|
Pet CT whole body initial
|
$11,972.65 |
$11,972.65 |
$11,972.65 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$11,934.11 |
$11,934.11 |
$11,934.11 |
$3,559.05
|
|
Pet image full body
|
$8,277.07 |
$8,277.07 |
$37,412.00 |
$4,795.47
|
|
Pet image ltd area
|
$37,412.00 |
$37,412.00 |
$37,412.00 |
$2,519.20
|
|
Pet image skull-thigh
|
$8,062.39 |
$8,062.39 |
$37,412.00 |
$4,247.10
|
|
Pet image w/ct lmtd
|
$10,907.30 |
$10,907.30 |
$10,907.30 |
$4,422.60
|
|
Pet scan brain perf study
|
$11,934.11 |
$11,934.11 |
$11,934.11 |
$4,297.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$14,040.77 |
$14,040.77 |
$14,040.77 |
$33,990.40
|
|
Ph body fluid
|
$134.66 |
$134.66 |
$352.01 |
$39.20
|
|
Phencyclidine (pcp)
|
$121.00 |
$233.79 |
$1,539.00 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,229.26 |
$1,229.26 |
$1,229.26 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$459.35 |
$593.84 |
$1,261.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$410.03 |
$1,404.00 |
$3,218.50 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$73.75 |
$102.00 |
$342.12 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$155.05 |
$178.58 |
$458.00 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$429.52 |
$476.81 |
$894.25 |
$111.27
|
|
Phlebotomy therapeutic
|
$1,015.28 |
$1,403.35 |
$1,835.25 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,371.95 |
$5,371.95 |
$5,371.95 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$6,446.36 |
$6,446.36 |
$6,446.36 |
$4,341.66
|
|
Phosphorus
|
$123.64 |
$123.64 |
$131.25 |
$47.81
|
|
Phosphorus 24 hour urine
|
$137.88 |
$313.95 |
$906.00 |
$42.81
|
|
Photopheresis
|
$12,124.74 |
$16,023.34 |
$40,068.75 |
$5,988.98
|
|
Phys blood bank serv reactj
|
$423.42 |
$423.42 |
$423.42 |
$219.94
|
|
Phys blood bank serv xmatch
|
$334.90 |
$334.90 |
$334.90 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$517.97 |
$517.97 |
$517.97 |
$92.07
|
|
Pillow shldr abduc inflat univ
|
$5,918.00 |
$5,918.00 |
$5,918.00 |
$537.66
|
|
Pinworm exam
|
$90.54 |
$543.00 |
$653.75 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$303.47 |
$303.47 |
$303.47 |
$101.60
|
|
Place cath intracranial art
|
$8,930.58 |
$8,930.58 |
$8,930.58 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$12,576.82 |
$12,576.82 |
$12,576.82 |
$4,202.65
|
|
Place cecostomy tube perc
|
$3,047.67 |
$3,047.67 |
$3,047.67 |
$2,576.20
|
|
Place duod/jej tube perc
|
$2,577.56 |
$2,577.56 |
$2,577.56 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$3,418.59 |
$3,418.59 |
$3,418.59 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$4,850.10 |
$4,850.10 |
$4,850.10 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$4,365.07 |
$4,365.07 |
$4,365.07 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$5,575.95 |
$5,575.95 |
$5,575.95 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$7,088.81 |
$7,088.81 |
$7,088.81 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$2,415.91 |
$2,415.91 |
$2,415.91 |
$656.63
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$32,180.68 |
$32,180.68 |
$32,180.68 |
$14,934.35
|
|
Place needles pelvic for right
|
$14,290.25 |
$14,290.25 |
$14,290.25 |
$5,855.00
|
|
Place non-slctv cath thoracic arta
|
$25,381.74 |
$25,381.74 |
$25,381.74 |
$5,110.00
|
|
Place po breast cath for rad
|
$19,849.49 |
$19,849.49 |
$19,849.49 |
$11,238.72
|
|
Place right device/marker pros
|
$4,029.43 |
$4,029.43 |
$4,029.43 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$20,823.25 |
$20,823.25 |
$20,823.25 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$21,241.86 |
$21,241.86 |
$21,241.86 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$27,887.73 |
$27,887.73 |
$27,887.73 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$27,575.89 |
$27,575.89 |
$27,575.89 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$20,420.16 |
$20,420.16 |
$20,420.16 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$728.76 |
$728.76 |
$6,776.00 |
$173.47
|
|
Plasma volume multiple
|
$2,767.56 |
$2,767.56 |
$2,767.56 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$314.23 |
$314.23 |
$344.10 |
$147.96
