|
Pregnancy Ultrasound (complete, after first trimester)
|
$288.19 |
$288.19 |
$288.19 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$288.19 |
$288.19 |
$288.19 |
$539.37
|
|
Prep skin to 100cm2 other
|
$1,173.46 |
$1,173.46 |
$1,173.46 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$586.96 |
$586.96 |
$586.96 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$306.82 |
$306.82 |
$306.82 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$44.39 |
$44.39 |
$44.39 |
$238.33
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$124.20 |
$124.20 |
$124.20 |
$297.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$281.98 |
$281.98 |
$281.98 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$289.80 |
$289.80 |
$289.80 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$280.83 |
$280.83 |
$280.83 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$118.45 |
$118.45 |
$118.45 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$175.49 |
$175.49 |
$175.49 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$232.53 |
$232.53 |
$232.53 |
$256.27
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$909.61 |
$909.61 |
$909.61 |
$670.00
|
|
Procalcitonin
|
$117.99 |
$117.99 |
$117.99 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$143.66 |
$143.66 |
$143.66 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.33 |
$1.33 |
$1.33 |
$1.50
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,757.66 |
$1,757.66 |
$1,757.66 |
$3,245.23
|
|
Progesterone
|
$74.06 |
$74.06 |
$74.06 |
$115.64
|
|
Prolactin
|
$85.56 |
$85.56 |
$85.56 |
$123.50
|
|
Promethazine 25 mg tablet
|
$0.91 |
$0.91 |
$0.91 |
$4.06
|
|
Promethazine hcl injection
|
$17.59 |
$17.59 |
$17.59 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$46.58 |
$46.58 |
$46.58 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$10.69 |
$10.69 |
$10.69 |
$32.93
|
|
Prostate biopsy, any mthd
|
$194.58 |
$194.58 |
$194.58 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$52.22 |
$52.22 |
$52.22 |
$57.89
|
|
Protein c activity
|
$219.88 |
$219.88 |
$219.88 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$36.11 |
$36.11 |
$36.11 |
$84.00
|
|
Protein total 24 hour urine
|
$31.05 |
$31.05 |
$31.05 |
$52.50
|
|
Protein total body fluid
|
$29.90 |
$29.90 |
$29.90 |
$49.80
|
|
Protein total serum plasma whole blood
|
$35.19 |
$35.19 |
$35.19 |
$42.81
|
|
Prq card revasc mi 1 vsl
|
$14,750.13 |
$14,750.13 |
$14,750.13 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$13,398.65 |
$13,398.65 |
$13,398.65 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$6,939.10 |
$6,939.10 |
$6,939.10 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$14,740.47 |
$14,740.47 |
$14,740.47 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$5,504.13 |
$5,504.13 |
$5,504.13 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,801.83 |
$7,801.83 |
$7,801.83 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$12,442.54 |
$12,442.54 |
$12,442.54 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$96.83 |
$96.83 |
$96.83 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$44.39 |
$44.39 |
$44.39 |
$251.43
|
|
Pr removal intrauterine device
|
$76.13 |
$76.13 |
$76.13 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$123.51 |
$123.51 |
$123.51 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$55.20 |
$55.20 |
$55.20 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$55.20 |
$55.20 |
$55.20 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$55.20 |
$55.20 |
$55.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$58.65 |
$58.65 |
$58.65 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$287.96 |
$287.96 |
$287.96 |
$1,720.93
|
|
PSA (Prostate) Test
|
$73.83 |
$73.83 |
$73.83 |
$107.50
|
|
Psychotherapy group therapy
|
$33.35 |
$33.35 |
$33.35 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$75.67 |
$75.67 |
$75.67 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$90.62 |
$90.62 |
$90.62 |
$247.59
|
|
Psytx pt w/e&m 16-37 min
|
$24.38 |
$24.38 |
$24.38 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$54.74 |
$54.74 |
$54.74 |
$161.86
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$46.00 |
$46.00 |
$46.00 |
$87.45
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$47.61 |
$47.61 |
$47.61 |
$81.00
|
|
Pt application of modality traction mechanical
|
$54.28 |
$54.28 |
$54.28 |
$91.00
|
|
Pten gene dup/delet variant
|
$232.76 |
$232.76 |
$232.76 |
$330.00
|
|
Pten gene full sequence
|
$465.75 |
$465.75 |
$465.75 |
$826.00
|
|
Pten gene known fam variant
|
$36.34 |
$36.34 |
$36.34 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$205.85 |
$205.85 |
$205.85 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$207.23 |
$207.23 |
$207.23 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$205.85 |
$205.85 |
$205.85 |
$254.88
|
|
Pt re-evaluation patient/family
|
$103.96 |
$103.96 |
$103.96 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$53.82 |
$53.82 |
$53.82 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$46.23 |
$46.23 |
$46.23 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$51.75 |
$51.75 |
$51.75 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$47.61 |
$47.61 |
$47.61 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$47.61 |
$47.61 |
$47.61 |
$87.50
|
|
Pulmonary vent imaging
|
$255.07 |
$255.07 |
$255.07 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$90.62 |
$90.62 |
$90.62 |
$344.00
|
|
Pulse ox multiple
|
$99.13 |
$99.13 |
$99.13 |
$156.40
|
|
Pulse ox single
|
$47.84 |
$47.84 |
$47.84 |
$81.70
|
|
Punc of shunt for asp or inj
|
$188.14 |
$188.14 |
$188.14 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$34.96 |
$34.96 |
$34.96 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$88.09 |
$88.09 |
$88.09 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$308.66 |
$308.66 |
$308.66 |
$1,051.80
|
|
Pvb thoracic single inj site
|
$293.48 |
$293.48 |
$293.48 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$19.34 |
$19.34 |
$19.34 |
$48.70
|
|
Quant diff pulm perf and vent w/imaging
|
$735.77 |
$735.77 |
$735.77 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$481.16 |
$481.16 |
$481.16 |
$1,199.16
|
|
Quest t3 uptake
|
$7.82 |
$7.82 |
$7.82 |
$52.25
|
|
Rapid Strep Test
|
$35.19 |
$35.19 |
$35.19 |
$75.24
|
|
Rbc irradiated each unit
|
$859.28 |
$859.28 |
$859.28 |
$560.00
|
|
Red blood cells leukocytes reduced each unit
|
$244.95 |
$244.95 |
$244.95 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$364.55 |
$364.55 |
$364.55 |
$528.45
|
|
Redo endovas vena cava filtr
|
$1,554.57 |
$1,554.57 |
$1,554.57 |
$4,435.43
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$279.54 |
$279.54 |
$279.54 |
$364.47
|
|
Relocation skin pocket aicd
|
$1,274.43 |
$1,274.43 |
$1,274.43 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,225.44 |
$1,225.44 |
$1,225.44 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$75.44 |
$75.44 |
$75.44 |
$320.79
|
|
Rem endovas vena cava filter
|
$1,554.57 |
$1,554.57 |
$1,554.57 |
$5,509.05
|
|
Removal central venous catheter tunneled without port/pump
|
$255.07 |
$255.07 |
$255.07 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$209.76 |
$209.76 |
$209.76 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$19.32 |
$19.32 |
$19.32 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$83.26 |
$83.26 |
$83.26 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$262.89 |
$262.89 |
$262.89 |
$783.75
|
|
Removal foreign body foot cmplx
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$278.53 |
$278.53 |
$278.53 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$972.67 |
$972.67 |
$972.67 |
$2,301.60
|
|
Removal of foreign body
|
$1,640.13 |
$1,640.13 |
$1,640.13 |
$3,994.09
|