|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$8,815.44 |
$8,815.44 |
$8,815.44 |
$3,786.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$15,627.23 |
$15,627.23 |
$15,627.23 |
$6,757.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$383.52 |
$383.52 |
$383.52 |
$674.78
|
|
Procalcitonin
|
$226.80 |
$226.80 |
$226.80 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.66 |
$12.66 |
$12.66 |
$37.03
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.36 |
$3.36 |
$3.36 |
$1.16
|
|
Progesterone
|
$122.40 |
$122.40 |
$122.40 |
$117.48
|
|
Prolactin
|
$203.40 |
$203.40 |
$203.40 |
$126.00
|
|
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
|
$131.76 |
$131.76 |
$131.76 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$51.84 |
$51.84 |
$51.84 |
$32.00
|
|
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 |
$57.89
|
|
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 |
$60.99
|
|
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 |
$122.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$111.60 |
$111.60 |
$111.60 |
$83.85
|
|
Protein s total
|
$120.60 |
$120.60 |
$120.60 |
$78.87
|
|
Protein total 24 hour urine
|
$47.40 |
$47.40 |
$47.40 |
$52.50
|
|
Protein total body fluid
|
$49.20 |
$49.20 |
$49.20 |
$52.00
|
|
Protein total serum plasma whole blood
|
$44.40 |
$44.40 |
$44.40 |
$44.40
|
|
Prothrombin complex kcentra
|
$12,873.60 |
$12,873.60 |
$12,873.60 |
$7.63
|
|
Prothrombin time substitution plasma fractions each
|
$84.00 |
$84.00 |
$84.00 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$12,929.60 |
$12,929.60 |
$12,929.60 |
$4,176.15
|
|
Prq av fstl crtj uxtr 1 acs
|
$30,001.20 |
$30,001.20 |
$30,001.20 |
$20,329.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$12,670.20 |
$12,670.20 |
$12,670.20 |
$18,150.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$283.80 |
$283.80 |
$283.80 |
$252.60
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$21,832.26 |
$21,832.26 |
$21,832.26 |
$736.90
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$462.60 |
$462.60 |
$462.60 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$463.80 |
$463.80 |
$463.80 |
$406.35
|
|
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 tube thoracostomy w/connection to drainage open
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$1,738.08
|
|
PSA (Prostate) Test
|
$160.80 |
$160.80 |
$160.80 |
$109.45
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$87.49
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$64.80 |
$64.80 |
$64.80 |
$103.35
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$80.40
|
|
Pt application of modality traction mechanical
|
$66.00 |
$66.00 |
$66.00 |
$88.93
|
|
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 |
$816.31
|
|
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 |
$222.56
|
|
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 |
$154.40
|
|
Pt repositioning canalith procedure(s) per day
|
$133.20 |
$133.20 |
$133.20 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$117.00 |
$117.00 |
$117.00 |
$82.20
|
|
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
|
$42.60 |
$42.60 |
$42.60 |
$79.00
|
|
Pt wheelchair management each 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$327.60 |
$327.60 |
$327.60 |
$350.40
|
|
Pulse ox multiple
|
$121.20 |
$121.20 |
$121.20 |
$163.00
|
|
Pulse ox single
|
$97.20 |
$97.20 |
$97.20 |
$86.00
|
|
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 |
$883.80 |
$505.20
|
|
Puncture spinal lumbar diagnostic
|
$1,090.80 |
$1,090.80 |
$1,090.80 |
$1,087.80
|
|
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 |
$172.80
|
|
Pvb thoracic 2nd+ inj site
|
$1,978.80 |
$1,978.80 |
$1,978.80 |
$859.30
|
|
Pyridoxine hcl 100 mg
|
$49.08 |
$49.08 |
$49.08 |
$49.08
|
|
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 |
$1,552.80
|
|
Quant diff pulm perf w/imaging
|
$974.40 |
$974.40 |
$974.40 |
$1,209.44
|
|
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 |
$3,848.39
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$2,051.70
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,365.20 |
$2,365.20 |
$2,365.20 |
$2,289.50
|
|
Radphm lcl tumor plr sgl day
|
$841.20 |
$841.20 |
$841.20 |
$1,126.32
|
|
Rapid Strep Test
|
$73.20 |
$73.20 |
$73.20 |
$76.00
|
|
Rbc deglycerolized each unit
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$769.88
|
|
Rbc irradiated each unit
|
$468.60 |
$468.60 |
$468.60 |
$517.86
|
|
Rbc serum pretx incubj drugs
|
$225.00 |
$225.00 |
$225.00 |
$235.00
|
|
Reconstruction knee
|
$52,231.64 |
$52,231.64 |
$52,231.64 |
$5,855.00
|
|
Reconstruction of nail bed
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$2,204.43
|
|
Reconstruct shoulder joint
|
$58,683.14 |
$58,683.14 |
$58,683.14 |
$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
|
|
Reduction of procidentia 45900
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$1,226.10
|
|
Refill/maint pump/resvr syst
|
$172.20 |
$172.20 |
$172.20 |
$393.40
|
|
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
|
|
Relocation skin pocket aicd
|
$2,002.80 |
$2,002.80 |
$2,002.80 |
$2,931.00
|
|
Relocation skin pocket pm
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$2,688.70
|
|
Rem/biv cast full arm/leg
|
$246.60 |
$246.60 |
$246.60 |
$338.50
|
|
Rem/biv cast shldr/hip spica
|
$544.20 |
$544.20 |
$544.20 |
$460.60
|
|
Rem endovas vena cava filter
|
$7,698.00 |
$7,698.00 |
$7,698.00 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$1,591.20
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,982.20 |
$3,982.20 |
$3,982.20 |
$2,449.20
|
|
Removal cerumen impacted (both sides)
|
$456.60 |
$456.60 |
$456.60 |
$169.20
|
