|
Peritoneal cath sub q resv per
|
$6,075.30 |
$6,075.30 |
$6,075.30 |
$5,625.74
|
|
Perit-vens shunt pat tst
|
$1,247.05 |
$1,247.05 |
$1,247.05 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$16,590.35 |
$16,590.35 |
$16,590.35 |
$7,796.10
|
|
Perq dev breast 1st mr guide
|
$1,320.90 |
$1,320.90 |
$1,320.90 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$838.25 |
$838.25 |
$838.25 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$6,962.20 |
$6,962.20 |
$6,962.20 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$6,179.25 |
$6,179.25 |
$6,179.25 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$6,553.40 |
$6,553.40 |
$6,553.40 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$896.35 |
$896.35 |
$896.35 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$11,876.18 |
$11,876.18 |
$11,876.18 |
$15,007.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$85.17 |
$85.17 |
$85.17 |
$113.84
|
|
Pet CT skull-mid thgh initial
|
$2,790.90 |
$2,790.90 |
$2,790.90 |
$4,854.75
|
|
Pet CT whole body initial
|
$3,387.30 |
$3,387.30 |
$3,387.30 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$2,790.90 |
$2,790.90 |
$2,790.90 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$2,194.85 |
$2,194.85 |
$2,194.85 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$46,021.89 |
$46,021.89 |
$46,021.89 |
$33,990.40
|
|
Ph body fluid
|
$43.75 |
$43.75 |
$43.75 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$102.57 |
$102.57 |
$102.57 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$347.90 |
$347.90 |
$347.90 |
$104.50
|
|
Phentolaine mesylate inj
|
$440.22 |
$440.22 |
$440.22 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$84.76 |
$84.76 |
$84.76 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$32.89 |
$32.89 |
$32.89 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$262.50 |
$262.50 |
$262.50 |
$111.27
|
|
Phlebotomy therapeutic
|
$865.20 |
$865.20 |
$865.20 |
$249.00
|
|
Phosphorus
|
$37.80 |
$37.80 |
$37.80 |
$47.81
|
|
Phosphorus 24 hour urine
|
$65.10 |
$65.10 |
$65.10 |
$42.81
|
|
Photopheresis
|
$5,181.40 |
$5,181.40 |
$5,181.40 |
$5,988.98
|
|
Phys blood bank serv reactj
|
$204.40 |
$204.40 |
$204.40 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$85.79 |
$85.79 |
$85.79 |
$92.07
|
|
Pin caspar distraction 12mm
|
$7,163.45 |
$7,163.45 |
$7,163.45 |
$10,255.29
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$523.25 |
$523.25 |
$523.25 |
$1,016.25
|
|
Pin finger fracture each
|
$3,608.15 |
$3,608.15 |
$3,608.15 |
$3,910.33
|
|
Pinworm exam
|
$82.25 |
$82.25 |
$82.25 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$159.84 |
$159.84 |
$159.84 |
$101.60
|
|
Place cath intracranial art
|
$1,705.55 |
$1,705.55 |
$1,705.55 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$2,268.35 |
$2,268.35 |
$2,268.35 |
$4,202.65
|
|
Place device/marker, non pro
|
$3,682.70 |
$3,682.70 |
$3,682.70 |
$1,868.78
|
|
Place duod/jej tube perc
|
$2,069.90 |
$2,069.90 |
$2,069.90 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$2,069.90 |
$2,069.90 |
$2,069.90 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$791.00 |
$791.00 |
$791.00 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$396.20 |
$396.20 |
$396.20 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$870.45 |
$870.45 |
$870.45 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$3,062.85 |
$3,062.85 |
$3,062.85 |
$4,450.11
|
|
Placement of seton
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$3,375.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$8,838.55 |
$8,838.55 |
$8,838.55 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$3,677.10 |
$3,677.10 |
$3,677.10 |
$5,110.00
|
|
Place right device/marker pros
|
$2,632.70 |
$2,632.70 |
$2,632.70 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$9,792.30 |
$9,792.30 |
$9,792.30 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,042.00 |
$7,042.00 |
$7,042.00 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,904.35 |
$8,904.35 |
