|
Pretreat rbc absorption reference
|
$159.46 |
$159.46 |
$159.46 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$45.01 |
$45.01 |
$45.01 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$220.55 |
$220.55 |
$220.55 |
$167.05
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$648.32 |
$648.32 |
$648.32 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$914.76 |
$914.76 |
$914.76 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$487.28 |
$487.28 |
$487.28 |
$779.35
|
|
Prgr stim/pace a/iv drug
|
$1,996.30 |
$1,996.30 |
$1,996.30 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$4,366.70 |
$4,366.70 |
$4,366.70 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,489.02 |
$2,489.02 |
$2,489.02 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$422.20 |
$422.20 |
$422.20 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$363.97 |
$363.97 |
$363.97 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$384.37 |
$384.37 |
$384.37 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$504.93 |
$504.93 |
$504.93 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$127.85 |
$127.85 |
$127.85 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$8,707.12 |
$8,707.12 |
$8,707.12 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$309.79 |
$309.79 |
$309.79 |
$670.00
|
|
Procalcitonin
|
$79.61 |
$79.61 |
$79.61 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$48.34 |
$48.34 |
$48.34 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.79 |
$3.79 |
$3.79 |
$1.50
|
|
Proctosigmoidoscopy dx 45300
|
$342.60 |
$342.60 |
$342.60 |
$1,078.88
|
|
Progesterone
|
$84.36 |
$84.36 |
$84.36 |
$115.64
|
|
Prolactin
|
$93.73 |
$93.73 |
$93.73 |
$123.50
|
|
Promethazine 25 mg tablet
|
$317.80 |
$317.80 |
$317.80 |
$4.06
|
|
Propofol infusion 10 mg/ml
|
$432.91 |
$432.91 |
$432.91 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$36.25 |
$36.25 |
$36.25 |
$32.93
|
|
Prostate biopsy, any mthd
|
$333.32 |
$333.32 |
$333.32 |
$481.77
|
|
Prosthesis voc advantage 20f 14mm
|
$1,127.14 |
$1,127.14 |
$1,127.14 |
$1,104.11
|
|
Protamine 10 mg/ml intravenous solution
|
$57.89 |
$57.89 |
$57.89 |
$57.89
|
|
Protein c activity
|
$106.28 |
$106.28 |
$106.28 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$58.72 |
$58.72 |
$58.72 |
$84.00
|
|
Protein s total
|
$101.64 |
$101.64 |
$101.64 |
$83.52
|
|
Protein total 24 hour urine
|
$48.32 |
$48.32 |
$48.32 |
$52.50
|
|
Protein total body fluid
|
$34.78 |
$34.78 |
$34.78 |
$49.80
|
|
Protein total serum plasma whole blood
|
$17.87 |
$17.87 |
$17.87 |
$42.81
|
|
Prothrombin complex kcentra
|
$23,764.61 |
$23,764.61 |
$23,764.61 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$25.12 |
$25.12 |
$25.12 |
$41.50
|
|
Protoporphyrin rbc screen
|
$46.87 |
$46.87 |
$46.87 |
$29.40
|
|
Prq card revasc mi 1 vsl
|
$8,297.86 |
$8,297.86 |
$8,297.86 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$9,976.07 |
$9,976.07 |
$9,976.07 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$7,365.51 |
$7,365.51 |
$7,365.51 |
$13,398.65
|
|
Prq trluml revsc ch occ ant
|
$8,297.86 |
$8,297.86 |
$8,297.86 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$152.66 |
$152.66 |
$152.66 |
$533.00
|
|
Pr removal intrauterine device
|
$197.38 |
$197.38 |
$197.38 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$486.64 |
$486.64 |
$486.64 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$358.71 |
$358.71 |
$358.71 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$369.47 |
$369.47 |
$369.47 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$358.71 |
$358.71 |
$358.71 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$369.47 |
$369.47 |
$369.47 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$884.09 |
$884.09 |
$884.09 |
$1,720.93
|
|
PSA (Prostate) Test
|
$88.90 |
$88.90 |
$88.90 |
