|
$2,859.58 |
$2,859.58 |
$2,859.58 |
$2,804.10
|
|
Pr planning advance care 1st 30 minutes
|
$92.63 |
$92.63 |
$92.63 |
$123.20
|
|
Prq av fstl crtj uxtr 1 acs
|
$23,513.33 |
$23,513.33 |
$23,513.33 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$23,513.33 |
$23,513.33 |
$23,513.33 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$9,299.08 |
$9,299.08 |
$9,299.08 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$3,905.88 |
$3,905.88 |
$3,905.88 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$16,979.05 |
$16,979.05 |
$16,979.05 |
$10,706.53
|
|
Prq card revasc mi 1 vsl
|
$16,535.80 |
$16,535.80 |
$16,535.80 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$23,383.78 |
$23,383.78 |
$23,383.78 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$9,161.65 |
$9,161.65 |
$9,161.65 |
$9,853.00
|
|
Prq card stent w/angio addl
|
$4,305.05 |
$4,305.05 |
$4,305.05 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$27,588.63 |
$27,588.63 |
$27,588.63 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$11,251.88 |
$11,251.88 |
$11,251.88 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$11,353.70 |
$11,353.70 |
$11,353.70 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$27,588.63 |
$27,588.63 |
$27,588.63 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$9,131.70 |
$9,131.70 |
$9,131.70 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$16,235.20 |
$16,235.20 |
$16,235.20 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$27,588.63 |
$27,588.63 |
$27,588.63 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,004.08 |
$1,004.08 |
$1,004.08 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$199.60 |
$199.60 |
$199.60 |
$252.00
|
|
Pr removal intrauterine device
|
$367.43 |
$367.43 |
$367.43 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$399.20 |
$399.20 |
$399.20 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$356.18 |
$356.18 |
$356.18 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$366.53 |
$366.53 |
$366.53 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$374.23 |
$374.23 |
$374.23 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$370.93 |
$370.93 |
$370.93 |
$397.80
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$3,749.20 |
$3,749.20 |
$3,749.20 |
$3,218.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$715.85 |
$715.85 |
$715.85 |
$1,761.00
|
|
PSA (Prostate) Test
|
$103.85 |
$103.85 |
$103.85 |
$108.11
|
|
Psych/neuropsych test admin automated result 96146
|
$95.23 |
$95.23 |
$95.23 |
$51.15
|
|
Psychoeducation 45 min +
|
$201.45 |
$201.45 |
$201.45 |
$201.45
|
|
Psychotherapy group therapy
|
$100.78 |
$100.78 |
$100.78 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$81.48 |
$81.48 |
$81.48 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$113.13 |
$113.13 |
$113.13 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$109.70 |
$109.70 |
$109.70 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$164.43 |
$164.43 |
$164.43 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$164.43 |
$164.43 |
$164.43 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$157.15 |
$157.15 |
$157.15 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$95.23 |
$95.23 |
$95.23 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$115.00 |
$115.00 |
$115.00 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$115.00 |
$115.00 |
$115.00 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$95.23 |
$95.23 |
$95.23 |
$123.63
|
|
Psytx complex interactive
|
$23.90 |
$23.90 |
$23.90 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$81.48 |
$81.48 |
$81.48 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$94.00 |
$94.00 |
$94.00 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$109.70 |
$109.70 |
$109.70 |
$235.20
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$134.95 |
$134.95 |
$134.95 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$94.55 |
$94.55 |
$94.55 |
$81.48
|
|
Pt application of modality traction mechanical
|
$104.88 |
$104.88 |
$104.88 |
$91.80
|
|
Pt-focused hlth risk assmt
|
$10.65 |
$10.65 |
$10.65 |
$57.85
|
|
Pt repositioning canalith procedure(s) per day
|
$86.20 |
$86.20 |
$86.20 |
$119.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$77.13 |
$77.13 |
$77.13 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$102.38 |
$102.38 |
$102.38 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$84.90 |
$84.90 |
$84.90 |
$88.20
|
|
Pul art balloon repr percut
|
$15,345.45 |
$15,345.45 |
$15,345.45 |
$9,760.40
|
|
Pul art balloon repr percut
|
$8,557.83 |
$8,557.83 |
$8,557.83 |
$3,766.10
|
|
Pulmonary vent imaging
|
$669.08 |
$669.08 |
$669.08 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$613.33 |
$613.33 |
$613.33 |
$349.86
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$969.00
|
|
Punc of shunt for asp or inj
|
$583.73 |
$583.73 |
$583.73 |
$974.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$88.78 |
$88.78 |
$88.78 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$360.38 |
$360.38 |
$360.38 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$843.88 |
$843.88 |
$843.88 |
$1,082.90
|
|
Pvb thoracic 2nd+ inj site
|
$1,482.33 |
$1,482.33 |
$1,482.33 |
$859.30
|
|
Pvb thoracic single inj site
|
$1,482.33 |
$1,482.33 |
$1,482.33 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$23.55 |
$23.55 |
$23.55 |
$49.08
|
|
Pyruvate
|
$167.23 |
$167.23 |
$167.23 |
$66.00
|
|
Pyruvate kinase
|
$170.33 |
$170.33 |
$170.33 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,000.28 |
$1,000.28 |
$1,000.28 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$739.83 |
$739.83 |
$739.83 |
$1,199.16
|
|
Quest t3 uptake
|
$116.25 |
$116.25 |
$116.25 |
$52.25
|
|
Quinupristin/dalfopristin
|
$1,089.58 |
$1,089.58 |
$1,089.58 |
$922.70
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,614.08 |
$4,614.08 |
$4,614.08 |
$3,848.39
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$53,251.20 |
$53,251.20 |
$53,251.20 |
$6.48
|
|
Radiation physics consult
|
$656.00 |
$656.00 |
$656.00 |
$610.68
|
|
Radiation therapy dose plan
|
$514.05 |
$514.05 |
$514.05 |
$518.76
|
|
Radiation treatment aid(s)
|
$664.88 |
$664.88 |
$664.88 |
$526.80
|
|
Radiation treatment aid(s)
|
$873.08 |
$873.08 |
$873.08 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,140.03 |
$1,140.03 |
$1,140.03 |
$1,100.38
|
|
Radiation treatment delivery
|
$552.40 |
$552.40 |
$552.40 |
$552.40
|
|
Radiation treatment delivery
|
$874.78 |
$874.78 |
$874.78 |
$921.00
|
|
Radiology port images(s)
|
$349.03 |
$349.03 |
$349.03 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$8,174.88 |
$8,174.88 |
$8,174.88 |
$5,750.25
|
|
Radium ra223 dichl ther/uci
|
$333.95 |
$333.95 |
$333.95 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,496.63 |
$1,496.63 |
$1,496.63 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,161.40 |
$2,161.40 |
$2,161.40 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,432.58 |
$1,432.58 |
$1,432.58 |
$2,242.80
|
