|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$8,907.28 |
$8,907.28 |
$8,907.28 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$7,655.00 |
$7,655.00 |
$7,655.00 |
$896.02
|
|
Postop dress & 1 cast chg bk
|
$5,614.00 |
$5,614.00 |
$5,614.00 |
$2,711.11
|
|
Potassium 24 hour urine
|
$349.39 |
$349.39 |
$349.39 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$515.56 |
$515.56 |
$515.56 |
$46.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$19.00 |
$19.00 |
$19.00 |
$6.16
|
|
Pq biliary strict dil s&i
|
$1,639.72 |
$1,639.72 |
$1,639.72 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$813.45 |
$813.45 |
$813.45 |
$720.00
|
|
Pq thr inj ext pse
|
$2,323.80 |
$2,323.80 |
$2,323.80 |
$843.97
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$30,738.71 |
$30,738.71 |
$30,738.71 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$842.72 |
$842.72 |
$842.72 |
$267.69
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$90.40 |
$90.40 |
$90.40 |
$48.43
|
|
Prcrd drg 6+yr without anomly
|
$3,272.65 |
$3,272.65 |
$3,272.65 |
$2,308.80
|
|
Prealbumin
|
$460.18 |
$460.18 |
$460.18 |
$93.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,145.47 |
$3,145.47 |
$3,145.47 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$3,189.18 |
$3,189.18 |
$3,189.18 |
$537.00
|
|
Pressure velocity wire add ves
|
$5,129.82 |
$5,129.82 |
$5,129.82 |
$1,579.40
|
|
Pretreat rbc absorption reference
|
$889.10 |
$889.10 |
$889.10 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$499.94 |
$499.94 |
$499.94 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$2,219.91 |
$2,219.91 |
$2,219.91 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$505.62 |
$505.62 |
$505.62 |
$164.99
|
|
Prgrmg eval implantable dfb
|
$197.58 |
$197.58 |
$197.58 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$197.58 |
$197.58 |
$197.58 |
$181.47
|
|
Prgrmg eval implantable dfb
|
$197.58 |
$197.58 |
$197.58 |
$201.50
|
|
Prgr stim/pace a/iv drug
|
$8,171.01 |
$8,171.01 |
$8,171.01 |
$4,709.90
|
|
Prim art mech thrmbc non-intracranial
|
$20,046.86 |
$20,046.86 |
$20,046.86 |
$9,470.97
|
|
Procalcitonin
|
$806.73 |
$806.73 |
$806.73 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$271.61 |
$271.61 |
$271.61 |
$36.33
|
|
Progesterone
|
$1,549.54 |
$1,549.54 |
$1,549.54 |
$113.24
|
|
Prolactin
|
$2,181.57 |
$2,181.57 |
$2,181.57 |
$123.50
|
|
Promethazine hcl injection
|
$152.33 |
$152.33 |
$152.33 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$418.58 |
$418.58 |
$418.58 |
$30.26
|
|
Pros sheath/sock w gel cushn
|
$772.00 |
$772.00 |
$772.00 |
$84.00
|
|
Prostate biopsy, any mthd
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$462.66
|
|
Protein c activity
|
$1,363.48 |
$1,363.48 |
$1,363.48 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$823.76 |
$823.76 |
$823.76 |
$84.00
|
|
Protein s total
|
$1,950.06 |
$1,950.06 |
$1,950.06 |
$77.60
|
|
Protein total 24 hour urine
|
$782.58 |
$782.58 |
$782.58 |
$52.47
|
|
Protein total serum plasma whole blood
|
$515.56 |
$515.56 |
$515.56 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$40.30
|
|
Prq card revasc mi 1 vsl
|
$36,641.11 |
$36,641.11 |
$36,641.11 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$87,685.20 |
$87,685.20 |
$87,685.20 |
$18,150.00
|
|
Prq trlml c athrc st angiop1
|
$37,275.27 |
$37,275.27 |
$37,275.27 |
$15,443.47
|
|
Prq trluml c athrc 1 art&/br
|
$63,736.48 |
$63,736.48 |
$63,736.48 |
$13,410.10
|
|
PSA (Prostate) Test
|
$1,296.72 |
$1,296.72 |
$1,296.72 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$257.29 |
$257.29 |
$257.29 |
$47.45
|
|
Psychotherapy group therapy
|
$575.33 |
$575.33 |
$575.33 |
$213.27
|
|
Psychotherapy patient individual therapy 45 minutes
|
$725.41 |
$725.41 |
$725.41 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$607.75 |
$607.75 |
$607.75 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$798.06 |
$798.06 |
$798.06 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$798.06 |
