|
Protein total 24 hour urine
|
$105.50 |
$105.50 |
$105.50 |
$52.50
|
|
Protein total body fluid
|
$105.50 |
$105.50 |
$105.50 |
$49.80
|
|
Protein total serum plasma whole blood
|
$105.50 |
$105.50 |
$105.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$3,754.87 |
$3,754.87 |
$3,754.87 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$31.50 |
$31.50 |
$31.50 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$15,296.00 |
$15,296.00 |
$15,296.00 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$15,296.00 |
$15,296.00 |
$15,296.00 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$11,381.00 |
$11,381.00 |
$11,381.00 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$17,230.50 |
$17,230.50 |
$17,230.50 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$15,296.00 |
$15,296.00 |
$15,296.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$5,191.50 |
$5,191.50 |
$5,191.50 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$3,915.00 |
$3,915.00 |
$3,915.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$15,296.00 |
$15,296.00 |
$15,296.00 |
$15,349.60
|
|
PSA (Prostate) Test
|
$166.00 |
$166.00 |
$166.00 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$156.00 |
$156.00 |
$156.00 |
$189.14
|
|
Psychotherapy patient individual therapy 60 minutes
|
$172.50 |
$172.50 |
$172.50 |
$287.47
|
|
Psytx pt w/e&m 16-37 min
|
$84.50 |
$84.50 |
$84.50 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$112.50 |
$112.50 |
$112.50 |
$161.86
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$127.00 |
$127.00 |
$127.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$127.00 |
$127.00 |
$127.00 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$112.00 |
$112.00 |
$112.00 |
$81.00
|
|
Pt application of modality traction mechanical
|
$112.00 |
$112.00 |
$112.00 |
$91.00
|
|
Pten gene dup/delet variant
|
$401.50 |
$401.50 |
$401.50 |
$330.00
|
|
Pten gene full sequence
|
$552.00 |
$552.00 |
$552.00 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$481.50 |
$481.50 |
$481.50 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$445.50 |
$445.50 |
$445.50 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$463.50 |
$463.50 |
$463.50 |
$254.88
|
|
Pt re-evaluation patient/family
|
$427.50 |
$427.50 |
$427.50 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$201.50 |
$201.50 |
$201.50 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$138.00 |
$138.00 |
$138.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$112.00 |
$112.00 |
$112.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$112.00 |
$112.00 |
$112.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$112.00 |
$112.00 |
$112.00 |
$87.50
|
|
Pul art balloon repr percut
|
$3,453.00 |
$3,453.00 |
$3,453.00 |
$9,760.40
|
|
Pul art balloon repr percut
|
$1,823.50 |
$1,823.50 |
$1,823.50 |
$3,965.20
|
|
Pulmonary vent imaging
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$261.00 |
$261.00 |
$261.00 |
$344.00
|
|
Pulse ox multiple
|
$44.50 |
$44.50 |
$44.50 |
$156.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$85.00 |
$85.00 |
$85.00 |
$127.50
|
|
Pyruvate kinase
|
$39.00 |
$39.00 |
$39.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$824.50 |
$824.50 |
$824.50 |
$1,199.16
|
|
Quest t3 uptake
|
$5.50 |
$5.50 |
$5.50 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$4,288.12 |
$4,288.12 |
$4,288.12 |
$2,756.77
|
|
Radiation physics consult
|
$3,679.50 |
$3,679.50 |
$3,679.50 |
$606.50
|
|
Radiation therapy dose plan
|
$3,679.50 |
$3,679.50 |
$3,679.50 |
$514.05
|
|
Radiation treatment aid(s)
|
$820.00 |
$820.00 |
$820.00 |
$520.00
|
|
Radiation treatment aid(s)
|
$1,226.50 |
$1,226.50 |
$1,226.50 |
$644.16
|
|
Radiation treatment aid(s)
|
$3,679.50 |
$3,679.50 |
$3,679.50 |
$1,076.78
|
|
Radiation treatment delivery
|
$775.00 |
