|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$457.29 |
$457.29 |
$457.29 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$401.90 |
$401.90 |
$401.90 |
$95.01
|
|
Place cath xtrnl carotid
|
$19,836.32 |
$19,836.32 |
$19,836.32 |
$4,202.65
|
|
Place duod/jej tube perc
|
$12,557.48 |
$12,557.48 |
$12,557.48 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$7,850.30 |
$7,850.30 |
$7,850.30 |
$2,517.60
|
|
Placement nephrostomy catheter (both sides)
|
$7,429.34 |
$7,429.34 |
$7,429.34 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$11,193.43 |
$11,193.43 |
$11,193.43 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$52,198.94 |
$52,198.94 |
$52,198.94 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$12,705.26 |
$12,705.26 |
$12,705.26 |
$5,110.00
|
|
Place po breast cath for rad
|
$40,448.34 |
$40,448.34 |
$40,448.34 |
$11,238.72
|
|
Place slctv cath carotd art uni
|
$23,962.97 |
$23,962.97 |
$23,962.97 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$25,034.49 |
$25,034.49 |
$25,034.49 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$25,175.05 |
$25,175.05 |
$25,175.05 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$21,245.93 |
$21,245.93 |
$21,245.93 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$38,909.90 |
$38,909.90 |
$38,909.90 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$591.64 |
$591.64 |
$591.64 |
$156.20
|
|
Platelet aggregation each agent teg
|
$558.80 |
$558.80 |
$558.80 |
$147.96
|
|
Platelet automated
|
$104.44 |
$104.44 |
$104.44 |
$44.00
|
|
Platelets each unit
|
$642.01 |
$642.01 |
$642.01 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$7,251.01 |
$7,251.01 |
$7,251.01 |
$1,235.40
|
|
Platelets pheresis leukocytes reduced each unit
|
$4,382.74 |
$4,382.74 |
$4,382.74 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$5,559.42 |
$5,559.42 |
$5,559.42 |
$1,180.31
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,353.30 |
$2,353.30 |
$2,353.30 |
$879.36
|
|
Plcmnt biliary drainage cath w/img ext
|
$9,941.43 |
$9,941.43 |
$9,941.43 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$11,038.94 |
$11,038.94 |
$11,038.94 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$14,007.48 |
$14,007.48 |
$14,007.48 |
$6,048.00
|
|
Plethysmography lung volumes/airway resistance
|
$902.95 |
$902.95 |
$902.95 |
$411.51
|
|
Plmt biliary drainage cath
|
$10,737.29 |
$10,737.29 |
$10,737.29 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$8,768.97 |
$8,768.97 |
$8,768.97 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$13,340.46 |
$13,340.46 |
$13,340.46 |
$5,419.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$463.48 |
$463.48 |
$463.48 |
$173.00
|
|
Potassium 24 hour urine
|
$30.41 |
$30.41 |
$30.41 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$852.30 |
$852.30 |
$852.30 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$176.87 |
$176.87 |
$176.87 |
$44.64
|
|
Pq biliary strict dil s&i
|
$3,285.15 |
$3,285.15 |
$3,285.15 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$2,441.33 |
$2,441.33 |
$2,441.33 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$39,749.27 |
$39,749.27 |
$39,749.27 |
$10,430.78
|
|
Pq thr inj ext pse
|
$4,594.78 |
$4,594.78 |
$4,594.78 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$11,596.76 |
$11,596.76 |
$11,596.76 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$11,596.76 |
$11,596.76 |
$11,596.76 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$11,596.76 |
$11,596.76 |
$11,596.76 |
$4,811.54
|
|
Pr application of long arm splint
|
$1,266.91 |
$1,266.91 |
$1,266.91 |
$332.75
|
|
Pr application splint static short arm
|
$910.58 |
$910.58 |
$910.58 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$1,169.56 |
$1,169.56 |
$1,169.56 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$87.52 |
$87.52 |
$87.52 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$5,587.39 |
