|
Polysom any age 1-3> param
|
$512.85 |
$512.85 |
$512.85 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$555.60 |
$555.60 |
$555.60 |
$3,751.48
|
|
Potassium 24 hour urine
|
$7.50 |
$7.50 |
$7.50 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$11.20 |
$11.20 |
$11.20 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$8.10 |
$8.10 |
$8.10 |
$46.75
|
|
Ppp2r2b gen detc abnor allel
|
$107.70 |
$107.70 |
$107.70 |
$204.51
|
|
Pq biliary strict dil s&i
|
$183.60 |
$183.60 |
$183.60 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$69.30 |
$69.30 |
$69.30 |
$720.00
|
|
Pq thr inj ext pse
|
$241.50 |
$241.50 |
$241.50 |
$775.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$962.40 |
$962.40 |
$962.40 |
$3,738.90
|
|
Pr application of long arm splint
|
$107.85 |
$107.85 |
$107.85 |
$329.00
|
|
Pr application splint static short arm
|
$77.25 |
$77.25 |
$77.25 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$75.45 |
$75.45 |
$75.45 |
$458.25
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$76.95 |
$76.95 |
$76.95 |
$351.60
|
|
Prealbumin
|
$24.60 |
$24.60 |
$24.60 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$6.69 |
$6.69 |
$6.69 |
$13.87
|
|
Prednisone 1 mg tablet
|
$0.20 |
$0.20 |
$0.20 |
$3.00
|
|
Pregabalin - sendout
|
$19.20 |
$19.20 |
$19.20 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$772.80 |
$772.80 |
$772.80 |
$2,246.75
|
|
Pregnancy associated plasma protein-a
|
$16.20 |
$16.20 |
$16.20 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$101.55 |
$101.55 |
$101.55 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$101.55 |
$101.55 |
$101.55 |
$539.37
|
|
Prep skin to 100cm2 other
|
$258.90 |
$258.90 |
$258.90 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$311.40 |
$311.40 |
$311.40 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$45.00 |
$45.00 |
$45.00 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$21.60 |
$21.60 |
$21.60 |
$238.33
|
|
Pressure velocity wire add ves
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$49.05 |
$49.05 |
$49.05 |
$152.85
|
|
Pretreat rbc absorption reference
|
$91.65 |
$91.65 |
$91.65 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$91.65 |
$91.65 |
$91.65 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$91.65 |
$91.65 |
$91.65 |
$112.20
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$261.45 |
$261.45 |
$261.45 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$244.65 |
$244.65 |
$244.65 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$214.20 |
$214.20 |
$214.20 |
$779.35
|
|
Prgr stim/pace a/iv drug
|
$513.90 |
$513.90 |
$513.90 |
$4,601.35
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$19.50 |
$19.50 |
$19.50 |
$119.60
|
|
Prim art mech thrmbc non-intracranial
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$158.25 |
$158.25 |
$158.25 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$86.25 |
$86.25 |
$86.25 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$329.55 |
$329.55 |
$329.55 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$120.30 |
$120.30 |
$120.30 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$121.65 |
$121.65 |
$121.65 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,722.39 |
$2,722.39 |
$2,722.39 |
$7,267.51
|
|
Procalcitonin
|
$30.45 |
$30.45 |
$30.45 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.00 |
$11.00 |
$11.00 |
$36.72
|
|
Progesterone
|
$36.60 |
$36.60 |
$36.60 |
$115.64
|
|
Prolactin
|
$33.90 |
$33.90 |
$33.90 |
$123.50
|
|
Promethazine hcl injection
|
$4.52 |
$4.52 |
$4.52 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$73.36 |
$73.36 |
$73.36 |
$73.36
|
|
_propoxygc/msur
|
$13.35 |
$13.35 |
$13.35 |
$96.85
|
|
Prostate biopsy, any mthd
|
$326.70 |
$326.70 |
$326.70 |
$481.77
|
|
Prosthesis voc advantage 20f 14mm
|
$1,104.11 |
$1,104.11 |
$1,104.11 |
$1,104.11
|
|
Protamine 10 mg/ml intravenous solution
|
$32.92 |
$32.92 |
$32.92 |
$57.89
|
|
Protein c activity
|
$24.15 |
$24.15 |
$24.15 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$18.90 |
$18.90 |
$18.90 |
$84.00
|
|
Protein s total
|
$46.95 |
$46.95 |
$46.95 |
$83.52
|
|
Protein total 24 hour urine
|
$6.45 |
$6.45 |
$6.45 |
$52.50
|
|
Protein total body fluid
|
$6.45 |
$6.45 |
$6.45 |
$49.80
|
|
Protein total serum plasma whole blood
|
$6.45 |
$6.45 |
$6.45 |
$42.81
|
|
Prothrombin complex kcentra
|
$1,677.50 |
$1,677.50 |
$1,677.50 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$6.90 |
$6.90 |
$6.90 |
$41.50
|
|
Prq av fstl crtj uxtr 1 acs
|
$3,392.70 |
$3,392.70 |
$3,392.70 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$3,392.70 |
$3,392.70 |
$3,392.70 |
$20,978.32
|
|
Prq card angio/athrect addl
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$5,362.20
|
|
Prq card revasc mi 1 vsl
|
$4,357.65 |
$4,357.65 |
$4,357.65 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$18,150.00
|
|
Prq card stent w/angio addl
|
$2,186.25 |
$2,186.25 |
$2,186.25 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,357.65 |
$4,357.65 |
$4,357.65 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$3,339.75 |
$3,339.75 |
$3,339.75 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$3,339.75 |
$3,339.75 |
$3,339.75 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$4,357.65 |
$4,357.65 |
$4,357.65 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$4,357.65 |
$4,357.65 |
$4,357.65 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$4,357.65 |
$4,357.65 |
$4,357.65 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$128.40 |
$128.40 |
$128.40 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$64.20 |
$64.20 |
$64.20 |
$251.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$129.15 |
$129.15 |
$129.15 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$89.40 |
$89.40 |
$89.40 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$94.05 |
$94.05 |
$94.05 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$84.00 |
$84.00 |
$84.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$85.50 |
$85.50 |
$85.50 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$490.80 |
$490.80 |
$490.80 |
$1,720.93
|
|
PSA (Prostate) Test
|
$32.25 |
$32.25 |
$32.25 |
$107.50
|
|
Psychotherapy group therapy
|
$49.65 |
$49.65 |
$49.65 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$44.10 |
$44.10 |
$44.10 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$44.85 |
$44.85 |
$44.85 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$49.65 |
$49.65 |
$49.65 |
$287.47
|
|
Psycl/nrpsyc tech 1st
|
$163.50 |
$163.50 |
$163.50 |
$321.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$18.45 |
$18.45 |
$18.45 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$28.20 |
$28.20 |
$28.20 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$16.35 |
$16.35 |
$16.35 |
$81.00
|
|
Pt application of modality traction mechanical
|
$20.10 |
$20.10 |
$20.10 |
$91.00
|
|
Pten gene dup/delet variant
|
$68.85 |
$68.85 |
$68.85 |
$330.00
|
|
Pten gene full sequence
|
$472.05 |
$472.05 |
$472.05 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$81.75 |
$81.75 |
$81.75 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$73.80 |
$73.80 |
$73.80 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$77.85 |
$77.85 |
$77.85 |
$254.88
|
|
Pt re-evaluation patient/family
|
$48.60 |
$48.60 |
$48.60 |
$152.80
|
