|
Phencyclidine (pcp)
|
$5.63 |
$8.51 |
$10.05 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$142.77 |
$142.77 |
$142.77 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$4.96 |
$7.49 |
$37.55 |
$105.00
|
|
Phentolaine mesylate inj
|
$377.91 |
$377.91 |
$377.91 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$42.74 |
$42.74 |
$42.74 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$13.34 |
$13.34 |
$13.34 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$4.45 |
$6.73 |
$39.03 |
$111.27
|
|
Phlebotomy therapeutic
|
$195.78 |
$195.78 |
$219.18 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,996.56 |
$2,412.81 |
$2,497.47 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$2,446.82 |
$2,956.93 |
$3,060.68 |
$4,621.21
|
|
Phosphorus
|
$10.16 |
$15.37 |
$18.28 |
$49.20
|
|
Phosphorus 24 hour urine
|
$6.22 |
$9.40 |
$31.37 |
$42.25
|
|
Photopheresis
|
$2,434.81 |
$2,434.81 |
$2,434.81 |
$7,967.00
|
|
Physical Therapy Evaluation (high complexity)
|
$81.95 |
$92.39 |
$131.16 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$49.30 |
$55.58 |
$131.16 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$65.47 |
$73.81 |
$131.16 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$42.70 |
$48.14 |
$86.70 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$70.15 |
$70.15 |
$70.15 |
$90.25
|
|
Pik3ca gene trgt seq alys
|
$55.28 |
$179.85 |
$363.00 |
$463.20
|
|
Pin caspar distraction 12mm
|
$8,445.60 |
$9,251.62 |
$9,531.97 |
$11,759.36
|
|
Pinworm exam
|
$2.13 |
$2.90 |
$3.17 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$0.76 |
$0.76 |
$102.02 |
$81.36
|
|
Place cath intracranial art
|
$1,705.36 |
$2,060.89 |
$2,133.20 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$1,412.45 |
$1,706.92 |
$1,766.81 |
$4,202.90
|
|
Place cecostomy tube perc
|
$1,017.04 |
$1,017.04 |
$1,017.04 |
$2,580.90
|
|
Place device/marker, non pro
|
$844.29 |
$844.29 |
$844.29 |
$1,969.20
|
|
Place duod/jej tube perc
|
$860.04 |
$1,039.34 |
$1,075.81 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$721.37 |
$871.76 |
$902.35 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$795.15 |
$795.15 |
$795.15 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$254.11 |
$254.11 |
$254.11 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$582.43 |
$582.43 |
$582.43 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,586.78 |
$1,917.59 |
$1,984.88 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$200.65 |
$242.48 |
$250.99 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$4,033.88 |
$4,874.87 |
$5,045.92 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$1,597.53 |
$1,930.59 |
$1,998.33 |
$5,271.46
|
|
Placental lactogen
|
$59.04 |
$59.04 |
$59.04 |
$163.28
|
|
Place right device/marker pros
|
$434.12 |
$524.63 |
$543.04 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$4,278.96 |
$5,171.04 |
$5,352.48 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,380.43 |
$4,085.19 |
$4,228.53 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$3,765.31 |
$4,550.31 |
$4,709.97 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$3,399.11 |
$4,107.76 |
$4,251.89 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$3,829.56 |
$4,627.94 |
$4,790.33 |
$9,090.00
|
|
Plasma cryoprecipitate reduced each unit
|
$66.30 |
$95.47 |
$122.88 |
$163.04
|
|
Platelet aggregation each agent teg
|
$14.53 |
$30.88 |
$102.15 |
$148.98
|
|
Platelet automated
|
$0.90 |
$2.65 |
$32.86 |
$46.00
|
|
Platelet pheresis each unit
|
$597.00 |
$597.00 |
$597.00 |
$1,012.80
|
|
Platelet pheresis irr ea
|
$1,001.59 |
$1,001.59 |
$1,001.59 |
$1,108.52
|
|
Platelets each unit
|
$44.46 |
$44.46 |
$44.46 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$170.19 |
$170.19 |
$170.19 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$109.65 |
$157.90 |
$652.08 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$140.10 |
$201.74 |
