|
Pregnancy Ultrasound (first trimester)
|
$845.60 |
$845.60 |
$845.60 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$666.40 |
$666.40 |
$666.40 |
$238.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$796.00 |
$796.00 |
$796.00 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$866.40 |
$866.40 |
$866.40 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$629.60 |
$629.60 |
$629.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$985.60 |
$985.60 |
$985.60 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$128.80 |
$128.80 |
$128.80 |
$256.27
|
|
Procalcitonin
|
$136.00 |
$136.00 |
$136.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$9.80 |
$9.80 |
$9.80 |
$36.72
|
|
Progesterone
|
$104.00 |
$104.00 |
$104.00 |
$115.64
|
|
Prolactin
|
$80.80 |
$80.80 |
$80.80 |
$123.50
|
|
Promethazine hcl injection
|
$6.40 |
$6.40 |
$6.40 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$33.20 |
$33.20 |
$33.20 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$7.40 |
$7.40 |
$7.40 |
$32.93
|
|
Protein c activity
|
$127.20 |
$127.20 |
$127.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$40.00 |
$40.00 |
$40.00 |
$84.00
|
|
Protein s total
|
$104.80 |
$104.80 |
$104.80 |
$83.52
|
|
Protein total 24 hour urine
|
$15.20 |
$15.20 |
$15.20 |
$52.50
|
|
Protein total body fluid
|
$20.00 |
$20.00 |
$20.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$15.20 |
$15.20 |
$15.20 |
$42.81
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$165.60 |
$165.60 |
$165.60 |
$251.43
|
|
Pr removal intrauterine device
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$535.20 |
$535.20 |
$535.20 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$723.20 |
$723.20 |
$723.20 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$535.20 |
$535.20 |
$535.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$723.20 |
$723.20 |
$723.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,180.80 |
$2,180.80 |
$2,180.80 |
$1,720.93
|
|
PSA (Prostate) Test
|
$45.00 |
$45.00 |
$45.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$149.60 |
$149.60 |
$149.60 |
$87.45
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$133.60 |
$133.60 |
$133.60 |
$81.00
|
|
Pt application of modality traction mechanical
|
$157.60 |
$157.60 |
$157.60 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$340.00 |
$340.00 |
$340.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$259.20 |
$259.20 |
$259.20 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$301.60 |
$301.60 |
$301.60 |
$254.88
|
|
Pt re-evaluation patient/family
|
$156.00 |
$156.00 |
$156.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$107.20 |
$107.20 |
$107.20 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$162.40 |
$162.40 |
$162.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$89.60 |
$89.60 |
$89.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$155.20 |
$155.20 |
$155.20 |
$87.50
|
|
Pulmonary vent imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$180.80 |
$180.80 |
$180.80 |
$344.00
|
|
Pulse ox multiple
|
$109.60 |
$109.60 |
$109.60 |
$156.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$124.80 |
$124.80 |
$124.80 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$634.40 |
$634.40 |
$634.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,051.80
|
|
Pyruvate
|
$72.00 |
$72.00 |
$72.00 |
$66.00
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,850.40 |
$1,850.40 |
$1,850.40 |
$1,291.55
|
|
Rbc count only automated
|
$12.80 |
$12.80 |
$12.80 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$528.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$526.00 |
$526.00 |
$526.00 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,815.20 |
$1,815.20 |
$1,815.20 |
$1,524.70
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$280.80 |
$280.80 |
$280.80 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$2,960.80 |
$2,960.80 |
$2,960.80 |
$1,256.00
|
|
Renal function panel
|
$36.00 |
$36.00 |
$36.00 |
$113.52
|
|
Repair lip full thkns =<one-half vert height
|
$1,976.80 |
$1,976.80 |
$1,976.80 |
$1,308.00
|
|
Repair rpr lip full thickness vermilion only
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,224.63
|
|
Replace g/c tube perc
|
$2,430.40 |
$2,430.40 |
$2,430.40 |
$1,341.50
|
|
Resuscitation cardiopulmonary
|
$845.60 |
$845.60 |
$845.60 |
$764.40
|
|
Reticulated platelet assay
|
$185.60 |
$185.60 |
$185.60 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$54.40 |
$54.40 |
$54.40 |
$36.57
|
|
Rheumatoid factor quantitative
|
$23.20 |
$23.20 |
$23.20 |
$57.00
|
|
Rho d immune globulin inj
|
$278.40 |
$278.40 |
$278.40 |
$217.71
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,389.80 |
$1,389.80 |
$1,389.80 |
$5,309.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,387.80 |
$4,387.80 |
$4,387.80 |
$8,950.11
|
|
Rubella antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$77.03
|
|
Rubeola antibody igg
|
$53.60 |
$53.60 |
$53.60 |
$80.00
|
|
Russell viper venom diluted
|
$67.20 |
$67.20 |
$67.20 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$698.40 |
$698.40 |
$698.40 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$303.20 |
$303.20 |
$303.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$555.20 |
$555.20 |
$555.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$823.20 |
$823.20 |
$823.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$671.20 |
$671.20 |
$671.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$671.20 |
$671.20 |
$671.20 |
$595.35
|
|
Screening hepatitis b non-obstetric high risk
|
$117.60 |
$117.60 |
$117.60 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$92.80 |
$92.80 |
$92.80 |
$99.66
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$45.00 |
$45.00 |
$45.00 |
$100.63
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$128.80 |
$128.80 |
$128.80 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$71.05
|
|
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
|
$470.40 |
$470.40 |
$470.40 |
$339.50
|
|
Sickling rbc
|
$80.00 |
$80.00 |
$80.00 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$335.80 |
$335.80 |
$335.80 |
$307.58
|
|
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
|
|
Skin Biopsy
|
$617.60 |
$617.60 |
$617.60 |
$360.34
|
|
Sleeve fing rolyan med
|
$316.00 |
$316.00 |
$316.00 |
$203.58
|
|
Smear fluorescent and/or acid fast stain
|
$26.40 |
$26.40 |
$26.40 |
$64.20
|
|
Smear gram stain
|
$21.60 |
$21.60 |
$21.60 |
$55.25
|