|
Penile injection
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$418.00
|
|
Penile vascular study
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$460.20
|
|
Perc d-e cor revasc chro add
|
$19,457.97 |
$19,457.97 |
$19,457.97 |
$12,250.08
|
|
Perc d-e cor revasc t cabg b
|
$21,787.45 |
$21,787.45 |
$21,787.45 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$43,728.54 |
$43,728.54 |
$43,728.54 |
$15,337.30
|
|
Perc d-e cor stent ather s
|
$45,221.75 |
$45,221.75 |
$45,221.75 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$35,423.42 |
$35,423.42 |
$35,423.42 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$43,733.72 |
$43,733.72 |
$43,733.72 |
$14,070.70
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$517.93 |
$517.93 |
$517.93 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,687.78 |
$1,687.78 |
$1,687.78 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,925.23 |
$3,925.23 |
$3,925.23 |
$2,573.60
|
|
Pertuzumab 30 mg/ml desensitization
|
$39,937.04 |
$39,937.04 |
$39,937.04 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$185,460.24 |
$185,460.24 |
$185,460.24 |
$41,963.08
|
|
Pet CT skull-mid thgh initial
|
$24,121.72 |
$24,121.72 |
$24,121.72 |
$4,854.75
|
|
Pet CT whole body initial
|
$26,801.92 |
$26,801.92 |
$26,801.92 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$14,593.75 |
$14,593.75 |
$14,593.75 |
$3,559.05
|
|
Pet image full body
|
$20,101.44 |
$20,101.44 |
$20,101.44 |
$4,795.47
|
|
Pet image w/ct lmtd
|
$14,593.75 |
$14,593.75 |
$14,593.75 |
$4,422.60
|
|
Ph body fluid
|
$130.19 |
$130.19 |
$130.19 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,040.52 |
$1,040.52 |
$1,040.52 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$568.56 |
$568.56 |
$568.56 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$225.72 |
$225.72 |
$225.72 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$172.41 |
$172.41 |
$172.41 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$357.01 |
$357.01 |
$357.01 |
$111.27
|
|
Phlebotomy therapeutic
|
$545.07 |
$545.07 |
$545.07 |
$249.00
|
|
Phosphorus
|
$218.59 |
$218.59 |
$218.59 |
$47.81
|
|
Phys blood bank serv reactj
|
$1,666.44 |
$1,666.44 |
$1,666.44 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$306.48 |
$306.48 |
$306.48 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$228.28 |
$228.28 |
$228.28 |
$95.01
|
|
Place cath xtrnl carotid
|
$5,074.98 |
$5,074.98 |
$5,074.98 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$5,268.75 |
$5,268.75 |
$5,268.75 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,303.88 |
$2,303.88 |
$2,303.88 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,822.99 |
$2,822.99 |
$2,822.99 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$6,641.15 |
$6,641.15 |
$6,641.15 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$526.71 |
$526.71 |
$526.71 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$21,373.26 |
$21,373.26 |
$21,373.26 |
$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 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 pathogen-reduced each unit
|
$2,353.30 |
$2,353.30 |
$2,353.30 |
$879.36
|
|
Plcmnt biliary drainage cath w/img ext
|
$9,317.59 |
$9,317.59 |
$9,317.59 |
$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
|
$9,773.07 |
$9,773.07 |
$9,773.07 |
$5,333.44
|
|
Plethysmography lung volumes/airway resistance
|
$990.86 |
$990.86 |
$990.86 |
$411.51
|
|
Plmt biliary drainage cath
|
$9,317.59 |
$9,317.59 |
$9,317.59 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$10,625.16 |
$10,625.16 |
$10,625.16 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$9,773.07 |
$9,773.07 |
$9,773.07 |
$5,419.00
|
|
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
|
$575.23 |
$575.23 |
$575.23 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$199.63 |
$199.63 |
$199.63 |
$44.64
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$33,471.74 |
$33,471.74 |
$33,471.74 |
$10,430.78
|
|
Pq thr inj ext pse
|
$1,908.87 |
$1,908.87 |
$1,908.87 |
$872.61
|
|
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 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/<
|
$618.20 |
$618.20 |
$618.20 |
$356.40
|
|
Prealbumin
|
$279.90 |
$279.90 |
$279.90 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$97.80 |
$97.80 |
$97.80 |
$16.30
|
|
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
|
$191.91 |
$191.91 |
$191.91 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$191.91 |
$191.91 |
$191.91 |
$106.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$827.94
|
|
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
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$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)
|
$8,013.49 |
$8,013.49 |
$8,013.49 |
$666.10
|
|
Procalcitonin
|
$197.94 |
$197.94 |
$197.94 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$171.53 |
$171.53 |
$171.53 |
$46.50
|
|
Progesterone
|
$222.22 |
$222.22 |
$222.22 |
$105.00
|
|
Prolactin
|
$167.03 |
$167.03 |
$167.03 |
$127.50
|
|
Promethazine hcl injection
|
$135.39 |
$135.39 |
$135.39 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$358.94 |
$358.94 |
$358.94 |
$80.95
|
|
Protamine 10 mg/ml intravenous solution
|
$182.59 |
$182.59 |
$182.59 |
$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
|