|
Pregnancy Ultrasound (complete, after first trimester)
|
$846.80 |
$846.80 |
$846.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$909.60 |
$909.60 |
$909.60 |
$539.37
|
|
Pr incision & drainage abscess complicated/multiple
|
$876.20 |
$876.20 |
$876.20 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$882.60 |
$882.60 |
$882.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,078.60 |
$1,078.60 |
$1,078.60 |
$539.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$406.00 |
$406.00 |
$406.00 |
$256.27
|
|
Procalcitonin
|
$141.20 |
$141.20 |
$141.20 |
$161.11
|
|
Progesterone
|
$330.40 |
$330.40 |
$330.40 |
$115.64
|
|
Prolactin
|
$373.80 |
$373.80 |
$373.80 |
$123.50
|
|
Protein c activity
|
$319.40 |
$319.40 |
$319.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$40.00 |
$40.00 |
$40.00 |
$84.00
|
|
Protein s total
|
$673.40 |
$673.40 |
$673.40 |
$83.52
|
|
Protein total 24 hour urine
|
$85.00 |
$85.00 |
$85.00 |
$52.50
|
|
Protein total body fluid
|
$173.80 |
$173.80 |
$173.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$89.40 |
$89.40 |
$89.40 |
$42.81
|
|
Prq trluml c angiop 1art&/br
|
$10,267.20 |
$10,267.20 |
$10,267.20 |
$9,131.70
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$318.80 |
$318.80 |
$318.80 |
$251.43
|
|
Pr removal intrauterine device
|
$1,231.40 |
$1,231.40 |
$1,231.40 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$961.80 |
$961.80 |
$961.80 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$821.20 |
$821.20 |
$821.20 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$826.60 |
$826.60 |
$826.60 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$772.60 |
$772.60 |
$772.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$858.40 |
$858.40 |
$858.40 |
$396.00
|
|
PSA (Prostate) Test
|
$45.00 |
$45.00 |
$45.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$128.40 |
$128.40 |
$128.40 |
$87.45
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$128.00 |
$128.00 |
$128.00 |
$81.00
|
|
Pt application of modality traction mechanical
|
$126.80 |
$126.80 |
$126.80 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$322.40 |
$322.40 |
$322.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$280.00 |
$280.00 |
$280.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$301.80 |
$301.80 |
$301.80 |
$254.88
|
|
Pt re-evaluation patient/family
|
$143.80 |
$143.80 |
$143.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$265.80 |
$265.80 |
$265.80 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$63.00 |
$63.00 |
$63.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$161.60 |
$161.60 |
$161.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$127.20 |
$127.20 |
$127.20 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$331.40 |
$331.40 |
$331.40 |
$344.00
|
|
Pulse ox multiple
|
$331.40 |
$331.40 |
$331.40 |
$156.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$122.40 |
$122.40 |
$122.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$667.80 |
$667.80 |
$667.80 |
$520.80
|
|
Quest t3 uptake
|
$364.20 |
$364.20 |
$364.20 |
$52.25
|
|
Removal central venous catheter tunneled without port/pump
|
$1,821.80 |
$1,821.80 |
$1,821.80 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,966.40 |
$3,966.40 |
$3,966.40 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$493.20 |
$493.20 |
$493.20 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$6,899.60 |
$6,899.60 |
$6,899.60 |
$1,256.00
|
|
Removal of breast lesion
|
$5,848.80 |
$5,848.80 |
$5,848.80 |
$4,631.50
|
|
Renal function panel
|
$191.60 |
$191.60 |
$191.60 |
$113.52
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$709.40 |
$709.40 |
$709.40 |
$1,006.50
|
|
Resp virus 6-11 targets
|
$907.20 |
$907.20 |
$907.20 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$597.40 |
