|
Prgr stim/pace a/iv drug
|
$230.55 |
$230.55 |
$230.55 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$1,012.39 |
$1,012.39 |
$1,012.39 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$481.11 |
$481.11 |
$481.11 |
$3,687.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$592.99 |
$592.99 |
$592.99 |
$670.00
|
|
Procalcitonin
|
$48.14 |
$48.14 |
$48.14 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.05 |
$11.05 |
$11.05 |
$36.72
|
|
Progesterone
|
$60.90 |
$60.90 |
$60.90 |
$115.64
|
|
Prolactin
|
$56.55 |
$56.55 |
$56.55 |
$123.50
|
|
Prolonged IV inf, req pump
|
$144.71 |
$144.71 |
$144.71 |
$557.50
|
|
Promethazine hcl injection
|
$177.39 |
$177.39 |
$177.39 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$16.26 |
$16.26 |
$16.26 |
$32.93
|
|
Prostate biopsy, any mthd
|
$170.52 |
$170.52 |
$170.52 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$67.02 |
$67.02 |
$67.02 |
$57.89
|
|
Protein c activity
|
$38.57 |
$38.57 |
$38.57 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$8.99 |
$8.99 |
$8.99 |
$84.00
|
|
Protein s total
|
$13.34 |
$13.34 |
$13.34 |
$83.52
|
|
Protein total 24 hour urine
|
$10.73 |
$10.73 |
$10.73 |
$52.50
|
|
Protein total body fluid
|
$16.53 |
$16.53 |
$16.53 |
$49.80
|
|
Protein total serum plasma whole blood
|
$10.15 |
$10.15 |
$10.15 |
$42.81
|
|
Prothrombin complex kcentra
|
$6.06 |
$6.06 |
$6.06 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$50.17 |
$50.17 |
$50.17 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$3,479.71 |
$3,479.71 |
$3,479.71 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$5,363.84 |
$5,363.84 |
$5,363.84 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,879.54 |
$4,879.54 |
$4,879.54 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$4,879.54 |
$4,879.54 |
$4,879.54 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$7,748.51 |
$7,748.51 |
$7,748.51 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$7,748.51 |
$7,748.51 |
$7,748.51 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$2,405.84 |
$2,405.84 |
$2,405.84 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$4,879.54 |
$4,879.54 |
$4,879.54 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$4,879.54 |
$4,879.54 |
$4,879.54 |
$15,349.60
|
|
PSA (Prostate) Test
|
$53.65 |
$53.65 |
$53.65 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$19.72 |
$19.72 |
$19.72 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$9.86 |
$9.86 |
$9.86 |
$81.00
|
|
Pt application of modality traction mechanical
|
$10.44 |
$10.44 |
$10.44 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$52.78 |
$52.78 |
$52.78 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$52.78 |
$52.78 |
$52.78 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$52.78 |
$52.78 |
$52.78 |
$254.88
|
|
Pt re-evaluation patient/family
|
$22.62 |
$22.62 |
$22.62 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$41.18 |
$41.18 |
$41.18 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$10.44 |
$10.44 |
$10.44 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$9.86 |
$9.86 |
$9.86 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$87.50
|
|
Pulmonary vent imaging
|
$282.46 |
$282.46 |
$282.46 |
$908.00
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$182.12 |
$182.12 |
$182.12 |
$520.80
|
|
Pyridoxine hcl 100 mg
|
$36.60 |
$36.60 |
$36.60 |
$48.70
|
|
Quant diff pulm perf and vent w/imaging
|
$510.40 |
$510.40 |
$510.40 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$510.40 |
$510.40 |
$510.40 |
$1,199.16
|
|
Quest t3 uptake
|
$19.43 |
$19.43 |
$19.43 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$894.56 |
$894.56 |
$894.56 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$2,802.91 |
$2,802.91 |
