|
Protein electrophoretic fractionation & quantitation serum
|
$129.22 |
$129.22 |
$262.80 |
$84.00
|
|
Protein s total
|
$35.70 |
$35.70 |
$164.26 |
$85.10
|
|
Protein total 24 hour urine
|
$77.09 |
$77.09 |
$94.50 |
$52.50
|
|
Protein total body fluid
|
$77.77 |
$77.77 |
$147.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$121.50 |
$121.50 |
$225.00 |
$42.90
|
|
Prothrombin complex kcentra
|
$27.53 |
$27.53 |
$27.53 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$84.79 |
$84.79 |
$135.60 |
$41.50
|
|
Provide inr test mater/equip
|
$151.14 |
$151.14 |
$151.14 |
$250.08
|
|
Prq av fstl crtj uxtr 1 acs
|
$17,010.00 |
$17,010.00 |
$17,010.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$16,135.50 |
$16,135.50 |
$16,135.50 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$11,261.55 |
$11,261.55 |
$11,537.46 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,963.10 |
$5,963.10 |
$12,185.48 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$11,695.05 |
$11,695.05 |
$20,797.93 |
$10,706.53
|
|
Prq card revasc mi 1 vsl
|
$11,695.05 |
$11,695.05 |
$18,392.20 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$18,808.65 |
$18,808.65 |
$25,591.93 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$10,817.96 |
$10,817.96 |
$10,817.96 |
$9,853.00
|
|
Prq card stent w/angio addl
|
$11,695.05 |
$11,695.05 |
$16,507.97 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$11,695.05 |
$11,695.05 |
$12,920.31 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$15,079.29 |
$15,079.29 |
$15,079.29 |
$9,180.60
|
|
Prq skel fix sprcndlr hum fx
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$6,990.61
|
|
Prq skel fix talus fx w/mnpj
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$7,907.11
|
|
Prq tcat plmt ntrac st 1 les
|
$11,695.05 |
$11,695.05 |
$16,220.54 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$22,098.20 |
$22,098.20 |
$22,098.20 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$11,695.05 |
$11,695.05 |
$14,295.96 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$23,158.66 |
$23,158.66 |
$23,158.66 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$8,539.65 |
$8,539.65 |
$12,569.50 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$11,261.55 |
$11,261.55 |
$14,770.25 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$11,695.05 |
$11,695.05 |
$17,474.24 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$271.48 |
$271.48 |
$271.48 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$197.25 |
$197.25 |
$280.79 |
$252.00
|
|
Pr removal intrauterine device
|
$219.60 |
$219.60 |
$483.35 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$449.25 |
$449.25 |
$814.87 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$312.90 |
$312.90 |
$452.17 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$312.90 |
$312.90 |
$517.20 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$312.90 |
$312.90 |
$483.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$312.90 |
$312.90 |
$480.84 |
$397.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,448.70 |
$1,448.70 |
$1,835.30 |
$1,761.00
|
|
PSA (Prostate) Test
|
$150.44 |
$150.44 |
$150.45 |
$108.11
|
|
Psychoeducation 45 min +
|
$168.81 |
$168.81 |
$168.81 |
$201.45
|
|
Psychotherapy group therapy
|
$643.20 |
$643.20 |
$643.20 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$200.43 |
$200.43 |
$200.43 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$274.50 |
$274.50 |
$274.50 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$287.47 |
$287.47 |
$287.47 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$339.40 |
$339.40 |
$339.40 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$281.16 |
$281.16 |
$281.16 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$95.80 |
$95.80 |
$95.80 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$277.03 |
$277.03 |
$277.03 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$224.75 |
$224.75 |
