|
Prgrmg eval implantable dfb
|
$354.90 |
$354.90 |
$354.90 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$3,491.80 |
$3,491.80 |
$3,491.80 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$12,015.25 |
$12,015.25 |
$12,015.25 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,480.50 |
$6,480.50 |
$6,480.50 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$516.75 |
$516.75 |
$516.75 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$405.60 |
$405.60 |
$405.60 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$807.95 |
$807.95 |
$807.95 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$611.65 |
$611.65 |
$611.65 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$379.60 |
$379.60 |
$379.60 |
$277.60
|
|
Procalcitonin
|
$219.05 |
$219.05 |
$219.05 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$35.33 |
$35.33 |
$35.33 |
$46.50
|
|
Proctosigmoidoscopy dx 45300
|
$578.50 |
$578.50 |
$578.50 |
$1,073.68
|
|
Proctosigmoidoscopy w/bx 45305
|
$1,999.40 |
$1,999.40 |
$1,999.40 |
$1,395.28
|
|
Progesterone
|
$20.80 |
$20.80 |
$20.80 |
$105.00
|
|
Prolactin
|
$127.40 |
$127.40 |
$127.40 |
$127.50
|
|
Prolonged IV inf, req pump
|
$980.20 |
$980.20 |
$980.20 |
$411.94
|
|
Promethazine hcl injection
|
$23.92 |
$23.92 |
$23.92 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$64.61 |
$64.61 |
$64.61 |
$80.95
|
|
_propoxygc/msur
|
$94.25 |
$94.25 |
$94.25 |
$104.00
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$56.00 |
$56.00 |
$56.00 |
$39.59
|
|
Protamine 10 mg/ml intravenous solution
|
$27.98 |
$27.98 |
$27.98 |
$50.70
|
|
Protein c activity
|
$342.55 |
$342.55 |
$342.55 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$107.90 |
$107.90 |
$107.90 |
$85.20
|
|
Protein s total
|
$79.95 |
$79.95 |
$79.95 |
$78.87
|
|
Protein total 24 hour urine
|
$21.45 |
$21.45 |
$21.45 |
$52.50
|
|
Protein total body fluid
|
$23.40 |
$23.40 |
$23.40 |
$52.57
|
|
Protein total serum plasma whole blood
|
$4.55 |
$4.55 |
$4.55 |
$42.81
|
|
Prothrombin complex kcentra
|
$4,771.81 |
$4,771.81 |
$4,771.81 |
$5.50
|
|
Prothrombin time substitution plasma fractions each
|
$491.40 |
$491.40 |
$491.40 |
$37.05
|
|
Protoporphyrin rbc screen
|
$190.45 |
$190.45 |
$190.45 |
$22.90
|
|
Prq av fstl crtj uxtr 1 acs
|
$9,149.40 |
$9,149.40 |
$9,149.40 |
$19,875.58
|
|
Prq av fstl crt uxtr sep acs
|
$10,210.20 |
$10,210.20 |
$10,210.20 |
$20,328.00
|
|
Prq cardiac angio addl art
|
$2,855.45 |
$2,855.45 |
$2,855.45 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$5,823.35 |
$5,823.35 |
$5,823.35 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$7,954.05 |
$7,954.05 |
$7,954.05 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$8,533.85 |
$8,533.85 |
$8,533.85 |
$18,340.14
|
|
Prq card stent w/angio addl
|
$5,823.35 |
$5,823.35 |
$5,823.35 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$6,640.40 |
$6,640.40 |
$6,640.40 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$5,823.35 |
$5,823.35 |
$5,823.35 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$6,698.25 |
$6,698.25 |
$6,698.25 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$7,450.30 |
$7,450.30 |
$7,450.30 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$2,982.85 |
$2,982.85 |
$2,982.85 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,450.30 |
$7,450.30 |
$7,450.30 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$11,040.90 |
$11,040.90 |
$11,040.90 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$513.50 |
$513.50 |
$513.50 |
$280.79
|
|
Pr removal intrauterine device
|
$882.70 |
$882.70 |
$882.70 |
$447.78
|
|
Pr tube thoracostomy w/connection to drainage open
|
$5,850.00 |
$5,850.00 |
$5,850.00 |
$1,790.60
|
|
PSA (Prostate) Test
|
$33.15 |
$33.15 |
$33.15 |
$109.35
|
|
Psychoanalysis
|
$493.35 |
$493.35 |
$493.35 |
$221.60
|
|
Psychoeducation 45 min +
