|
Pr excision nail/nail matrix partial/complete permanent removal
|
$393.40 |
$393.40 |
$393.40 |
$827.94
|
|
Prgrmg dev eval scrms ip
|
$33.08 |
$33.08 |
$33.08 |
$126.00
|
|
Prim art mech thrmbc non-intracranial
|
$2,524.73 |
$2,524.73 |
$2,524.73 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,029.11 |
$1,029.11 |
$1,029.11 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$186.55 |
$186.55 |
$186.55 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$266.35 |
$266.35 |
$266.35 |
$438.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$307.65 |
$307.65 |
$307.65 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,415.18 |
$3,415.18 |
$3,415.18 |
$6,760.00
|
|
Procalcitonin
|
$69.83 |
$69.83 |
$69.83 |
$144.10
|
|
Prochlorperazine maleate 5 mg tablet
|
$2.30 |
$2.30 |
$2.30 |
$4.25
|
|
Progesterone
|
$41.97 |
$41.97 |
$41.97 |
$105.00
|
|
Prolactin
|
$73.14 |
$73.14 |
$73.14 |
$127.50
|
|
Promethazine 25 mg tablet
|
$2.36 |
$2.36 |
$2.36 |
$7.01
|
|
Promethazine hcl injection
|
$5.90 |
$5.90 |
$5.90 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$51.13 |
$51.13 |
$51.13 |
$80.95
|
|
_propoxygc/msur
|
$0.95 |
$0.95 |
$0.95 |
$104.00
|
|
Protamine 10 mg/ml intravenous solution
|
$22.42 |
$22.42 |
$22.42 |
$50.70
|
|
Protein c activity
|
$131.20 |
$131.20 |
$131.20 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$46.68 |
$46.68 |
$46.68 |
$85.20
|
|
Protein s total
|
$23.21 |
$23.21 |
$23.21 |
$78.87
|
|
Protein total 24 hour urine
|
$34.55 |
$34.55 |
$34.55 |
$52.50
|
|
Protein total body fluid
|
$67.55 |
$67.55 |
$67.55 |
$52.57
|
|
Protein total serum plasma whole blood
|
$23.52 |
$23.52 |
$23.52 |
$42.81
|
|
Prothrombin complex kcentra
|
$1,001.16 |
$1,001.16 |
$1,001.16 |
$5.50
|
|
Prq cardiac angio addl art
|
$3,110.10 |
$3,110.10 |
$3,110.10 |
$5,655.72
|
|
Prq card revasc mi 1 vsl
|
$4,995.59 |
$4,995.59 |
$4,995.59 |
$16,535.80
|
|
Prq card stent w/angio addl
|
$4,474.05 |
$4,474.05 |
$4,474.05 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$7,345.10 |
$7,345.10 |
$7,345.10 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$4,868.01 |
$4,868.01 |
$4,868.01 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$4,474.05 |
$4,474.05 |
$4,474.05 |
$13,419.98
|
|
Prq trluml c angiop 1art&/br
|
$3,110.10 |
$3,110.10 |
$3,110.10 |
$9,131.70
|
|
Pr removal drug delivery implant
|
$54.50 |
$54.50 |
$54.50 |
$614.27
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$198.10 |
$198.10 |
$198.10 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$254.10 |
$254.10 |
$254.10 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$264.25 |
$264.25 |
$264.25 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$259.00 |
$259.00 |
$259.00 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$339.15 |
$339.15 |
$339.15 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$230.58 |
$230.58 |
$230.58 |
$1,790.60
|
|
PSA (Prostate) Test
|
$126.42 |
$126.42 |
$126.42 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$43.16 |
$43.16 |
$43.16 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$32.45 |
$32.45 |
$32.45 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$23.94 |
$23.94 |
$23.94 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$65.80 |
$65.80 |
$65.80 |
$82.55
|
|
Pt application of modality traction mechanical
|
$29.05 |
$29.05 |
$29.05 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$241.50 |
$241.50 |
$241.50 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$144.43 |
$144.43 |
$144.43 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$150.31 |
$150.31 |
$150.31 |
$263.90
|
|
Pt re-evaluation patient/family
|
$100.45 |
$100.45 |
$100.45 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$87.26 |
$87.26 |
$87.26 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$50.35 |
$50.35 |
$50.35 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$36.75 |
