|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$25.38 |
$25.38 |
$25.38 |
$97.80
|
|
Ot re-evaluation patient/family
|
$66.10 |
$66.10 |
$66.10 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$22.68 |
$22.68 |
$22.68 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$25.56 |
$25.56 |
$25.56 |
$93.12
|
|
Palingen or promatrx
|
$255.00 |
$255.00 |
$255.00 |
$691.88
|
|
Parathormone (pth) intact
|
$14.01 |
$14.01 |
$14.01 |
$206.18
|
|
Parathyroid planar imaging
|
$382.77 |
$382.77 |
$382.77 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$437.14 |
$437.14 |
$437.14 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$94.50 |
$94.50 |
$94.50 |
$245.67
|
|
Pdgfra gene
|
$156.26 |
$156.26 |
$156.26 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$484.44 |
$484.44 |
$484.44 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$403.76 |
$403.76 |
$403.76 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$322.91 |
$322.91 |
$322.91 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$589.84 |
$589.84 |
$589.84 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$491.63 |
$491.63 |
$491.63 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$393.23 |
$393.23 |
$393.23 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$211.30 |
$211.30 |
$211.30 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$178.54 |
$178.54 |
$178.54 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$76.54 |
$76.54 |
$76.54 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$94.82 |
$94.82 |
$94.82 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$9,122.33 |
$9,122.33 |
$9,122.33 |
$18,764.94
|
|
Penile vascular study
|
$206.23 |
$206.23 |
$206.23 |
$561.00
|
|
Penile vascular study
|
$176.71 |
$176.71 |
$176.71 |
$574.60
|
|
Perc d-e cor revasc chro sin
|
$4,487.18 |
$4,487.18 |
$4,487.18 |
$18,435.36
|
|
Perc d-e cor revasc t cabg s
|
$3,996.64 |
$3,996.64 |
$3,996.64 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$4,482.67 |
$4,482.67 |
$4,482.67 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$2,997.52 |
$2,997.52 |
$2,997.52 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$3,996.64 |
$3,996.64 |
$3,996.64 |
$16,258.50
|
|
Percut ablate liver rf
|
$2,247.86 |
$2,247.86 |
$2,247.86 |
$6,904.15
|
|
Pericardial drain w/cath pq w/ct guid
|
$663.69 |
$663.69 |
$663.69 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$691.39 |
$691.39 |
$691.39 |
$2,375.00
|
|
Peritoneogram rs&i
|
$177.80 |
$177.80 |
$177.80 |
$698.50
|
|
Perit-vens shunt pat tst
|
$243.30 |
$243.30 |
$243.30 |
$752.49
|
|
Perq nl/pl lithotrp smpl<2cm
|
$2,283.59 |
$2,283.59 |
$2,283.59 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$6,904.15
|
|
Pertussis ag if
|
$7.45 |
$7.45 |
$7.45 |
$66.23
|
|
Pet CT skull-mid thgh initial
|
$1,672.63 |
$1,672.63 |
$1,672.63 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,798.25 |
$1,798.25 |
$1,798.25 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$1,156.38 |
$1,156.38 |
$1,156.38 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$1,571.59 |
$1,571.59 |
$1,571.59 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$33,267.08 |
$33,267.08 |
$33,267.08 |
$39,920.50
|
|
Ph body fluid
|
$11.75 |
$11.75 |
$11.75 |
$42.00
|
|
Phencyclidine (pcp)
|
$27.69 |
$27.69 |
$27.69 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$6.67 |
$6.67 |
$6.67 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$5.99 |
$5.99 |
$5.99 |
$111.27
|
|
Phlebotomy therapeutic
|
$180.18 |
$180.18 |
$180.18 |
$231.40
|
|
Phosphorus
|
$13.67 |
$13.67 |
$13.67 |
$49.20
|
|
Phosphorus 24 hour urine
|
$8.36 |
$8.36 |
$8.36 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$121.63 |
$121.63 |
$121.63 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$73.16 |
$73.16 |
$73.16 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$97.16 |
$97.16 |
$97.16 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$63.38 |
