|
Pericardiotomy/clot/for bod remove 33020
|
$5,050.50 |
$5,050.50 |
$5,050.50 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$2,854.15 |
$2,854.15 |
$2,854.15 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$3,720.50
|
|
Peripheral vascular rehab
|
$278.20 |
$278.20 |
$278.20 |
$132.50
|
|
Peri-proc device eval icd
|
$404.30 |
$404.30 |
$404.30 |
$192.40
|
|
Peri-proc device eval pm
|
$331.50 |
$331.50 |
$331.50 |
$155.00
|
|
Peritoneogram rs&i
|
$1,669.00 |
$1,669.00 |
$3,073.85 |
$698.50
|
|
Perit-vens shunt pat tst
|
$2,252.90 |
$2,252.90 |
$4,247.00 |
$752.49
|
|
Perq art m-thrombect &/nfs
|
$9,745.45 |
$9,745.45 |
$9,745.45 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$10,611.25 |
$10,611.25 |
$10,611.25 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$5,980.00 |
$5,980.00 |
$5,980.00 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$3,549.00 |
$3,549.00 |
$3,549.00 |
$9,442.38
|
|
Perq p-art revsc 1 nm nt uni
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$17,321.20
|
|
Perq plmt bile duct stent
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$909.35 |
$909.35 |
$909.35 |
$625.93
|
|
Perq skel fix ulnar styld fx
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$3,839.54
|
|
Perqt bx lung/mediastinum 32405
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,770.60
|
|
Perq transcath closure each
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$9,204.00
|
|
Perq transcath closure pda
|
$3,200.60 |
$3,200.60 |
$3,200.60 |
$18,408.00
|
|
Perq transcath cls aortic
|
$53,061.45 |
$53,061.45 |
$53,061.45 |
$22,633.26
|
|
Perq transcath cls mitral
|
$49,873.85 |
$49,873.85 |
$49,873.85 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$4,729.40 |
$4,729.40 |
$4,729.40 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$5,466.50 |
$5,466.50 |
$5,466.50 |
$6,658.00
|
|
Pertussis ag if
|
$11.05 |
$11.05 |
$11.05 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$1,519.99 |
$1,519.99 |
$1,519.99 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$2,894.63 |
$2,894.63 |
$2,894.63 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$95.55 |
$95.55 |
$95.55 |
$141.60
|
|
Pessary reusable rub anytype
|
$95.55 |
$95.55 |
$95.55 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$1.00 |
$1.00 |
$8,420.75 |
$4,707.00
|
|
Pet CT whole body initial
|
$1.00 |
$1.00 |
$8,177.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$8,177.00 |
$8,177.00 |
$8,177.00 |
$4,060.00
|
|
Pet image full body
|
$1.00 |
$1.00 |
$8,177.00 |
$5,148.14
|
|
Pet image ltd area
|
$1.00 |
$1.00 |
$400.40 |
$3,809.11
|
|
Pet image skull-thigh
|
$1.00 |
$1.00 |
$8,177.00 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$1.00 |
$1.00 |
$8,177.00 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$40,252.07
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$169.00 |
$169.00 |
$169.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$254.15 |
$254.15 |
$254.15 |
$91.30
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$83.20 |
$83.20 |
$83.20 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$2,508.80
|
|
Ph body fluid
|
$32.50 |
$32.50 |
$32.50 |
$42.00
|
|
Phencyclidine (pcp)
|
$23.00 |
$23.00 |
$23.00 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$107.64 |
$107.64 |
$107.64 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$195.00 |
$195.00 |
$195.00 |
$104.80
|
|
Phentolaine mesylate inj
|
$1,054.00 |
$1,054.00 |
$1,146.52 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.48 |
$9.48 |
$9.48 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.62 |
$1.62 |
$1.62 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$190.45 |
$190.45 |
$190.45 |
$111.20
|
|
Phlebotomy therapeutic
|
$722.15 |
$722.15 |
$1,863.00 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,516.05
|
|
Phosphorus
|
$228.15 |
$228.15 |
$228.15 |
$48.96
|
|
Phosphorus 24 hour urine
|
$17.00 |
$17.00 |
$83.20 |
$42.25
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$87.10 |
$87.10 |
$87.10 |
$176.00
|
|
Photochemotherapy puva
|
$108.55 |
$108.55 |
$108.55 |
$181.79
|
|
Photochemotherapy uv-a or b
|
$901.55 |
$901.55 |
$901.55 |
$495.30
|
|
Photodynamic tx addl 15 min
|
$143.00 |
$143.00 |
$143.00 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$286.00 |
$286.00 |
$286.00 |
$582.40
|
|
Photo patch test
|
$33.80 |
$33.80 |
$33.80 |
$71.50
|
|
Photopheresis
|
$21,888.75 |
$21,888.75 |
$21,888.75 |
$8,010.00
|
|
Photosensitivity tests
|
$34.45 |
$34.45 |
$34.45 |
$142.80
|
|
Phys blood bank serv reactj
|
$263.25 |
$263.25 |
$263.25 |
$207.50
|
|
Phys blood bank serv xmatch
|
$28.60 |
$28.60 |
$28.60 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$491.40 |
$491.40 |
$1,612.00 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$491.40 |
$491.40 |
$1,612.00 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$491.40 |
$491.40 |
$1,612.00 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$311.35 |
$311.35 |
$772.00 |
$155.00
|
|
Physician standby services
|
$312.00 |
$312.00 |
$312.00 |
$145.60
|
|
Phys review of motion tests
|
$556.40 |
$556.40 |
$556.40 |
$252.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$117.65 |
$117.65 |
$117.65 |
$89.82
|
|
Pierce earlobes 69090
|
$43.55 |
$43.55 |
$43.55 |
$75.20
|
|
Piflu f-18, dia 1 millicurie
|
$783.90 |
$783.90 |
$783.90 |
$1,038.40
|
|
Pild/placebo control clin tr
|
$2,050.75 |
$2,050.75 |
$2,050.75 |
$7,907.11
|
|
Pin finger dislocation
|
$1,297.40 |
$1,297.40 |
$1,297.40 |
$3,839.54
|
|
Pin finger fracture each
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$4,192.86
|
|
Pin hand dislocation
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$3,839.54
|
|
Pinworm exam
|
$29.90 |
$29.90 |
$234.00 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$343.43 |
$343.43 |
$343.43 |
$81.36
|
|
Place breast cath for rad
|
$447.20 |
$447.20 |
$447.20 |
$3,332.00
|
|
Place cath intracranial art
|
$4,750.20 |
$4,750.20 |
$4,750.20 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$5,253.95 |
$5,253.95 |
$5,253.95 |
$4,202.90
|
|
Place cecostomy tube perc
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,580.90
|
|
Place duod/jej tube perc
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,562.75
|
|
Place gastrostomy tube open 43832
|
$4,508.40 |
$4,508.40 |
$4,508.40 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$681.20 |
$681.20 |
$681.20 |
$571.45
|
|
Placement of drain pancreas
|
$10,319.40 |
$10,319.40 |
$10,319.40 |
$3,241.77
|
|
Placement of seton
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$32,552.00 |
$32,552.00 |
$32,552.00 |
$13,879.25
|
|
Place ndl musc/tis for right
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$3,545.97
|
|
Place non-slctv cath thoracic arta
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$5,274.33
|
|
Placental lactogen
|
$112.00 |
$112.00 |
$351.00 |
$163.28
|