$8,904.35 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$9,238.60 |
$9,238.60 |
$9,238.60 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$9,683.10 |
$9,683.10 |
$9,683.10 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$120.40 |
$120.40 |
$120.40 |
$147.96
|
|
Platelet automated
|
$93.45 |
$93.45 |
$93.45 |
$44.00
|
|
Platelet pheresis each unit
|
$940.45 |
$940.45 |
$940.45 |
$1,035.45
|
|
Platelet pheresis irr ea
|
$271.25 |
$271.25 |
$271.25 |
$1,030.93
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$940.45 |
$940.45 |
$940.45 |
$1,220.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$940.45 |
$940.45 |
$940.45 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$940.45 |
$940.45 |
$940.45 |
$1,363.70
|
|
Platelets pheresis pathogen-reduced each unit
|
$715.40 |
$715.40 |
$715.40 |
$992.49
|
|
Plcmnt biliary drainage cath w/img ext
|
$4,397.40 |
$4,397.40 |
$4,397.40 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$1,754.55 |
$1,754.55 |
$1,754.55 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,228.70 |
$4,228.70 |
$4,228.70 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,530.05 |
$4,530.05 |
$4,530.05 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$824.95 |
$824.95 |
$824.95 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$413.35 |
$413.35 |
$413.35 |
$878.22
|
|
Plc pq device breast ea addl lesion MRI guide
|
$660.80 |
$660.80 |
$660.80 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$418.95 |
$418.95 |
$418.95 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$435.40 |
$435.40 |
$435.40 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$310.10 |
$310.10 |
$310.10 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$3,311.70 |
$3,311.70 |
$3,311.70 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$4,749.50 |
$4,749.50 |
$4,749.50 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$2,859.15 |
$2,859.15 |
$2,859.15 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$4,530.05 |
$4,530.05 |
$4,530.05 |
$5,419.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$561.75 |
$561.75 |
$561.75 |
$173.00
|
|
Potassium 24 hour urine
|
$74.90 |
$74.90 |
$74.90 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$131.14 |
$131.14 |
$131.14 |
$76.40
|
|
Potassium serum/plasma/whole blood
|
$37.80 |
$37.80 |
$37.80 |
$44.64
|
|
Pq biliary strict dil s&i
|
$2,660.35 |
$2,660.35 |
$2,660.35 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$2,062.20 |
$2,062.20 |
$2,062.20 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$4,196.85 |
$4,196.85 |
$4,196.85 |
$10,430.78
|
|
Pq thr inj ext pse
|
$297.15 |
$297.15 |
$297.15 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,248.00 |
$3,248.00 |
$3,248.00 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,196.85 |
$4,196.85 |
$4,196.85 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,196.85 |
$4,196.85 |
$4,196.85 |
$4,811.54
|
|
Pralatrexate injection
|
$11,818.77 |
$11,818.77 |
$11,818.77 |
$20,786.08
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,608.15 |
$3,608.15 |
$3,608.15 |
$3,761.65
|
|
Pr application of long arm splint
|
$602.00 |
$602.00 |
$602.00 |
$332.75
|
|
Pr application splint static short arm
|
$602.00 |
$602.00 |
$602.00 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$951.65 |
$951.65 |
$951.65 |
$472.79
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,341.50 |
$2,341.50 |
$2,341.50 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$2,926.70 |
$2,926.70 |
$2,926.70 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$957.25 |
$957.25 |
$957.25 |
$356.40
|
|
Prealbumin
|
$133.35 |
$133.35 |
$133.35 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.69 |
$3.69 |
$3.69 |
$13.32
|
|
Prednisone 1 mg tablet
|
$0.61 |
$0.61 |
$0.61 |
$3.41
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,086.75 |
$1,086.75 |
$1,086.75 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$705.60 |
$705.60 |
$705.60 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$353.50 |
$353.50 |
$353.50 |
$541.45
|