|
Protein total 24 hour urine
|
$51.75 |
$51.75 |
$51.75 |
$52.50
|
|
Protein total body fluid
|
$81.75 |
$81.75 |
$81.75 |
$49.80
|
|
Protein total serum plasma whole blood
|
$35.25 |
$35.25 |
$35.25 |
$43.00
|
|
Prothrombin complex kcentra
|
$7,912.65 |
$7,912.65 |
$7,912.65 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$50.25 |
$50.25 |
$50.25 |
$42.00
|
|
Pr planning advance care 1st 30 minutes
|
$143.25 |
$143.25 |
$143.25 |
$123.24
|
|
Prq card revasc mi 1 vsl
|
$21,910.50 |
$21,910.50 |
$21,910.50 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$28,167.00 |
$28,167.00 |
$28,167.00 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$20,522.25 |
$20,522.25 |
$20,522.25 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$9,687.75 |
$9,687.75 |
$9,687.75 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$3,865.50 |
$3,865.50 |
$3,865.50 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$20,522.25 |
$20,522.25 |
$20,522.25 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$14,048.25 |
$14,048.25 |
$14,048.25 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$7,578.00 |
$7,578.00 |
$7,578.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$12,754.50 |
$12,754.50 |
$12,754.50 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$20,522.25 |
$20,522.25 |
$20,522.25 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$738.75 |
$738.75 |
$738.75 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$134.25 |
$134.25 |
$134.25 |
$252.00
|
|
Pr removal intrauterine device
|
$222.00 |
$222.00 |
$222.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$807.00 |
$807.00 |
$807.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$127.50 |
$127.50 |
$127.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$135.00 |
$135.00 |
$135.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$141.00 |
$141.00 |
$141.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$141.75 |
$141.75 |
$141.75 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,682.00 |
$2,682.00 |
$2,682.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$168.75 |
$168.75 |
$168.75 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$206.25 |
$206.25 |
$206.25 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$266.25 |
$266.25 |
$266.25 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$328.50 |
$328.50 |
$328.50 |
$287.95
|
|
Psycl/nrpsyc tech 1st
|
$210.75 |
$210.75 |
$210.75 |
$330.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$102.00 |
$102.00 |
$102.00 |
$124.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$20.25 |
$20.25 |
$20.25 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$115.50 |
$115.50 |
$115.50 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$99.00 |
$99.00 |
$99.00 |
$81.48
|
|
Pt application of modality traction mechanical
|
$119.25 |
$119.25 |
$119.25 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$130.50 |
$130.50 |
$130.50 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$100.50 |
$100.50 |
$100.50 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$72.75 |
$72.75 |
$72.75 |
$88.00
|
|
Pul art balloon repr percut
|
$10,756.50 |
$10,756.50 |
$10,756.50 |
$9,760.40
|
|
Pul art balloon repr percut
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$3,766.10
|
|
Pulmonary vent imaging
|
$398.25 |
$398.25 |
$398.25 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$119.25 |
$119.25 |
$119.25 |
$347.11
|
|
Pulse ox multiple
|
$112.50 |
$112.50 |
$112.50 |
$157.30
|
|
Pulse ox single
|
$50.25 |
$50.25 |
$50.25 |
$84.00
|
|
Punc of shunt for asp or inj
|
$668.25 |
$668.25 |
$668.25 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$117.00 |
$117.00 |
$117.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$382.50 |
$382.50 |
$382.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$867.75 |
$867.75 |
$867.75 |
$1,060.47
|
|
Puraply 1 sq cm
|
$18,720.00 |
$18,720.00 |
$18,720.00 |
