|
Porfimer sodium injection
|
$33,696.43 |
$33,696.43 |
$33,696.43 |
$45,970.50
|
|
Potassium 24 hour urine
|
$125.30 |
$125.30 |
$125.30 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$130.33 |
$130.33 |
$130.33 |
$76.40
|
|
Potassium serum/plasma/whole blood
|
$105.70 |
$105.70 |
$105.70 |
$44.64
|
|
Pq biliary strict dil s&i
|
$1,834.35 |
$1,834.35 |
$1,834.35 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$739.55 |
$739.55 |
$739.55 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$13,589.45 |
$13,589.45 |
$13,589.45 |
$10,430.78
|
|
Pq thr inj ext pse
|
$325.50 |
$325.50 |
$325.50 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$7,921.55 |
$7,921.55 |
$7,921.55 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,812.50 |
$4,812.50 |
$4,812.50 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,812.50 |
$4,812.50 |
$4,812.50 |
$4,811.54
|
|
Pralatrexate injection
|
$20,786.08 |
$20,786.08 |
$20,786.08 |
$20,786.08
|
|
Pralidoxime 1 gram solution for injection
|
$315.02 |
$315.02 |
$315.02 |
$297.18
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,985.85 |
$2,985.85 |
$2,985.85 |
$3,761.65
|
|
Pr application of long arm splint
|
$232.75 |
$232.75 |
$232.75 |
$332.75
|
|
Pr application splint static short arm
|
$193.90 |
$193.90 |
$193.90 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$3.10 |
$3.10 |
$3.10 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$576.45 |
$576.45 |
$576.45 |
$472.79
|
|
Prcrd drg 0-5yr or w/anomly
|
$913.85 |
$913.85 |
$913.85 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$1,984.50 |
$1,984.50 |
$1,984.50 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$609.70 |
$609.70 |
$609.70 |
$356.40
|
|
Prealbumin
|
$177.45 |
$177.45 |
$177.45 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.73 |
$4.73 |
$4.73 |
$13.32
|
|
Prednisone 1 mg tablet
|
$162.23 |
$162.23 |
$162.23 |
$3.41
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$515.90 |
$515.90 |
$515.90 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$436.45 |
$436.45 |
$436.45 |
$541.45
|
|
Prep skin to 100cm2 other
|
$321.30 |
$321.30 |
$321.30 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,702.05 |
$1,702.05 |
$1,702.05 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$714.00 |
$714.00 |
$714.00 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$211.40 |
$211.40 |
$211.40 |
$253.00
|
|
Pressure velocity wire add ves
|
$70.35 |
$70.35 |
$70.35 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$16.80 |
$16.80 |
$16.80 |
$141.00
|
|
Pretreat rbc absorption reference
|
$33.43 |
$33.43 |
$33.43 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$32.13 |
$32.13 |
$32.13 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$24.28 |
$24.28 |
$24.28 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$5.95 |
$5.95 |
$5.95 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$236.95 |
$236.95 |
$236.95 |
$313.30
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,344.30 |
$2,344.30 |
$2,344.30 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,344.30 |
$2,344.30 |
$2,344.30 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$460.60 |
$460.60 |
$460.60 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$93.45 |
$93.45 |
$93.45 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$48.65 |
$48.65 |
$48.65 |
$172.33
|
|
Prgr stim/pace a/iv drug
|
$1,027.60 |
$1,027.60 |
$1,027.60 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$10,562.30 |
$10,562.30 |
$10,562.30 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,684.40 |
$4,684.40 |
$4,684.40 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$473.20 |
$473.20 |
$473.20 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$473.20 |
$473.20 |
$473.20 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$473.20 |
$473.20 |
$473.20 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$734.30 |
