|
Protein total serum plasma whole blood
|
$19.80 |
$19.80 |
$19.80 |
$43.00
|
|
Prothrombin complex kcentra
|
$32.40 |
$32.40 |
$32.40 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$21.00 |
$21.00 |
$21.00 |
$42.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$37,664.40 |
$37,664.40 |
$37,664.40 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$37,664.40 |
$37,664.40 |
$37,664.40 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$9,672.00 |
$9,672.00 |
$9,672.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,071.20 |
$5,071.20 |
$5,071.20 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$14,817.50
|
|
Prq card stent/ath/angio
|
$7,705.80 |
$7,705.80 |
$7,705.80 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$9,768.60 |
$9,768.60 |
$9,768.60 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$11,988.60 |
$11,988.60 |
$11,988.60 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$24,161.40 |
$24,161.40 |
$24,161.40 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$10,148.40 |
$10,148.40 |
$10,148.40 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$370.80 |
$370.80 |
$370.80 |
$252.00
|
|
Pr removal intrauterine device
|
$411.00 |
$411.00 |
$411.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$819.00 |
$819.00 |
$819.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$520.80 |
$520.80 |
$520.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$520.80 |
$520.80 |
$520.80 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$520.80 |
$520.80 |
$520.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$520.80 |
$520.80 |
$520.80 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$6,954.00 |
$6,954.00 |
$6,954.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$109.80 |
$109.80 |
$109.80 |
$107.50
|
|
Psychotherapy patient individual therapy 60 minutes
|
$302.40 |
$302.40 |
$302.40 |
$287.95
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$60.60 |
$60.60 |
$60.60 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$132.00 |
$132.00 |
$132.00 |
$81.48
|
|
Pt repositioning canalith procedure(s) per day
|
$78.60 |
$78.60 |
$78.60 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$82.20 |
$82.20 |
$82.20 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$60.60 |
$60.60 |
$60.60 |
$88.00
|
|
Pulmonary vent imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$350.40 |
$350.40 |
$350.40 |
$347.11
|
|
Pulse ox multiple
|
$102.00 |
$102.00 |
$102.00 |
$157.30
|
|
Pulse ox single
|
$98.40 |
$98.40 |
$98.40 |
$84.00
|
|
Punc of shunt for asp or inj
|
$2,015.40 |
$2,015.40 |
$2,015.40 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$248.40 |
$248.40 |
$248.40 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,020.80 |
$2,020.80 |
$2,020.80 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$12.60 |
$12.60 |
$12.60 |
$49.08
|
|
Pyruvate
|
$73.80 |
$73.80 |
$73.80 |
$66.00
|
|
Pyruvate kinase
|
$33.60 |
$33.60 |
$33.60 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,199.16
|
|
Quest t3 uptake
|
$32.40 |
$32.40 |
$32.40 |
$53.20
|
|
Quinupristin/dalfopristin
|
$279.60 |
$279.60 |
$279.60 |
$922.70
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$408.00 |
$408.00 |
$408.00 |
$4,017.00
|
|
Radium ra223 dichl ther/uci
|
$17,014.80 |
$17,014.80 |
$17,014.80 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$85.20 |
$85.20 |
$85.20 |
$13,136.04
|
|
Rapid desensitization
|
$689.40 |
$689.40 |
$689.40 |
$472.21
|
|
Rapid Strep Test
|
$93.00 |
$93.00 |
$93.00 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$644.40 |
$644.40 |
$644.40 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$41,926.70
|
|
Rbc count only automated
|
$6.60 |
$6.60 |
$6.60 |
$20.40
|
|
Rbc irradiated each unit
|
$273.00 |
$273.00 |
$273.00 |
$550.40
|
|
Red blood cells each unit
|
$200.40 |
$200.40 |
$200.40 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$269.40 |
$269.40 |
$269.40 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$376.80 |
$376.80 |
$376.80 |
$534.15
|
|
Redo endovas vena cava filtr
|
$7,195.20 |
$7,195.20 |
$7,195.20 |
$4,545.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$30.60 |
$30.60 |
$30.60 |
$357.91
|
|
Relocation skin pocket aicd
|
$3,487.20 |
$3,487.20 |
$3,487.20 |
$2,935.84
|
|
Relocation skin pocket pm
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$370.80 |
$370.80 |
$370.80 |
$324.00
|
|
Rem endovas vena cava filter
|
$5,819.40 |
$5,819.40 |
$5,819.40 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$136.20 |
$136.20 |
$136.20 |
$139.10
|
|
Removal biliary drg cath
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$120.60 |
$120.60 |
$120.60 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$6,966.60 |
$6,966.60 |
$6,966.60 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$265.20 |
$265.20 |
$265.20 |
$255.97
|
|
Removal duct glbldr calculi
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$1,260.80
|
|
Removal implant superficial separate procedure
|
$4,161.60 |
$4,161.60 |
$4,161.60 |
$3,065.04
|
|
Removal of anal tags
|
$3,552.60 |
$3,552.60 |
$3,552.60 |
$3,552.60
|
|
Removal of skin tags each add'l 10
|
$351.00 |
$351.00 |
$351.00 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$19,161.00 |
$19,161.00 |
$19,161.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$819.00 |
$819.00 |
$819.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$187.20 |
$187.20 |
$187.20 |
$82.05
|
|
Removal sutr or stapl no anes
|
$187.20 |
$187.20 |
$187.20 |
$93.88
|
|
Removal sutr/staple req anes
|
$3,784.80 |
$3,784.80 |
$3,784.80 |
$2,431.38
|
|
Removal tunnled intprtnl cath
|
$10,505.40 |
$10,505.40 |
$10,505.40 |
$4,284.80
|
|
Remove brain canal fluid
|
$961.20 |
$961.20 |
$961.20 |
$859.60
|
|
Remove cva lumen obstruct
|
$682.80 |
$682.80 |
$682.80 |
$494.00
|
|
Remove ext hem groups 2+
|
$3,552.60 |
$3,552.60 |
$3,552.60 |
$3,425.94
|
|
Remove foreign body from eye
|
$3,433.80 |
$3,433.80 |
$3,433.80 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$3,200.40 |
$3,200.40 |
$3,200.40 |
$1,172.80
|
|
Remove stent via transureth
|
$5,276.40 |
$5,276.40 |
$5,276.40 |
$3,398.00
|
|
Remove ureter stent percut
|
$6,318.00 |
$6,318.00 |
$6,318.00 |
$3,640.89
|