$63.38 |
$63.38 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$130.35 |
$130.35 |
$130.35 |
$463.20
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$504.00 |
$504.00 |
$504.00 |
$1,130.58
|
|
Pinworm exam
|
$2.69 |
$2.69 |
$2.69 |
$39.62
|
|
Place cath xtrnl carotid
|
$1,382.51 |
$1,382.51 |
$1,382.51 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$706.07 |
$706.07 |
$706.07 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$471.73 |
$471.73 |
$471.73 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,553.14 |
$1,553.14 |
$1,553.14 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$196.39 |
$196.39 |
$196.39 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,948.36 |
$3,948.36 |
$3,948.36 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$1,563.67 |
$1,563.67 |
$1,563.67 |
$5,271.46
|
|
Place po breast cath for rad
|
$2,933.98 |
$2,933.98 |
$2,933.98 |
$10,741.80
|
|
Place right device/marker pros
|
$424.92 |
$424.92 |
$424.92 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$4,188.24 |
$4,188.24 |
$4,188.24 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,308.77 |
$3,308.77 |
$3,308.77 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$3,685.49 |
$3,685.49 |
$3,685.49 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$3,327.05 |
$3,327.05 |
$3,327.05 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$3,748.36 |
$3,748.36 |
$3,748.36 |
$9,090.00
|
|
Plasma cryoprecipitate reduced each unit
|
$142.77 |
$142.77 |
$142.77 |
$163.04
|
|
Platelet aggregation each agent teg
|
$48.12 |
$48.12 |
$48.12 |
$148.98
|
|
Platelet automated
|
$2.97 |
$2.97 |
$2.97 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$236.11 |
$236.11 |
$236.11 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$301.68 |
$301.68 |
$301.68 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$605.62 |
$605.62 |
$605.62 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,274.20 |
$1,274.20 |
$1,274.20 |
$4,642.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,000.77 |
$2,000.77 |
$2,000.77 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,797.98 |
$2,797.98 |
$2,797.98 |
$5,589.75
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$311.35 |
$311.35 |
$311.35 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$55.93 |
$55.93 |
$55.93 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$1,384.72 |
$1,384.72 |
$1,384.72 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$1,577.24 |
$1,577.24 |
$1,577.24 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$1,843.16 |
$1,843.16 |
$1,843.16 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$2,611.56 |
$2,611.56 |
$2,611.56 |
$5,128.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$36.39 |
$36.39 |
$36.39 |
$187.32
|
|
Potassium 24 hour urine
|
$7.91 |
$7.91 |
$7.91 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$13.56 |
$13.56 |
$13.56 |
$47.85
|
|
Pq biliary strict dil s&i
|
$273.05 |
$273.05 |
$273.05 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$182.32 |
$182.32 |
$182.32 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$2,215.72 |
$2,215.72 |
$2,215.72 |
$10,173.15
|
|
Pq thr inj ext pse
|
$213.29 |
$213.29 |
$213.29 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$900.53 |
$900.53 |
$900.53 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,511.31 |
$1,511.31 |
$1,511.31 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,412.42 |
$1,412.42 |
$1,412.42 |
$4,811.54
|
|
Pr application of long arm splint
|
$110.16 |
$110.16 |
$110.16 |
$332.75
|
|
Pr application splint static short arm
|
$156.15 |
$156.15 |
$156.15 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$329.85 |
$329.85 |
$329.85 |
$458.25
|
|
Prcrd drg 0-5yr or w/anomly
|
$815.77 |
$815.77 |
$815.77 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$718.82 |
$718.82 |
$718.82 |
$2,253.00
|
|
Prealbumin
|
$6.10 |
$6.10 |
$6.10 |
$94.00
|