|
Protein c activity
|
$234.44 |
$234.44 |
$234.44 |
$118.80
|
|
Protein electrophoretic fractionation & quantitation serum
|
$348.70 |
$348.70 |
$348.70 |
$84.00
|
|
Protein s total
|
$196.76 |
$196.76 |
$196.76 |
$77.91
|
|
Protein total 24 hour urine
|
$241.52 |
$241.52 |
$241.52 |
$52.50
|
|
Protein total body fluid
|
$31.08 |
$31.08 |
$31.08 |
$52.50
|
|
Protein total serum plasma whole blood
|
$62.15 |
$62.15 |
$62.15 |
$42.00
|
|
Prothrombin time substitution plasma fractions each
|
$27.50 |
$27.50 |
$27.50 |
$38.40
|
|
Prq cardiac angio addl art
|
$10,406.08 |
$10,406.08 |
$10,406.08 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$14,960.94 |
$14,960.94 |
$14,960.94 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$17,116.11 |
$17,116.11 |
$17,116.11 |
$16,508.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$19,786.00 |
$19,786.00 |
$19,786.00 |
$16,299.40
|
|
Prq card stent w/angio addl
|
$16,614.02 |
$16,614.02 |
$16,614.02 |
$8,568.26
|
|
Prq revasc byp graft 1 art and/or branches
|
$16,888.90 |
$16,888.90 |
$16,888.90 |
$13,054.80
|
|
Prq revasc byp graft addl
|
$3,377.69 |
$3,377.69 |
$3,377.69 |
$10,108.80
|
|
Prq tcat plmt ntrac st 1 les
|
$22,075.35 |
$22,075.35 |
$22,075.35 |
$13,355.34
|
|
Prq trlml c athrc st angiop1
|
$20,358.69 |
$20,358.69 |
$20,358.69 |
$17,662.80
|
|
Prq trluml c angiop 1art&/br
|
$5,892.37 |
$5,892.37 |
$5,892.37 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$21,004.78 |
$21,004.78 |
$21,004.78 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$21,004.78 |
$21,004.78 |
$21,004.78 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$223.00 |
$223.00 |
$223.00 |
$280.79
|
|
Pr removal intrauterine device
|
$360.91 |
$360.91 |
$360.91 |
$419.01
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$645.62 |
$645.62 |
$645.62 |
$746.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$396.44 |
$396.44 |
$396.44 |
$382.85
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$428.23 |
$428.23 |
$428.23 |
$410.80
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$396.91 |
$396.91 |
$396.91 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$409.67 |
$409.67 |
$409.67 |
$391.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,988.28 |
$1,988.28 |
$1,988.28 |
$1,783.00
|
|
PSA (Prostate) Test
|
$311.71 |
$311.71 |
$311.71 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$61.71 |
$61.71 |
$61.71 |
$92.43
|
|
Pt application of modality >=1 area hot/cold packs
|
$78.07 |
$78.07 |
$78.07 |
$32.21
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$82.75 |
$82.75 |
$82.75 |
$108.80
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$86.49 |
$86.49 |
$86.49 |
$85.93
|
|
Pt application of modality traction mechanical
|
$95.84 |
$95.84 |
$95.84 |
$91.20
|
|
Pt evaluation high complexity patient/family
|
$316.03 |
$316.03 |
$316.03 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$291.72 |
$291.72 |
$291.72 |
$226.80
|
|
Pt evaluation moderate complexity patient/family
|
$303.88 |
$303.88 |
$303.88 |
$264.00
|
|
Pt re-evaluation patient/family
|
$225.34 |
$225.34 |
$225.34 |
$157.50
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$151.00 |
$151.00 |
$151.00 |
$69.42
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$174.84 |
$174.84 |
$174.84 |
$86.35
|
|
Pt wheelchair management each 15 minutes
|
$133.24 |
$133.24 |
$133.24 |
$85.00
|
|
Pulse ox continuous overnight monitoring
|
$741.18 |
$741.18 |
$741.18 |
$360.60
|
|
Pulse ox multiple
|
$362.34 |
$362.34 |
$362.34 |
$194.33
|
|
Pulse ox single
|
$226.38 |
$226.38 |
$226.38 |
$88.80
|
|
Punc of shunt for asp or inj
|
$728.36 |
$728.36 |
$728.36 |
$960.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$291.25 |
$291.25 |
$291.25 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$536.69 |
$536.69 |
$536.69 |
$516.45
|
|
Puncture spinal lumbar diagnostic
|
$791.48 |
$791.48 |
$791.48 |
$1,088.25
|
|
Quest t3 uptake
|
$109.59 |
$109.59 |
$109.59 |
$58.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,914.62 |
$1,914.62 |
$1,914.62 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,348.05 |
$2,348.05 |
$2,348.05 |
$2,705.95