$107.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$32.00 |
$32.00 |
$32.00 |
$79.30
|
|
Pulmonary vent imaging
|
$603.17 |
$603.17 |
$603.17 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$91.97 |
$91.97 |
$91.97 |
$344.00
|
|
Pulse ox multiple
|
$85.46 |
$85.46 |
$85.46 |
$156.40
|
|
Pulse ox single
|
$46.45 |
$46.45 |
$46.45 |
$81.70
|
|
Punc of shunt for asp or inj
|
$277.56 |
$277.56 |
$277.56 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$136.44 |
$136.44 |
$136.44 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$313.03 |
$313.03 |
$313.03 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$658.32 |
$658.32 |
$658.32 |
$1,051.80
|
|
Pvb thoracic 2nd+ inj site
|
$531.92 |
$531.92 |
$531.92 |
$809.20
|
|
Pvb thoracic single inj site
|
$639.98 |
$639.98 |
$639.98 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$4.78 |
$4.78 |
$4.78 |
$48.70
|
|
Pyruvate
|
$61.06 |
$61.06 |
$61.06 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,215.84 |
$1,215.84 |
$1,215.84 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$807.58 |
$807.58 |
$807.58 |
$1,199.16
|
|
Quest t3 uptake
|
$31.11 |
$31.11 |
$31.11 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$8,106.63 |
$8,106.63 |
$8,106.63 |
$4,262.90
|
|
Radiation handling
|
$251.69 |
$251.69 |
$251.69 |
$324.80
|
|
Radiation physics consult
|
$683.46 |
$683.46 |
$683.46 |
$606.50
|
|
Radiation therapy dose plan
|
$478.28 |
$478.28 |
$478.28 |
$514.05
|
|
Radiation treatment aid(s)
|
$387.24 |
$387.24 |
$387.24 |
$520.00
|
|
Radiation treatment aid(s)
|
$548.12 |
$548.12 |
$548.12 |
$644.16
|
|
Radiation treatment aid(s)
|
$886.94 |
$886.94 |
$886.94 |
$1,076.78
|
|
Radiation treatment delivery
|
$402.58 |
$402.58 |
$402.58 |
$552.40
|
|
Radiation treatment delivery
|
$639.40 |
$639.40 |
$639.40 |
$920.00
|
|
Radiology port images(s)
|
$166.75 |
$166.75 |
$166.75 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$3,861.48 |
$3,861.48 |
$3,861.48 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,191.53 |
$1,191.53 |
$1,191.53 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,630.52 |
$1,630.52 |
$1,630.52 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,630.52 |
$1,630.52 |
$1,630.52 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,254.24 |
$1,254.24 |
$1,254.24 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$700.29 |
$700.29 |
$700.29 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$17,383.77 |
$17,383.77 |
$17,383.77 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,181.41 |
$1,181.41 |
$1,181.41 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$146,394.12 |
$146,394.12 |
$146,394.12 |
$41,926.70
|
|
Rbc count only automated
|
$13.64 |
$13.64 |
$13.64 |
$20.40
|
|
Rbc deglycerolized each unit
|
$623.14 |
$623.14 |
$623.14 |
$841.75
|
|
Red blood cells each unit
|
$138.40 |
$138.40 |
$138.40 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$617.31 |
$617.31 |
$617.31 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$200.68 |
$200.68 |
$200.68 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$359.42 |
$359.42 |
$359.42 |
$528.45
|
|
Red blood cells washed each unit
|
$428.82 |
$428.82 |
$428.82 |
$572.46
|
|
Redo endovas vena cava filtr
|
$4,458.45 |
$4,458.45 |
$4,458.45 |
$4,435.43
|
|
Reduce testis torsion
|
$2,857.27 |
$2,857.27 |
$2,857.27 |
$4,350.00
|
|
Reduction of procidentia 45900
|
$441.95 |
$441.95 |
$441.95 |
$1,226.10
|
|
Refill maint impl spine pump
|
$261.11 |
$261.11 |
$261.11 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$201.15 |
$201.15 |
$201.15 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$377.90 |
$377.90 |
$377.90 |
$364.47
|
|
Relocation skin pocket aicd
|
$1,406.39 |
$1,406.39 |
$1,406.39 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,406.39 |
$1,406.39 |
$1,406.39 |
$2,585.00
|
