|
Potassium 24 hour urine
|
$52.20 |
$52.20 |
$52.20 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$51.00 |
$51.00 |
$51.00 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$79.80 |
$79.80 |
$79.80 |
$46.75
|
|
Pq biliary strict dil s&i
|
$1,837.80 |
$1,837.80 |
$1,837.80 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$24,442.69 |
$24,442.69 |
$24,442.69 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,962.00 |
$4,962.00 |
$4,962.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,806.20 |
$5,806.20 |
$5,806.20 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$6,380.64 |
$6,380.64 |
$6,380.64 |
$3,738.90
|
|
Pr biopsy skin punch single lesion
|
$10,717.50 |
$10,717.50 |
$10,717.50 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$89,406.19 |
$89,406.19 |
$89,406.19 |
$10,090.50
|
|
Pr correction hammertoe
|
$91,310.58 |
$91,310.58 |
$91,310.58 |
$3,839.54
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$8,647.99 |
$8,647.99 |
$8,647.99 |
$5,212.80
|
|
Prealbumin
|
$67.80 |
$67.80 |
$67.80 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$172.86 |
$172.86 |
$172.86 |
$13.87
|
|
Prednisone 1 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$3.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$4,159.62 |
$4,159.62 |
$4,159.62 |
$2,246.75
|
|
Prep bk ptb open end socket
|
$4,585.93 |
$4,585.93 |
$4,585.93 |
$4,073.94
|
|
Prep bk ptb thermopls molded
|
$3,998.60 |
$3,998.60 |
$3,998.60 |
$3,998.60
|
|
Prep skin to 100cm2 other
|
$16,995.77 |
$16,995.77 |
$16,995.77 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$17,574.60 |
$17,574.60 |
$17,574.60 |
$2,164.64
|
|
Pretreat rbc absorption reference
|
$208.80 |
$208.80 |
$208.80 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$99.60 |
$99.60 |
$99.60 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$178.80 |
$178.80 |
$178.80 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$536.40 |
$536.40 |
$536.40 |
$167.05
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$7,851.78 |
$7,851.78 |
$7,851.78 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$8,083.02 |
$8,083.02 |
$8,083.02 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$20,908.44 |
$20,908.44 |
$20,908.44 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$9,748.80 |
$9,748.80 |
$9,748.80 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,124.00 |
$5,124.00 |
$5,124.00 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$914.40 |
$914.40 |
$914.40 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$13,728.53 |
$13,728.53 |
$13,728.53 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$7,668.18 |
$7,668.18 |
$7,668.18 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$6,048.36 |
$6,048.36 |
$6,048.36 |
$586.80
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$11,653.86 |
$11,653.86 |
$11,653.86 |
$4,154.01
|
|
Probe cryo 1150mm endo flex ster disp
|
$15,627.23 |
$15,627.23 |
$15,627.23 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,090.16 |
$2,090.16 |
$2,090.16 |
$670.00
|
|
Procalcitonin
|
$288.60 |
$288.60 |
$288.60 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$14.28 |
$14.28 |
$14.28 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$1.50
|
|
Progesterone
|
$42.00 |
$42.00 |
$42.00 |
$115.64
|
|
Prolactin
|
$66.00 |
$66.00 |
$66.00 |
$123.50
|
|
Prolonged IV inf, req pump
|
$660.60 |
$660.60 |
$660.60 |
$557.50
|
|
Promethazine 25 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$4.06
|
|
Promethazine hcl injection
|
$7.50 |
$7.50 |
$7.50 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$40,686.44 |
$40,686.44 |
$40,686.44 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$40.80 |
$40.80 |
$40.80 |
$32.93
|
|
Prosthesis voc advantage 20f 14mm
|
$8,265.25 |
$8,265.25 |
$8,265.25 |
$1,104.11
|
|
Prosthesis voc lopres 20f 22mm
|
$651.68 |
$651.68 |
$651.68 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$217.20 |
$217.20 |
$217.20 |
$52.32
|
|
Prosthetic type socket molde
|
$2,049.99 |
$2,049.99 |
$2,049.99 |
$1,501.10
|
|
Prost sock sgl ply blw knee ea
|
$22.21 |
$22.21 |
$22.21 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$15.84 |
$15.84 |
$15.84 |
$57.89
|
|
Protect body sock ea pre ots
|
$211.08 |
$211.08 |
$211.08 |
$113.63
|
|
Protector nerve neurawrap 4cm
|
$6,949.61 |
$6,949.61 |
$6,949.61 |
$3,831.38
|
|
Protein c activity
|
$221.40 |
$221.40 |
$221.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$92.40 |
$92.40 |
$92.40 |
$84.00
|
|
Protein s total
|
$40.20 |
$40.20 |
$40.20 |
$83.52
|
|
Protein total 24 hour urine
|
$39.00 |
$39.00 |
$39.00 |
$52.50
|
|
Protein total body fluid
|
$45.00 |
$45.00 |
$45.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$45.00 |
$45.00 |
$45.00 |
$42.81
|
|
Prothrombin complex kcentra
|
$14,035.80 |
$14,035.80 |
$14,035.80 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$334.20 |
$334.20 |
$334.20 |
$41.50
|
|
Pr removal intrauterine device
|
$10,261.46 |
$10,261.46 |
$10,261.46 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$6,799.14 |
$6,799.14 |
$6,799.14 |
$711.48
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$633.00 |
$633.00 |
$633.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$633.00 |
$633.00 |
$633.00 |
$396.00
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$1,720.93
|
|
PSA (Prostate) Test
|
$70.20 |
$70.20 |
$70.20 |
$107.50
|
|
Pten gene dup/delet variant
|
$756.00 |
$756.00 |
$756.00 |
$330.00
|
|
Pten gene full sequence
|
$992.40 |
$992.40 |
$992.40 |
$826.00
|
|
Pt evaluation low complexity patient/family
|
$47,520.05 |
$47,520.05 |
$47,520.05 |
$222.95
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$52,599.84 |
$52,599.84 |
$52,599.84 |
$87.50
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,708.68 |
$1,708.68 |
$1,708.68 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$121.20 |
$121.20 |
$121.20 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Puraply 1 sq cm
|
$20,384.98 |
$20,384.98 |
$20,384.98 |
$304.50
|
|
Puraply xt 1 sq cm
|
$6,755.26 |
$6,755.26 |
$6,755.26 |
$171.12
|
|
Pyruvate
|
$34.80 |
$34.80 |
$34.80 |
$66.00
|
|
Pyruvate kinase
|
$41.40 |
$41.40 |
$41.40 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$2,630.40 |
$2,630.40 |
$2,630.40 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$1,199.16
|
|
Quest t3 uptake
|
$88.80 |
$88.80 |
$88.80 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$16,025.64 |
$16,025.64 |
$16,025.64 |
$4,262.90
|
|
Radiation physics consult
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$606.50
|
|
Radiation therapy dose plan
|
$861.60 |
$861.60 |
$861.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$87.60 |
$87.60 |
$87.60 |
$520.00
|
|
Radiation treatment aid(s)
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$992.40 |
$992.40 |
$992.40 |
$552.40
|
|
Radiation treatment delivery
|
$3,808.20 |
$3,808.20 |
$3,808.20 |
$920.00
|
|
Radiology port images(s)
|
$573.60 |
$573.60 |
$573.60 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$5,054.40 |
$5,054.40 |
$5,054.40 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,030.80 |
$4,030.80 |
$4,030.80 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,711.60 |
$3,711.60 |
$3,711.60 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,837.80 |
$1,837.80 |
$1,837.80 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$1,120.50
|
