|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$98.24 |
$98.24 |
$98.24 |
$351.60
|
|
Prealbumin
|
$40.64 |
$40.64 |
$40.64 |
$93.36
|
|
Pr ecg 12 lead report only
|
$5.62 |
$5.62 |
$5.62 |
$20.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.50 |
$0.50 |
$0.50 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.19 |
$1.19 |
$1.19 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$211.84 |
$211.84 |
$211.84 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$211.84 |
$211.84 |
$211.84 |
$539.37
|
|
Prep skin to 100cm2 other
|
$293.76 |
$293.76 |
$293.76 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$878.08 |
$878.08 |
$878.08 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$75.20 |
$75.20 |
$75.20 |
$238.33
|
|
Pressure velocity wire add ves
|
$497.28 |
$497.28 |
$497.28 |
$1,579.40
|
|
Pretreat rbc absorption reference
|
$60.80 |
$60.80 |
$60.80 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$64.00 |
$64.00 |
$64.00 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$60.80 |
$60.80 |
$60.80 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$48.00 |
$48.00 |
$48.00 |
$167.05
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$255.68 |
$255.68 |
$255.68 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$1,117.12 |
$1,117.12 |
$1,117.12 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$530.88 |
$530.88 |
$530.88 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$279.36 |
$279.36 |
$279.36 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$242.88 |
$242.88 |
$242.88 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$292.80 |
$292.80 |
$292.80 |
$586.80
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$654.34 |
$654.34 |
$654.34 |
$670.00
|
|
Procalcitonin
|
$53.12 |
$53.12 |
$53.12 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.20 |
$12.20 |
$12.20 |
$36.72
|
|
Progesterone
|
$67.20 |
$67.20 |
$67.20 |
$115.64
|
|
Prolactin
|
$62.40 |
$62.40 |
$62.40 |
$123.50
|
|
Prolonged IV inf, req pump
|
$159.68 |
$159.68 |
$159.68 |
$557.50
|
|
Promethazine hcl injection
|
$195.74 |
$195.74 |
$195.74 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$17.94 |
$17.94 |
$17.94 |
$32.93
|
|
Prostate biopsy, any mthd
|
$188.16 |
$188.16 |
$188.16 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$73.96 |
$73.96 |
$73.96 |
$57.89
|
|
Protein c activity
|
$29.76 |
$29.76 |
$29.76 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$9.92 |
$9.92 |
$9.92 |
$84.00
|
|
Protein s total
|
$14.72 |
$14.72 |
$14.72 |
$83.52
|
|
Protein total 24 hour urine
|
$11.84 |
$11.84 |
$11.84 |
$52.50
|
|
Protein total body fluid
|
$11.84 |
$11.84 |
$11.84 |
$49.80
|
|
Protein total serum plasma whole blood
|
$11.20 |
$11.20 |
$11.20 |
$42.81
|
|
Prothrombin complex kcentra
|
$6.69 |
$6.69 |
$6.69 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$55.36 |
$55.36 |
$55.36 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$3,839.68 |
$3,839.68 |
$3,839.68 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$5,918.72 |
$5,918.72 |
$5,918.72 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,384.32 |
$5,384.32 |
$5,384.32 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$5,384.32 |
$5,384.32 |
$5,384.32 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$8,550.08 |
$8,550.08 |
$8,550.08 |
$22,098.20
|
|
Prq trluml c angiop 1art&/br
|
$2,654.72 |
$2,654.72 |
$2,654.72 |
$9,131.70
|
|
Prq trluml revsc ch occ ant
|
$5,384.32 |
$5,384.32 |
$5,384.32 |
$15,349.60
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$98.24 |
$98.24 |
$98.24 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$98.24 |
$98.24 |
$98.24 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,190.08 |
$1,190.08 |
$1,190.08 |
$3,087.15
|
|
PSA (Prostate) Test
|
$59.20 |
$59.20 |
$59.20 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$21.76 |
$21.76 |
$21.76 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$10.88 |
$10.88 |
$10.88 |
$81.00
|
|
Pt application of modality traction mechanical
|
$11.52 |
$11.52 |
$11.52 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$58.24 |
$58.24 |
$58.24 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$58.24 |
$58.24 |
$58.24 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$58.24 |
$58.24 |
$58.24 |
$254.88
|
|
Pt re-evaluation patient/family
|
$24.96 |
$24.96 |
$24.96 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$45.44 |
$45.44 |
$45.44 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$11.52 |
$11.52 |
$11.52 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$10.88 |
$10.88 |
$10.88 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$87.50
|
|
Pulmonary vent imaging
|
$311.68 |
$311.68 |
$311.68 |
$908.00
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$200.96 |
$200.96 |
$200.96 |
$520.80
|
|
Pyridoxine hcl 100 mg
|
$40.39 |
$40.39 |
$40.39 |
$48.70
|
|
Quant diff pulm perf and vent w/imaging
|
$563.20 |
$563.20 |
$563.20 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$563.20 |
$563.20 |
$563.20 |
$1,199.16
|
|
Quest t3 uptake
|
$18.56 |
$18.56 |
$18.56 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$987.10 |
$987.10 |
$987.10 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$3,092.86 |
$3,092.86 |
$3,092.86 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,655.77 |
$3,655.77 |
$3,655.77 |
$4,262.90
|
|
Radiation handling
|
$72.64 |
$72.64 |
$72.64 |
$324.80
|
|
Radiation physics consult
|
$108.48 |
$108.48 |
$108.48 |
$606.50
|
|
Radiation therapy dose plan
|
$65.92 |
$65.92 |
$65.92 |
$514.05
|
|
Radiation treatment aid(s)
|
$87.36 |
$87.36 |
$87.36 |
$520.00
|
|
Radiation treatment aid(s)
|
$105.28 |
$105.28 |
$105.28 |
$644.16
|
|
Radiation treatment aid(s)
|
$183.68 |
$183.68 |
$183.68 |
$1,076.78
|
|
Radiation treatment delivery
|
$305.60 |
$305.60 |
$305.60 |
$552.40
|
|
Radiation treatment delivery
|
$907.20 |
$907.20 |
$907.20 |
$920.00
|
|
Radiotherapy dose plan imrt
|
$1,162.24 |
$1,162.24 |
$1,162.24 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$650.24 |
$650.24 |
$650.24 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$650.24 |
$650.24 |
$650.24 |
$2,728.42
|
|
Radphm lcl tumor plr sgl day
|
$196.16 |
$196.16 |
$196.16 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$8,183.49 |
$8,183.49 |
$8,183.49 |
$13,136.04
|
|
Rapid Strep Test
|
$36.80 |
$36.80 |
$36.80 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$6,036.20 |
$6,036.20 |
$6,036.20 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$26,119.96 |
$26,119.96 |
$26,119.96 |
$41,926.70
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$289.28 |
$289.28 |
$289.28 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$224.64 |
$224.64 |
$224.64 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$227.20 |
$227.20 |
$227.20 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$218.24 |
$218.24 |
$218.24 |
$528.45
|
|
Red blood cells washed each unit
|
$263.68 |
$263.68 |
$263.68 |
$572.46
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$465.10 |
$465.10 |
$465.10 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$966.45 |
$966.45 |
$966.45 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$979.20 |
$979.20 |
$979.20 |
$5,509.05
|
|
Removal biliary drg cath
|
$449.92 |
$449.92 |
$449.92 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$307.52 |
$307.52 |
$307.52 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$771.84 |
$771.84 |
$771.84 |
$2,356.71
|
|
Removal cerclage without anes
|
$99.20 |
$99.20 |
$99.20 |
$361.50
|
