|
Perq rplcmt g-tube req revsn gstrst trk
|
$687.05 |
$687.05 |
$687.05 |
$625.93
|
|
Perq transcath closure each
|
$5,714.15 |
$5,714.15 |
$5,714.15 |
$9,204.00
|
|
Perq transcath cls aortic
|
$28,088.45 |
$28,088.45 |
$28,088.45 |
$22,633.26
|
|
Perq transcath cls mitral
|
$26,810.55 |
$26,810.55 |
$26,810.55 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$23,357.75 |
$23,357.75 |
$23,357.75 |
$8,999.20
|
|
Pertussis ag if
|
$65.00 |
$65.00 |
$65.00 |
$66.23
|
|
Pertuzumab 30 mg/ml desensitization
|
$1,458.15 |
$1,458.15 |
$1,458.15 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$3,021.69 |
$3,021.69 |
$3,021.69 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,541.25 |
$5,541.25 |
$5,541.25 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,235.75 |
$5,235.75 |
$5,235.75 |
$4,060.00
|
|
Pet image ltd area
|
$3,371.55 |
$3,371.55 |
$3,371.55 |
$3,809.11
|
|
Pet image skull-thigh
|
$4,024.80 |
$4,024.80 |
$4,024.80 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$4,024.80 |
$4,024.80 |
$4,024.80 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$58,213.35 |
$58,213.35 |
$58,213.35 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$120.90 |
$120.90 |
$120.90 |
$91.50
|
|
Ph body fluid
|
$67.60 |
$67.60 |
$67.60 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$196.13 |
$196.13 |
$196.13 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$426.40 |
$426.40 |
$426.40 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,543.95 |
$1,543.95 |
$1,543.95 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$41.56 |
$41.56 |
$41.56 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.75 |
$9.75 |
$9.75 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$126.10 |
$126.10 |
$126.10 |
$111.27
|
|
Phlebotomy therapeutic
|
$299.00 |
$299.00 |
$299.00 |
$231.40
|
|
Phosphorus
|
$121.55 |
$121.55 |
$121.55 |
$49.20
|
|
Phosphorus 24 hour urine
|
$68.90 |
$68.90 |
$68.90 |
$42.25
|
|
Phys blood bank serv reactj
|
$410.80 |
$410.80 |
$410.80 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$507.00 |
$507.00 |
$507.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$225.55 |
$225.55 |
$225.55 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$338.00 |
$338.00 |
$338.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$258.05 |
$258.05 |
$258.05 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$167.07 |
$167.07 |
$167.07 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$1,038.40
|
|
Pin caspar distraction 12mm
|
$16,387.15 |
$16,387.15 |
$16,387.15 |
$11,759.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,038.70 |
$1,038.70 |
$1,038.70 |
$1,130.58
|
|
Pinworm exam
|
$63.05 |
$63.05 |
$63.05 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$79.51 |
$79.51 |
$79.51 |
$81.36
|
|
Place cath intracranial art
|
$5,081.70 |
$5,081.70 |
$5,081.70 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$10,875.80 |
$10,875.80 |
$10,875.80 |
$4,202.90
|
|
Place device/marker, non pro
|
$3,368.95 |
$3,368.95 |
$3,368.95 |
$1,969.20
|
|
Place gastrostomy tube perc
|
$4,690.40 |
$4,690.40 |
$4,690.40 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,695.85 |
$1,695.85 |
$1,695.85 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,695.85 |
$1,695.85 |
$1,695.85 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$5,454.15 |
$5,454.15 |
$5,454.15 |
$3,933.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$20,982.00 |
$20,982.00 |
$20,982.00 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$15,772.25 |
$15,772.25 |
$15,772.25 |
$5,271.46
|
|
Placental lactogen
|
$227.50 |
$227.50 |
$227.50 |
$163.28
|
|
Place po breast cath for rad
|
$21,797.75 |
$21,797.75 |
$21,797.75 |
$10,741.80
|
|
Place right device/marker pros
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$17,835.35 |
$17,835.35 |
$17,835.35 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$13,211.90 |
$13,211.90 |
$13,211.90 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$15,828.80 |
$15,828.80 |
$15,828.80 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$9,764.95 |
$9,764.95 |
$9,764.95 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$12,806.95 |
$12,806.95 |
$12,806.95 |
$9,090.00
|
|
Plasma cryoprecipitate reduced each unit
|
$89.70 |
$89.70 |
$89.70 |
$163.04
|
|
Platelet aggregation each agent teg
|
$108.55 |
$108.55 |
$108.55 |
$148.98
|
|
Platelet automated
|
$48.75 |
$48.75 |
$48.75 |
$46.00
|
|
Platelet pheresis each unit
|
$941.20 |
$941.20 |
$941.20 |
$1,012.80
|
|
Platelets each unit
|
$146.90 |
$146.90 |
$146.90 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$428.35 |
$428.35 |
$428.35 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$704.60 |
$704.60 |
$704.60 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$326.30 |
$326.30 |
$326.30 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$2,092.35 |
$2,092.35 |
$2,092.35 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,204.15 |
$2,204.15 |
$2,204.15 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$947.70 |
$947.70 |
$947.70 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$4,136.60 |
$4,136.60 |
$4,136.60 |
$4,642.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,454.15 |
$5,454.15 |
$5,454.15 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,000.15 |
$6,000.15 |
$6,000.15 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,695.85 |
$1,695.85 |
$1,695.85 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$759.55
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,925.30 |
$1,925.30 |
$1,925.30 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$993.85 |
$993.85 |
$993.85 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$682.50 |
$682.50 |
$682.50 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$4,778.80 |
$4,778.80 |
$4,778.80 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$8,624.20 |
$8,624.20 |
$8,624.20 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,454.15 |
$5,454.15 |
$5,454.15 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$5,194.80 |
$5,194.80 |
$5,194.80 |
$5,128.50
|
|
Pm device progr eval dual
|
$373.10 |
$373.10 |
$373.10 |
$149.15
|
|
Pmp22 gene dup/delet
|
$808.60 |
$808.60 |
$808.60 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$278.20 |
$278.20 |
$278.20 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$504.40 |
$504.40 |
$504.40 |
$187.32
|
|
Potassium 24 hour urine
|
$44.20 |
$44.20 |
$44.20 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$19.50 |
$19.50 |
$19.50 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$148.85 |
$148.85 |
$148.85 |
$47.85
|
|
Powder prem protct 1oz
|
$27.30 |
$27.30 |
$27.30 |
$5.43
|
|
Ppp2r2b gen detc abnor allel
|
$79.95 |
$79.95 |
$79.95 |
$204.51
|
|
Pq biliary strict dil s&i
|
$2,250.30 |
$2,250.30 |
$2,250.30 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$2,732.60 |
$2,732.60 |
$2,732.60 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$15,286.05 |
$15,286.05 |
$15,286.05 |
$10,173.15
|
|
Pq thr inj ext pse
|
$852.80 |
$852.80 |
$852.80 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,064.75 |
$3,064.75 |
$3,064.75 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,708.95 |
$5,708.95 |
$5,708.95 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,708.95 |
$5,708.95 |
$5,708.95 |
$4,811.54
|
|
Pralatrexate injection
|
$21,615.09 |
$21,615.09 |
$21,615.09 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$300.26 |
$300.26 |
$300.26 |
$292.00
|
