|
Pretreat rbc w chem/drugs reference
|
$336.60 |
$336.60 |
$336.60 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$54.60 |
$54.60 |
$54.60 |
$164.99
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$6,605.70 |
$6,605.70 |
$6,605.70 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$5,269.80 |
$5,269.80 |
$5,269.80 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$753.64
|
|
Prim art mech thrmbc non-intracranial
|
$15,008.40 |
$15,008.40 |
$15,008.40 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,415.60 |
$2,415.60 |
$2,415.60 |
$3,733.10
|
|
Pr incision & drainage abscess complicated/multiple
|
$831.00 |
$831.00 |
$831.00 |
$689.01
|
|
Pr incision & drainage abscess simple/single
|
$396.00 |
$396.00 |
$396.00 |
$460.00
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$8,169.00 |
$8,169.00 |
$8,169.00 |
$570.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$213.00 |
$213.00 |
$213.00 |
$252.00
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$22,447.08 |
$22,447.08 |
$22,447.08 |
$3,786.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$15,627.23 |
$15,627.23 |
$15,627.23 |
$6,704.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,849.20 |
$1,849.20 |
$1,849.20 |
$655.08
|
|
Procalcitonin
|
$226.80 |
$226.80 |
$226.80 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.66 |
$12.66 |
$12.66 |
$36.33
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$1.16
|
|
Progesterone
|
$122.40 |
$122.40 |
$122.40 |
$113.24
|
|
Prolactin
|
$203.40 |
$203.40 |
$203.40 |
$123.50
|
|
Promethazine 25 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$4.62
|
|
Promethazine hcl injection
|
$6.00 |
$6.00 |
$6.00 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$135.36 |
$135.36 |
$135.36 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$36.12 |
$36.12 |
$36.12 |
$30.26
|
|
Prostatectomy (turp)
|
$15,849.54 |
$15,849.54 |
$15,849.54 |
$6,110.84
|
|
Prosthesis voc advantage 20f 14mm
|
$6,822.97 |
$6,822.97 |
$6,822.97 |
$1,104.11
|
|
Prosthesis voc lopres 20f 22mm
|
$430.37 |
$430.37 |
$430.37 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$82.43 |
$82.43 |
$82.43 |
$57.60
|
|
Prosthetic type socket molde
|
$2,049.99 |
$2,049.99 |
$2,049.99 |
$2,049.99
|
|
Prost sock sgl ply blw knee ea
|
$14.67 |
$14.67 |
$14.67 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$13.98 |
$13.98 |
$13.98 |
$59.61
|
|
Protect body sock ea pre ots
|
$139.40 |
$139.40 |
$139.40 |
$106.48
|
|
Protector nerve neurawrap 4cm
|
$4,589.53 |
$4,589.53 |
$4,589.53 |
$3,891.30
|
|
Protein c activity
|
$155.40 |
$155.40 |
$155.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$111.60 |
$111.60 |
$111.60 |
$84.00
|
|
Protein s total
|
$120.60 |
$120.60 |
$120.60 |
$77.60
|
|
Protein total 24 hour urine
|
$47.40 |
$47.40 |
$47.40 |
$52.47
|
|
Protein total body fluid
|
$49.20 |
$49.20 |
$49.20 |
$52.00
|
|
Protein total serum plasma whole blood
|
$44.40 |
$44.40 |
$44.40 |
$42.81
|
|
Prothrombin complex kcentra
|
$6,436.80 |
$6,436.80 |
$6,436.80 |
$7.55
|
|
Prothrombin time substitution plasma fractions each
|
$84.00 |
$84.00 |
$84.00 |
$40.30
|
|
Prp i/hern init block >5 yr
|
$17,405.06 |
$17,405.06 |
$17,405.06 |
$4,176.15
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$5,575.80 |
$5,575.80 |
$5,575.80 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$462.60 |
$462.60 |
$462.60 |
$377.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$463.80 |
$463.80 |
$463.80 |
$404.80
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$941.40 |
$941.40 |
$941.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$941.40 |
$941.40 |
$941.40 |
$391.60
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$1,700.82
|
|
PSA (Prostate) Test
|
$160.80 |
$160.80 |