|
$347.10 |
$347.10 |
$347.10 |
$198.90
|
|
Psychotherapy group therapy
|
$432.25 |
$432.25 |
$432.25 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$143.65 |
$143.65 |
$143.65 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$258.05 |
$258.05 |
$258.05 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$287.95 |
$287.95 |
$287.95 |
$294.45
|
|
Psychthrp grp 45-50min mcr
|
$246.35 |
$246.35 |
$246.35 |
$227.70
|
|
Psytx complex interactive
|
$29.25 |
$29.25 |
$29.25 |
$45.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$156.65 |
$156.65 |
$156.65 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$157.30 |
$157.30 |
$157.30 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$82.55 |
$82.55 |
$82.55 |
$82.55
|
|
Pt application of modality traction mechanical
|
$81.25 |
$81.25 |
$81.25 |
$88.20
|
|
Pten gene full sequence
|
$4,326.40 |
$4,326.40 |
$4,326.40 |
$660.00
|
|
Pten gene known fam variant
|
$820.30 |
$820.30 |
$820.30 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$384.15 |
$384.15 |
$384.15 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$327.60 |
$327.60 |
$327.60 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$357.50 |
$357.50 |
$357.50 |
$263.90
|
|
Pt re-evaluation patient/family
|
$213.85 |
$213.85 |
$213.85 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$154.70 |
$154.70 |
$154.70 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$87.10 |
$87.10 |
$87.10 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$144.30 |
$144.30 |
$144.30 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$93.60 |
$93.60 |
$93.60 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$104.00 |
$104.00 |
$104.00 |
$85.00
|
|
Pul art balloon repr percut
|
$6,576.05 |
$6,576.05 |
$6,576.05 |
$10,651.06
|
|
Pulmonary vent imaging
|
$724.75 |
$724.75 |
$724.75 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$257.40 |
$257.40 |
$257.40 |
$368.00
|
|
Punc of shunt for asp or inj
|
$1,176.50 |
$1,176.50 |
$1,176.50 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$143.00 |
$143.00 |
$143.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$822.90 |
$822.90 |
$822.90 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$843.05 |
$843.05 |
$843.05 |
$1,134.64
|
|
Pvb thoracic 2nd+ inj site
|
$3,426.80 |
$3,426.80 |
$3,426.80 |
$1,013.20
|
|
Pvb thoracic single inj site
|
$5,632.90 |
$5,632.90 |
$5,632.90 |
$1,189.08
|
|
Pyridoxine hcl 100 mg
|
$37.86 |
$37.86 |
$37.86 |
$43.24
|
|
Pyruvate
|
$148.85 |
$148.85 |
$148.85 |
$65.00
|
|
Pyruvate kinase
|
$458.25 |
$458.25 |
$458.25 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$1,625.65 |
$1,625.65 |
$1,625.65 |
$1,209.44
|
|
Quest t3 uptake
|
$88.40 |
$88.40 |
$88.40 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$7,466.29 |
$7,466.29 |
$7,466.29 |
$3,213.80
|
|
Radiation physics consult
|
$998.40 |
$998.40 |
$998.40 |
$574.75
|
|
Radiation therapy dose plan
|
$1,139.45 |
$1,139.45 |
$1,139.45 |
$530.53
|
|
Radiation treatment aid(s)
|
$725.40 |
$725.40 |
$725.40 |
$541.45
|
|
Radiation treatment aid(s)
|
$725.40 |
$725.40 |
$725.40 |
$665.00
|
|
Radiation treatment aid(s)
|
$725.40 |
$725.40 |
$725.40 |
$1,103.09
|
|
Radiation treatment delivery
|
$767.65 |
$767.65 |
$767.65 |
$552.40
|
|
Radiation treatment delivery
|
$840.45 |
$840.45 |
$840.45 |
$909.98
|
|
Radiology port images(s)
|
$345.80 |
$345.80 |
$345.80 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$8,238.75 |
$8,238.75 |
$8,238.75 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,304.25 |
$2,304.25 |
$2,304.25 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,501.20 |
$2,501.20 |
$2,501.20 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,140.80 |
$3,140.80 |
$3,140.80 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,581.15 |
$2,581.15 |
$2,581.15 |
$2,377.65
|
