|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,764.60 |
$4,764.60 |
$4,764.60 |
$5,262.80
|
|
Prealbumin
|
$114.00 |
$114.00 |
$114.00 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.80 |
$13.80 |
$13.80 |
$13.87
|
|
Prednisone 1 mg tablet
|
$14.80 |
$14.80 |
$14.80 |
$2.88
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$4,078.80 |
$4,078.80 |
$4,078.80 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$171.60 |
$171.60 |
$171.60 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$690.60 |
$690.60 |
$690.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$690.60 |
$690.60 |
$690.60 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$658.80 |
$658.80 |
$658.80 |
$459.00
|
|
Pressure max expiratory/inspiratory
|
$154.20 |
$154.20 |
$154.20 |
$243.69
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$187.80 |
$187.80 |
$187.80 |
$161.40
|
|
Pretreat rbc absorption reference
|
$97.80 |
$97.80 |
$97.80 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$243.60 |
$243.60 |
$243.60 |
$114.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,599.40 |
$3,599.40 |
$3,599.40 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$589.80 |
$589.80 |
$589.80 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$589.80 |
$589.80 |
$589.80 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$825.60 |
$825.60 |
$825.60 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$589.80 |
$589.80 |
$589.80 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$147.00 |
$147.00 |
$147.00 |
$253.55
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$533.60 |
$533.60 |
$533.60 |
$674.78
|
|
Procalcitonin
|
$133.80 |
$133.80 |
$133.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$115.20 |
$115.20 |
$115.20 |
$38.48
|
|
Progesterone
|
$268.20 |
$268.20 |
$268.20 |
$116.00
|
|
Prolactin
|
$307.20 |
$307.20 |
$307.20 |
$123.50
|
|
Promethazine hcl injection
|
$8.40 |
$8.40 |
$8.40 |
$12.37
|
|
Propofol infusion 10 mg/ml
|
$174.00 |
$174.00 |
$174.00 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$4.80 |
$4.80 |
$4.80 |
$33.31
|
|
Prostate biopsy, any mthd
|
$97.80 |
$97.80 |
$97.80 |
$492.80
|
|
Protamine 10 mg/ml intravenous solution
|
$115.20 |
$115.20 |
$115.20 |
$56.70
|
|
Protein c activity
|
$310.20 |
$310.20 |
$310.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$171.60 |
$171.60 |
$171.60 |
$84.00
|
|
Protein s total
|
$551.40 |
$551.40 |
$551.40 |
$85.10
|
|
Protein total 24 hour urine
|
$55.20 |
$55.20 |
$55.20 |
$52.50
|
|
Protein total body fluid
|
$82.80 |
$82.80 |
$82.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$86.40 |
$86.40 |
$86.40 |
$43.00
|
|
Prothrombin complex kcentra
|
$13.80 |
$13.80 |
$13.80 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$190.20 |
$190.20 |
$190.20 |
$42.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$247.20 |
$247.20 |
$247.20 |
$252.00
|
|
Pr removal intrauterine device
|
$589.80 |
$589.80 |
$589.80 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$825.60 |
$825.60 |
$825.60 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$589.80 |
$589.80 |
$589.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$589.80 |
$589.80 |
$589.80 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$589.80 |
$589.80 |
$589.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$589.80 |
$589.80 |
$589.80 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$208.20 |
$208.20 |
$208.20 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$38.40 |
$38.40 |
$38.40 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$103.20 |
$103.20 |
$103.20 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$101.40 |
$101.40 |
$101.40 |
$81.48
|
|
Pt application of modality traction mechanical
|
$103.20 |
$103.20 |
$103.20 |
$91.80
|
|
Pt prgrm for implt neurostim
|
$2,533.80 |
$2,533.80 |
$2,533.80 |
$2,922.62
|
|
Pt repositioning canalith procedure(s) per day
|
$223.20 |
$223.20 |
$223.20 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$114.00 |
$114.00 |
$114.00 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$130.20 |
$130.20 |
$130.20 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$165.60 |
$165.60 |
$165.60 |
$88.00
|
|
Pulmonary vent imaging
|
$1,403.40 |
$1,403.40 |
$1,403.40 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$302.40 |
$302.40 |
$302.40 |
$347.11
|
|
Pulse ox multiple
|
$388.20 |
$388.20 |
$388.20 |
$157.30
|
|
Pulse ox single
|
$62.40 |
$62.40 |
$62.40 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$87.60 |
$87.60 |
$87.60 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$70.20 |
$70.20 |
$70.20 |
$49.08
|
|
Quant diff pulm perf and vent w/imaging
|
$3,089.40 |
$3,089.40 |
$3,089.40 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,199.16
|
|
Quest t3 uptake
|
$295.20 |
$295.20 |
$295.20 |
$53.20
|
|
Rabies ig heat-treated human im/subq 90376
|
$3,289.80 |
$3,289.80 |
$3,289.80 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$15,010.80 |
$15,010.80 |
$15,010.80 |
$4,017.00
|
|
Radium ra223 dichl ther/uci
|
$384.60 |
$384.60 |
$384.60 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,386.20 |
$2,386.20 |
$2,386.20 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$769.20 |
$769.20 |
$769.20 |
$1,126.32
|
|
Radphm quant measure sgl area add-on
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$5,140.20 |
$5,140.20 |
$5,140.20 |
$13,136.04
|
|
Rapid Strep Test
|
$29.40 |
$29.40 |
$29.40 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$3,833.40 |
$3,833.40 |
$3,833.40 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$14,859.00 |
$14,859.00 |
$14,859.00 |
$41,926.70
|
|
Rbc count only automated
|
$17.40 |
$17.40 |
$17.40 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$189.60 |
$189.60 |
$189.60 |
$231.12
|
|
Red blood cells each unit
|
$759.60 |
$759.60 |
$759.60 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$1,027.80 |
$1,027.80 |
$1,027.80 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$534.15
|
|
Red cell sequestration
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$618.80
|
|
Rem/biv cast full arm/leg
|
$471.00 |
$471.00 |
$471.00 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$16.00 |
$16.00 |
$16.00 |
$1,555.39
|
|
Removal central venous catheter tunneled without port/pump
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,588.50
|
|
Removal cerumen impacted (both sides)
|
$247.20 |
$247.20 |
$247.20 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$589.80 |
$589.80 |
$589.80 |
$255.97
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,767.60 |
$1,767.60 |
$1,767.60 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,260.80
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$471.00 |
$471.00 |
$471.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$39.00 |
$39.00 |
$39.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$27.60 |
$27.60 |
$27.60 |
$93.88
|
|
Remove ext hem groups 2+
|
$3,934.20 |
$3,934.20 |
$3,934.20 |
$3,425.94
|
|
Remove foreign body from eye
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$3,433.80
|
|
Renal function panel
|
$156.00 |
$156.00 |
$156.00 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,055.69
|