$2,802.91 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,313.04 |
$3,313.04 |
$3,313.04 |
$4,262.90
|
|
Radiation physics consult
|
$98.31 |
$98.31 |
$98.31 |
$606.50
|
|
Radiation therapy dose plan
|
$59.74 |
$59.74 |
$59.74 |
$514.05
|
|
Radiation treatment aid(s)
|
$79.17 |
$79.17 |
$79.17 |
$520.00
|
|
Radiation treatment aid(s)
|
$95.41 |
$95.41 |
$95.41 |
$644.16
|
|
Radiation treatment aid(s)
|
$166.46 |
$166.46 |
$166.46 |
$1,076.78
|
|
Radiation treatment delivery
|
$276.95 |
$276.95 |
$276.95 |
$552.40
|
|
Radiation treatment delivery
|
$822.15 |
$822.15 |
$822.15 |
$920.00
|
|
Radiotherapy dose plan imrt
|
$1,053.28 |
$1,053.28 |
$1,053.28 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$589.28 |
$589.28 |
$589.28 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$589.28 |
$589.28 |
$589.28 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$589.28 |
$589.28 |
$589.28 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$832.01 |
$832.01 |
$832.01 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$177.77 |
$177.77 |
$177.77 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$7,416.29 |
$7,416.29 |
$7,416.29 |
$13,136.04
|
|
Rapid Strep Test
|
$33.35 |
$33.35 |
$33.35 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$5,470.31 |
$5,470.31 |
$5,470.31 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$23,671.21 |
$23,671.21 |
$23,671.21 |
$41,926.70
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$262.16 |
$262.16 |
$262.16 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$203.58 |
$203.58 |
$203.58 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$205.90 |
$205.90 |
$205.90 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$197.78 |
$197.78 |
$197.78 |
$528.45
|
|
Red blood cells washed each unit
|
$238.96 |
$238.96 |
$238.96 |
$572.46
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$421.50 |
$421.50 |
$421.50 |
$364.47
|
|
Relocation skin pocket aicd
|
$916.98 |
$916.98 |
$916.98 |
$2,761.55
|
|
Relocation skin pocket pm
|
$916.98 |
$916.98 |
$916.98 |
$2,585.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$875.85 |
$875.85 |
$875.85 |
$1,524.70
|
|
Removal central venous catheter tunneled without port/pump
|
$278.69 |
$278.69 |
$278.69 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$699.48 |
$699.48 |
$699.48 |
$2,356.71
|
|
Removal cerclage without anes
|
$89.90 |
$89.90 |
$89.90 |
$361.50
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$89.03 |
$89.03 |
$89.03 |
$249.60
|
|
Removal/replacement ppm generator dual lead system
|
$2,761.67 |
$2,761.67 |
$2,761.67 |
$12,384.25
|
|
Remove renal tube w/fluoro
|
$619.73 |
$619.73 |
$619.73 |
$1,141.31
|
|
Remove ureter stent percut
|
$1,858.03 |
$1,858.03 |
$1,858.03 |
$3,612.60
|
|
Renal function panel
|
$20.30 |
$20.30 |
$20.30 |
$113.52
|
|
Repair prosthesis per 15 min
|
$14.50 |
$14.50 |
$14.50 |
$16.50
|
|
Replace duod/jej tube perc
|
$407.74 |
$407.74 |
$407.74 |
$1,354.54
|
|
Replace g/c tube perc
|
$407.74 |
$407.74 |
$407.74 |
$1,341.50
|
|
Replace picvad cath
|
$856.66 |
$856.66 |
$856.66 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,150.43 |
$1,150.43 |
$1,150.43 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$697.45 |
$697.45 |
$697.45 |
$3,724.63
|
|
Reptilase test
|
$30.74 |
$30.74 |
$30.74 |
$72.00
|
|
Respirator motion mgmt simul
|
$162.40 |
$162.40 |
$162.40 |
$1,197.50
|
|
Resp virus 6-11 targets
|
$69.60 |
$69.60 |
$69.60 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$174.29 |
$174.29 |
$174.29 |
$764.40
|
|
Reticulocyte automated
|
$11.60 |
$11.60 |
$11.60 |
$52.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$14,570.80 |
$14,570.80 |
$14,570.80 |
$23,780.31
|
|
Revasc evasc fpvt angio cplx 1st
|
$2,405.84 |
$2,405.84 |
$2,405.84 |
$10,094.56
|