|
Promethazine 25 mg tablet
|
$1.86 |
$1.86 |
$1.86 |
$4.62
|
|
Promethazine hcl injection
|
$9.12 |
$9.12 |
$9.12 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$142.20 |
$142.20 |
$142.20 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$54.42 |
$54.42 |
$54.42 |
$30.26
|
|
Prostatectomy (turp)
|
$18,139.02 |
$18,139.02 |
$18,139.02 |
$6,110.84
|
|
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 |
$57.60
|
|
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
|
$14.70 |
$14.70 |
$14.70 |
$59.61
|
|
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
|
$142.20 |
$142.20 |
$142.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$122.40 |
$122.40 |
$122.40 |
$84.00
|
|
Protein s total
|
$148.20 |
$148.20 |
$148.20 |
$77.60
|
|
Protein total 24 hour urine
|
$57.60 |
$57.60 |
$57.60 |
$52.47
|
|
Protein total body fluid
|
$66.00 |
$66.00 |
$66.00 |
$52.00
|
|
Protein total serum plasma whole blood
|
$1,703.70 |
$1,703.70 |
$1,703.70 |
$42.81
|
|
Prothrombin complex kcentra
|
$5,721.60 |
$5,721.60 |
$5,721.60 |
$7.55
|
|
Prothrombin time substitution plasma fractions each
|
$22.20 |
$22.20 |
$22.20 |
$40.30
|
|
Prp i/hern init block >5 yr
|
$11,914.23 |
$11,914.23 |
$11,914.23 |
$4,176.15
|
|
Pr removal drug delivery implant
|
$17,329.14 |
$17,329.14 |
$17,329.14 |
$533.00
|
|
Pr removal intrauterine device
|
$20,890.15 |
$20,890.15 |
$20,890.15 |
$367.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$29,057.10 |
$29,057.10 |
$29,057.10 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$204.00 |
$204.00 |
$204.00 |
$377.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$204.00 |
$204.00 |
$204.00 |
$404.80
|
|
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 |
$391.60
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Prtl exc bone olecrn process
|
$18,468.90 |
$18,468.90 |
$18,468.90 |
$3,208.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$1,700.82
|
|
PSA (Prostate) Test
|
$122.40 |
$122.40 |
$122.40 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$171.00 |
$171.00 |
$171.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$178.80 |
$178.80 |
$178.80 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$172.20 |
$172.20 |
$172.20 |
$79.76
|
|
Pt application of modality traction mechanical
|
$123.00 |
$123.00 |
$123.00 |
$87.00
|
|
Pten gene dup/delet variant
|
$463.20 |
$463.20 |
$463.20 |
$300.00
|
|
Pten gene full sequence
|
$992.40 |
$992.40 |
$992.40 |
$663.00
|
|
Pt evaluation high complexity patient/family
|
$586.20 |
$586.20 |
$586.20 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$433.80 |
$433.80 |
$433.80 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$460.20 |
$460.20 |
$460.20 |
$249.26
|
|
Pt re-evaluation patient/family
|
$254.40 |
$254.40 |
$254.40 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$162.60 |
$162.60 |
$162.60 |
$115.35
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$220.80 |
$220.80 |
$220.80 |
$79.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$146.40 |
$146.40 |
$146.40 |
$87.10
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$162.60 |
$162.60 |
$162.60 |
$79.00
|
|
Pt wheelchair management each 15 minutes
|
$98.40 |
$98.40 |
$98.40 |
$86.53
|
|
Pulmonary vent imaging
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$878.00
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,128.41 |
$1,128.41 |
$1,128.41 |
$898.88
|
|
Puncture arterial withdrawal blood for diagnosis
|
$96.60 |
$96.60 |
$96.60 |
$126.29
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$496.00