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,740.79 |
$2,740.79 |
$2,740.79 |
$2,290.77
|
|
Radphm lcl tumor plr sgl day
|
$1,304.74 |
$1,304.74 |
$1,304.74 |
$1,126.32
|
|
Rapid Strep Test
|
$223.71 |
$223.71 |
$223.71 |
$74.10
|
|
Red blood cells leukocytes reduced each unit
|
$1,339.94 |
$1,339.94 |
$1,339.94 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,143.08 |
$2,143.08 |
$2,143.08 |
$570.99
|
|
Redo endovas vena cava filtr
|
$3,330.94 |
$3,330.94 |
$3,330.94 |
$4,380.00
|
|
Reduction of procidentia 45900
|
$983.62 |
$983.62 |
$983.62 |
$1,075.80
|
|
Refill/maint pump/resvr syst
|
$243.57 |
$243.57 |
$243.57 |
$369.63
|
|
Relocation skin pocket aicd
|
$1,988.28 |
$1,988.28 |
$1,988.28 |
$3,128.16
|
|
Relocation skin pocket pm
|
$2,066.82 |
$2,066.82 |
$2,066.82 |
$2,939.25
|
|
Rem endovas vena cava filter
|
$3,441.74 |
$3,441.74 |
$3,441.74 |
$5,846.40
|
|
Removal central venous catheter tunneled without port/pump
|
$2,833.98 |
$2,833.98 |
$2,833.98 |
$1,671.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,846.61 |
$2,846.61 |
$2,846.61 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$768.10 |
$768.10 |
$768.10 |
$170.25
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,003.72 |
$1,003.72 |
$1,003.72 |
$876.00
|
|
Removal foreign body foot subcutaneous right
|
$1,319.75 |
$1,319.75 |
$1,319.75 |
$1,256.00
|
|
Removal of foreign body
|
$1,699.36 |
$1,699.36 |
$1,699.36 |
$3,994.09
|
|
Removal/replacement ppm generator dual lead system
|
$8,627.71 |
$8,627.71 |
$8,627.71 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$526.40 |
$526.40 |
$526.40 |
$301.00
|
|
Remove pilonidal cyst compl
|
$4,638.07 |
$4,638.07 |
$4,638.07 |
$3,386.84
|
|
Renal function panel
|
$514.80 |
$514.80 |
$514.80 |
$112.00
|
|
Renal venogram bil s&i
|
$7,271.61 |
$7,271.61 |
$7,271.61 |
$3,486.86
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$813.92 |
$813.92 |
$813.92 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$325.05 |
$325.05 |
$325.05 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$5,909.20 |
$5,909.20 |
$5,909.20 |
$2,648.04
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,113.06 |
$4,113.06 |
$4,113.06 |
$1,891.20
|
|
Repair pm/icd lead dual
|
$4,003.67 |
$4,003.67 |
$4,003.67 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$4,003.67 |
$4,003.67 |
$4,003.67 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$671.00 |
$671.00 |
$671.00 |
$821.03
|
|
Repair rpr lip full thickness vermilion only
|
$1,568.46 |
$1,568.46 |
$1,568.46 |
$1,255.30
|
|
Repair testis injury
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$3,786.00
|
|
Replace aortic valve open femoral 33362
|
$16,732.76 |
$16,732.76 |
$16,732.76 |
$22,888.58
|
|
Reposition pm/icd lead
|
$3,330.94 |
$3,330.94 |
$3,330.94 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$3,330.94 |
$3,330.94 |
$3,330.94 |
$3,724.63
|
|
Reptilase test
|
$139.70 |
$139.70 |
$139.70 |
$62.54
|
|
#resp virpnl dfa-adenovirus
|
$80.30 |
$80.30 |
$80.30 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$81.40 |
$81.40 |
$81.40 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$979.88 |
$979.88 |
$979.88 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,196.45 |
$1,196.45 |
$1,196.45 |
$774.37
|
|
Reticulocyte direct measurement automated
|
$62.15 |
$62.15 |
$62.15 |
$33.57
|
|
Revasc intra lithotrip-ather
|
$11,689.84 |
$11,689.84 |
$11,689.84 |
$17,995.65
|
|
Revasc intra lithotrip-stent
|
$11,689.84 |
$11,689.84 |
$11,689.84 |
$18,706.80
|
|
Revasc intravasc lithotripsy
|
$5,769.88 |
$5,769.88 |
$5,769.88 |
$12,542.59
|
|
Revasc lithotr-ather tib/per
|
$18,697.66 |
$18,697.66 |
$18,697.66 |
$18,564.70
|
|
Revasc lithotrip-stent-ather
|
$18,697.66 |
$18,697.66 |
$18,697.66 |
$19,892.81
|
|
Revasc lithotrip tibi/perone
|
$11,689.84 |
$11,689.84 |
$11,689.84 |
$12,754.50
|
|
Revasc lithotr-stent tib/per
|
$18,697.66 |
$18,697.66 |
$18,697.66 |
$18,271.50
|
|
Revasc lith-sten-ath tib/per
|
$18,697.66 |
$18,697.66 |
$18,697.66 |
$18,271.50
|
|
Revsc opn/prq tib/pero stent
|
$6,418.31 |
$6,418.31 |
$6,418.31 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$96.80 |
$96.80 |
$96.80 |
$54.60
|