$734.30 |
$734.30 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$161.70 |
$161.70 |
$161.70 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$7,350.00 |
$7,350.00 |
$7,350.00 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$187.96 |
$187.96 |
$187.96 |
$546.07
|
|
Procalcitonin
|
$99.40 |
$99.40 |
$99.40 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$67.22 |
$67.22 |
$67.22 |
$44.76
|
|
Proctosigmoidoscopy dx 45300
|
$756.35 |
$756.35 |
$756.35 |
$1,073.68
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,128.75 |
$1,128.75 |
$1,128.75 |
$3,245.23
|
|
Progesterone
|
$102.55 |
$102.55 |
$102.55 |
$105.00
|
|
Prolactin
|
$114.10 |
$114.10 |
$114.10 |
$127.50
|
|
Promethazine 25 mg tablet
|
$0.61 |
$0.61 |
$0.61 |
$7.01
|
|
Promethazine hcl injection
|
$33.17 |
$33.17 |
$33.17 |
$23.45
|
|
Propofol infusion 10 mg/ml
|
$44.30 |
$44.30 |
$44.30 |
$71.09
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$35.22 |
$35.22 |
$35.22 |
$35.22
|
|
Prosthesis voc advantage 20f 14mm
|
$774.97 |
$774.97 |
$774.97 |
$961.35
|
|
Protamine 10 mg/ml intravenous solution
|
$33.33 |
$33.33 |
$33.33 |
$60.98
|
|
Protector nerve neurawrap 4cm
|
$3,314.97 |
$3,314.97 |
$3,314.97 |
$3,580.71
|
|
Protein c activity
|
$147.00 |
$147.00 |
$147.00 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$125.30 |
$125.30 |
$125.30 |
$85.20
|
|
Protein total 24 hour urine
|
$74.20 |
$74.20 |
$74.20 |
$52.50
|
|
Protein total body fluid
|
$74.20 |
$74.20 |
$74.20 |
$52.57
|
|
Protein total serum plasma whole blood
|
$82.25 |
$82.25 |
$82.25 |
$42.81
|
|
Prothrombin complex kcentra
|
$8,146.97 |
$8,146.97 |
$8,146.97 |
$6.98
|
|
Prq cardiac angio addl art
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$4,794.65 |
$4,794.65 |
$4,794.65 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$5,119.45 |
$5,119.45 |
$5,119.45 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$4,716.25 |
$4,716.25 |
$4,716.25 |
$20,854.53
|
|
Prq card stent w/angio addl
|
$3,450.65 |
$3,450.65 |
$3,450.65 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,794.65 |
$4,794.65 |
$4,794.65 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$4,794.65 |
$4,794.65 |
$4,794.65 |
$11,251.88
|
|
Prq skel fix sprcndlr hum fx
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$6,731.17
|
|
Prq tcat plmt ntrac st 1 les
|
$6,900.60 |
$6,900.60 |
$6,900.60 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$7,991.20 |
$7,991.20 |
$7,991.20 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$6,019.30 |
$6,019.30 |
$6,019.30 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$4,794.65 |
$4,794.65 |
$4,794.65 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$372.40 |
$372.40 |
$372.40 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$249.90 |
$249.90 |
$249.90 |
$280.79
|
|
Pr removal intrauterine device
|
$347.90 |
$347.90 |
$347.90 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$576.45 |
$576.45 |
$576.45 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$167.65 |
$167.65 |
$167.65 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$208.95 |
$208.95 |
$208.95 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$167.65 |
$167.65 |
$167.65 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$208.95 |
$208.95 |
$208.95 |
$422.00
|
|
Pr robotic surgical system
|
$0.35 |
$0.35 |
$0.35 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$4,272.45 |
$4,272.45 |
$4,272.45 |
$1,790.60
|
|
PSA (Prostate) Test
|
$202.65 |
$202.65 |
$202.65 |
$109.35
|
|
Psych/neuropsych test admin automated result 96146
|
$3.10 |
$3.10 |
$3.10 |
$39.77
|
|
Psychotherapy patient individual therapy 30 minutes
|
$236.95 |
$236.95 |
$236.95 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$250.95 |
$250.95 |
$250.95 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$268.80 |
$268.80 |
$268.80 |
$294.45
|