|
Prep bk ptb thermopls molded
|
$6,836.21 |
$6,836.21 |
$6,836.21 |
$3,998.60
|
|
Prep skin to 100cm2 other
|
$14,416.56 |
$14,416.56 |
$14,416.56 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$15,002.11 |
$15,002.11 |
$15,002.11 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$1,018.50
|
|
Pretreat rbc absorption reference
|
$84.60 |
$84.60 |
$84.60 |
$148.80
|
|
Pretreat rbc density gradient separation reference
|
$155.40 |
$155.40 |
$155.40 |
$181.00
|
|
Pretreat rbc w chem/drugs reference
|
$69.60 |
$69.60 |
$69.60 |
$110.15
|
|
Pretreat rbc w enzyme reference
|
$563.40 |
$563.40 |
$563.40 |
$164.99
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$15,265.98 |
$15,265.98 |
$15,265.98 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$13,558.56 |
$13,558.56 |
$13,558.56 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$21,938.04 |
$21,938.04 |
$21,938.04 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$11,287.20 |
$11,287.20 |
$11,287.20 |
$9,548.80
|
|
Prim art mech thrmbc non-intracranial add-on
|
$10,939.20 |
$10,939.20 |
$10,939.20 |
$3,855.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$787.80 |
$787.80 |
$787.80 |
$704.90
|
|
Pr incision & drainage abscess simple/single
|
$15,085.32 |
$15,085.32 |
$15,085.32 |
$467.85
|
|
Probe cryo 1150mm endo flex ster disp
|
$21,051.40 |
$21,051.40 |
$21,051.40 |
$6,757.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$674.78
|
|
Procalcitonin
|
$238.80 |
$238.80 |
$238.80 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$27.06 |
$27.06 |
$27.06 |
$37.03
|
|
Progesterone
|
$118.80 |
$118.80 |
$118.80 |
$117.48
|
|
Prolactin
|
$263.40 |
$263.40 |
$263.40 |
$126.00
|
|
Promethazine 25 mg tablet
|
$4.80 |
$4.80 |
$4.80 |
$4.62
|
|
Promethazine hcl injection
|
$9.00 |
$9.00 |
$9.00 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$140.40 |
$140.40 |
$140.40 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$134.34 |
$134.34 |
$134.34 |
$32.00
|
|
Prostatectomy (turp)
|
$26,224.78 |
$26,224.78 |
$26,224.78 |
$6,110.84
|
|
Prosthesis voc advantage 20f 14mm
|
$11,664.90 |
$11,664.90 |
$11,664.90 |
$1,104.11
|
|
Prosthesis voc lopres 20f 22mm
|
$1,584.50 |
$1,584.50 |
$1,584.50 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$322.12 |
$322.12 |
$322.12 |
$57.89
|
|
Prosthetic type socket molde
|
$6,155.96 |
$6,155.96 |
$6,155.96 |
$2,049.99
|
|
Prost sock sgl ply blw knee ea
|
$64.24 |
$64.24 |
$64.24 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$24.78 |
$24.78 |
$24.78 |
$60.99
|
|
Protect body sock ea pre ots
|
$513.23 |
$513.23 |
$513.23 |
$106.48
|
|
Protector nerve neurawrap 4cm
|
$7,846.48 |
$7,846.48 |
$7,846.48 |
$3,891.30
|
|
Protein c activity
|
$76.80 |
$76.80 |
$76.80 |
$122.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$35.40 |
$35.40 |
$35.40 |
$83.85
|
|
Protein s total
|
$111.60 |
$111.60 |
$111.60 |
$78.87
|
|
Protein total 24 hour urine
|
$67.80 |
$67.80 |
$67.80 |
$52.50
|
|
Protein total body fluid
|
$67.20 |
$67.20 |
$67.20 |
$52.00
|
|
Protein total serum plasma whole blood
|
$27.60 |
$27.60 |
$27.60 |
$44.40
|
|
Prothrombin time substitution plasma fractions each
|
$33.60 |
$33.60 |
$33.60 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$29,963.62 |
$29,963.62 |
$29,963.62 |
$4,176.15
|
|
Prq av fstl crtj uxtr 1 acs
|
$11,026.80 |
$11,026.80 |
$11,026.80 |
$20,329.50
|
|
Prq av fstl crt uxtr sep acs
|
$11,026.80 |
$11,026.80 |
$11,026.80 |
$20,345.60
|
|
Pr removal drug delivery implant
|
$63,190.69 |
$63,190.69 |
$63,190.69 |
$532.14
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$19,421.76 |
$19,421.76 |
$19,421.76 |
$252.60
|
|
Pr removal intrauterine device
|
$12,836.58 |
$12,836.58 |
$12,836.58 |
$373.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$16,494.54 |
