|
Ovarian cystectomy 58925
|
$1,302.03 |
$1,302.03 |
$1,302.03 |
$5,813.46
|
|
Paliperidone 117 mg/0.75 ml inj
|
$11,647.57 |
$11,647.57 |
$11,647.57 |
$6,272.41
|
|
Palonosetron hcl
|
$652.68 |
$652.68 |
$652.68 |
$306.70
|
|
Parathormone (pth) intact
|
$68.74 |
$68.74 |
$68.74 |
$200.23
|
|
Parathyroid planar imaging
|
$2,111.89 |
$2,111.89 |
$2,111.89 |
$1,166.00
|
|
Parial mast w/lymph removal 19302
|
$1,839.50 |
$1,839.50 |
$1,839.50 |
$5,428.78
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$49.29 |
$49.29 |
$49.29 |
$270.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$811.86 |
$811.86 |
$811.86 |
$3,881.50
|
|
Partial hip replacement
|
$3,113.55 |
$3,113.55 |
$3,113.55 |
$5,574.40
|
|
Partial removal finger bone
|
$890.45 |
$890.45 |
$890.45 |
$2,021.04
|
|
Partial removal finger bone
|
$801.87 |
$801.87 |
$801.87 |
$2,211.05
|
|
Partial removal foot fascia
|
$620.72 |
$620.72 |
$620.72 |
$3,839.54
|
|
Partial removal of foot bone
|
$793.21 |
$793.21 |
$793.21 |
$3,839.54
|
|
Partial removal of penis
|
$1,150.19 |
$1,150.19 |
$1,150.19 |
$4,081.37
|
|
Partial removal of sternum
|
$882.45 |
$882.45 |
$882.45 |
$1,236.00
|
|
Partial removal of thyroid
|
$1,248.75 |
$1,248.75 |
$1,248.75 |
$6,311.00
|
|
Partial removal of toe
|
$492.18 |
$492.18 |
$492.18 |
$3,821.05
|
|
Partial thyroid excision
|
$1,276.73 |
$1,276.73 |
$1,276.73 |
$6,038.00
|
|
Part removal of metatarsal
|
$531.47 |
$531.47 |
$531.47 |
$3,795.71
|
|
Part removal of metatarsal
|
$727.28 |
$727.28 |
$727.28 |
$2,942.23
|
|
Path clin consltj high 41-60
|
$192.48 |
$192.48 |
$192.48 |
$187.28
|
|
Path clin consltj mod 21-40
|
$110.56 |
$110.56 |
$110.56 |
$192.11
|
|
Path clin consltj sf 5-20
|
$110.56 |
$110.56 |
$110.56 |
$82.15
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$18,166.13 |
$18,166.13 |
$18,166.13 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,817.34 |
$11,817.34 |
$11,817.34 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,908.68 |
$5,908.68 |
$5,908.68 |
$4,749.07
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,790.20 |
$9,790.20 |
$9,790.20 |
$2,499.60
|
|
Pelvic CT scan (with and without contrast)
|
$7,140.19 |
$7,140.19 |
$7,140.19 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$5,302.70 |
$5,302.70 |
$5,302.70 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$4,175.82 |
$4,175.82 |
$4,175.82 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$8,919.08 |
$8,919.08 |
$8,919.08 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$7,406.59 |
$7,406.59 |
$7,406.59 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$6,791.87 |
$6,791.87 |
$6,791.87 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,013.32 |
$2,013.32 |
$2,013.32 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,710.29 |
$1,710.29 |
$1,710.29 |
$445.00
|
|
Peng benzathine/procaine inj
|
$793.40 |
$793.40 |
$793.40 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,243.49 |
$2,243.49 |
$2,243.49 |
$643.59
|
|
Penicillin g procaine inj
|
$252.11 |
$252.11 |
$252.11 |
$47.19
|
|
Peri-implt capslc brst compl
|
$1,415.25 |
$1,415.25 |
$1,415.25 |
$4,184.94
|
|
Peripheral vascular rehab
|
$181.82 |
$181.82 |
$181.82 |
$128.69
|
|
Perit-vens shunt pat tst
|
$4,035.30 |
$4,035.30 |
$4,035.30 |
$695.40
|
|
Perq nl/pl lithotrp cplx>2cm
|
$2,317.02 |
$2,317.02 |
$2,317.02 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$1,579.76 |
$1,579.76 |
$1,579.76 |
$8,748.48
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$157.85 |
$157.85 |
$157.85 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$6,414.92 |
$6,414.92 |
$6,414.92 |
$4,854.75
|
|
Pet CT whole body initial
|
$6,414.92 |
$6,414.92 |
$6,414.92 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$2,880.45 |
$2,880.45 |
$2,880.45 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$6,073.92 |
$6,073.92 |
$6,073.92 |
$4,422.60
|
|
Pet scan brain perf study
|
$624.05 |
$624.05 |
$624.05 |
