|
Physical Therapy Evaluation (high complexity)
|
$342.40 |
$342.40 |
$342.40 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$259.20 |
$259.20 |
$259.20 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$296.80 |
$296.80 |
$296.80 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$182.40 |
$182.40 |
$182.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$93.81 |
$93.81 |
$93.81 |
$90.25
|
|
Pinworm exam
|
$80.80 |
$80.80 |
$80.80 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$63.89 |
$63.89 |
$63.89 |
$81.36
|
|
Platelet automated
|
$83.20 |
$83.20 |
$83.20 |
$46.00
|
|
Platelet pheresis each unit
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$1,012.80
|
|
Platelets each unit
|
$313.60 |
$313.60 |
$313.60 |
$169.29
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$332.00 |
$332.00 |
$332.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,220.00 |
$4,220.00 |
$4,220.00 |
$3,790.61
|
|
Potassium 24 hour urine
|
$75.20 |
$75.20 |
$75.20 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$140.76 |
$140.76 |
$140.76 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$84.80 |
$84.80 |
$84.80 |
$47.85
|
|
Pr application of long arm splint
|
$268.80 |
$268.80 |
$268.80 |
$332.75
|
|
Pr application splint static short arm
|
$355.20 |
$355.20 |
$355.20 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$504.00 |
$504.00 |
$504.00 |
$458.25
|
|
Prealbumin
|
$122.40 |
$122.40 |
$122.40 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.87 |
$3.87 |
$3.87 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$920.80 |
$920.80 |
$920.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$731.20 |
$731.20 |
$731.20 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$576.80 |
$576.80 |
$576.80 |
$459.00
|
|
Pretreat rbc absorption reference
|
$255.20 |
$255.20 |
$255.20 |
$150.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$418.40 |
$418.40 |
$418.40 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$271.20 |
$271.20 |
$271.20 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$272.00 |
$272.00 |
$272.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$880.00 |
$880.00 |
$880.00 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$236.00 |
$236.00 |
$236.00 |
$253.55
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$61.99 |
$61.99 |
$61.99 |
$674.78
|
|
Procalcitonin
|
$217.60 |
$217.60 |
$217.60 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$68.99 |
$68.99 |
$68.99 |
$38.48
|
|
Progesterone
|
$144.00 |
$144.00 |
$144.00 |
$116.00
|
|
Prolactin
|
$238.40 |
$238.40 |
$238.40 |
$123.50
|
|
Promethazine hcl injection
|
$61.24 |
$61.24 |
$61.24 |
$12.37
|
|
Propofol infusion 10 mg/ml
|
$64.32 |
$64.32 |
$64.32 |
$73.36
|
|
Protamine 10 mg/ml intravenous solution
|
$60.99 |
$60.99 |
$60.99 |
$56.70
|
|
Protein c activity
|
$267.20 |
$267.20 |
$267.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$90.40 |
$90.40 |
$90.40 |
$84.00
|
|
Protein s total
|
$337.60 |
$337.60 |
$337.60 |
$85.10
|
|
Protein total 24 hour urine
|
$95.20 |
$95.20 |
$95.20 |
$52.50
|
|
Protein total body fluid
|
$98.40 |
$98.40 |
$98.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$70.40 |
$70.40 |
$70.40 |
$43.00
|
|
Prothrombin complex kcentra
|
$1,572.80 |
$1,572.80 |
$1,572.80 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$34.40 |
$34.40 |
$34.40 |
$42.00
|
|
Pr removal drug delivery implant
|
$714.40 |
$714.40 |
$714.40 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$292.80 |
$292.80 |
$292.80 |
$252.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$692.80 |
$692.80 |
$692.80 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$488.00 |
$488.00 |
$488.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$501.60 |
$501.60 |
$501.60 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$444.80 |
$444.80 |
$444.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$487.20 |
$487.20 |
$487.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,761.00
|
|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$44.00 |
$44.00 |
$44.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$148.80 |
$148.80 |
$148.80 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$144.00 |
$144.00 |
$144.00 |
$287.95
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$122.40 |
$122.40 |
$122.40 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$97.60 |
$97.60 |
$97.60 |
$81.48
|
|
Pt application of modality traction mechanical
|
$104.80 |
$104.80 |
$104.80 |
$91.80
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$98.40 |
$98.40 |
$98.40 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$116.80 |
$116.80 |
$116.80 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$420.00 |
$420.00 |
$420.00 |
$347.11
|
|
Pulse ox multiple
|
$171.20 |
$171.20 |
$171.20 |
$157.30
|
|
Pulse ox single
|
$88.00 |
$88.00 |
$88.00 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$163.20 |
$163.20 |
$163.20 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$492.80 |
$492.80 |
$492.80 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$940.80 |
$940.80 |
$940.80 |
$1,060.47
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,688.15 |
$3,688.15 |
$3,688.15 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$4.12 |
$4.12 |
$4.12 |
$6.48
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$2,242.80
|
|
Rapid Strep Test
|
$84.00 |
$84.00 |
$84.00 |
$76.00
|
|
Rbc count only automated
|
$59.20 |
$59.20 |
$59.20 |
$20.40
|
|
Rbc irradiated each unit
|
$569.60 |
$569.60 |
$569.60 |
$550.40
|
|
Red blood cells each unit
|
$478.40 |
$478.40 |
$478.40 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$152.00 |
$152.00 |
$152.00 |
$444.60
|
|
Refill/maint pump/resvr syst
|
$551.20 |
$551.20 |
$551.20 |
$402.48
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$357.91 |
$357.91 |
$357.91 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$880.00 |
$880.00 |
$880.00 |
$1,555.39
|
|
Removal implant superficial separate procedure
|
$3,283.20 |
$3,283.20 |
$3,283.20 |
$3,065.04
|
|
Removal w/reinsrt nonbiogrdble
|
$538.40 |
$538.40 |
$538.40 |
$530.40
|
|
Renal function panel
|
$261.60 |
$261.60 |
$261.60 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$950.40 |
$950.40 |
$950.40 |
$1,055.69
|
|
Repair finger/hand tendon
|
$5,637.60 |
$5,637.60 |
$5,637.60 |
$4,350.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,244.09
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$617.60 |
$617.60 |
$617.60 |
$478.00
|
|
#resp virpnl dfa-adenovirus
|
$48.00 |
$48.00 |
$48.00 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$62.40 |
$62.40 |
$62.40 |
$35.20
|
|
Reticulocyte automated
|
$55.20 |
$55.20 |
$55.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$113.60 |
$113.60 |
$113.60 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$11.50 |
$11.50 |
$11.50 |
$15.56
|
|
Rheumatoid factor qualitative
|
$66.40 |
$66.40 |
$66.40 |
$57.20
|
|
Rheumatoid factor quantitative
|
$88.00 |
$88.00 |
$88.00 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$184.00 |
$184.00 |
$184.00 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$294.40 |
$294.40 |
$294.40 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$592.00 |
$592.00 |
$592.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$697.60 |
$697.60 |
$697.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$634.40 |
$634.40 |
$634.40 |
$397.60
|
