|
Pretreat rbc w chem/drugs reference
|
$160.20 |
$160.20 |
$160.20 |
$112.45
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,041.90 |
$1,041.90 |
$1,041.90 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$14,175.54 |
$14,175.54 |
$14,175.54 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$205.20 |
$205.20 |
$205.20 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$238.80 |
$238.80 |
$238.80 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$235.20 |
$235.20 |
$235.20 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$259.20 |
$259.20 |
$259.20 |
$572.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$168.00 |
$168.00 |
$168.00 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$14,098.89 |
$14,098.89 |
$14,098.89 |
$3,786.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$9,852.55 |
$9,852.55 |
$9,852.55 |
$7,267.51
|
|
Procalcitonin
|
$70.80 |
$70.80 |
$70.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$15.27 |
$15.27 |
$15.27 |
$36.35
|
|
Prochlorperazine maleate 5 mg tablet
|
$9.00 |
$9.00 |
$9.00 |
$1.20
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,784.70 |
$1,784.70 |
$1,784.70 |
$3,237.36
|
|
Progesterone
|
$60.00 |
$60.00 |
$60.00 |
$117.48
|
|
Prolactin
|
$176.70 |
$176.70 |
$176.70 |
$124.15
|
|
Promethazine 25 mg tablet
|
$9.00 |
$9.00 |
$9.00 |
$3.88
|
|
Promethazine hcl injection
|
$9.00 |
$9.00 |
$9.00 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$198.00 |
$198.00 |
$198.00 |
$73.36
|
|
Prosthesis voc advantage 20f 14mm
|
$4,301.70 |
$4,301.70 |
$4,301.70 |
$1,104.11
|
|
Prosthesis voc lopres 20f 22mm
|
$271.34 |
$271.34 |
$271.34 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$51.97 |
$51.97 |
$51.97 |
$57.19
|
|
Prosthetic type socket molde
|
$1,292.46 |
$1,292.46 |
$1,292.46 |
$1,751.29
|
|
Prost sock sgl ply blw knee ea
|
$9.25 |
$9.25 |
$9.25 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$13.97 |
$13.97 |
$13.97 |
$57.62
|
|
Protect body sock ea pre ots
|
$87.89 |
$87.89 |
$87.89 |
$111.56
|
|
Protector nerve neurawrap 4cm
|
$2,893.57 |
$2,893.57 |
$2,893.57 |
$3,769.12
|
|
Protein c activity
|
$112.80 |
$112.80 |
$112.80 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$45.90 |
$45.90 |
$45.90 |
$81.60
|
|
Protein s total
|
$431.70 |
$431.70 |
$431.70 |
$78.77
|
|
Protein total 24 hour urine
|
$115.20 |
$115.20 |
$115.20 |
$52.50
|
|
Protein total body fluid
|
$61.80 |
$61.80 |
$61.80 |
$50.94
|
|
Protein total serum plasma whole blood
|
$70.50 |
$70.50 |
$70.50 |
$43.00
|
|
Prothrombin complex kcentra
|
$14,929.80 |
$14,929.80 |
$14,929.80 |
$7.63
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$96.60 |
$96.60 |
$96.60 |
$252.60
|
|
Pr removal intrauterine device
|
$202.80 |
$202.80 |
$202.80 |
$373.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$736.90
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$380.40 |
$380.40 |
$380.40 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$380.40 |
$380.40 |
$380.40 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$380.40 |
$380.40 |
$380.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$380.40 |
$380.40 |
$380.40 |
$396.00
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$40.23
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,719.44
|
|
PSA (Prostate) Test
|
$74.40 |
$74.40 |
$74.40 |
$108.29
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$101.40 |
$101.40 |
$101.40 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$29.40 |
$29.40 |
$29.40 |
$35.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$63.90 |
$63.90 |
$63.90 |
$80.40
|
|
Pt application of modality traction mechanical
|
$91.80 |
$91.80 |
$91.80 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$202.20 |
$202.20 |
$202.20 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$162.00 |
$162.00 |
$162.00 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$202.20 |
