|
Probe cryo 1150mm endo flex ster disp
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$7,267.51
|
|
Procalcitonin
|
$162.50 |
$162.50 |
$184.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$49.72 |
$49.72 |
$90.12 |
$36.72
|
|
Progesterone
|
$117.48 |
$117.48 |
$120.00 |
$115.64
|
|
Prolactin
|
$117.48 |
$117.48 |
$150.00 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$50.00 |
$50.00 |
$50.00 |
$61.10
|
|
Propofol infusion 10 mg/ml
|
$1.83 |
$1.83 |
$2.41 |
$73.36
|
|
_propoxygc/msur
|
$192.50 |
$192.50 |
$192.50 |
$96.85
|
|
Prostate biopsy, any mthd
|
$207.50 |
$207.50 |
$462.66 |
$481.77
|
|
Protector nerve neurawrap 4cm
|
$4,071.56 |
$4,071.56 |
$4,071.56 |
$3,831.38
|
|
Protein c activity
|
$108.90 |
$108.90 |
$167.50 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$71.94 |
$71.94 |
$95.00 |
$84.00
|
|
Protein s total
|
$62.50 |
$62.50 |
$129.36 |
$83.52
|
|
Protein total 24 hour urine
|
$27.06 |
$27.06 |
$47.50 |
$52.50
|
|
Protein total body fluid
|
$42.90 |
$42.90 |
$57.50 |
$49.80
|
|
Protein total serum plasma whole blood
|
$23.76 |
$23.76 |
$47.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$4.97 |
$4.97 |
$4.97 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$37.50 |
$37.50 |
$42.90 |
$41.50
|
|
Prq av fstl crtj uxtr 1 acs
|
$13,690.00 |
$13,690.00 |
$13,690.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$15,975.00 |
$15,975.00 |
$15,975.00 |
$20,978.32
|
|
Prq card angio/athrect addl
|
$6,190.14 |
$6,190.14 |
$6,190.14 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$4,239.84 |
$4,239.84 |
$4,239.84 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$8,982.60 |
$8,982.60 |
$8,982.60 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$10,479.48 |
$10,479.48 |
$10,479.48 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$10,479.48 |
$10,479.48 |
$10,479.48 |
$18,150.00
|
|
Prq card stent/ath/angio
|
$10,730.28 |
$10,730.28 |
$10,730.28 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$8,234.16 |
$8,234.16 |
$8,234.16 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$13,098.36 |
$13,098.36 |
$13,098.36 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$5,539.38 |
$5,539.38 |
$5,539.38 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$13,098.36 |
$13,098.36 |
$13,098.36 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$20,739.84 |
$20,739.84 |
$20,739.84 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$6,270.66 |
$6,270.66 |
$6,270.66 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$10,479.48 |
$10,479.48 |
$10,479.48 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$13,098.36 |
$13,098.36 |
$13,098.36 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$305.00 |
$305.00 |
$744.48 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$75.00 |
$75.00 |
$197.34 |
$251.43
|
|
Pr removal intrauterine device
|
$162.50 |
$162.50 |
$351.12 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$711.48 |
$711.48 |
$711.48 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$622.38 |
$622.38 |
$622.38 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$681.12 |
$681.12 |
$681.12 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$503.58 |
$503.58 |
$503.58 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$553.08 |
$553.08 |
$553.08 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$3,668.28 |
$3,668.28 |
$3,668.28 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,700.82 |
$1,700.82 |
$1,700.82 |
$1,720.93
|
|
PSA (Prostate) Test
|
$90.00 |
$90.00 |
$117.48 |
$107.50
|
|
Psychoeducation 45 min +
|
$172.50 |
$172.50 |
$172.50 |
$201.45
|
|
Psychotherapy group therapy
|
$177.50 |
$177.50 |
$177.50 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$117.50 |
$117.50 |
$117.50 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$167.50 |
$167.50 |
$167.50 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$227.50 |
$227.50 |
$227.50 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$225.00 |
$225.00 |
$225.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$112.50 |
$112.50 |
$112.50 |
$221.42
|
|
Psytx complex interactive
|
$10.00 |
$10.00 |
$10.00 |
$47.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$62.70 |
$62.70 |
$67.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$27.50 |
$27.50 |
$27.50 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$77.22 |
$77.22 |
$120.00 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.70 |
$62.70 |
$77.50 |
$81.00
|
|
Pt application of modality traction mechanical
|
$69.96 |
$69.96 |
$92.50 |
$91.00
|
|
Pten gene full sequence
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$155.10 |
$155.10 |
$310.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$155.10 |
$155.10 |
$177.50 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$155.10 |
$155.10 |
$240.00 |
$254.88
|
|
Pt re-evaluation patient/family
|
$89.10 |
$89.10 |
$125.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$105.00 |
$105.00 |
$130.02 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$108.90 |
$108.90 |
$108.90 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$80.52 |
$80.52 |
$87.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$10.50 |
$10.50 |
$69.96 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$56.10 |
$56.10 |
$87.50 |
$87.50
|
|
Pulmonary vent imaging
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$222.50 |
$222.50 |
$263.34 |
$344.00
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$623.70 |
$623.70 |
$623.70 |
$969.00
|
|
Punc of shunt for asp or inj
|
$725.00 |
$725.00 |
$801.24 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$80.00 |
$80.00 |
$129.36 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$305.00 |
$305.00 |
$487.74 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$580.00 |
$580.00 |
$1,019.04 |
$1,051.80
|
|
Puraply 1 sq cm
|
$270.00 |
$270.00 |
$270.00 |
$304.50
|
|
Pvb thoracic 2nd+ inj site
|
$197.34 |
$197.34 |
$197.34 |
$809.20
|
|
Pvb thoracic cont infusion
|
$1,430.22 |
$1,430.22 |
$1,430.22 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,321.98 |
$1,321.98 |
$1,321.98 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$105.86 |
$105.86 |
$105.86 |
$48.70
|
|
Pyruvate
|
$80.00 |
$80.00 |
$89.76 |
$66.00
|
|
Pyruvate kinase
|
$67.50 |
$67.50 |
$182.16 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$870.00 |
$870.00 |
$870.00 |
$1,199.16
|
|
Quest t3 uptake
|
$54.12 |
$54.12 |
$60.00 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$660.23 |
$660.23 |
$660.23 |
$4,262.90
|
|
Radiation physics consult
|
$646.80 |
$646.80 |
$685.00 |
$606.50
|
|
Radiation therapy dose plan
|
$525.00 |
$525.00 |
$599.94 |
$514.05
|
|
Radiation treatment aid(s)
|
$550.00 |
$550.00 |
$581.46 |
$520.00
|
|
Radiation treatment aid(s)
|
$754.38 |
$754.38 |
$1,040.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,512.72 |
$1,512.72 |
$2,145.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$693.66 |
$693.66 |
$715.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,097.58 |
$1,097.58 |
$1,100.00 |
$920.00
|
|
Radiology port images(s)
|
$300.00 |
$300.00 |
$399.96 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$4,513.08 |
$4,513.08 |
$12,155.00 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$205.00 |
$205.00 |
$205.00 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,315.00 |
$1,315.00 |
$1,508.10 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,584.00 |
$1,584.00 |
$1,760.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,791.90 |
$1,791.90 |
$1,905.00 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,505.00 |
$1,505.00 |
$1,682.34 |
$2,177.00
|
