|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,065.16 |
$3,065.16 |
$3,065.16 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$4,811.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$18.90 |
$18.90 |
$18.90 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,761.92 |
$2,761.92 |
$2,761.92 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$2,364.18 |
$2,364.18 |
$2,364.18 |
$2,253.00
|
|
Prealbumin
|
$22.68 |
$22.68 |
$22.68 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$22.97 |
$22.97 |
$22.97 |
$13.87
|
|
Pregabalin - sendout
|
$39.90 |
$39.90 |
$39.90 |
$76.70
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$323.82 |
$323.82 |
$323.82 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$281.40 |
$281.40 |
$281.40 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$161.70 |
$161.70 |
$161.70 |
$459.00
|
|
Prep skin to 100cm2 other
|
$505.68 |
$505.68 |
$505.68 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$717.36 |
$717.36 |
$717.36 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$85.26 |
$85.26 |
$85.26 |
$1,100.06
|
|
Pressure velocity wire add ves
|
$905.10 |
$905.10 |
$905.10 |
$1,596.10
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$143.64 |
$143.64 |
$143.64 |
$161.40
|
|
Pretreat rbc absorption reference
|
$116.34 |
$116.34 |
$116.34 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$143.64 |
$143.64 |
$143.64 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$63.00 |
$63.00 |
$63.00 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$143.64 |
$143.64 |
$143.64 |
$168.50
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$372.96 |
$372.96 |
$372.96 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$42.00 |
$42.00 |
$42.00 |
$130.00
|
|
Prgrmg eval implantable dfb
|
$99.96 |
$99.96 |
$99.96 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$116.76 |
$116.76 |
$116.76 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$126.00 |
$126.00 |
$126.00 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$2,270.10 |
$2,270.10 |
$2,270.10 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$8,045.10 |
$8,045.10 |
$8,045.10 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,473.36 |
$1,473.36 |
$1,473.36 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$252.00 |
$252.00 |
$252.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$139.02 |
$139.02 |
$139.02 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$226.38 |
$226.38 |
$226.38 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$170.10 |
$170.10 |
$170.10 |
$253.55
|
|
Probe cryo 1150mm endo flex ster disp
|
$11,039.28 |
$11,039.28 |
$11,039.28 |
$7,350.00
|
|
Procalcitonin
|
$59.22 |
$59.22 |
$59.22 |
$161.11
|
|
Progesterone
|
$26.46 |
$26.46 |
$26.46 |
$116.00
|
|
Prolactin
|
$24.78 |
$24.78 |
$24.78 |
$123.50
|
|
Prolonged IV inf, req pump
|
$209.16 |
$209.16 |
$209.16 |
$609.00
|
|
_propoxygc/msur
|
$23.52 |
$23.52 |
$23.52 |
$95.55
|
|
Prostate biopsy, any mthd
|
$338.52 |
$338.52 |
$338.52 |
$492.80
|
|
Protector nerve neurawrap 4cm
|
$3,891.30 |
$3,891.30 |
$3,891.30 |
$3,891.30
|
|
Protein c activity
|
$17.64 |
$17.64 |
$17.64 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$23.94 |
$23.94 |
$23.94 |
$84.00
|
|
Protein s total
|
$24.36 |
$24.36 |
$24.36 |
$85.10
|
|
Protein total 24 hour urine
|
$24.78 |
$24.78 |
$24.78 |
$52.50
|
|
Protein total body fluid
|
$23.52 |
$23.52 |
$23.52 |
$49.80
|
|
Protein total serum plasma whole blood
|
$23.52 |
$23.52 |
$23.52 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$24.36 |
$24.36 |
$24.36 |
$42.00
|
|
Prq av fstl crt uxtr sep acs
|
$7,385.70 |
$7,385.70 |
$7,385.70 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$5,071.08 |
$5,071.08 |
$5,071.08 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,655.72 |
$5,655.72 |
$5,655.72 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$5,310.48 |
$5,310.48 |