$224.75 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$181.03 |
$181.03 |
$181.03 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$173.06 |
$173.06 |
$173.06 |
$123.63
|
|
Pt application of modality >=1 area hot/cold packs
|
$43.19 |
$43.19 |
$93.90 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$103.50 |
$103.50 |
$154.64 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$85.93 |
$85.93 |
$96.30 |
$81.48
|
|
Pt application of modality traction mechanical
|
$86.94 |
$86.94 |
$106.80 |
$91.80
|
|
Pten gene dup/delet variant
|
$825.86 |
$825.86 |
$825.86 |
$330.00
|
|
Pten gene full sequence
|
$926.64 |
$926.64 |
$926.64 |
$826.00
|
|
Pt-focused hlth risk assmt
|
$64.40 |
$64.40 |
$64.40 |
$57.85
|
|
Pt prgrm for implt neurostim
|
$2,922.62 |
$2,922.62 |
$2,922.62 |
$2,922.62
|
|
Pt repositioning canalith procedure(s) per day
|
$115.35 |
$115.35 |
$148.17 |
$119.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$87.34 |
$87.34 |
$93.90 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$89.14 |
$89.14 |
$113.70 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$95.03 |
$95.03 |
$111.60 |
$88.20
|
|
Pul art balloon repr percut
|
$9,721.21 |
$9,721.21 |
$9,721.21 |
$9,760.40
|
|
Pul art balloon repr percut
|
$3,712.69 |
$3,712.69 |
$3,712.69 |
$3,766.10
|
|
Pulmonary vent imaging
|
$828.73 |
$828.73 |
$1,203.45 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$394.75 |
$394.75 |
$437.55 |
$349.86
|
|
Pulse ox multiple
|
$121.35 |
$121.35 |
$194.33 |
$159.16
|
|
Pulse ox single
|
$112.05 |
$112.05 |
$121.35 |
$84.80
|
|
Punc of shunt for asp or inj
|
$774.15 |
$774.15 |
$1,041.57 |
$974.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$77.40 |
$77.40 |
$127.50 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$484.50 |
$484.50 |
$645.13 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,045.65 |
$1,045.65 |
$1,173.65 |
$1,082.90
|
|
Puraply 1 sq cm
|
$553.50 |
$553.50 |
$1,431.49 |
$301.80
|
|
Pvb thoracic 2nd+ inj site
|
$1,013.20 |
$1,013.20 |
$1,013.20 |
$859.30
|
|
Pvb thoracic single inj site
|
$1,021.03 |
$1,021.03 |
$1,045.65 |
$1,320.80
|
|
Pwr pck base combo vad, rep
|
$16,315.20 |
$16,315.20 |
$16,315.20 |
$19,344.64
|
|
Pyridoxine hcl 100 mg
|
$52.15 |
$52.15 |
$78.23 |
$49.08
|
|
Pyruvate
|
$66.00 |
$66.00 |
$94.50 |
$66.00
|
|
Pyruvate kinase
|
$96.00 |
$96.00 |
$295.94 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,610.93 |
$1,610.93 |
$3,479.55 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,199.16 |
$1,199.16 |
$2,029.05 |
$1,199.16
|
|
Quest t3 uptake
|
$15.30 |
$15.30 |
$90.83 |
$52.25
|
|
Quinupristin/dalfopristin
|
$922.70 |
$922.70 |
$1,261.22 |
$922.70
|
|
Rabies ig ht&sol human im/sc
|
$6,129.43 |
$6,129.43 |
$6,129.43 |
$2,658.73
|
|
Radiation handling
|
$213.57 |
$213.57 |
$213.57 |
$324.80
|
|
Radiation physics consult
|
$310.05 |
$310.05 |
$694.39 |
$610.68
|
|
Radiation therapy dose plan
|
$306.75 |
$306.75 |
$473.01 |
$518.76
|
|
Radiation treatment aid(s)
|
$262.55 |
$262.55 |
$569.10 |
$526.80
|
|
Radiation treatment aid(s)
|
$730.71 |
$730.71 |
$730.71 |
$655.50
|
|
Radiation treatment aid(s)
|
$863.25 |
$863.25 |
$1,207.28 |
$1,100.38
|
|
Radiation treatment delivery
|
$130.96 |
$130.96 |
$130.96 |
$245.50
|
|
Radiation treatment delivery
|
$599.85 |
$599.85 |
$1,200.00 |
$552.40
|
|
Radiation treatment delivery
|
$682.80 |
$682.80 |
$2,400.00 |
$921.00
|
|
Radiation tx management x5
|
$326.16 |
$326.16 |
$326.16 |
$354.40
|
|
Radiology port images(s)
|
$164.55 |
$164.55 |
$230.29 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$2,658.45 |
$2,658.45 |
$5,996.41 |
$5,750.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,051.70 |
$2,051.70 |
$2,175.81 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,912.25 |
$2,912.25 |
$3,357.46 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,731.46 |
$2,731.46 |
$2,731.46 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,795.35 |
$1,795.35 |
$2,723.06 |
$2,242.80
|
