|
Pregnancy Ultrasound (first trimester)
|
$938.35 |
$938.35 |
$1,435.23 |
$541.45
|
|
Prep skin to 100cm2 other
|
$524.30 |
$524.30 |
$524.30 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,522.15 |
$1,522.15 |
$1,522.15 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$660.87 |
$660.87 |
$660.87 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$206.50 |
$206.50 |
$206.50 |
$253.00
|
|
Pressure velocity wire add ves
|
$370.44 |
$370.44 |
$6,281.34 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$41.90 |
$41.90 |
$41.90 |
$141.00
|
|
Pretreat rbc absorption reference
|
$89.46 |
$89.46 |
$1,030.62 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$61.43 |
$61.43 |
$61.43 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$45.36 |
$45.36 |
$45.36 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$79.70 |
$79.70 |
$541.46 |
$166.10
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$794.75 |
$794.75 |
$794.75 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$372.96 |
$372.96 |
$372.96 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$4,977.52 |
$4,977.52 |
$4,977.52 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$5,722.79 |
$5,722.79 |
$5,722.79 |
$143.55
|
|
Prgr stim/pace a/iv drug
|
$11,439.19 |
$11,439.19 |
$11,439.19 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$2,808.54 |
$2,808.54 |
$75,529.42 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,507.40 |
$2,507.40 |
$2,507.40 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$522.20 |
$522.20 |
$522.20 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$167.30 |
$167.30 |
$167.30 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$150.26 |
$150.26 |
$150.26 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$178.92 |
$178.92 |
$178.92 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$857.15 |
$857.15 |
$857.15 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$6,634.11 |
$6,634.11 |
$6,634.11 |
$6,760.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$111.30 |
$111.30 |
$111.30 |
$666.10
|
|
Procalcitonin
|
$133.35 |
$133.35 |
$1,579.77 |
$144.10
|
|
Prochlorperazine maleate 5 mg tablet
|
$4.98 |
$4.98 |
$4.98 |
$4.25
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,331.51 |
$1,331.51 |
$1,331.51 |
$3,245.23
|
|
Progesterone
|
$75.60 |
$75.60 |
$1,781.28 |
$105.00
|
|
Prolactin
|
$153.65 |
$153.65 |
$2,370.42 |
$127.50
|
|
Prolonged IV inf, req pump
|
$138.29 |
$138.29 |
$138.29 |
$411.94
|
|
Promethazine 25 mg tablet
|
$27.57 |
$27.57 |
$27.57 |
$7.01
|
|
Promethazine hcl injection
|
$1.47 |
$1.47 |
$1.47 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$7.88 |
$7.88 |
$7.88 |
$39.59
|
|
Protamine 10 mg/ml intravenous solution
|
$19.85 |
$19.85 |
$19.85 |
$50.70
|
|
Protector nerve neurawrap 4cm
|
$6,967.44 |
$6,967.44 |
$6,967.44 |
$3,902.63
|
|
Protein c activity
|
$147.42 |
$147.42 |
$3,125.69 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$109.55 |
$109.55 |
$1,132.14 |
$85.20
|
|
Protein s total
|
$106.75 |
$106.75 |
$3,028.80 |
$78.87
|
|
Protein total 24 hour urine
|
$77.35 |
$77.35 |
$870.63 |
$52.50
|
|
Protein total body fluid
|
$66.89 |
$66.89 |
$998.32 |
$52.57
|
|
Protein total serum plasma whole blood
|
$74.20 |
$74.20 |
$1,212.13 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$27.72 |
$27.72 |
$815.27 |
$37.05
|
|
Prq cardiac angio addl art
|
$1,548.05 |
$1,548.05 |
$1,548.05 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$4,643.45 |
$4,643.45 |
$4,643.45 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$9,146.20 |
$9,146.20 |
$9,146.20 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$10,131.10 |
$10,131.10 |
$10,131.10 |
$18,340.14
|
|
Prq card stent w/angio addl
|
$1,548.05 |
$1,548.05 |
$1,548.05 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,221.35 |
$4,221.35 |
$4,221.35 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$1,548.05 |