$16,494.54 |
$16,494.54 |
$736.90
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$22,792.56 |
$22,792.56 |
$22,792.56 |
$380.00
|
|
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 |
$393.25
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.70
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$15,069.91 |
$15,069.91 |
$15,069.91 |
$3,010.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$1,738.08
|
|
PSA (Prostate) Test
|
$105.60 |
$105.60 |
$105.60 |
$109.45
|
|
Pten gene dup/delet variant
|
$463.20 |
$463.20 |
$463.20 |
$330.00
|
|
Pten gene full sequence
|
$992.40 |
$992.40 |
$992.40 |
$816.31
|
|
Pten gene known fam variant
|
$288.60 |
$288.60 |
$288.60 |
$127.86
|
|
Pulmonary vent imaging
|
$955.80 |
$955.80 |
$955.80 |
$913.57
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$4,154.50 |
$4,154.50 |
$4,154.50 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$172.20 |
$172.20 |
$172.20 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$691.20 |
$691.20 |
$691.20 |
$505.20
|
|
Puraply 1 sq cm
|
$18,134.96 |
$18,134.96 |
$18,134.96 |
$304.50
|
|
Puraply xt 1 sq cm
|
$7,627.05 |
$7,627.05 |
$7,627.05 |
$172.80
|
|
Pvb thoracic 2nd+ inj site
|
$9,767.64 |
$9,767.64 |
$9,767.64 |
$859.30
|
|
Pvb thoracic single inj site
|
$8,186.52 |
$8,186.52 |
$8,186.52 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$127.14 |
$127.14 |
$127.14 |
$49.08
|
|
Pyruvate
|
$115.80 |
$115.80 |
$115.80 |
$66.00
|
|
Pyruvate kinase
|
$45.00 |
$45.00 |
$45.00 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$1,795.80 |
$1,795.80 |
$1,795.80 |
$1,552.80
|
|
Quant diff pulm perf w/imaging
|
$895.20 |
$895.20 |
$895.20 |
$1,209.44
|
|
Quest t3 uptake
|
$39.60 |
$39.60 |
$39.60 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$13,167.60 |
$13,167.60 |
$13,167.60 |
$3,848.39
|
|
Radiation physics consult
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$610.68
|
|
Radiation therapy dose plan
|
$946.20 |
$946.20 |
$946.20 |
$525.00
|
|
Radiation treatment aid(s)
|
$958.20 |
$958.20 |
$958.20 |
$546.15
|
|
Radiation treatment aid(s)
|
$1,387.80 |
$1,387.80 |
$1,387.80 |
$665.50
|
|
Radiation treatment aid(s)
|
$2,004.60 |
$2,004.60 |
$2,004.60 |
$1,103.09
|
|
Radiation treatment delivery
|
$606.00 |
$606.00 |
$606.00 |
$552.40
|
|
Radiation treatment delivery
|
$2,282.40 |
$2,282.40 |
$2,282.40 |
$920.00
|
|
Radiology port images(s)
|
$432.00 |
$432.00 |
$432.00 |
$262.50
|
|
Radiotherapy dose plan imrt
|
$5,512.80 |
$5,512.80 |
$5,512.80 |
$5,844.59
|
|
Radium ra223 dichl ther/uci
|
$54,154.02 |
$54,154.02 |
$54,154.02 |
$193.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,514.60 |
$2,514.60 |
$2,514.60 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$2,289.50
|
|
Radphm lcl tumor plr sgl day
|
$970.20 |
$970.20 |
$970.20 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$5,988.18 |
$5,988.18 |
$5,988.18 |
$13,136.04
|
|
Rapid Strep Test
|
$74.40 |
$74.40 |
$74.40 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$21,420.30 |
$21,420.30 |
$21,420.30 |
$4,469.88
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$176,954.10 |
$176,954.10 |
$176,954.10 |
$41,926.70
|
|
Rbc count only automated
|
$37.20 |
$37.20 |
$37.20 |
$20.03
|
|
Rbc osmotic fragility
|
$250.80 |
$250.80 |
$250.80 |
$75.04
|
|
Recon, cta for surg plan
|
$1,985.40 |
$1,985.40 |
$1,985.40 |
$713.50
|
|
Reconstruction of throat
|
$85,182.61 |
$85,182.61 |
$85,182.61 |
$6,839.00
|
|
Reconstruct shoulder joint
|
$63,871.62 |
$63,871.62 |
$63,871.62 |
$11,340.00
|
|
Redo endovas vena cava filtr
|
$7,356.00 |
$7,356.00 |
$7,356.00 |
$4,341.66
|
|
Refill/maint pump/resvr syst
|
$578.40 |
$578.40 |
$578.40 |
$393.40
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$3,015.84 |
$3,015.84 |
$3,015.84 |
$378.22
|