$202.20 |
$202.20 |
$250.25
|
|
Pt re-evaluation patient/family
|
$123.90 |
$123.90 |
$123.90 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$103.20 |
$103.20 |
$103.20 |
$117.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$43.80 |
$43.80 |
$43.80 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$119.40 |
$119.40 |
$119.40 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$24.00 |
$24.00 |
$24.00 |
$87.12
|
|
Pulse ox continuous overnight monitoring
|
$430.20 |
$430.20 |
$430.20 |
$350.40
|
|
Pulse ox multiple
|
$163.20 |
$163.20 |
$163.20 |
$169.20
|
|
Pulse ox single
|
$144.90 |
$144.90 |
$144.90 |
$85.40
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$711.43 |
$711.43 |
$711.43 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$63.60 |
$63.60 |
$63.60 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$228.90 |
$228.90 |
$228.90 |
$509.60
|
|
Puncture spinal lumbar diagnostic
|
$726.90 |
$726.90 |
$726.90 |
$1,082.90
|
|
Puraply 1 sq cm
|
$8,487.58 |
$8,487.58 |
$8,487.58 |
$304.50
|
|
Puraply xt 1 sq cm
|
$2,812.65 |
$2,812.65 |
$2,812.65 |
$171.12
|
|
Pvb thoracic single inj site
|
$672.00 |
$672.00 |
$672.00 |
$1,320.80
|
|
Pyruvate
|
$22.80 |
$22.80 |
$22.80 |
$66.00
|
|
Quest t3 uptake
|
$60.90 |
$60.90 |
$60.90 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,409.31 |
$3,409.31 |
$3,409.31 |
$4,209.21
|
|
Radium ra223 dichl ther/uci
|
$72,205.34 |
$72,205.34 |
$72,205.34 |
$198.00
|
|
Rapid Strep Test
|
$99.00 |
$99.00 |
$99.00 |
$75.24
|
|
Rbc count only automated
|
$9.00 |
$9.00 |
$9.00 |
$20.40
|
|
Reconstruct shoulder joint
|
$41,785.34 |
$41,785.34 |
$41,785.34 |
$11,340.00
|
|
Red blood cells leukocytes reduced each unit
|
$270.90 |
$270.90 |
$270.90 |
$434.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$348.00 |
$348.00 |
$348.00 |
$523.83
|
|
Reduction of procidentia 45900
|
$577.50 |
$577.50 |
$577.50 |
$1,226.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$165.00 |
$165.00 |
$165.00 |
$364.76
|
|
Reinforced solid stirrup
|
$279.61 |
$279.61 |
$279.61 |
$405.22
|
|
Removal cerumen impacted (both sides)
|
$96.90 |
$96.90 |
$96.90 |
$168.00
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$221.70 |
$221.70 |
$221.70 |
$237.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$573.90 |
$573.90 |
$573.90 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$450.90 |
$450.90 |
$450.90 |
$1,256.00
|
|
Removal foreign body jawbone
|
$964.50 |
$964.50 |
$964.50 |
$2,133.48
|
|
Removal of heel spur
|
$34,324.64 |
$34,324.64 |
$34,324.64 |
$3,839.54
|
|
Removal of implant deep
|
$11,700.54 |
$11,700.54 |
$11,700.54 |
$4,520.60
|
|
Removal of kneecap bursa
|
$11,763.32 |
$11,763.32 |
$11,763.32 |
$3,839.54
|
|
Removal of toe lesions
|
$14,175.54 |
$14,175.54 |
$14,175.54 |
$1,771.43
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$125.70 |
$125.70 |
$125.70 |
$292.50
|
|
Remove foreign body from eye
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$3,364.50
|
|
Renal function panel
|
$166.20 |
$166.20 |
$166.20 |
$115.80
|
|
Repair achilles tendon
|
$34,324.64 |
$34,324.64 |
$34,324.64 |
$7,807.24
|
|
Repair biceps tendon
|
$22,857.13 |
$22,857.13 |
$22,857.13 |
$6,445.38
|
|
Repair blood vessel dir lower extr
|
$450.90 |
$450.90 |
$450.90 |
$1,694.40
|
|
Repair blood vessel dir upper extr
|
$2,069.10 |
$2,069.10 |
$2,069.10 |
$3,848.26
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$717.30 |
$717.30 |
$717.30 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$432.55
|
|
Repair elbow deb/attch open
|
$12,406.50 |
$12,406.50 |
$12,406.50 |
$3,839.54
|
|
Repair extns tendon finger without grft ea
|
$996.90 |
$996.90 |
$996.90 |
$2,269.00
|
|
Repair eyelid wound
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$3,254.34
|
|
Repair finger/hand tendon
|
$2,067.90 |
$2,067.90 |
$2,067.90 |
$4,150.20
|