$861.54 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$281.25 |
$405.00 |
$521.25 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,301.80 |
$1,573.20 |
$1,628.40 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$4,097.84 |
$4,952.16 |
$5,125.92 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,044.11 |
$2,470.27 |
$2,556.94 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,858.58 |
$3,454.54 |
$3,575.75 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,274.50 |
$3,274.50 |
$3,274.50 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$402.43 |
$486.32 |
$503.39 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$205.17 |
$247.95 |
$256.65 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,274.50 |
$3,274.50 |
$3,274.50 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$683.66 |
$683.66 |
$683.66 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$364.91 |
$364.91 |
$364.91 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$384.41 |
$384.41 |
$384.41 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$63.99 |
$124.66 |
$328.48 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$1,769.65 |
$1,769.65 |
$1,769.65 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$1,611.40 |
$1,947.35 |
$2,015.68 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$1,883.08 |
$2,275.67 |
$2,355.52 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$2,668.12 |
$3,224.38 |
$3,337.51 |
$5,128.50
|
|
Pm device progr eval dual
|
$15.15 |
$43.76 |
$49.27 |
$149.15
|
|
Pm device progr eval multi
|
$16.83 |
$48.62 |
$54.74 |
$139.10
|
|
Pmp22 gene dup/delet
|
$1,001.44 |
$1,001.44 |
$1,001.44 |
$1,029.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$27.05 |
$40.89 |
$88.18 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$5,486.67 |
$5,486.67 |
$5,486.67 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$1,581.91 |
$1,581.91 |
$1,581.91 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,323.68 |
$3,323.68 |
$3,323.68 |
$3,790.61
|
|
Potassium 24 hour urine
|
$5.88 |
$8.89 |
$41.99 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$86.45 |
$86.45 |
$86.45 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$10.08 |
$15.24 |
$29.40 |
$47.85
|
|
Pq biliary strict dil s&i
|
$355.60 |
$365.76 |
$527.05 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$177.35 |
$237.44 |
$351.92 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$2,263.72 |
$2,735.66 |
$2,831.65 |
$10,173.15
|
|
Pq thr inj ext pse
|
$217.91 |
$263.34 |
$272.58 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$920.03 |
$1,111.84 |
$1,150.85 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,544.05 |
$1,544.05 |
$1,865.95 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,443.02 |
$1,743.86 |
$1,805.05 |
$4,811.54
|
|
Pr application of long arm splint
|
$78.34 |
$91.80 |
$120.56 |
$332.75
|
|
Pr application splint static short arm
|
$66.69 |
$78.15 |
$102.64 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$207.44 |
$207.44 |
$281.47 |
$458.25
|
|
Prcrd drg 0-5yr or w/anomly
|
$833.43 |
$1,007.19 |
$1,042.53 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$734.38 |
$887.49 |
$918.63 |
$2,253.00
|
|
Prealbumin
|
$4.54 |
$6.86 |
$29.40 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.46 |
$3.46 |
$3.46 |
$13.87
|
|
Prednisone 1 mg tablet
|
$0.99 |
$0.99 |
$0.99 |
$2.88
|
|
Pregabalin - sendout
|
$14.25 |
$14.25 |
$14.25 |
$76.70
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$100.52 |
$229.76 |
$311.61 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$74.90 |
$171.20 |
$388.29 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$70.70 |
$161.60 |
$219.17 |
$459.00
|
|
Prepare penis study
|
$125.37 |
$151.51 |
$156.82 |
$275.52
|
|
Prep skin to 100cm2 other
|
$1,419.26 |
$1,419.26 |
$1,419.26 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,314.05 |
$1,314.05 |
$1,314.05 |
$2,164.64
|