|
|
Platelet automated
|
$178.97 |
$274.49 |
$662.00 |
$44.00
|
|
Platelet pheresis each unit
|
$4,193.83 |
$4,995.53 |
$6,956.25 |
$1,035.45
|
|
Platelet pheresis irr ea
|
$249.48 |
$4,995.53 |
$6,776.00 |
$1,030.93
|
|
Platelets each unit
|
$307.23 |
$812.00 |
$943.25 |
$240.25
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$954.00 |
$954.00 |
$8,818.70 |
$1,341.40
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$4,291.77 |
$4,291.77 |
$4,291.77 |
$1,019.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$6,578.29 |
$6,578.29 |
$6,578.29 |
$1,220.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,522.68 |
$4,955.53 |
$6,879.00 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,478.35 |
$6,266.76 |
$7,299.75 |
$1,363.70
|
|
Platelets pheresis pathogen-reduced each unit
|
$4,955.53 |
$4,955.53 |
$7,299.75 |
$992.49
|
|
Platelet survival
|
$2,260.25 |
$2,260.25 |
$2,260.25 |
$475.51
|
|
Plcmnt biliary drainage cath w/img ext
|
$7,850.16 |
$7,850.16 |
$7,850.16 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$33,728.20 |
$33,728.20 |
$33,728.20 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$9,238.22 |
$9,238.22 |
$9,238.22 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$16,327.06 |
$16,327.06 |
$16,327.06 |
$6,048.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$9,561.95 |
$9,561.95 |
$9,561.95 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$3,754.84 |
$3,754.84 |
$3,754.84 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$3,439.77 |
$3,439.77 |
$3,439.77 |
$878.22
|
|
Plcmt xtn pros evasc rpr per vsl
|
$9,561.95 |
$9,561.95 |
$9,561.95 |
$3,969.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$9,902.54 |
$9,902.54 |
$9,902.54 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$8,383.06 |
$8,383.06 |
$8,383.06 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$4,919.95 |
$4,919.95 |
$4,919.95 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$872.00 |
$2,171.55 |
$2,645.89 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$9,908.44 |
$9,908.44 |
$9,908.44 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$9,908.44 |
$9,908.44 |
$9,908.44 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$9,238.22 |
$9,238.22 |
$9,238.22 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$9,238.22 |
$9,238.22 |
$9,238.22 |
$5,419.00
|
|
Pm device progr eval dual
|
$384.00 |
$384.00 |
$403.58 |
$148.00
|
|
Pm device progr eval multi
|
$504.46 |
$504.46 |
$504.46 |
$160.55
|
|
Pm phone r-strip device eval
|
$231.08 |
$231.08 |
$231.08 |
$127.20
|
|
#pnh-flow cytometry interp
|
$1,911.94 |
$1,911.94 |
$1,911.94 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$438.30 |
$438.30 |
$438.30 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$4,776.12 |
$4,776.12 |
$10,233.00 |
$3,928.40
|
|
Polysom any age 1-3> param
|
$7,308.75 |
$7,308.75 |
$9,518.00 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,993.73 |
$8,441.46 |
$10,233.00 |
$4,293.60
|
|
Porfimer sodium injection
|
$785.49 |
$785.49 |
$60,070.25 |
$45,970.50
|
|
Potassium 24 hour urine
|
$198.96 |
$220.72 |
$736.00 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$217.00 |
$421.00 |
$841.20 |
$76.40
|
|
Potassium serum/plasma/whole blood
|
$94.67 |
$137.23 |
$277.00 |
$44.64
|
|
Pq biliary strict dil s&i
|
$1,666.50 |
$3,925.59 |
$8,439.00 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$1,272.00 |
$1,756.76 |
$2,435.25 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$16,805.45 |
$16,805.45 |
$16,805.45 |
$10,430.78
|
|
Pq thr inj ext pse
|
$980.57 |
$980.57 |
$980.57 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$11,026.18 |
$11,026.18 |
$11,026.18 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$17,003.35 |
$17,003.35 |
$17,003.35 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$16,778.05 |
$16,778.05 |
$16,778.05 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$900.82 |
$900.82 |
$1,012.00 |
$297.18
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$10,393.61 |
$10,393.61 |
$10,393.61 |
$3,761.65
|
|
Pr application of long arm splint
|
$1,488.52 |
$1,488.52 |
$1,488.52 |
$332.75
|