$798.06 |
$798.06 |
$239.50
|
|
Psycl/nrpsyc tech 1st
|
$321.62 |
$321.62 |
$321.62 |
$330.00
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$399.04 |
$399.04 |
$399.04 |
$224.75
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$399.04 |
$399.04 |
$399.04 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$321.62 |
$321.62 |
$321.62 |
$124.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$437.73 |
$437.73 |
$437.73 |
$102.00
|
|
Pt application of modality traction mechanical
|
$640.52 |
$640.52 |
$640.52 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$1,336.98 |
$1,336.98 |
$1,336.98 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$419.56 |
$419.56 |
$419.56 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$794.35 |
$794.35 |
$794.35 |
$249.26
|
|
Pt re-evaluation patient/family
|
$412.57 |
$412.57 |
$412.57 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$453.12 |
$453.12 |
$453.12 |
$115.35
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$313.28 |
$313.28 |
$313.28 |
$87.10
|
|
Pulse ox continuous overnight monitoring
|
$1,741.46 |
$1,741.46 |
$1,741.46 |
$344.00
|
|
Pulse ox multiple
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$162.00
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,727.84 |
$1,727.84 |
$1,727.84 |
$496.00
|
|
Pyridoxine hcl 100 mg
|
$107.04 |
$107.04 |
$107.04 |
$48.70
|
|
Pyruvate
|
$1,549.54 |
$1,549.54 |
$1,549.54 |
$66.00
|
|
Quant diff pulm perf w/imaging
|
$713.98 |
$713.98 |
$713.98 |
$1,199.16
|
|
Quest t3 uptake
|
$423.24 |
$423.24 |
$423.24 |
$55.00
|
|
Rabies ig ht&sol human im/sc
|
$4,068.49 |
$4,068.49 |
$4,068.49 |
$2,997.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,884.79 |
$5,884.79 |
$5,884.79 |
$3,770.01
|
|
Rabies vaccine id
|
$3,805.63 |
$3,805.63 |
$3,805.63 |
$340.80
|
|
Radiation physics consult
|
$621.69 |
$621.69 |
$621.69 |
$602.12
|
|
Radiation therapy dose plan
|
$471.23 |
$471.23 |
$471.23 |
$514.05
|
|
Radiation treatment aid(s)
|
$424.57 |
$424.57 |
$424.57 |
$526.80
|
|
Radiation treatment aid(s)
|
$655.52 |
$655.52 |
$655.52 |
$644.36
|
|
Radiation treatment aid(s)
|
$1,038.10 |
$1,038.10 |
$1,038.10 |
$1,075.03
|
|
Radiation treatment delivery
|
$785.55 |
$785.55 |
$785.55 |
$911.04
|
|
Radiology port images(s)
|
$122.47 |
$122.47 |
$122.47 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$2,245.32 |
$2,245.32 |
$2,245.32 |
$5,718.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$12,315.42 |
$12,315.42 |
$12,315.42 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$6,896.44 |
$6,896.44 |
$6,896.44 |
$2,658.60
|
|
Radphm lcl tomogr sgl area sgl day
|
$5,747.03 |
$5,747.03 |
$5,747.03 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$691.44 |
$691.44 |
$691.44 |
$1,102.80
|
|
Range of motion measurements
|
$93.70 |
$93.70 |
$93.70 |
$56.55
|
|
Rapid Strep Test
|
$646.23 |
$646.23 |
$646.23 |
$74.25
|
|
Rbc count only automated
|
$328.08 |
$328.08 |
$328.08 |
$20.00
|
|
Rbc mechanical fragility
|
$680.32 |
$680.32 |
$680.32 |
$21.60
|
|
Rbc osmotic fragility
|
$3,313.54 |
$3,313.54 |
$3,313.54 |
$75.04
|
|
Red blood cells leukocytes reduced each unit
|
$2,172.01 |
$2,172.01 |
$2,172.01 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,681.34 |
$2,681.34 |
$2,681.34 |
$523.83
|
|
Refill maint impl spine pump
|
$271.26 |
$271.26 |
$271.26 |
$366.60
|
|
Relocation skin pocket aicd
|
$8,874.36 |
$8,874.36 |
$8,874.36 |
$2,770.51
|
|
Relocation skin pocket pm
|
$6,561.34 |
$6,561.34 |
$6,561.34 |
$2,581.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,468.02 |
$3,468.02 |
$3,468.02 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$8,813.11 |
$8,813.11 |
$8,813.11 |
$5,509.05
|
|
Removal biliary drg cath
|
$8,436.85 |
$8,436.85 |
$8,436.85 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$6,777.19 |
$6,777.19 |
$6,777.19 |
$1,545.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,894.40 |
$4,894.40 |
$4,894.40 |
$2,422.70
|
