|
Prosthetic type socket molde
|
$2,049.99 |
$2,049.99 |
$2,049.99 |
$1,501.10
|
|
Prost sock sgl ply blw knee ea
|
$14.67 |
$14.67 |
$14.67 |
$14.50
|
|
Protamine 10 mg/ml intravenous solution
|
$8.94 |
$10.08 |
$13.98 |
$57.66
|
|
Protect body sock ea pre ots
|
$139.40 |
$139.40 |
$139.40 |
$111.56
|
|
Protector nerve neurawrap 4cm
|
$4,589.53 |
$4,589.53 |
$4,589.53 |
$3,831.38
|
|
Protein c activity
|
$155.40 |
$155.40 |
$155.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$111.60 |
$111.60 |
$111.60 |
$81.97
|
|
Protein s total
|
$150.60 |
$150.60 |
$150.60 |
$83.52
|
|
Protein total 24 hour urine
|
$47.40 |
$47.40 |
$47.40 |
$52.47
|
|
Protein total body fluid
|
$49.20 |
$49.20 |
$49.20 |
$49.80
|
|
Protein total serum plasma whole blood
|
$44.40 |
$44.40 |
$44.40 |
$42.81
|
|
Prothrombin complex kcentra
|
$6,436.80 |
$6,436.80 |
$12,873.60 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$84.00 |
$84.00 |
$84.00 |
$41.40
|
|
Prp i/hern init block >5 yr
|
$23,377.60 |
$23,377.60 |
$23,377.60 |
$4,176.15
|
|
Prq av fstl crtj uxtr 1 acs
|
$11,026.80 |
$30,001.20 |
$30,001.20 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$11,026.80 |
$11,026.80 |
$21,279.00 |
$20,978.32
|
|
Pr removal drug delivery implant
|
$839.40 |
$839.40 |
$839.40 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$7,474.68 |
$7,474.68 |
$7,474.68 |
$251.43
|
|
Pr removal intrauterine device
|
$9,895.68 |
$9,895.68 |
$9,895.68 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$6,903.66 |
$12,463.20 |
$20,067.84 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$462.60 |
$462.60 |
$462.60 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$463.80 |
$463.80 |
$463.80 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$941.40 |
$941.40 |
$13,028.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$941.40 |
$941.40 |
$941.40 |
$396.00
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$14,843.22 |
$14,843.22 |
$14,843.22 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$1,720.93
|
|
PSA (Prostate) Test
|
$160.80 |
$160.80 |
$160.80 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$63.00 |
$63.00 |
$63.00 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$27.60 |
$27.60 |
$27.60 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$64.80 |
$67.80 |
$67.80 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$64.20 |
$64.20 |
$64.20 |
$81.00
|
|
Pt application of modality traction mechanical
|
$66.00 |
$69.60 |
$69.60 |
$90.60
|
|
Pten gene dup/delet variant
|
$798.00 |
$798.00 |
$798.00 |
$330.00
|
|
Pten gene full sequence
|
$1,597.20 |
$1,597.20 |
$1,597.20 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$205.80 |
$205.80 |
$205.80 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$141.60 |
$141.60 |
$141.60 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$166.20 |
$166.20 |
$166.20 |
$254.88
|
|
Pt re-evaluation patient/family
|
$116.40 |
$116.40 |
$116.40 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$120.60 |
$120.60 |
$126.60 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$117.00 |
$123.00 |
$123.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$59.40 |
$59.40 |
$59.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$45.00 |
$45.00 |
$45.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$87.50
|
|
Pulmonary vent imaging
|
$974.40 |
$974.40 |
$974.40 |
$898.88
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,128.41 |
$1,128.41 |
$1,128.41 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$161.40 |
$161.40 |
$161.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$883.80 |
$883.80 |
$3,105.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$1,051.80
