|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$73.15 |
$73.15 |
$73.15 |
$141.00
|
|
Pretreat rbc absorption reference
|
$176.00 |
$176.00 |
$176.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$132.55 |
$132.55 |
$132.55 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$59.40 |
$59.40 |
$59.40 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$51.15 |
$51.15 |
$51.15 |
$166.10
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$656.15 |
$656.15 |
$656.15 |
$827.94
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$432.85 |
$432.85 |
$432.85 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$446.05 |
$446.05 |
$446.05 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$365.75 |
$365.75 |
$365.75 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$122.10 |
$122.10 |
$122.10 |
$277.60
|
|
Procalcitonin
|
$68.20 |
$68.20 |
$68.20 |
$144.10
|
|
Progesterone
|
$125.40 |
$125.40 |
$125.40 |
$105.00
|
|
Prolactin
|
$172.70 |
$172.70 |
$172.70 |
$127.50
|
|
_propoxygc/msur
|
$243.10 |
$243.10 |
$243.10 |
$104.00
|
|
Prostate biopsy, any mthd
|
$425.15 |
$425.15 |
$425.15 |
$431.60
|
|
Protein c activity
|
$77.55 |
$77.55 |
$77.55 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$164.45 |
$164.45 |
$164.45 |
$85.20
|
|
Protein s total
|
$31.90 |
$31.90 |
$31.90 |
$78.87
|
|
Protein total 24 hour urine
|
$86.35 |
$86.35 |
$86.35 |
$52.50
|
|
Protein total body fluid
|
$103.40 |
$103.40 |
$103.40 |
$52.57
|
|
Protein total serum plasma whole blood
|
$37.40 |
$37.40 |
$37.40 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$86.90 |
$86.90 |
$86.90 |
$37.05
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$198.55 |
$198.55 |
$198.55 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$480.70 |
$480.70 |
$480.70 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$347.05 |
$347.05 |
$347.05 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$404.80 |
$404.80 |
$404.80 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$302.50 |
$302.50 |
$302.50 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$353.10 |
$353.10 |
$353.10 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$1,790.60
|
|
PSA (Prostate) Test
|
$208.45 |
$208.45 |
$208.45 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$106.15 |
$106.15 |
$106.15 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$102.85 |
$102.85 |
$102.85 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$119.90 |
$119.90 |
$119.90 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$125.40 |
$125.40 |
$125.40 |
$82.55
|
|
Pt application of modality traction mechanical
|
$102.85 |
$102.85 |
$102.85 |
$88.20
|
|
Pten gene dup/delet variant
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$330.00
|
|
Pten gene full sequence
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$660.00
|
|
Pt evaluation high complexity patient/family
|
$245.85 |
$245.85 |
$245.85 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$81.95 |
$81.95 |
$81.95 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$163.90 |
$163.90 |
$163.90 |
$263.90
|
|
Pt re-evaluation patient/family
|
$158.40 |
$158.40 |
$158.40 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$99.00 |
$99.00 |
$99.00 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$125.40 |
$125.40 |
$125.40 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$129.25 |
$129.25 |
$129.25 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$106.15 |
$106.15 |
$106.15 |
$80.85
|
|
Pulmonary vent imaging
|
$1,080.75 |
$1,080.75 |
$1,080.75 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$364.65 |
$364.65 |
$364.65 |
$368.00
|
|
Pulse ox multiple
|
$157.85 |
$157.85 |
$157.85 |
$194.33
|
|
Pulse ox single
|
$47.30 |
$47.30 |
$47.30 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$162.80 |