$4,297.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$30,967.01 |
$30,967.01 |
$30,967.01 |
$33,990.40
|
|
Phalangectomy ea toe 28150
|
$519.48 |
$519.48 |
$519.48 |
$3,591.33
|
|
Ph body fluid
|
$9.33 |
$9.33 |
$9.33 |
$39.20
|
|
Phenobarbital therapeutic drug level
|
$25.48 |
$25.48 |
$25.48 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$17.32 |
$17.32 |
$17.32 |
$57.09
|
|
Phenytoin total therapeutic drug level
|
$176.49 |
$176.49 |
$176.49 |
$111.27
|
|
Phlebotomy therapeutic
|
$305.70 |
$305.70 |
$305.70 |
$249.00
|
|
Phosphorus
|
$71.27 |
$71.27 |
$71.27 |
$47.81
|
|
Phosphorus 24 hour urine
|
$63.27 |
$63.27 |
$63.27 |
$42.81
|
|
Phys blood bank serv reactj
|
$230.44 |
$230.44 |
$230.44 |
$219.94
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$259.08 |
$259.08 |
$259.08 |
$1,016.25
|
|
Pin finger fracture each
|
$727.28 |
$727.28 |
$727.28 |
$3,910.33
|
|
Pinworm exam
|
$40.63 |
$40.63 |
$40.63 |
$39.75
|
|
Place gastrostomy tube perc
|
$5,317.35 |
$5,317.35 |
$5,317.35 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,918.08 |
$1,918.08 |
$1,918.08 |
$1,372.15
|
|
Placement of seton
|
$189.81 |
$189.81 |
$189.81 |
$3,375.00
|
|
Plasma volume multiple
|
$1,068.27 |
$1,068.27 |
$1,068.27 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$71.27 |
$71.27 |
$71.27 |
$147.96
|
|
Platelet automated
|
$75.93 |
$75.93 |
$75.93 |
$44.00
|
|
Platelet pheresis irr ea
|
$572.10 |
$572.10 |
$572.10 |
$1,030.93
|
|
Platelets pheresis leukocytes reduced each unit
|
$461.54 |
$461.54 |
$461.54 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$512.16 |
$512.16 |
$512.16 |
$1,363.70
|
|
Plethysmography lung volumes/airway resistance
|
$567.44 |
$567.44 |
$567.44 |
$411.51
|
|
Pmp22 gene dup/delet
|
$304.77 |
$304.77 |
$304.77 |
$1,029.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$676.66 |
$676.66 |
$676.66 |
$173.00
|
|
Potassium 24 hour urine
|
$70.60 |
$70.60 |
$70.60 |
$50.00
|
|
Potassium hydroxide preps
|
$33.97 |
$33.97 |
$33.97 |
$26.00
|
|
Potassium serum/plasma/whole blood
|
$78.59 |
$78.59 |
$78.59 |
$44.64
|
|
Pq thr inj ext pse
|
$2,563.44 |
$2,563.44 |
$2,563.44 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$14,042.61 |
$14,042.61 |
$14,042.61 |
$4,565.03
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,134.87 |
$1,134.87 |
$1,134.87 |
$3,761.65
|
|
Pr application of long arm splint
|
$193.14 |
$193.14 |
$193.14 |
$332.75
|
|
Pr application splint static short arm
|
$170.50 |
$170.50 |
$170.50 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$93.24 |
$93.24 |
$93.24 |
$472.79
|
|
Pr correction hammertoe
|
$654.68 |
$654.68 |
$654.68 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$67.94 |
$67.94 |
$67.94 |
$48.71
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$283.05 |
$283.05 |
$283.05 |
$4,555.88
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$368.97 |
$368.97 |
$368.97 |
$356.40
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$127.21 |
$127.21 |
$127.21 |
$148.00
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$194.48 |
$194.48 |
$194.48 |
$209.60
|
|
Prealbumin
|
$24.30 |
$24.30 |
$24.30 |
$87.20
|
|
Pr ecg 12 lead report only
|
$22.65 |
$22.65 |
$22.65 |
$19.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.35 |
$13.35 |
$13.35 |
$13.32
|
|
Prednisone 1 mg tablet
|
$2.67 |
$2.67 |
$2.67 |
$3.41
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$495.51 |
$495.51 |
$495.51 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,902.10 |
$1,902.10 |
$1,902.10 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,497.84 |
$1,497.84 |
$1,497.84 |
$541.45
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$151.85 |
$151.85 |
$151.85 |
$167.25
|
|
Prep skin to 100cm2 other
|
$453.55 |
$453.55 |
$453.55 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$404.27 |
$404.27 |
$404.27 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$127.88 |
$127.88 |
$127.88 |
$253.00
|