$1,548.05 |
$1,548.05 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$5,628.35 |
$5,628.35 |
$5,628.35 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$6,472.55 |
$6,472.55 |
$6,472.55 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$4,362.05 |
$4,362.05 |
$4,362.05 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$4,221.35 |
$4,221.35 |
$4,221.35 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$4,502.75 |
$4,502.75 |
$4,502.75 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$94.50 |
$94.50 |
$94.50 |
$280.79
|
|
Pr removal intrauterine device
|
$130.73 |
$130.73 |
$130.73 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$332.85 |
$332.85 |
$332.85 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$86.94 |
$86.94 |
$86.94 |
$387.40
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$101.43 |
$101.43 |
$101.43 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$96.60 |
$96.60 |
$96.60 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,481.13 |
$1,481.13 |
$1,481.13 |
$2,753.28
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,604.05 |
$1,604.05 |
$1,604.05 |
$1,790.60
|
|
PSA (Prostate) Test
|
$108.11 |
$108.11 |
$1,655.14 |
$109.35
|
|
Psytx complex interactive
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$45.00
|
|
Psytx pt w/e&m 16-37 min
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$158.40
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$88.90 |
$88.90 |
$88.90 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$59.85 |
$59.85 |
$59.85 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$45.99 |
$45.99 |
$45.99 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$67.20 |
$67.20 |
$67.20 |
$82.55
|
|
Pt application of modality traction mechanical
|
$82.41 |
$82.41 |
$82.41 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$339.50 |
$339.50 |
$339.50 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$203.70 |
$203.70 |
$203.70 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$271.60 |
$271.60 |
$271.60 |
$263.90
|
|
Pt re-evaluation patient/family
|
$203.70 |
$203.70 |
$203.70 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$95.64 |
$95.64 |
$95.64 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$70.56 |
$70.56 |
$70.56 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$35.28 |
$35.28 |
$35.28 |
$80.85
|
|
Pul art balloon repr percut
|
$21,587.13 |
$21,587.13 |
$21,587.13 |
$10,651.06
|
|
Pulmonary vent imaging
|
$569.45 |
$569.45 |
$3,039.99 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$509.00 |
$509.00 |
$877.45 |
$368.00
|
|
Pulse ox multiple
|
$508.21 |
$508.21 |
$508.21 |
$194.33
|
|
Pulse ox single
|
$90.65 |
$90.65 |
$90.65 |
$88.63
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$302.09 |
$302.09 |
$302.09 |
$898.88
|
|
Punc of shunt for asp or inj
|
$95.45 |
$95.45 |
$95.45 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$85.05 |
$85.05 |
$85.05 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$151.90 |
$151.90 |
$151.90 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$583.10 |
$583.10 |
$583.10 |
$1,134.64
|
|
Pyruvate
|
$77.81 |
$77.81 |
$453.77 |
$65.00
|
|
Pyruvate kinase
|
$68.67 |
$68.67 |
$68.67 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$779.63 |
$779.63 |
$4,748.91 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$721.98 |
$721.98 |
$3,039.99 |
$1,209.44
|
|
Quest t3 uptake
|
$25.20 |
$25.20 |
$1,329.05 |
$56.10
|
|
Radiation handling
|
$2,121.36 |
$2,121.36 |
$2,121.36 |
$331.89
|
|
Radiation physics consult
|
$2,896.73 |
$2,896.73 |
$2,896.73 |
$574.75
|
|
Radiation treatment aid(s)
|
$4,667.70 |
$4,667.70 |
$4,667.70 |
$541.45
|
|
Radiation treatment aid(s)
|
$4,667.70 |
$4,667.70 |
$4,667.70 |
$665.00
|
|
Radiation treatment aid(s)
|
$5,888.17 |
$5,888.17 |
$5,888.17 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,044.74 |
$1,044.74 |
$1,044.74 |
$552.40
|