$162.80 |
$162.80 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$528.00 |
$528.00 |
$528.00 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$840.40 |
$840.40 |
$840.40 |
$1,134.64
|
|
Pyruvate
|
$171.60 |
$171.60 |
$171.60 |
$65.00
|
|
Pyruvate kinase
|
$57.20 |
$57.20 |
$57.20 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$2,332.55 |
$2,332.55 |
$2,332.55 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$1,251.80 |
$1,251.80 |
$1,251.80 |
$1,209.44
|
|
Quest t3 uptake
|
$9.35 |
$9.35 |
$9.35 |
$56.10
|
|
Radiation physics consult
|
$538.45 |
$538.45 |
$538.45 |
$574.75
|
|
Radiation therapy dose plan
|
$475.20 |
$475.20 |
$475.20 |
$530.53
|
|
Radiation treatment aid(s)
|
$546.15 |
$546.15 |
$546.15 |
$541.45
|
|
Radiation treatment aid(s)
|
$728.20 |
$728.20 |
$728.20 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$1,103.09
|
|
Radiation treatment delivery
|
$452.10 |
$452.10 |
$452.10 |
$552.40
|
|
Radiation treatment delivery
|
$825.55 |
$825.55 |
$825.55 |
$909.98
|
|
Radiology port images(s)
|
$259.60 |
$259.60 |
$259.60 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$5,626.50 |
$5,626.50 |
$5,626.50 |
$5,996.21
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,461.90 |
$1,461.90 |
$1,461.90 |
$2,377.65
|
|
Radphm quant measure sgl area add-on
|
$13.20 |
$13.20 |
$13.20 |
$678.81
|
|
Rapid Strep Test
|
$120.45 |
$120.45 |
$120.45 |
$74.10
|
|
Rbc serum pretx incubj drugs
|
$126.50 |
$126.50 |
$126.50 |
$223.08
|
|
Red blood cells each unit
|
$439.45 |
$439.45 |
$439.45 |
$365.30
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$583.00 |
$583.00 |
$583.00 |
$583.00
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$535.70 |
$535.70 |
$535.70 |
$676.90
|
|
Red blood cells leukocytes reduced each unit
|
$439.45 |
$439.45 |
$439.45 |
$406.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$487.30 |
$487.30 |
$487.30 |
$528.00
|
|
Red blood cells washed each unit
|
$551.65 |
$551.65 |
$551.65 |
$553.30
|
|
Rem interrog evl pm/ids
|
$167.20 |
$167.20 |
$167.20 |
$139.10
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$85.80 |
$85.80 |
$85.80 |
$78.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$165.00 |
$165.00 |
$165.00 |
$153.27
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,218.15 |
$2,218.15 |
$2,218.15 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$76.45 |
$76.45 |
$76.45 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$205.70 |
$205.70 |
$205.70 |
$245.60
|
|
Removal sutr or stapl no anes
|
$66.00 |
$66.00 |
$66.00 |
$85.18
|
|
Renal function panel
|
$214.50 |
$214.50 |
$214.50 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,785.20 |
$2,785.20 |
$2,785.20 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$4,638.15 |
$4,638.15 |
$4,638.15 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$3,322.00 |
$3,322.00 |
$3,322.00 |
$2,702.15
|
|
Repair finger/hand tendon
|
$3,322.00 |
$3,322.00 |
$3,322.00 |
$3,842.58
|
|
Repair lip full thkns =<one-half vert height
|
$654.50 |
$654.50 |
$654.50 |
$1,326.51
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$642.40 |
$642.40 |
$642.40 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,268.80
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,322.00 |
$3,322.00 |
$3,322.00 |
$4,627.00
|
|
Replace g-j tube perc
|
$1,471.80 |
$1,471.80 |
$1,471.80 |
$1,600.45
|
|
Reptilase test
|
$51.70 |
$51.70 |
$51.70 |
$65.65
|
|
Respirator motion mgmt simul
|
$876.70 |
$876.70 |
$876.70 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$848.10 |
$848.10 |
$848.10 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$644.05 |
$644.05 |
$644.05 |
$847.29
|
|
Reticulated platelet assay
|
$92.40 |
$92.40 |
$92.40 |
$63.08
|
|
Reticulocyte automated
|
$59.40 |
$59.40 |
$59.40 |
$54.60
|