|
|
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 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$1,978.80 |
$1,978.80 |
$1,978.80 |
$809.20
|
|
Pvb thoracic single inj site
|
$1,978.80 |
$1,978.80 |
$1,978.80 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$45.66 |
$49.08 |
$49.08 |
$48.70
|
|
Pyruvate
|
$20.40 |
$24.60 |
$24.60 |
$66.00
|
|
Pyruvate kinase
|
$39.60 |
$39.60 |
$39.60 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$974.40 |
$974.40 |
$974.40 |
$1,199.16
|
|
Quest t3 uptake
|
$50.40 |
$50.40 |
$50.40 |
$51.70
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$12,453.06 |
$14,698.68 |
$14,698.68 |
$4,250.55
|
|
Radiation handling
|
$462.60 |
$462.60 |
$462.60 |
$324.80
|
|
Radiation physics consult
|
$581.40 |
$581.40 |
$581.40 |
$602.12
|
|
Radiation therapy dose plan
|
$87.60 |
$276.60 |
$276.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$87.60 |
$87.60 |
$87.60 |
$515.09
|
|
Radiation treatment aid(s)
|
$612.60 |
$612.60 |
$612.60 |
$644.16
|
|
Radiation treatment aid(s)
|
$241.80 |
$241.80 |
$786.60 |
$1,075.03
|
|
Radiation treatment delivery
|
$378.60 |
$378.60 |
$378.60 |
$552.40
|
|
Radiation treatment delivery
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$920.00
|
|
Radiology port images(s)
|
$274.20 |
$274.20 |
$274.20 |
$249.58
|
|
Radiotherapy dose plan imrt
|
$903.00 |
$903.00 |
$2,712.00 |
$5,736.72
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$2,041.20
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,365.20 |
$2,365.20 |
$2,365.20 |
$2,167.98
|
|
Radphm lcl tumor plr sgl day
|
$841.20 |
$841.20 |
$841.20 |
$1,120.40
|
|
Rapid Strep Test
|
$73.20 |
$73.20 |
$73.20 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,051.62 |
$4,782.24 |
$23,911.08 |
$4,421.76
|
|
Rbc deglycerolized each unit
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$841.75
|
|
Rbc depletion of harvest
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$1,803.18
|
|
Rbc irradiated each unit
|
$468.60 |
$760.80 |
$760.80 |
$560.00
|
|
Rbc serum pretx incubj drugs
|
$225.00 |
$225.00 |
$225.00 |
$235.00
|
|
Rcnstj mdfc lefort i 1 w/grf
|
$82,556.00 |
$82,556.00 |
$82,556.00 |
$7,184.00
|
|
Rebuild eardrum structures
|
$29,917.88 |
$29,917.88 |
$29,917.88 |
$6,553.49
|
|
Rebuild eardrum structures
|
$22,474.74 |
$22,474.74 |
$22,474.74 |
$6,547.81
|
|
Rebuild outer ear canal
|
$30,370.68 |
$30,370.68 |
$30,370.68 |
$6,017.08
|
|
Recon, cta for surg plan
|
$1,486.20 |
$1,486.20 |
$1,486.20 |
$713.50
|
|
Reconst lwr jaw w/fixation
|
$84,583.69 |
$84,583.69 |
$84,583.69 |
$5,415.80
|
|
Reconstr lwr jaw w/advance
|
$121,540.03 |
$121,540.03 |
$121,540.03 |
$4,350.00
|
|
Reconstruct ankle joint
|
$72,068.09 |
$72,068.09 |
$78,317.53 |
$4,768.00
|
|
Reconstruct finger joint
|
$30,616.32 |
$30,616.32 |
$30,616.32 |
$4,313.40
|
|
Reconstruction knee
|
$40,307.56 |
$49,513.73 |
$66,164.32 |
$5,855.00
|
|
Reconstruction of nail bed
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$2,164.64
|
|
Reconstruction of urethra
|
$22,635.08 |
$22,635.08 |
$22,635.08 |
$6,015.75
|
|
Reconstruct shoulder joint
|
$49,214.66 |
$49,214.66 |
$49,214.66 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$50,742.75 |
$52,859.06 |
$57,769.41 |
$11,340.00
|
|
Red blood cells each unit
|
$275.40 |
$448.20 |
$448.20 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$292.80 |
$292.80 |
$292.80 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$528.45
|
|
Red blood cells washed each unit
|
$635.40 |
$635.40 |
$635.40 |
$572.46
|
|
Redo endovas vena cava filtr
|
$3,625.20 |
$3,625.20 |
$3,625.20 |
$4,435.43
|