|
|
Puncture spinal lumbar diagnostic
|
$1,307.40 |
$1,307.40 |
$1,307.40 |
$1,082.90
|
|
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
|
$1,570.20 |
$1,570.20 |
$1,570.20 |
$859.30
|
|
Pvb thoracic single inj site
|
$1,570.20 |
$1,570.20 |
$1,570.20 |
$1,312.00
|
|
Pyridoxine hcl 100 mg
|
$51.54 |
$51.54 |
$51.54 |
$48.70
|
|
Pyruvate
|
$97.20 |
$97.20 |
$97.20 |
$66.00
|
|
Pyruvate kinase
|
$45.00 |
$45.00 |
$45.00 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$1,663.80 |
$1,663.80 |
$1,663.80 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$1,199.16
|
|
Quest t3 uptake
|
$52.20 |
$52.20 |
$52.20 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$13,065.54 |
$13,065.54 |
$13,065.54 |
$3,770.01
|
|
Radiation handling
|
$622.20 |
$622.20 |
$622.20 |
$324.80
|
|
Radiation physics consult
|
$1,925.40 |
$1,925.40 |
$1,925.40 |
$602.12
|
|
Radiation therapy dose plan
|
$461.40 |
$461.40 |
$461.40 |
$514.05
|
|
Radiation treatment aid(s)
|
$688.80 |
$688.80 |
$688.80 |
$526.80
|
|
Radiation treatment aid(s)
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$644.36
|
|
Radiation treatment aid(s)
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$1,075.03
|
|
Radiation treatment delivery
|
$644.40 |
$644.40 |
$644.40 |
$552.40
|
|
Radiation treatment delivery
|
$2,282.40 |
$2,282.40 |
$2,282.40 |
$911.04
|
|
Radiology port images(s)
|
$931.20 |
$931.20 |
$931.20 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$4,616.40 |
$4,616.40 |
$4,616.40 |
$5,718.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,581.60 |
$1,581.60 |
$1,581.60 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,364.40 |
$1,364.40 |
$1,364.40 |
$2,658.60
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,799.40 |
$1,799.40 |
$1,799.40 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$1,102.80
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$29,580.60 |
$29,580.60 |
$29,580.60 |
$13,136.04
|
|
Rapid Strep Test
|
$117.00 |
$117.00 |
$117.00 |
$74.25
|
|
Rasburicase 1.5 mg intravenous solution
|
$21,254.28 |
$21,254.28 |
$21,254.28 |
$4,782.24
|
|
Rbc count only automated
|
$15.60 |
$15.60 |
$15.60 |
$20.00
|
|
Rbc deglycerolized each unit
|
$774.00 |
$774.00 |
$774.00 |
$767.00
|
|
Rbc osmotic fragility
|
$41.40 |
$41.40 |
$41.40 |
$75.04
|
|
Reconstruct shoulder joint
|
$49,084.73 |
$49,084.73 |
$49,084.73 |
$11,340.00
|
|
Red blood cells leukocytes reduced each unit
|
$567.00 |
$567.00 |
$567.00 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$630.00 |
$630.00 |
$630.00 |
$523.83
|
|
Red blood cells washed each unit
|
$537.00 |
$537.00 |
$537.00 |
$559.00
|
|
Redo endovas vena cava filtr
|
$6,310.20 |
$6,310.20 |
$6,310.20 |
$4,341.66
|
|
Refill/maint pump/resvr syst
|
$498.00 |
$498.00 |
$498.00 |
$384.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,221.84 |
$1,221.84 |
$1,221.84 |
$378.22
|
|
Reinforced solid stirrup
|
$443.50 |
$443.50 |
$443.50 |
$443.50
|
|
Relocation skin pocket pm
|
$3,054.00 |
$3,054.00 |
$3,054.00 |
$2,581.59
|
|
Rem endovas vena cava filter
|
$6,310.20 |
$6,310.20 |
$6,310.20 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,199.40 |
$1,199.40 |
$1,199.40 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$1,545.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,419.30 |
$4,419.30 |
$4,419.30 |
$2,422.70
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$921.60 |
$921.60 |
$921.60 |
$236.64
|
|
Removal duct glbldr calculi
|
$6,146.40 |
$6,146.40 |
$6,146.40 |
$2,946.00
|