$775.00 |
$775.00 |
$552.40
|
|
Radiation treatment delivery
|
$3,679.50 |
$3,679.50 |
$3,679.50 |
$920.00
|
|
Radiology port images(s)
|
$175.00 |
$175.00 |
$175.00 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$5,117.00 |
$5,117.00 |
$5,117.00 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,717.50 |
$1,717.50 |
$1,717.50 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,632.50 |
$1,632.50 |
$1,632.50 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,717.50 |
$1,717.50 |
$1,717.50 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,717.50 |
$1,717.50 |
$1,717.50 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,181.50 |
$1,181.50 |
$1,181.50 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$334.00 |
$334.00 |
$334.00 |
$711.20
|
|
Range of motion measurements
|
$73.50 |
$73.50 |
$73.50 |
$60.48
|
|
Rapid Strep Test
|
$93.00 |
$93.00 |
$93.00 |
$75.24
|
|
Rbc count only automated
|
$69.50 |
$69.50 |
$69.50 |
$20.40
|
|
Rbc osmotic fragility
|
$74.50 |
$74.50 |
$74.50 |
$75.04
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$461.00 |
$461.00 |
$461.00 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$943.00 |
$943.00 |
$943.00 |
$528.45
|
|
Red blood cells washed each unit
|
$341.50 |
$341.50 |
$341.50 |
$572.46
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$63.00 |
$63.00 |
$63.00 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$892.87 |
$892.87 |
$892.87 |
$1,524.70
|
|
Remote 30 day ecg tech supp
|
$161.50 |
$161.50 |
$161.50 |
$683.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$358.00 |
$358.00 |
$358.00 |
$249.60
|
|
Remove cva lumen obstruct
|
$422.00 |
$422.00 |
$422.00 |
$490.80
|
|
Renal cyst study s&i
|
$534.50 |
$534.50 |
$534.50 |
$751.34
|
|
Renal function panel
|
$387.00 |
$387.00 |
$387.00 |
$113.52
|
|
Renal venogram bil s&i
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$3,615.28
|
|
Reptilase test
|
$21.00 |
$21.00 |
$21.00 |
$72.00
|
|
Respirator motion mgmt simul
|
$3,867.00 |
$3,867.00 |
$3,867.00 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$96.50 |
$96.50 |
$96.50 |
$45.80
|
|
Resp virus 6-11 targets
|
$422.50 |
$422.50 |
$422.50 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$962.00 |
$962.00 |
$962.00 |
$764.40
|
|
Reticulated platelet assay
|
$108.00 |
$108.00 |
$108.00 |
$75.00
|
|
Reticulocyte automated
|
$101.00 |
$101.00 |
$101.00 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$47.00 |
$47.00 |
$47.00 |
$36.57
|
|
Revasc intra lithotrip-stent
|
$10,862.50 |
$10,862.50 |
$10,862.50 |
$20,329.50
|
|
Revasc lithotr-ather tib/per
|
$18,233.50 |
$18,233.50 |
$18,233.50 |
$19,875.58
|
|
Revasc lithotrip tibi/perone
|
$11,399.50 |
$11,399.50 |
$11,399.50 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$18,233.50 |
$18,233.50 |
$18,233.50 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$18,233.50 |
$18,233.50 |
$18,233.50 |
$19,385.85
|
|
Revita, per sq cm
|
$109.37 |
$109.37 |
$109.37 |
$389.83
|
|
Rheumatoid factor qualitative
|
$101.00 |
$101.00 |
$101.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$250.50 |
$250.50 |
$250.50 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$6.40 |
$6.40 |
$6.40 |
$243.11
|
|
Rho d immune globulin inj
|
$307.37 |
$307.37 |
$307.37 |
$217.71
|
|
Right ventric recording
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$2,345.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$15.00 |
$15.00 |
$15.00 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$816.00 |
$816.00 |
$816.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,717.50 |
$1,717.50 |
$1,717.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$1,831.50 |
$1,831.50 |
$1,831.50 |
$3,139.20
|
|
Rsv assay w/optic
|
$74.00 |
$74.00 |
$74.00 |
$79.38
|
|
Rubella antibody igg
|
$159.50 |
$159.50 |
$159.50 |
$77.03
|