$36.75 |
$36.75 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$57.75 |
$57.75 |
$57.75 |
$85.00
|
|
Pulmonary vent imaging
|
$596.05 |
$596.05 |
$596.05 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$183.40 |
$183.40 |
$183.40 |
$368.00
|
|
Pulse ox multiple
|
$62.06 |
$62.06 |
$62.06 |
$194.33
|
|
Pulse ox single
|
$87.47 |
$87.47 |
$87.47 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$78.54 |
$78.54 |
$78.54 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$136.71 |
$136.71 |
$136.71 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$690.90 |
$690.90 |
$690.90 |
$1,134.64
|
|
Quant diff pulm perf w/imaging
|
$490.77 |
$490.77 |
$490.77 |
$1,209.44
|
|
Quest t3 uptake
|
$45.94 |
$45.94 |
$45.94 |
$56.10
|
|
Radiation physics consult
|
$706.15 |
$706.15 |
$706.15 |
$574.75
|
|
Radiation therapy dose plan
|
$584.77 |
$584.77 |
$584.77 |
$530.53
|
|
Radiation treatment aid(s)
|
$528.50 |
$528.50 |
$528.50 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,858.15 |
$1,858.15 |
$1,858.15 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,704.68 |
$1,704.68 |
$1,704.68 |
$1,103.09
|
|
Radiation treatment delivery
|
$120.65 |
$120.65 |
$120.65 |
$552.40
|
|
Radiation treatment delivery
|
$436.10 |
$436.10 |
$436.10 |
$909.98
|
|
Radiology port images(s)
|
$247.05 |
$247.05 |
$247.05 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$8,681.53 |
$8,681.53 |
$8,681.53 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,185.10 |
$1,185.10 |
$1,185.10 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,185.10 |
$1,185.10 |
$1,185.10 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,185.10 |
$1,185.10 |
$1,185.10 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$427.77 |
$427.77 |
$427.77 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$5,804.33 |
$5,804.33 |
$5,804.33 |
$16,029.45
|
|
Rbc count only automated
|
$9.19 |
$9.19 |
$9.19 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$170.10 |
$170.10 |
$170.10 |
$223.08
|
|
Red blood cells each unit
|
$277.20 |
$277.20 |
$277.20 |
$353.60
|
|
Red blood cells leukocytes reduced each unit
|
$309.52 |
$309.52 |
$309.52 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$303.66 |
$303.66 |
$303.66 |
$489.60
|
|
Redo endovas vena cava filtr
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$4,397.96
|
|
Refill/maint pump/resvr syst
|
$222.08 |
$222.08 |
$222.08 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$239.09 |
$239.09 |
$239.09 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$468.19 |
$468.19 |
$468.19 |
$1,864.71
|
|
Rem endovas vena cava filter
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$5,819.40
|
|
Removal central venous catheter tunneled without port/pump
|
$395.96 |
$395.96 |
$395.96 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,832.04 |
$1,832.04 |
$1,832.04 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$33.71 |
$33.71 |
$33.71 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$85.75 |
$85.75 |
$85.75 |
$245.60
|
|
Removal/replacement ppm generator dual lead system
|
$5,054.81 |
$5,054.81 |
$5,054.81 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$919.80 |
$919.80 |
$919.80 |
$4,293.90
|
|
Removal w/reinsrt nonbiogrdble
|
$54.50 |
$54.50 |
$54.50 |
$538.40
|
|
Renal function panel
|
$289.23 |
$289.23 |
$289.23 |
$110.10
|
|
Renal venogram bil s&i
|
$2,128.35 |
$2,128.35 |
$2,128.35 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$192.50 |
$192.50 |
$192.50 |
$1,193.40
|
|
Replace g/c tube perc
|
$401.10 |
$401.10 |
$401.10 |
$1,413.60
|
|
Reposition vad w/image rt/lt sep session
|
$1,778.49 |
$1,778.49 |
$1,778.49 |
$1,905.00
|
|
Respirator motion mgmt simul
|
$707.00 |
$707.00 |
$707.00 |
$1,200.53
|
|
Resuscitation cardiopulmonary
|
$961.10 |
$961.10 |
$961.10 |
$847.29
|
|
Revsc opn/prq tib/pero stent
|
$4,782.05 |
$4,782.05 |
$4,782.05 |
$10,086.20
|