$160.80 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$64.80 |
$64.80 |
$64.80 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$79.76
|
|
Pt application of modality traction mechanical
|
$66.00 |
$66.00 |
$66.00 |
$87.00
|
|
Pten gene dup/delet variant
|
$798.00 |
$798.00 |
$798.00 |
$300.00
|
|
Pten gene full sequence
|
$1,597.20 |
$1,597.20 |
$1,597.20 |
$663.00
|
|
Pt evaluation high complexity patient/family
|
$205.80 |
$205.80 |
$205.80 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$141.60 |
$141.60 |
$141.60 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$166.20 |
$166.20 |
$166.20 |
$249.26
|
|
Pt re-evaluation patient/family
|
$116.40 |
$116.40 |
$116.40 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$126.60 |
$126.60 |
$126.60 |
$115.35
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$117.00 |
$117.00 |
$117.00 |
$79.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$59.40 |
$59.40 |
$59.40 |
$87.10
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$42.60 |
$42.60 |
$42.60 |
$79.00
|
|
Pt wheelchair management each 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$86.53
|
|
Pulmonary vent imaging
|
$974.40 |
$974.40 |
$974.40 |
$878.00
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,128.41 |
$1,128.41 |
$1,128.41 |
$898.88
|
|
Puncture arterial withdrawal blood for diagnosis
|
$161.40 |
$161.40 |
$161.40 |
$126.29
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$883.80 |
$883.80 |
$883.80 |
$496.00
|
|
Puncture spinal lumbar diagnostic
|
$495.00 |
$495.00 |
$495.00 |
$1,082.90
|
|
Puraply 1 sq cm
|
$13,462.25 |
$13,462.25 |
$13,462.25 |
$304.50
|
|
Puraply xt 1 sq cm
|
$4,461.17 |
$4,461.17 |
$4,461.17 |
$172.80
|
|
Pvb thoracic 2nd+ inj site
|
$1,978.80 |
$1,978.80 |
$1,978.80 |
$859.30
|
|
Pvb thoracic single inj site
|
$1,978.80 |
$1,978.80 |
$1,978.80 |
$1,312.00
|
|
Pyruvate
|
$20.40 |
$20.40 |
$20.40 |
$66.00
|
|
Pyruvate kinase
|
$39.60 |
$39.60 |
$39.60 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$974.40 |
$974.40 |
$974.40 |
$1,199.16
|
|
Quest t3 uptake
|
$50.40 |
$50.40 |
$50.40 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$14,698.68 |
$14,698.68 |
$14,698.68 |
$3,770.01
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$2,014.64
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,365.20 |
$2,365.20 |
$2,365.20 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$841.20 |
$841.20 |
$841.20 |
$1,102.80
|
|
Rapid Strep Test
|
$73.20 |
$73.20 |
$73.20 |
$74.25
|
|
Rasburicase 1.5 mg intravenous solution
|
$23,911.08 |
$23,911.08 |
$23,911.08 |
$4,782.24
|
|
Rbc deglycerolized each unit
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$767.00
|
|
Rbc depletion of harvest
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$1,802.40
|
|
Rbc irradiated each unit
|
$468.60 |
$468.60 |
$468.60 |
$517.86
|
|
Rbc serum pretx incubj drugs
|
$225.00 |
$225.00 |
$225.00 |
$234.00
|
|
Reconstruction of nail bed
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$2,204.43
|
|
Reconstruct shoulder joint
|
$62,624.20 |
$62,624.20 |
$62,624.20 |
$11,340.00
|
|
Red blood cells each unit
|
$275.40 |
$275.40 |
$275.40 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$292.80 |
$292.80 |
$292.80 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$523.83
|
|
Red blood cells washed each unit
|
$635.40 |
$635.40 |
$635.40 |
$559.00
|
|
Redo endovas vena cava filtr
|
$3,625.20 |
$3,625.20 |
$3,625.20 |
$4,341.66
|
|
Refill/maint pump/resvr syst
|
$172.20 |
$172.20 |
$172.20 |
$384.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,163.04 |
$1,163.04 |
$1,163.04 |
$378.22
|
|
Reinforced solid stirrup
|
$443.50 |
$443.50 |
$443.50 |
$443.50
|
|
Rem endovas vena cava filter
|
$7,698.00 |
$7,698.00 |
$7,698.00 |
$5,509.05
|
