|
Protein total serum plasma whole blood
|
$47.50 |
$47.50 |
$47.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$7.42 |
$7.42 |
$7.42 |
$7.55
|
|
Prothrombin time substitution plasma fractions each
|
$37.50 |
$37.50 |
$37.50 |
$40.30
|
|
Prq av fstl crtj uxtr 1 acs
|
$12,760.00 |
$12,760.00 |
$12,760.00 |
$19,892.81
|
|
Prq av fstl crt uxtr sep acs
|
$14,885.00 |
$14,885.00 |
$14,885.00 |
$20,328.00
|
|
Pr removal drug delivery implant
|
$305.00 |
$305.00 |
$305.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$75.00 |
$75.00 |
$75.00 |
$251.40
|
|
Pr removal intrauterine device
|
$162.50 |
$162.50 |
$162.50 |
$367.43
|
|
PSA (Prostate) Test
|
$90.00 |
$90.00 |
$90.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$67.50 |
$67.50 |
$67.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$27.50 |
$27.50 |
$27.50 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$120.00 |
$120.00 |
$120.00 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$77.50 |
$77.50 |
$77.50 |
$79.76
|
|
Pt application of modality traction mechanical
|
$92.50 |
$92.50 |
$92.50 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$310.00 |
$310.00 |
$310.00 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$177.50 |
$177.50 |
$177.50 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$240.00 |
$240.00 |
$240.00 |
$249.26
|
|
Pt re-evaluation patient/family
|
$125.00 |
$125.00 |
$125.00 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$105.00 |
$105.00 |
$105.00 |
$115.35
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$87.10
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$10.50 |
$10.50 |
$10.50 |
$79.00
|
|
Pt wheelchair management each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$86.53
|
|
Pulmonary vent imaging
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$878.00
|
|
Pulse ox continuous overnight monitoring
|
$222.50 |
$222.50 |
$222.50 |
$344.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$80.00 |
$80.00 |
$80.00 |
$126.29
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$305.00 |
$305.00 |
$305.00 |
$496.00
|
|
Puncture spinal lumbar diagnostic
|
$580.00 |
$580.00 |
$580.00 |
$1,082.90
|
|
Puraply 1 sq cm
|
$270.00 |
$270.00 |
$270.00 |
$304.50
|
|
Pyruvate kinase
|
$67.50 |
$67.50 |
$67.50 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$870.00 |
$870.00 |
$870.00 |
$1,199.16
|
|
Quest t3 uptake
|
$60.00 |
$60.00 |
$60.00 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$908.23 |
$908.23 |
$908.23 |
$3,770.01
|
|
Radium ra223 dichl ther/uci
|
$205.00 |
$205.00 |
$205.00 |
$193.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$2,658.60
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$875.00 |
$875.00 |
$875.00 |
$1,102.80
|
|
Radphm quant measure sgl area add-on
|
$237.50 |
$237.50 |
$237.50 |
$711.20
|
|
Rapid Strep Test
|
$42.50 |
$42.50 |
$42.50 |
$74.25
|
|
Rbc irradiated each unit
|
$575.00 |
$575.00 |
$575.00 |
$517.86
|
|
Rbc osmotic fragility
|
$140.00 |
$140.00 |
$140.00 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$370.00 |
$370.00 |
$370.00 |
$234.00
|
|
Red blood cells each unit
|
$460.00 |
$460.00 |
$460.00 |
$382.50
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$530.00 |
$530.00 |
$530.00 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$307.50 |
$307.50 |
$307.50 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$350.00 |
$350.00 |
$350.00 |
$523.83
|
|
Red blood cells washed each unit
|
$460.00 |
$460.00 |
$460.00 |
$559.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$55.80 |
$55.80 |
$55.80 |
$378.22
|
|
Rem/biv cast full arm/leg
|
$157.50 |
$157.50 |
$157.50 |
$328.80
|
|
Remdesivir 100 mg intravenous powder for solution
|
$17.42 |
$17.42 |
$17.42 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$140.00 |
$140.00 |
$140.00 |
$139.10
|
|
Removal biliary drg cath
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$665.00 |
$665.00 |
$665.00 |
$1,545.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,422.70
|
|
Removal cerclage without anes
|
$252.50 |
$252.50 |
$252.50 |
$358.80
|
|
Removal cerumen impacted (both sides)
|
$50.00 |
$50.00 |
$50.00 |
$161.85
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$157.50 |
$157.50 |
$157.50 |
$236.64
|
|
Removal duct glbldr calculi
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$2,946.00
|
|
Removal tunnled intprtnl cath
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$3,950.00
|
|
Removal w/reinsrt nonbiogrdble
|
$455.00 |
$455.00 |
$455.00 |
$530.40
|
|
Remove renal tube w/fluoro
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$1,164.60
|
|
Remove ureter stent percut
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$3,580.80
|
|
Renal function panel
|
$142.50 |
$142.50 |
$142.50 |
$113.52
|
|
Renal venogram bil s&i
|
$3,145.00 |
$3,145.00 |
$3,145.00 |
$3,615.28
|
|
Repair elbow perc
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$3,986.00
|
|
Replace duod/jej tube perc
|
$665.00 |
$665.00 |
$665.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$665.00 |
$665.00 |
$665.00 |
$1,270.99
|
|
Replace g-j tube perc
|
$560.00 |
$560.00 |
$560.00 |
$1,479.75
|
|
Resuscitation cardiopulmonary
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$745.80
|
|
Resuscitation delivery/birthing room
|
$515.00 |
$515.00 |
$515.00 |
$774.37
|
|
Reticulated platelet assay
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$47.50 |
$47.50 |
$47.50 |
$35.84
|
|
Revasc intra lithotrip-ather
|
$12,420.00 |
$12,420.00 |
$12,420.00 |
$18,808.65
|
|
Revasc intra lithotrip-stent
|
$12,420.00 |
$12,420.00 |
$12,420.00 |
$20,176.80
|
|
Revasc intravasc lithotripsy
|
$7,455.00 |
$7,455.00 |
$7,455.00 |
$11,278.00
|
|
Revasc lithotrip tibi/perone
|
$14,170.00 |
$14,170.00 |
$14,170.00 |
$13,925.00
|
|
Revision tips
|
$8,940.00 |
$8,940.00 |
$8,940.00 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$13,975.00 |
$13,975.00 |
$13,975.00 |
$9,051.26
|
|
Rf abltj nrv nrvtg si jt
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$2,980.00
|
|
Rheumatoid factor quantitative
|
$57.50 |
$57.50 |
$57.50 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$12.50 |
$12.50 |
$12.50 |
$247.55
|
|
Rho d immune globulin inj
|
$207.50 |
$207.50 |
$207.50 |
$224.10
|
|
Rmvl ndwellg tun pleural cath
|
$427.50 |
$427.50 |
$427.50 |
$1,077.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1.36 |
$1.36 |
$1.36 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,340.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$3,136.90
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$910.00 |
$910.00 |
$910.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$4,444.80
|
|
Rpl tun cvc wo subq port
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$3,687.00
|
|
Rsv assay w/optic
|
$105.00 |
$105.00 |
$105.00 |
$82.68
|
|
Rtm 1st set-up&pt educaj eqp
|
$70.00 |
$70.00 |
$70.00 |
$172.20
|
|
Rtm dev sply mscskl 16-30 d
|
$115.00 |
$115.00 |
$115.00 |
$96.85
|
|
Rtm dev sply resp sys 16-30d
|
$115.00 |
$115.00 |
$115.00 |
$67.80
|
|
Rubella antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$76.86
|
|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
