|
Place slctv cath carotd art uni
|
$22,612.80 |
$22,612.80 |
$22,612.80 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$9,340.80 |
$9,340.80 |
$9,340.80 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$17,169.60 |
$17,169.60 |
$17,169.60 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$9,021.60 |
$9,021.60 |
$9,021.60 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$18,396.00 |
$18,396.00 |
$18,396.00 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$21.84 |
$21.84 |
$21.84 |
$157.95
|
|
Plasma cryo redu path each
|
$21.84 |
$21.84 |
$21.84 |
$21.84
|
|
Plasma volume multiple
|
$4,300.80 |
$4,300.80 |
$4,300.80 |
$1,544.85
|
|
Plasma volume single
|
$4,300.80 |
$4,300.80 |
$4,300.80 |
$1,704.65
|
|
Plas shoe insert w ank joint
|
$165.20 |
$165.20 |
$165.20 |
$245.71
|
|
Plastic mod low ext pad/line
|
$165.20 |
$165.20 |
$165.20 |
$241.54
|
|
Plastic mold recipro hip & c
|
$1,811.60 |
$1,811.60 |
$1,811.60 |
$3,850.61
|
|
Plast socket jts/thgh lacer
|
$5,208.00 |
$5,208.00 |
$5,208.00 |
$5,208.00
|
|
Platelet aggregation each agent teg
|
$173.60 |
$173.60 |
$173.60 |
$148.80
|
|
Platelet automated
|
$122.64 |
$122.64 |
$122.64 |
$45.60
|
|
Platelet deplete of harvest
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,315.60
|
|
Platelet pheresis each unit
|
$327.60 |
$327.60 |
$327.60 |
$961.70
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$327.60 |
$327.60 |
$327.60 |
$1,504.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$327.60 |
$327.60 |
$327.60 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$352.80 |
$352.80 |
$352.80 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$363.44 |
$363.44 |
$363.44 |
$1,004.00
|
|
Platelet survival
|
$2,643.20 |
$2,643.20 |
$2,643.20 |
$545.61
|
|
Plating chrome/nickel pr bar
|
$89.60 |
$89.60 |
$89.60 |
$184.93
|
|
Plcg2 gene common variants
|
$666.40 |
$666.40 |
$666.40 |
$478.92
|
|
Plcmnt biliary drainage cath w/img ext
|
$8,433.60 |
$8,433.60 |
$8,433.60 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$6,927.20 |
$6,927.20 |
$6,927.20 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$11,261.60 |
$11,261.60 |
$11,261.60 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$11,261.60 |
$11,261.60 |
$11,261.60 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$3,578.40 |
$3,578.40 |
$3,578.40 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$2,962.40 |
$2,962.40 |
$2,962.40 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$627.20 |
$627.20 |
$627.20 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$532.00 |
$532.00 |
$532.00 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$996.80 |
$996.80 |
$996.80 |
$758.52
|
|
Plerixafor injection
|
$16,079.30 |
$16,079.30 |
$16,079.30 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$599.20 |
$599.20 |
$599.20 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$10,236.80 |
$10,236.80 |
$10,236.80 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$8,271.20 |
$8,271.20 |
$8,271.20 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,297.60 |
$5,297.60 |
$5,297.60 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$11,261.60 |
$11,261.60 |
$11,261.60 |
$5,104.20
|
|
Plug insert indwelling 16f
|
$81.20 |
$81.20 |
$81.20 |
$149.90
|
|
Pm device progr eval dual
|
$548.80 |
$548.80 |
$548.80 |
$148.00
|
|
Pm device progr eval multi
|
$364.00 |
$364.00 |
$364.00 |
$139.00
|
|
Pml/raralpha 1 breakpoint
|
$2,928.80 |
$2,928.80 |
$2,928.80 |
$307.13
|
|
Pmp22 gene dup/delet
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$986.40
|
|
Pmp22 gene known fam variant
|
$133.84 |
$133.84 |
$133.84 |
$63.42
|
|
Pm phone r-strip device eval
|
$347.20 |
$347.20 |
$347.20 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$464.80 |
$464.80 |