$597.40 |
$597.40 |
$764.40
|
|
Reticulocyte direct measurement automated
|
$36.00 |
$36.00 |
$36.00 |
$36.57
|
|
Rf abltj nrv nrvtg si jt
|
$7,732.40 |
$7,732.40 |
$7,732.40 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$131.60 |
$131.60 |
$131.60 |
$57.00
|
|
Rmvl subq card rhythm mntr
|
$1,865.80 |
$1,865.80 |
$1,865.80 |
$1,734.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.97 |
$0.97 |
$0.97 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$5,883.00 |
$5,883.00 |
$5,883.00 |
$2,542.20
|
|
Rpl tun cvc wo subq port
|
$12,026.00 |
$12,026.00 |
$12,026.00 |
$3,687.00
|
|
Rubella antibody igg
|
$133.40 |
$133.40 |
$133.40 |
$77.03
|
|
Rubeola antibody igg
|
$224.80 |
$224.80 |
$224.80 |
$80.00
|
|
Russell viper venom diluted
|
$268.20 |
$268.20 |
$268.20 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$750.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$985.60 |
$985.60 |
$985.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,798.60 |
$1,798.60 |
$1,798.60 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,153.00 |
$2,153.00 |
$2,153.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,706.20 |
$1,706.20 |
$1,706.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$653.20 |
$653.20 |
$653.20 |
$595.35
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Sedimentation rate erythrocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Semen analysis presence/motility
|
$238.00 |
$238.00 |
$238.00 |
$71.05
|
|
Serpina1 gene
|
$261.60 |
$261.60 |
$261.60 |
$197.00
|
|
Shoulder MRI (with and without contrast)
|
$712.50 |
$712.50 |
$712.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$645.50 |
$645.50 |
$645.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$461.50 |
$461.50 |
$461.50 |
$2,065.05
|
|
Shoulder X-ray
|
$657.60 |
$657.60 |
$657.60 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$501.60 |
$501.60 |
$501.60 |
$349.20
|
|
Sinus CT scan (with and without contrast)
|
$568.00 |
$568.00 |
$568.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$494.00 |
$494.00 |
$494.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$295.00 |
$295.00 |
$295.00 |
$1,292.04
|
|
Sleep Study (Polysomnography)
|
$7,018.40 |
$7,018.40 |
$7,018.40 |
$3,607.50
|
|
Sleep study unattended
|
$536.40 |
$536.40 |
$536.40 |
$580.87
|
|
Smear fluorescent and/or acid fast stain
|
$127.40 |
$127.40 |
$127.40 |
$64.20
|
|
Smear gram stain
|
$96.00 |
$96.00 |
$96.00 |
$55.25
|
|
Smear nasal eosinophil
|
$24.00 |
$24.00 |
$24.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$363.60 |
$363.60 |
$363.60 |
$73.15
|
|
Sodium 24 hour urine
|
$59.80 |
$59.80 |
$59.80 |
$48.60
|
|
Sodium chloride 3 % ivpb
|
$32.00 |
$32.00 |
$32.00 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$52.00 |
$52.00 |
$52.00 |
$45.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,203.20 |
$2,203.20 |
$2,203.20 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$602.60 |
$602.60 |
$602.60 |
$543.26
|
|
St analysis behavior qualitative voice/resonance
|
$268.80 |
$268.80 |
$268.80 |
$297.60
|
|
Staph a dna amp probe
|
$145.60 |
$145.60 |
$145.60 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$297.60 |
$297.60 |
$297.60 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$34,760.41 |
$34,760.41 |
$34,760.41 |
$32,403.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$11,649.43 |
$11,649.43 |
$11,649.43 |
$20,962.50
|
|
Sterile water/saline, 10 ml
|
$2.80 |
$2.80 |
$2.80 |
$13.32
|
|
St evaluate speech sound production
|
$257.40 |
$257.40 |
$257.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$389.80 |
$389.80 |
$389.80 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$271.40 |
$271.40 |
$271.40 |
$399.60
|
|
St evaluation swallow function
|
$271.40 |
$271.40 |
$271.40 |
$314.40
|