$5,587.39 |
$5,587.39 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$356.40
|
|
Prealbumin
|
$366.86 |
$366.86 |
$366.86 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$144.91 |
$144.91 |
$144.91 |
$16.30
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$12,557.48 |
$12,557.48 |
$12,557.48 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,026.92 |
$1,026.92 |
$1,026.92 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,026.92 |
$1,026.92 |
$1,026.92 |
$541.45
|
|
Pressure velocity wire add ves
|
$3,191.54 |
$3,191.54 |
$3,191.54 |
$1,595.78
|
|
Pretreat rbc absorption reference
|
$186.48 |
$186.48 |
$186.48 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$969.98 |
$969.98 |
$969.98 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$255.27 |
$255.27 |
$255.27 |
$106.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,169.56 |
$1,169.56 |
$1,169.56 |
$827.94
|
|
Prgr stim/pace a/iv drug
|
$2,659.61 |
$2,659.61 |
$2,659.61 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$24,129.08 |
$24,129.08 |
$24,129.08 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$16,451.76 |
$16,451.76 |
$16,451.76 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$879.47 |
$879.47 |
$879.47 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$2,522.00 |
$2,522.00 |
$2,522.00 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,169.56 |
$1,169.56 |
$1,169.56 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$231.46 |
$231.46 |
$231.46 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$12,597.97 |
$12,597.97 |
$12,597.97 |
$666.10
|
|
Procalcitonin
|
$463.29 |
$463.29 |
$463.29 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$249.18 |
$249.18 |
$249.18 |
$46.50
|
|
Progesterone
|
$63.62 |
$63.62 |
$63.62 |
$105.00
|
|
Prolactin
|
$59.11 |
$59.11 |
$59.11 |
$127.50
|
|
Promethazine hcl injection
|
$199.62 |
$199.62 |
$199.62 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$532.41 |
$532.41 |
$532.41 |
$80.95
|
|
_propoxygc/msur
|
$49.12 |
$49.12 |
$49.12 |
$104.00
|
|
Protamine 10 mg/ml intravenous solution
|
$269.46 |
$269.46 |
$269.46 |
$50.70
|
|
Protector nerve neurawrap 4cm
|
$4,951.07 |
$4,951.07 |
$4,951.07 |
$3,902.63
|
|
Protein c activity
|
$108.53 |
$108.53 |
$108.53 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$353.26 |
$353.26 |
$353.26 |
$85.20
|
|
Protein s total
|
$54.94 |
$54.94 |
$54.94 |
$78.87
|
|
Protein total 24 hour urine
|
$728.79 |
$728.79 |
$728.79 |
$52.50
|
|
Protein total body fluid
|
$563.37 |
$563.37 |
$563.37 |
$52.57
|
|
Protein total serum plasma whole blood
|
$21.28 |
$21.28 |
$21.28 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$20.50 |
$20.50 |
$20.50 |
$37.05
|
|
Prq cardiac angio addl art
|
$19,199.36 |
$19,199.36 |
$19,199.36 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$16,865.91 |
$16,865.91 |
$16,865.91 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$36,275.06 |
$36,275.06 |
$36,275.06 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$51,086.37 |
$51,086.37 |
$51,086.37 |
$18,340.14
|
|
Prq revasc byp graft 1 art and/or branches
|
$32,490.69 |
$32,490.69 |
$32,490.69 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$30,559.25 |
$30,559.25 |
$30,559.25 |
$11,251.88
|
|
Prq trluml c angiop 1art&/br
|
$30,855.66 |
$30,855.66 |
$30,855.66 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$50,530.08 |
$50,530.08 |
$50,530.08 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$30,981.54 |
$30,981.54 |
$30,981.54 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$910.58 |
$910.58 |
$910.58 |
$280.79
|
|
Pr removal intrauterine device
|
$2,522.00 |
$2,522.00 |
$2,522.00 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$782.32 |
$782.32 |
$782.32 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,480.85 |
$3,480.85 |
$3,480.85 |
$1,790.60
|
|
PSA (Prostate) Test
|
$424.17 |
$424.17 |
$424.17 |
$109.35
|