|
Pretreat rbc w chem/drugs reference
|
$266.50 |
$266.50 |
$266.50 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$768.30 |
$768.30 |
$768.30 |
$168.50
|
|
Prev med cnsl indiv apprx 15
|
$80.60 |
$80.60 |
$80.60 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$144.30 |
$144.30 |
$144.30 |
$116.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$334.75 |
$334.75 |
$334.75 |
$188.86
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$779.35 |
$779.35 |
$779.35 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$779.35 |
$779.35 |
$779.35 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$387.40 |
$387.40 |
$387.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$909.35 |
$909.35 |
$909.35 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$779.35 |
$779.35 |
$779.35 |
$592.62
|
|
Pr management transitional care high w/in 7 days of discharge
|
$577.85 |
$577.85 |
$577.85 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$577.85 |
$577.85 |
$577.85 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$455.65 |
$455.65 |
$455.65 |
$253.55
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$526.50 |
$526.50 |
$526.50 |
$674.78
|
|
Procalcitonin
|
$122.20 |
$122.20 |
$122.20 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$10.53 |
$10.53 |
$10.53 |
$38.48
|
|
Progesterone
|
$93.60 |
$93.60 |
$93.60 |
$116.00
|
|
Prolactin
|
$87.10 |
$87.10 |
$87.10 |
$123.50
|
|
Promethazine hcl injection
|
$6.06 |
$6.06 |
$6.06 |
$12.37
|
|
Propofol infusion 10 mg/ml
|
$0.74 |
$0.74 |
$0.74 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$26.87 |
$26.87 |
$26.87 |
$33.31
|
|
Protamine 10 mg/ml intravenous solution
|
$7.25 |
$7.25 |
$7.25 |
$56.70
|
|
Protein c activity
|
$61.75 |
$61.75 |
$61.75 |
$119.60
|
|
Protein c concentrate
|
$3.51 |
$3.51 |
$3.51 |
$5.78
|
|
Protein electrophoretic fractionation & quantitation serum
|
$48.10 |
$48.10 |
$48.10 |
$84.00
|
|
Protein s total
|
$52.00 |
$52.00 |
$52.00 |
$85.10
|
|
Protein total 24 hour urine
|
$16.25 |
$16.25 |
$16.25 |
$52.50
|
|
Protein total body fluid
|
$18.20 |
$18.20 |
$18.20 |
$49.80
|
|
Protein total serum plasma whole blood
|
$16.25 |
$16.25 |
$16.25 |
$43.00
|
|
Prothrombin complex kcentra
|
$6.98 |
$6.98 |
$6.98 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$17.55 |
$17.55 |
$17.55 |
$42.00
|
|
Prq tcat plmt ntrac st 2+les
|
$83,998.20 |
$83,998.20 |
$83,998.20 |
$22,098.20
|
|
Prq trl rvs ch occ ant&rtrgr
|
$52,897.00 |
$52,897.00 |
$52,897.00 |
$23,158.66
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$335.40 |
$335.40 |
$335.40 |
$252.00
|
|
Pr removal intrauterine device
|
$909.35 |
$909.35 |
$909.35 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$779.35 |
$779.35 |
$779.35 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$387.40 |
$387.40 |
$387.40 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$387.40 |
$387.40 |
$387.40 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$387.40 |
$387.40 |
$387.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$387.40 |
$387.40 |
$387.40 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$4,644.90 |
$4,644.90 |
$4,644.90 |
$1,761.00
|
|
PSA (Prostate) Test
|
$82.55 |
$82.55 |
$82.55 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$313.30 |
$313.30 |
$313.30 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$313.30 |
$313.30 |
$313.30 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$313.30 |
$313.30 |
$313.30 |
$287.95
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$122.85 |
$122.85 |
$122.85 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$113.10 |
$113.10 |
$113.10 |
$81.48
|
|
Pt application of modality traction mechanical
|
$126.10 |
$126.10 |
$126.10 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$156.00 |
$156.00 |
$156.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$131.30 |
$131.30 |
$131.30 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$165.10 |
$165.10 |
$165.10 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$468.00 |
$468.00 |
$468.00 |
$347.11
|
|
Pulse ox multiple
|
$226.20 |
$226.20 |
$226.20 |
$157.30
|
|
Pulse ox single
|
$226.20 |
$226.20 |
$226.20 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$481.65 |
$481.65 |
$481.65 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$779.35 |
$779.35 |
$779.35 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,060.47
|
|
Pvb thoracic single inj site
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$50.86 |
$50.86 |
$50.86 |
$49.08
|
|
Pyruvate
|
$65.00 |
$65.00 |
$65.00 |
$66.00
|
|
Pyruvate kinase
|
$42.25 |
$42.25 |
$42.25 |
$78.95
|
|
Quest t3 uptake
|
$29.25 |
$29.25 |
$29.25 |
$53.20
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,059.01 |
$1,059.01 |
$1,059.01 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,624.21 |
$1,624.21 |
$1,624.21 |
$4,017.00
|
|
Radiation therapy dose plan
|
$544.70 |
$544.70 |
$544.70 |
$518.76
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$468.26 |
$468.26 |
$468.26 |
$13,136.04
|
|
Ranibizumab injection
|
$91,260.00 |
$91,260.00 |
$91,260.00 |
$3,409.84
|
|
Rapid Strep Test
|
$74.10 |
$74.10 |
$74.10 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$13,081.32 |
$13,081.32 |
$13,081.32 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$6,963.19 |
$6,963.19 |
$6,963.19 |
$41,926.70
|
|
Rbc count only automated
|
$13.65 |
$13.65 |
$13.65 |
$20.40
|
|
Rbc deglycerolized each unit
|
$2,932.15 |
$2,932.15 |
$2,932.15 |
$856.71
|
|
Rbc osmotic fragility
|
$33.80 |
$33.80 |
$33.80 |
$75.04
|
|
Red blood cells each unit
|
$647.40 |
$647.40 |
$647.40 |
$393.90
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$999.70 |
$999.70 |
$999.70 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$816.40 |
$816.40 |
$816.40 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$534.15
|
|
Red blood cells washed each unit
|
$1,779.70 |
$1,779.70 |
$1,779.70 |
$583.68
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$317.20 |
$317.20 |
$317.20 |
$357.91
|
|
Rem/biv cast full arm/leg
|
$794.30 |
$794.30 |
$794.30 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,522.68 |
$1,522.68 |
$1,522.68 |
$1,555.39
|
|
Rem interrog dev eval icpms
|
$139.10 |
$139.10 |
$139.10 |
$103.20
|
|
Rem interrog dev eval scrms
|
$139.10 |
$139.10 |
$139.10 |
$109.50
|
|
Rem interrog evl pm/ids
|
$139.10 |
$139.10 |
$139.10 |
$139.10
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$167.05 |
$167.05 |
$167.05 |
$84.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$577.85 |
$577.85 |
$577.85 |
$183.07
|
|
Removal central venous catheter tunneled without port/pump
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$154.70 |
$154.70 |
$154.70 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,260.80
|
|
Remove shoulder foreign body subq 23330
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,788.80
|
|
Renal function panel
|
$39.00 |
$39.00 |
$39.00 |
$114.37
|
|
Repair blood vessel dir lower extr
|
$2,629.90 |
$2,629.90 |
$2,629.90 |
$1,731.55
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,055.69
|
|
Repair lip full thkns =<one-half vert height
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,244.09
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$694.20 |
$694.20 |
$694.20 |
$478.00
|
|
Reptilase test
|
$44.20 |
$44.20 |
$44.20 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$265.82 |
$265.82 |
$265.82 |
$2,079.00
|