$5,310.48 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$7,080.36 |
$7,080.36 |
$7,080.36 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$8,850.66 |
$8,850.66 |
$8,850.66 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$5,304.60 |
$5,304.60 |
$5,304.60 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$4,730.04 |
$4,730.04 |
$4,730.04 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,851.00 |
$4,851.00 |
$4,851.00 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$3,638.46 |
$3,638.46 |
$3,638.46 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$6,306.30 |
$6,306.30 |
$6,306.30 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$7,072.80 |
$7,072.80 |
$7,072.80 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$7,540.68 |
$7,540.68 |
$7,540.68 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$6,761.16 |
$6,761.16 |
$6,761.16 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$7,080.36 |
$7,080.36 |
$7,080.36 |
$15,349.60
|
|
Pr removal intrauterine device
|
$232.26 |
$232.26 |
$232.26 |
$367.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,194.48 |
$1,194.48 |
$1,194.48 |
$1,761.00
|
|
PSA (Prostate) Test
|
$23.52 |
$23.52 |
$23.52 |
$107.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$49.98 |
$49.98 |
$49.98 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$41.58 |
$41.58 |
$41.58 |
$81.48
|
|
Pt application of modality traction mechanical
|
$38.22 |
$38.22 |
$38.22 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$36.96 |
$36.96 |
$36.96 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$36.54 |
$36.54 |
$36.54 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$31.92 |
$31.92 |
$31.92 |
$88.00
|
|
Pul art balloon repr percut
|
$4,526.34 |
$4,526.34 |
$4,526.34 |
$9,760.40
|
|
Pul art balloon repr percut
|
$2,263.38 |
$2,263.38 |
$2,263.38 |
$3,766.10
|
|
Pulmonary vent imaging
|
$430.92 |
$430.92 |
$430.92 |
$933.75
|
|
Punc of shunt for asp or inj
|
$566.58 |
$566.58 |
$566.58 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$95.34 |
$95.34 |
$95.34 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$323.40 |
$323.40 |
$323.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$704.34 |
$704.34 |
$704.34 |
$1,060.47
|
|
Pvb thoracic single inj site
|
$1,228.08 |
$1,228.08 |
$1,228.08 |
$1,320.80
|
|
Pyruvate
|
$18.48 |
$18.48 |
$18.48 |
$66.00
|
|
Pyruvate kinase
|
$78.54 |
$78.54 |
$78.54 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$768.60 |
$768.60 |
$768.60 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$499.38 |
$499.38 |
$499.38 |
$1,199.16
|
|
Quest t3 uptake
|
$23.52 |
$23.52 |
$23.52 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$404.54 |
$404.54 |
$404.54 |
$4,017.00
|
|
Radiation handling
|
$306.60 |
$306.60 |
$306.60 |
$324.80
|
|
Radiation physics consult
|
$279.72 |
$279.72 |
$279.72 |
$610.68
|
|
Radiation therapy dose plan
|
$275.94 |
$275.94 |
$275.94 |
$518.76
|
|
Radiation treatment aid(s)
|
$232.68 |
$232.68 |
$232.68 |
$526.80
|
|
Radiation treatment aid(s)
|
$362.88 |
$362.88 |
$362.88 |
$655.50
|
|
Radiation treatment aid(s)
|
$547.68 |
$547.68 |
$547.68 |
$1,100.38
|
|
Radiation treatment delivery
|
$236.04 |
$236.04 |
$236.04 |
$552.40
|
|
Radiation treatment delivery
|
$329.70 |
$329.70 |
$329.70 |
$921.00
|
|
Radiology port images(s)
|
$102.06 |
$102.06 |
$102.06 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$3,102.12 |
$3,102.12 |
$3,102.12 |
$5,755.75
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$822.78 |
$822.78 |
$822.78 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,504.44 |
$1,504.44 |
$1,504.44 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,178.52 |
$1,178.52 |
$1,178.52 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,367.52 |
$1,367.52 |
$1,367.52 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$386.40 |
$386.40 |
$386.40 |
$1,126.32
|
