|
Pet CT whole body initial
|
$12,610.55 |
$12,610.55 |
$19,210.00 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$15,920.46 |
$15,920.46 |
$15,920.46 |
$3,559.05
|
|
Pet image full body
|
$15,920.46 |
$15,920.46 |
$15,920.46 |
$4,795.47
|
|
Pet image ltd area
|
$12,794.33 |
$12,794.33 |
$12,794.33 |
$2,519.20
|
|
Pet image skull-thigh
|
$15,920.46 |
$15,920.46 |
$15,920.46 |
$4,247.10
|
|
Pet image w/ct lmtd
|
$11,221.89 |
$11,221.89 |
$23,258.00 |
$4,422.60
|
|
Ph body fluid
|
$31.00 |
$31.00 |
$97.29 |
$39.20
|
|
Phencyclidine (pcp)
|
$23.23 |
$23.23 |
$190.24 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$787.02 |
$787.02 |
$787.02 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$250.74 |
$250.74 |
$250.74 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$166.71 |
$166.71 |
$166.71 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$128.55 |
$128.55 |
$128.55 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$233.73 |
$233.73 |
$1,012.00 |
$111.27
|
|
Phosphorus
|
$212.42 |
$212.42 |
$474.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$199.38 |
$199.38 |
$199.38 |
$42.81
|
|
Phys blood bank serv reactj
|
$317.00 |
$317.00 |
$1,817.94 |
$219.94
|
|
Phys blood bank serv xmatch
|
$981.00 |
$981.00 |
$981.00 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$229.76 |
$229.76 |
$229.76 |
$86.36
|
|
Pinworm exam
|
$400.00 |
$400.00 |
$400.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$454.82 |
$454.82 |
$454.82 |
$95.01
|
|
Place duod/jej tube perc
|
$21,653.68 |
$21,653.68 |
$21,653.68 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$21,653.68 |
$21,653.68 |
$21,653.68 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$8,989.64 |
$8,989.64 |
$8,989.64 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,480.29 |
$5,480.29 |
$5,480.29 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$289.00 |
$289.00 |
$457.31 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$19,794.56 |
$19,794.56 |
$19,794.56 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$7,143.28 |
$7,143.28 |
$7,143.28 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$25,428.66 |
$25,428.66 |
$25,428.66 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,143.28 |
$7,143.28 |
$7,143.28 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$12,473.54 |
$12,473.54 |
$12,473.54 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$29,295.99 |
$29,295.99 |
$29,295.99 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$18,636.08 |
$18,636.08 |
$18,636.08 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$279.74 |
$279.74 |
$279.74 |
$147.96
|
|
Platelet automated
|
$87.57 |
$87.57 |
$145.00 |
$44.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$10,876.52 |
$10,876.52 |
$10,876.52 |
$1,235.40
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,574.12 |
$6,574.12 |
$6,574.12 |
$1,070.30
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,353.30 |
$2,353.30 |
$2,353.30 |
$879.36
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$17,565.03 |
$17,565.03 |
$17,565.03 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$8,625.21 |
$8,625.21 |
$8,625.21 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$7,817.08 |
$7,817.08 |
$7,817.08 |
$1,292.45
|
|
Plethysmography lung volumes/airway resistance
|
$976.71 |
$976.71 |
$1,161.00 |
$411.51
|
|
Plmt biliary drainage cath
|
$40,212.36 |
$40,212.36 |
$40,212.36 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$9,633.46 |
$9,633.46 |
$9,633.46 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$41,447.92 |
$41,447.92 |
$41,447.92 |
$5,419.00
|
|
Pm device progr eval dual
|
$242.00 |
$242.00 |
$242.00 |
$148.00
|
|
#pnh-flow cytometry interp
|
$161.78 |
$161.78 |
$161.78 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$473.44 |
$473.44 |
$473.44 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$14,284.29 |
$14,284.29 |
$14,284.29 |
$4,293.60
|
|
Potassium 24 hour urine
|
$105.41 |
$105.41 |
$204.00 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$848.41 |
$848.41 |
$848.41 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$136.20 |
$136.20 |
$158.00 |
$44.64
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$13.00 |
$13.00 |
$13.00 |
$4.67
|
|
Powder prem protct 1oz
|
$32.00 |
$32.00 |
$32.00 |
$5.20
|
|
Pq dr cath chg w cont s&i
|
$2,441.33 |
$2,441.33 |
$2,441.33 |
$711.36
|
|
Pq thr inj ext pse
|
$2,214.00 |
$2,214.00 |
$6,892.17 |
$872.61
|
|
Pralidoxime 1 gram solution for injection
|
$912.00 |
$912.00 |
$912.00 |
$374.55
|
|
Pr application of long arm splint
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$332.75
|
|
Pr application splint static short arm
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$1,257.42 |
$1,257.42 |
$1,257.42 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$260.00 |
$260.00 |
$407.91 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$4,314.64 |
$4,314.64 |
$4,314.64 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$712.82 |
$712.82 |
$712.82 |
$356.40
|
|
Prealbumin
|
$173.51 |
$173.51 |
$198.00 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$99.16 |
$99.16 |
$99.16 |
$16.30
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,963.34 |
$1,963.34 |
$3,816.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,840.65 |
$1,840.65 |
$3,194.00 |
$541.45
|
|
Prep skin to 100cm2 other
|
$7,890.70 |
$7,890.70 |
$7,890.70 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$13,413.40 |
$13,413.40 |
$13,413.40 |
$2,164.64
|
|
Pressure velocity wire add ves
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$472.83 |
$472.83 |
$472.83 |
$141.00
|
|
Pretreat rbc absorption reference
|
$150.00 |
$150.00 |
$234.90 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$455.16 |
$455.16 |
$455.16 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$197.84 |
$197.84 |
$197.84 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$60.00 |
$60.00 |
$60.00 |
$166.10
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$9,489.35 |
$9,489.35 |
$9,489.35 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$348.00 |
$348.00 |
$348.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$21,758.00 |
$21,758.00 |
$21,758.00 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$499.00 |
$499.00 |
$499.00 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$431.00 |
$431.00 |
$431.00 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$9,189.54 |
$9,189.54 |
$9,189.54 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$88,558.58 |
$88,558.58 |
$88,558.58 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$24,270.32 |
$24,270.32 |
$24,270.32 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,257.42 |
$1,257.42 |
$1,257.42 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$714.75 |
$714.75 |
$714.75 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$4,348.83 |
$4,348.83 |
$4,348.83 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$1,753.93 |
$1,753.93 |
$1,753.93 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$1,753.93 |
$1,753.93 |
$1,753.93 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,597.47 |
$1,597.47 |
$1,597.47 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$616.00 |
$616.00 |
$5,746.27 |
$666.10
|
|
Procalcitonin
|
$98.00 |
$98.00 |
$229.24 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$68.00 |
$68.00 |
$127.92 |
$46.50
|
|
Progesterone
|
$8.00 |
$8.00 |
$71.10 |
$105.00
|
|
Prolactin
|
$66.05 |
$66.05 |
$66.05 |
$127.50
|
|
Promethazine 25 mg tablet
|
$10.00 |
$10.00 |
$10.00 |
$7.01
|
|
Promethazine hcl injection
|
$102.07 |
$102.07 |
$102.07 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$581.02 |
$581.02 |
$581.02 |
$80.95
|
|
_propoxygc/msur
|
$12.36 |
$12.36 |
$56.49 |
$104.00
|