$301.80
|
|
Pvb thoracic 2nd+ inj site
|
$543.75 |
$543.75 |
$543.75 |
$823.37
|
|
Pvb thoracic single inj site
|
$668.25 |
$668.25 |
$668.25 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$29.11 |
$29.11 |
$29.11 |
$49.08
|
|
Pyruvate
|
$97.50 |
$97.50 |
$97.50 |
$66.00
|
|
Pyruvate kinase
|
$252.75 |
$252.75 |
$252.75 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,161.75 |
$1,161.75 |
$1,161.75 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$805.50 |
$805.50 |
$805.50 |
$1,199.16
|
|
Quest t3 uptake
|
$81.75 |
$81.75 |
$81.75 |
$53.20
|
|
Rabies ig heat-treated human im/subq 90376
|
$3,103.43 |
$3,103.43 |
$3,103.43 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$8,111.40 |
$8,111.40 |
$8,111.40 |
$2,658.73
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$11,649.94 |
$11,649.94 |
$11,649.94 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$7.40 |
$7.40 |
$7.40 |
$6.48
|
|
Radiation therapy dose plan
|
$340.50 |
$340.50 |
$340.50 |
$518.76
|
|
Radiofq trsmtr for implt neu
|
$6,750.00 |
$6,750.00 |
$6,750.00 |
$6,081.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,333.50 |
$1,333.50 |
$1,333.50 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$2,719.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,187.25 |
$1,187.25 |
$1,187.25 |
$2,242.80
|
|
Radphm quant measure sgl area add-on
|
$46.50 |
$46.50 |
$46.50 |
$711.20
|
|
Rapid Strep Test
|
$150.00 |
$150.00 |
$150.00 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$20,465.52 |
$20,465.52 |
$20,465.52 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$88,558.68 |
$88,558.68 |
$88,558.68 |
$41,926.70
|
|
Rbc count only automated
|
$33.00 |
$33.00 |
$33.00 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$856.71
|
|
Rbc irradiated each unit
|
$693.75 |
$693.75 |
$693.75 |
$550.40
|
|
Rbc mechanical fragility
|
$277.50 |
$277.50 |
$277.50 |
$21.60
|
|
Rbc osmotic fragility
|
$147.75 |
$147.75 |
$147.75 |
$75.04
|
|
Red blood cells each unit
|
$1,056.75 |
$1,056.75 |
$1,056.75 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$602.25 |
$602.25 |
$602.25 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$693.75 |
$693.75 |
$693.75 |
$534.15
|
|
Red blood cells washed each unit
|
$847.50 |
$847.50 |
$847.50 |
$583.68
|
|
Reduction of procidentia 45900
|
$889.50 |
$889.50 |
$889.50 |
$1,226.10
|
|
Refill maint impl spine pump
|
$294.00 |
$294.00 |
$294.00 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$630.00 |
$630.00 |
$630.00 |
$402.48
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$698.06 |
$698.06 |
$698.06 |
$357.91
|
|
Release of eye fluid
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$3,499.20
|
|
Relocation skin pocket pm
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$2,673.12
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,406.04 |
$2,406.04 |
$2,406.04 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$4,993.50 |
$4,993.50 |
$4,993.50 |
$5,509.05
|
|
Rem interrog dev eval icpms
|
$109.50 |
$109.50 |
$109.50 |
$103.20
|
|
Rem interrog dev eval scrms
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Rem interrog evl pm/ids
|
$138.75 |
$138.75 |
$138.75 |
$139.10
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$84.00 |
$84.00 |
$84.00 |
$84.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$295.50 |
$295.50 |
$295.50 |
$183.07
|
|
Removal anal seton other marker 46030
|
$1,139.25 |
$1,139.25 |
$1,139.25 |
$1,645.43
|
|
Removal biliary drg cath
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,118.00 |
$2,118.00 |
$2,118.00 |
$2,421.09
|
|
Removal cerclage w/anes
|
$279.75 |
$279.75 |
$279.75 |
$3,790.00
|
|
Removal cerumen impacted (both sides)
|
$161.25 |
$161.25 |
$161.25 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$6,324.75 |
$6,324.75 |
$6,324.75 |
$5,988.54
|
|
Removal clot in graft xcp 35876
|
$6,324.75 |
$6,324.75 |
$6,324.75 |
$5,988.54
|
