|
Perc cryo ablate renal tum
|
$3,840.81 |
$5,143.23 |
$17,954.92 |
|
|
Perc d-e cor revasc chro add
|
$2,647.88 |
$4,821.54 |
$16,104.36 |
|
|
Perc d-e cor revasc chro sin
|
$3,530.39 |
$6,428.45 |
$15,337.30 |
|
|
Perc d-e cor revasc t cabg b
|
$2,358.42 |
$4,327.19 |
$7,903.32 |
|
|
Perc d-e cor revasc t cabg s
|
$3,144.45 |
$5,725.69 |
$15,337.30 |
|
|
Perc d-e cor stent ather br
|
$2,645.00 |
$4,853.00 |
$7,903.32 |
|
|
Perc d-e cor stent ather s
|
$3,526.70 |
$6,421.98 |
$15,337.30 |
|
|
Perc drug-el cor stent bran
|
$2,358.42 |
$4,327.19 |
$15,337.30 |
|
|
Perc drug-el cor stent sing
|
$3,144.45 |
$7,144.64 |
$18,619.13 |
|
|
Perc rf ablate renal tumor
|
$2,880.75 |
$3,409.06 |
$8,739.28 |
|
|
Percut ablate liver rf
|
$2,247.86 |
$2,872.71 |
$9,198.58 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$306.75 |
$434.93 |
$1,153.81 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$336.87 |
$700.91 |
$1,080.60 |
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$3,750.07 |
$3,750.07 |
$3,750.07 |
|
|
Pericardiocentesis wwo imaging
|
$514.18 |
$883.58 |
$2,700.88 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,257.69 |
$1,257.69 |
$1,257.69 |
|
|
Peri-implt capslc brst compl
|
$1,107.07 |
$1,107.07 |
$1,107.07 |
|
|
Peripheral vascular rehab
|
$24.79 |
$44.04 |
$85.23 |
|
|
Peri-proc device eval icd
|
$14.36 |
$45.86 |
$107.59 |
|
|
Peri-proc device eval pm
|
$14.36 |
$42.48 |
$103.14 |
|
|
Peritoneal cath sub q resv per
|
$1,937.13 |
$2,450.51 |
$3,607.32 |
|
|
Peritoneogram rs&i
|
$157.13 |
$233.21 |
$1,595.30 |
|
|
Perit-vens shunt pat tst
|
$165.49 |
$297.02 |
$490.30 |
|
|
Perq art m-thrombect &/nfs
|
$1,757.43 |
$3,828.92 |
$7,615.94 |
|
|
Perq clsr tcat l atr apndge
|
$1,226.52 |
$1,551.57 |
$37,002.82 |
|
|
Perq dev breast 1st mr guide
|
$626.48 |
$764.96 |
$3,628.38 |
|
|
Perq dev breast 1st strtctc
|
$551.04 |
$721.14 |
$3,185.41 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$1,621.27 |
$1,621.27 |
$1,621.27 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$985.38 |
$2,819.45 |
$7,570.47 |
|
|
Perq p-art revsc 1 abnor bi
|
$8,216.14 |
$8,216.14 |
$8,216.14 |
|
|
Perq p-art revsc 1 abnor uni
|
$5,477.31 |
$5,477.31 |
$6,676.79 |
|
|
Perq p-art revsc 1 nm nt uni
|
$4,315.71 |
$4,315.71 |
$4,315.71 |
|
|
Perq p-art revsc each addl
|
$2,168.92 |
$2,168.92 |
$2,168.92 |
|
|
Perq plmt bile duct stent
|
$1,564.89 |
$2,280.21 |
$5,448.09 |
|
|
Perq plmt bile duct stent
|
$2,296.54 |
$2,803.81 |
$8,426.90 |
|
|
Perq plmt bile duct stent
|
$2,914.89 |
$3,636.83 |
$12,208.13 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,606.43 |
$1,606.43 |
$1,606.43 |
|
|
Perq skel fix rad/uln dislc
|
$792.46 |
$792.46 |
$792.46 |
|
|
Perq skel fix ulnar styld fx
|
$727.91 |
$727.91 |
$727.91 |
|
|
Perq transcath closure each
|
$1,060.32 |
$3,872.85 |
$6,354.68 |
|
|
Perq transcath closure pda
|
$1,118.95 |
$2,688.78 |
$6,044.00 |
|
|
Perq transcath cls aortic
|
$11,733.46 |
$14,843.04 |
$31,598.82 |
|
|
Perq transcath cls mitral
|
$14,271.97 |
$19,063.67 |
$31,598.82 |
|
|
Perq transcath septal reduxn
|
$2,789.64 |
$5,506.93 |
$25,891.58 |
|
|
Perq trluml angp nt/recr coa
|
$5,284.16 |
$5,284.16 |
$10,903.79 |
|
|
Perq tx big toe fracture w/manip 28496
|
$405.88 |
$405.88 |
$405.88 |
|
|
Pertussis ag if
|
$5.87 |
$8.78 |
$60.03 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$9,191.31 |
$9,191.31 |
$9,191.31 |
|
|
Pertuzu, trastuzu, 10 mg
|
$12.70 |
