|
Placement occlusive device venous/arterial access site post procedure
|
$526.71 |
$526.71 |
$526.71 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$23,093.66 |
$23,093.66 |
$23,093.66 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$10,708.55 |
$10,708.55 |
$10,708.55 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$23,402.70 |
$23,402.70 |
$23,402.70 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$18,475.49 |
$18,475.49 |
$18,475.49 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$21,804.39 |
$21,804.39 |
$21,804.39 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$12,870.85 |
$12,870.85 |
$12,870.85 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$23,632.81 |
$23,632.81 |
$23,632.81 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$468.54 |
$468.54 |
$468.54 |
$147.96
|
|
Platelet automated
|
$224.39 |
$224.39 |
$224.39 |
$44.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$9,970.14 |
$9,970.14 |
$9,970.14 |
$1,235.40
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$5,538.75 |
$5,538.75 |
$5,538.75 |
$1,175.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,026.28 |
$6,026.28 |
$6,026.28 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$7,644.21 |
$7,644.21 |
$7,644.21 |
$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
|
$9,906.19 |
$9,906.19 |
$9,906.19 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$1,596.29 |
$1,596.29 |
$1,596.29 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$10,062.75 |
$10,062.75 |
$10,062.75 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$33,050.35 |
$33,050.35 |
$33,050.35 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,279.98 |
$2,279.98 |
$2,279.98 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,367.99 |
$1,367.99 |
$1,367.99 |
$878.22
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,446.95 |
$2,446.95 |
$2,446.95 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$1,036.17 |
$1,036.17 |
$1,036.17 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$34,860.78 |
$34,860.78 |
$34,860.78 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$9,906.19 |
$9,906.19 |
$9,906.19 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$10,625.16 |
$10,625.16 |
$10,625.16 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$10,062.75 |
$10,062.75 |
$10,062.75 |
$5,419.00
|
|
Pms2 gene dup/delet variants
|
$712.25 |
$712.25 |
$712.25 |
$407.20
|
|
Pms2 gene full seq analysis
|
$2,367.75 |
$2,367.75 |
$2,367.75 |
$860.68
|
|
#pnh-flow cytometry interp
|
$158.55 |
$158.55 |
$158.55 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$503.43 |
$503.43 |
$503.43 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$4,293.60
|
|
Potassium 24 hour urine
|
$204.60 |
$204.60 |
$204.60 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$626.67 |
$626.67 |
$626.67 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$199.63 |
$199.63 |
$199.63 |
$44.64
|
|
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
|
$33,471.74 |
$33,471.74 |
$33,471.74 |
$10,430.78
|
|
Pq thr inj ext pse
|
$1,970.05 |
$1,970.05 |
$1,970.05 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$9,189.55 |
$9,189.55 |
$9,189.55 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$10,078.06 |
$10,078.06 |
$10,078.06 |
$4,811.54
|
|
Pr application of long arm splint
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$332.75
|
|
Pr application splint static short arm
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$120.17 |
$120.17 |
$120.17 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$1,964.78 |
$1,964.78 |
$1,964.78 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$642.62 |
$642.62 |
$642.62 |
$356.40
|
|
Prealbumin
|
$279.90 |
$279.90 |
$279.90 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$124.74 |
$124.74 |
$124.74 |
$16.30
|
|
Pregabalin - sendout
|
$45.35 |
$45.35 |
$45.35 |
$65.25
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$3,207.51 |
$3,207.51 |
$3,207.51 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,652.08 |
$1,652.08 |
$1,652.08 |
$541.45
|
|
Prep skin to 100cm2 other
|
$2,366.47 |
$2,366.47 |
$2,366.47 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,557.39 |
$3,557.39 |
$3,557.39 |
$2,164.64
|
|
Pressure velocity wire add ves
|
$1,925.25 |
$1,925.25 |
$1,925.25 |
$1,595.78
|
|
Pretreat rbc absorption reference
|
$196.49 |
$196.49 |
$196.49 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$531.02 |
$531.02 |
$531.02 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$196.49 |
$196.49 |
$196.49 |
$106.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,342.12 |
$1,342.12 |
$1,342.12 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$461.09 |
$461.09 |
$461.09 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$461.09 |
$461.09 |
$461.09 |
$143.55
|
|
Prgr stim/pace a/iv drug
|
$9,589.45 |
$9,589.45 |
$9,589.45 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$29,937.36 |
$29,937.36 |
$29,937.36 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$8,422.27 |
$8,422.27 |
$8,422.27 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,342.12 |
$1,342.12 |
$1,342.12 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$1,046.81 |
$1,046.81 |
$1,046.81 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$3,467.74 |
$3,467.74 |
$3,467.74 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,210.15 |
$1,210.15 |
$1,210.15 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$9,635.76 |
$9,635.76 |
$9,635.76 |
$666.10
|
|
Procalcitonin
|
$197.94 |
$197.94 |
$197.94 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$202.07 |
$202.07 |
$202.07 |
$46.50
|
|
Progesterone
|
$222.22 |
$222.22 |
$222.22 |
$105.00
|
|
Prolactin
|
$167.03 |
$167.03 |
$167.03 |
$127.50
|
|
Promethazine hcl injection
|
$159.66 |
$159.66 |
$159.66 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$237.78 |
$237.78 |
$237.78 |
$80.95
|
|
_propoxygc/msur
|
$48.13 |
$48.13 |
$48.13 |
$104.00
|
|
Prostate biopsy, any mthd
|
$3,289.10 |
$3,289.10 |
$3,289.10 |
$555.26
|
|
Protamine 10 mg/ml intravenous solution
|
$216.11 |
$216.11 |
$216.11 |
$50.70
|
|
Protein c activity
|
$182.96 |
$182.96 |
$182.96 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$53.30 |
$53.30 |
$53.30 |
$85.20
|
|
Protein s total
|
$179.20 |
$179.20 |
$179.20 |
$78.87
|
|
Protein total 24 hour urine
|
$75.39 |
$75.39 |
$75.39 |
$52.50
|
|
Protein total body fluid
|
$258.63 |
$258.63 |
$258.63 |
$52.57
|
|
Protein total serum plasma whole blood
|
$269.02 |
$269.02 |
$269.02 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$60.82 |
$60.82 |
$60.82 |
$37.05
|
|
Prq cardiac angio addl art
|
$13,387.72 |
$13,387.72 |
$13,387.72 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$16,528.60 |
$16,528.60 |
$16,528.60 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$32,544.98 |
$32,544.98 |
$32,544.98 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$42,695.69 |
$42,695.69 |
$42,695.69 |
$18,340.14
|
|
Prq revasc byp graft 1 art and/or branches
|
$33,590.54 |
$33,590.54 |
$33,590.54 |
$13,419.98
|
|
Prq tcat plmt ntrac st 1 les
|
$33,588.88 |
$33,588.88 |
$33,588.88 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$33,625.44 |
$33,625.44 |
$33,625.44 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$41,443.06 |
$41,443.06 |
$41,443.06 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$43,208.36 |
$43,208.36 |
$43,208.36 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$33,909.99 |
$33,909.99 |
$33,909.99 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$280.79
|
|
Pr removal intrauterine device
|
$3,467.74 |
$3,467.74 |
$3,467.74 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$2,076.47 |
$2,076.47 |
$2,076.47 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$2,164.03 |
$2,164.03 |
$2,164.03 |
$440.00
|