$464.80 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$1,002.60
|
|
Pms2 known familial variants
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$540.00
|
|
Pneum full leg splnt pre ots
|
$201.60 |
$201.60 |
$201.60 |
$309.50
|
|
Pneumothrx tx-intraplrl inj ai
|
$3,572.80 |
$3,572.80 |
$3,572.80 |
$811.82
|
|
#pnh-flow cytometry interp
|
$260.96 |
$260.96 |
$260.96 |
$123.75
|
|
Pn soln nos 10 grams lipids
|
$18.48 |
$18.48 |
$18.48 |
$96.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$565.60 |
$565.60 |
$565.60 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$30,041.68 |
$30,041.68 |
$30,041.68 |
$35,781.91
|
|
Polycentric hinge pair
|
$282.80 |
$282.80 |
$282.80 |
$282.80
|
|
Polysom <6 yrs cpap/bilvl
|
$3,180.80 |
$3,180.80 |
$3,180.80 |
$3,494.55
|
|
Polysom any age 1-3> param
|
$3,180.80 |
$3,180.80 |
$3,180.80 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,651.20 |
$3,651.20 |
$3,651.20 |
$3,751.48
|
|
Polyvalent mult org ea ag ia
|
$31.92 |
$31.92 |
$31.92 |
$14.50
|
|
Porfimer sodium injection
|
$37,618.13 |
$37,618.13 |
$37,618.13 |
$37,618.13
|
|
Positional change of finger
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Positional nystagmus test
|
$33.04 |
$33.04 |
$33.04 |
$73.50
|
|
Post 1 srfc resinbased cmpst
|
$142.80 |
$142.80 |
$142.80 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$186.48 |
$186.48 |
$186.48 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$285.60 |
$285.60 |
$285.60 |
$285.60
|
|
Post-coital mucous exam
|
$100.80 |
$100.80 |
$100.80 |
$34.50
|
|
Post d/c phone follow up
|
$202.16 |
$202.16 |
$202.16 |
$153.95
|
|
Post non-seg/spine instrumentation 22840
|
$2,374.40 |
$2,374.40 |
$2,374.40 |
$1,831.20
|
|
Postop applicat rigid dsg on
|
$616.00 |
$616.00 |
$616.00 |
$616.00
|
|
Postop app non-wgt bear dsg
|
$459.20 |
$459.20 |
$459.20 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$613.20 |
$613.20 |
$613.20 |
$1,389.71
|
|
Postop dress & 1 cast chg bk
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$2,533.77
|
|
Postop dsg & 1 cast chg ak/d
|
$2,279.20 |
$2,279.20 |
$2,279.20 |
$3,339.01
|
|
Postop dsg ak ea add cast ch
|
$635.60 |
$635.60 |
$635.60 |
$635.60
|
|
Postop dsg bk ea add cast ch
|
$470.40 |
$470.40 |
$470.40 |
$698.82
|
|
Postop dsg cast chg elb dis/
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$1,831.20
|
|
Postop dsg cast chg wrst/elb
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,456.00
|
|
Postop ea cast chg & realign
|
$602.00 |
$602.00 |
$602.00 |
$602.00
|
|
Post-operative body jacket
|
$2,209.20 |
$2,209.20 |
$2,209.20 |
$3,773.28
|
|
Post-op hip abduct custom fa
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$1,760.02
|
|
Post op service lvrs min 6
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$948.13
|
|
Post seg spine instrument/3-6 seg 22842
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$1,837.60
|
|
Potassium 24 hour urine
|
$62.16 |
$62.16 |
$62.16 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$64.09 |
$64.09 |
$64.09 |
$63.35
|
|
Potassium hydroxide preps
|
$22.40 |
$22.40 |
$22.40 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$104.16 |
$104.16 |
$104.16 |
$46.75
|
|
Pouch clsd w barr attached
|
$3.36 |
$3.36 |
$3.36 |
$3.36
|
|
Pouch high output 2pc 50mm red
|
$15.86 |
$15.86 |
$15.86 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$6.16 |
$6.16 |
$6.16 |
$6.16
|
|
Ppp2r2b gen detc abnor allel
|
$313.60 |
$313.60 |
$313.60 |
$204.51
|
|
Pq biliary strict dil s&i
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$2,195.20 |
$2,195.20 |
$2,195.20 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,953.60 |
$10,953.60 |
$10,953.60 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$11,625.60 |
$11,625.60 |
$11,625.60 |
$4,565.03
|
