|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$65.40 |
$65.40 |
$65.40 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$197.40 |
$197.40 |
$197.40 |
$105.00
|
|
Phentolaine mesylate inj
|
$440.40 |
$440.40 |
$440.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$10.80 |
$10.80 |
$10.80 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.20 |
$7.20 |
$7.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$124.20 |
$124.20 |
$124.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$178.20 |
$178.20 |
$178.20 |
$231.40
|
|
Phosphorus
|
$80.40 |
$80.40 |
$80.40 |
$49.20
|
|
Phosphorus 24 hour urine
|
$78.00 |
$78.00 |
$78.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$174.00 |
$174.00 |
$174.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$174.00 |
$174.00 |
$174.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$174.00 |
$174.00 |
$174.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$116.40 |
$116.40 |
$116.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$141.00 |
$141.00 |
$141.00 |
$90.25
|
|
Pinworm exam
|
$70.20 |
$70.20 |
$70.20 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$39.60 |
$39.60 |
$39.60 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$496.20 |
$496.20 |
$496.20 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$433.20 |
$433.20 |
$433.20 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$496.20 |
$496.20 |
$496.20 |
$1,332.43
|
|
Platelet aggregation each agent teg
|
$218.40 |
$218.40 |
$218.40 |
$148.98
|
|
Platelet automated
|
$117.00 |
$117.00 |
$117.00 |
$46.00
|
|
Platelet pheresis each unit
|
$2,007.60 |
$2,007.60 |
$2,007.60 |
$1,012.80
|
|
Platelets each unit
|
$651.60 |
$651.60 |
$651.60 |
$169.29
|
|
Platelet survival
|
$922.80 |
$922.80 |
$922.80 |
$545.61
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$433.20 |
$433.20 |
$433.20 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$227.40 |
$227.40 |
$227.40 |
$408.05
|
|
#pnh-flow cytometry interp
|
$393.00 |
$393.00 |
$393.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$185.40 |
$185.40 |
$185.40 |
$187.32
|
|
Potassium 24 hour urine
|
$106.20 |
$106.20 |
$106.20 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$13.80 |
$13.80 |
$13.80 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$46.20 |
$46.20 |
$46.20 |
$47.85
|
|
Pralidoxime 1 gram solution for injection
|
$190.20 |
$190.20 |
$190.20 |
$292.00
|
|
Pr application of long arm splint
|
$199.80 |
$199.80 |
$199.80 |
$332.75
|
|
Pr application splint static short arm
|
$199.80 |
$199.80 |
$199.80 |
$288.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$64.80 |
$64.80 |
$64.80 |
$48.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,071.40 |
$3,071.40 |
$3,071.40 |
$5,262.80
|
|
Prealbumin
|
$79.20 |
$79.20 |
$79.20 |
$94.00
|
|
Prednisone 1 mg tablet
|
$1.80 |
$1.80 |
$1.80 |
$2.88
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$491.40 |
$491.40 |
$491.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$403.80 |
$403.80 |
$403.80 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$348.60 |
$348.60 |
$348.60 |
$459.00
|
|
Pressure max expiratory/inspiratory
|
$144.60 |
$144.60 |
$144.60 |
$243.69
|
|
Pretreat rbc absorption reference
|
$122.40 |
$122.40 |
$122.40 |
$150.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$658.80 |
$658.80 |
$658.80 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$301.20 |
$301.20 |
$301.20 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$356.40 |
$356.40 |
$356.40 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$340.80 |
$340.80 |
$340.80 |
$592.62
|
|
Procalcitonin
|
$388.80 |
$388.80 |
$388.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$8.40 |
$8.40 |
$8.40 |
$38.48
|
|
Progesterone
|
$112.80 |
$112.80 |
$112.80 |
$116.00
|
|
Prolactin
|
$105.60 |
$105.60 |
$105.60 |
$123.50
|
|
Promethazine hcl injection
|
$7.20 |
$7.20 |
$7.20 |
$12.37
|
|
Prostate biopsy, any mthd
|
$444.60 |
$444.60 |
$444.60 |
$492.80
|
|
Prostatectomy (turp)
|
$4,305.00 |
$4,305.00 |
$4,305.00 |
$7,063.50
|
|
Protamine 10 mg/ml intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$56.70
|
|
Protein c activity
|
$75.60 |
$75.60 |
$75.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$58.20 |
$58.20 |
$58.20 |
$84.00
|
|
Protein s total
|
$387.60 |
$387.60 |
$387.60 |
$85.10
|
|
Protein total 24 hour urine
|
$19.80 |
$19.80 |
$19.80 |
$52.50
|
|
Protein total body fluid
|
$122.40 |
$122.40 |
$122.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$19.80 |
$19.80 |
$19.80 |
$43.00
|
|
Prothrombin complex kcentra
|
$2,973.60 |
$2,973.60 |
$2,973.60 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$18.60 |
$18.60 |
$18.60 |
$42.00
|
|
Pr removal drug delivery implant
|
$271.20 |
$271.20 |
$271.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$135.60 |
$135.60 |
$135.60 |
$252.00
|
|
Pr removal intrauterine device
|
$69.60 |
$69.60 |
$69.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$363.00 |
$363.00 |
$363.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$363.00 |
$363.00 |
$363.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$363.00 |
$363.00 |
$363.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$363.00 |
$363.00 |
$363.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$363.00 |
$363.00 |
$363.00 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$595.80 |
$595.80 |
$595.80 |
$1,761.00
|
|
PSA (Prostate) Test
|
$70.20 |
$70.20 |
$70.20 |
$107.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$99.00 |
$99.00 |
$99.00 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$90.60 |
$90.60 |
$90.60 |
$81.48
|
|
Pt application of modality traction mechanical
|
$90.60 |
$90.60 |
$90.60 |
$91.80
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$90.60 |
$90.60 |
$90.60 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$90.60 |
$90.60 |
$90.60 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$64.80 |
$64.80 |
$64.80 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$174.60 |
$174.60 |
$174.60 |
$347.11
|
|
Pulse ox multiple
|
$51.00 |
$51.00 |
$51.00 |
$157.30
|
|
Pulse ox single
|
$51.00 |
$51.00 |
$51.00 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$94.20 |
$94.20 |
$94.20 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$301.20 |
$301.20 |
$301.20 |
$520.80
|
|
Pyridoxine hcl 100 mg
|
$46.20 |
$46.20 |
$46.20 |
$49.08
|
|
Pyruvate
|
$60.00 |
$60.00 |
$60.00 |
$66.00
|
|
Quest t3 uptake
|
$35.40 |
$35.40 |
$35.40 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,824.00 |
$4,824.00 |
$4,824.00 |
$4,017.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$844.80 |
$844.80 |
$844.80 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,603.80 |
$1,603.80 |
$1,603.80 |
$2,719.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$2,242.80
|
|
Rapid Strep Test
|
$60.60 |
$60.60 |
$60.60 |
$76.00
|
|
Rbc count only automated
|
$39.00 |
$39.00 |
$39.00 |
$20.40
|
|
Rbc irradiated each unit
|
$477.60 |
$477.60 |
$477.60 |
$550.40
|
|
Rbc osmotic fragility
|
$224.40 |
$224.40 |
$224.40 |
$75.04
|
|
Red blood cells each unit
|
$500.40 |
$500.40 |
$500.40 |
$393.90
|
|
Red cell mass multiple
|
$465.00 |
$465.00 |
$465.00 |
$636.97
|
|
Red cell sequestration
|
$509.40 |
$509.40 |
$509.40 |
$618.80
|