$12.70 |
$15,532.51 |
|
|
Pet CT skull-mid thgh initial
|
$1,672.63 |
$2,151.79 |
$5,360.95 |
|
|
Pet CT whole body initial
|
$1,798.25 |
$2,259.14 |
$5,521.97 |
|
|
Pet fdg brain metoblic eval sb
|
$1,156.38 |
$1,707.55 |
$4,687.22 |
|
|
Pet image full body
|
$1,565.74 |
$1,952.49 |
$2,264.39 |
|
|
Pet image ltd area
|
$1,075.54 |
$1,341.20 |
$1,983.35 |
|
|
Pet image skull-thigh
|
$1,353.89 |
$1,688.32 |
$1,958.02 |
|
|
Pet image w/ct lmtd
|
$1,461.77 |
$1,604.64 |
$4,007.57 |
|
|
Pet scan brain perf study
|
$1,530.26 |
$1,530.26 |
$1,530.26 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$28,148.68 |
$37,204.82 |
$98,958.20 |
|
|
Pharmacologic management w/psytx
|
$81.44 |
$81.44 |
$81.44 |
|
|
Ph body fluid
|
$8.74 |
$17.26 |
$76.79 |
|
|
Phencyclidine (pcp)
|
$5.63 |
$10.72 |
$182.54 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$2.66 |
$132.37 |
$246.35 |
|
|
Phenobarbital therapeutic drug level
|
$4.96 |
$9.79 |
$157.01 |
|
|
Phentolaine mesylate inj
|
$275.04 |
$376.38 |
$1,956.66 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.01 |
$42.74 |
$93.80 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.94 |
$13.29 |
$14.48 |
|
|
Phenytoin total therapeutic drug level
|
$4.45 |
$8.80 |
$247.83 |
|
|
Phlebotomy therapeutic
|
$66.05 |
$195.78 |
$383.62 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$502.56 |
$2,165.88 |
$5,141.32 |
|
|
Phleb veins 1 extrm >20 stab
|
$1,781.24 |
$2,662.97 |
$5,141.32 |
|
|
Phosphorus
|
$6.08 |
$19.36 |
$70.89 |
|
|
Phosphorus 24 hour urine
|
$6.22 |
$11.84 |
$66.78 |
|
|
Photopheresis
|
$2,111.55 |
$2,462.32 |
$4,755.14 |
|
|
Phys blood bank serv authrj
|
$388.81 |
$388.81 |
$388.81 |
|
|
Phys blood bank serv reactj
|
$119.81 |
$130.52 |
$388.81 |
|
|
Phys blood bank serv xmatch
|
$152.86 |
$152.86 |
$152.86 |
|
|
Physical Therapy Evaluation (high complexity)
|
$44.50 |
$110.14 |
$281.88 |
|
|
Physical Therapy Evaluation (low complexity)
|
$26.57 |
$66.25 |
$203.23 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$35.43 |
$87.99 |
$230.02 |
|
|
Physical Therapy Re-Evaluation
|
$26.57 |
$57.39 |
$172.84 |
|
|
Physician standby services
|
$74.42 |
$74.42 |
$89.79 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$51.19 |
$69.87 |
$190.70 |
|
|
Piflu f-18, dia 1 millicurie
|
$422.82 |
$471.79 |
$584.43 |
|
|
Pik3ca gene trgt seq alys
|
$55.28 |
$179.85 |
$956.18 |
|
|
Pin caspar distraction 12mm
|
$6,551.30 |
$9,496.92 |
$17,697.22 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$504.00 |
$580.16 |
$664.84 |
|
|
Pin finger dislocation
|
$707.87 |
$707.87 |
$707.87 |
|
|
Pin finger fracture each
|
$669.29 |
$669.29 |
$669.29 |
|
|
Pin service 60m per month
|
$134.85 |
$134.85 |
$134.85 |
|
|
Pinworm exam
|
$2.12 |
$3.04 |
$70.49 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$0.76 |
$101.60 |
$120.95 |
|
|
Place breast cath for rad
|
$144.69 |
$144.69 |
$144.69 |
|
|
Place cath intracranial art
|
$1,347.82 |
$2,060.89 |
$4,250.90 |
|
|
Place cath xtrnl carotid
|
$1,382.51 |
$1,766.81 |
$3,158.70 |
|
|
Place cecostomy tube perc
|
$882.01 |
$1,017.04 |
$3,347.47 |
|
|
Place device/marker, non pro
|
$689.26 |
$844.29 |
$2,351.60 |
|
|
Place duod/jej tube perc
|
$860.04 |
$1,075.81 |
$4,591.50 |
|
|
Place gastrostomy tube open 43832
|
$1,847.91 |
$1,847.91 |
$1,847.91 |
|
|
Place gastrostomy tube perc
|
$706.07 |
$902.35 |
$2,125.83 |
|
|
Placement bile duct support
|
$2,931.33 |
$2,931.33 |
$3,235.62 |
|