|
Pelvic MRI (without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$819.00 |
$819.00 |
$819.00 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$819.00 |
$819.00 |
$819.00 |
$430.00
|
|
Perc d-e cor revasc chro sin
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$37,709.00 |
$37,709.00 |
$37,709.00 |
$18,808.65
|
|
Perc drug-el cor stent sing
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$16,258.50
|
|
Ph body fluid
|
$44.10 |
$44.10 |
$44.10 |
$40.04
|
|
Phenobarbital therapeutic drug level
|
$106.40 |
$106.40 |
$106.40 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$161.00 |
$161.00 |
$161.00 |
$112.50
|
|
Phlebotomy therapeutic
|
$297.50 |
$297.50 |
$297.50 |
$231.66
|
|
Phosphorus
|
$62.30 |
$62.30 |
$62.30 |
$49.60
|
|
Phosphorus 24 hour urine
|
$73.50 |
$73.50 |
$73.50 |
$41.58
|
|
Pinworm exam
|
$64.40 |
$64.40 |
$64.40 |
$40.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$4,911.20 |
$4,911.20 |
$4,911.20 |
$1,332.43
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$35,723.10 |
$35,723.10 |
$35,723.10 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$6,610.10 |
$6,610.10 |
$6,610.10 |
$5,274.33
|
|
Place slctv cath subclavian art
|
$6,610.10 |
$6,610.10 |
$6,610.10 |
$6,300.60
|
|
Platelet aggregation each agent teg
|
$236.60 |
$236.60 |
$236.60 |
$136.80
|
|
Platelet automated
|
$61.60 |
$61.60 |
$61.60 |
$45.00
|
|
Platelets leukocytes reduced each unit
|
$1,693.30 |
$1,693.30 |
$1,693.30 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$826.70 |
$826.70 |
$826.70 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,176.70 |
$1,176.70 |
$1,176.70 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$964.60 |
$964.60 |
$964.60 |
$970.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,801.10 |
$1,801.10 |
$1,801.10 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$1,471.40 |
$1,471.40 |
$1,471.40 |
$399.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$248.50 |
$248.50 |
$248.50 |
$187.04
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,483.80 |
$5,483.80 |
$5,483.80 |
$3,751.48
|
|
Potassium 24 hour urine
|
$58.80 |
$58.80 |
$58.80 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$57.40 |
$57.40 |
$57.40 |
$46.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$7,403.90 |
$7,403.90 |
$7,403.90 |
$3,738.90
|
|
Pr application of long arm splint
|
$396.20 |
$396.20 |
$396.20 |
$328.78
|
|
Pr application splint static short arm
|
$294.00 |
$294.00 |
$294.00 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$260.40 |
$260.40 |
$260.40 |
$456.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$329.00 |
$329.00 |
$329.00 |
$350.98
|
|
Prealbumin
|
$168.00 |
$168.00 |
$168.00 |
$93.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$819.00 |
$819.00 |
$819.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$819.00 |
$819.00 |
$819.00 |
$537.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$511.70 |
$511.70 |
$511.70 |
$147.84
|
|
Pretreat rbc absorption reference
|
$345.10 |
$345.10 |
$345.10 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$322.70 |
$322.70 |
$322.70 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$287.70 |
$287.70 |
$287.70 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$600.60 |
$600.60 |
$600.60 |
$164.99
|
|
Prev med cnsl indiv apprx 15
|
$26.60 |
$26.60 |
$26.60 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$59.50 |
$59.50 |
$59.50 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$88.20 |
$88.20 |
$88.20 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$116.20 |
$116.20 |
$116.20 |
$204.80
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$260.40 |
$260.40 |
$260.40 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$461.30 |
$461.30 |
$461.30 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$911.40 |
$911.40 |
$911.40 |
$753.64
|
|
Prim art mech thrmbc non-intracranial
|
$37,709.00 |
$37,709.00 |
$37,709.00 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$883.40 |
$883.40 |
$883.40 |
$3,733.10
|
|
Pr incision & drainage abscess complicated/multiple
|
$931.00 |
$931.00 |
$931.00 |
$689.01
|
|
Pr incision & drainage abscess simple/single
|
$499.10 |
$499.10 |
$499.10 |
$460.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$694.40 |
$694.40 |
$694.40 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$931.00 |
$931.00 |
$931.00 |
$570.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$262.50 |
$262.50 |
$262.50 |
$252.00
|
|
Procalcitonin
|
$317.80 |
$317.80 |
$317.80 |
$157.56
|
|
Progesterone
|
$216.30 |
$216.30 |
$216.30 |
$113.24
|
|
Prolactin
|
$146.30 |
$146.30 |
$146.30 |
$123.50
|
|
Prolonged IV inf, req pump
|
$1,180.20 |
$1,180.20 |
$1,180.20 |
$486.50
|
|
Protein c activity
|
$172.90 |
$172.90 |
$172.90 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$126.70 |
$126.70 |
$126.70 |
$84.00
|
|
Protein s total
|
$196.70 |
$196.70 |
$196.70 |
$77.60
|
|
Protein total 24 hour urine
|
$63.70 |
$63.70 |
$63.70 |
$52.47
|
|
Protein total body fluid
|
$65.80 |
$65.80 |
$65.80 |
$52.00
|
|
Protein total serum plasma whole blood
|
$48.30 |
$48.30 |
$48.30 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$111.30 |
$111.30 |
$111.30 |
$40.30
|
|
Prq card revasc mi 1 vsl
|
$1,359.40 |
$1,359.40 |
$1,359.40 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$1,359.40 |
$1,359.40 |
$1,359.40 |
$18,150.00
|
|
Prq trlml c athrc st angiop1
|
$37,709.00 |
$37,709.00 |
$37,709.00 |
$15,443.47
|
|
Prq trluml c angiop 1art&/br
|
$11,973.50 |
$11,973.50 |
$11,973.50 |
$8,815.80
|
|
Prq trluml c athrc 1 art&/br
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$15,411.00
|
|
Pr removal drug delivery implant
|
$241.50 |
$241.50 |
$241.50 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$294.00 |
$294.00 |
$294.00 |
$251.40
|
|
Pr removal intrauterine device
|
$763.70 |
$763.70 |
$763.70 |
$367.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$911.40 |
$911.40 |
$911.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$453.60 |
$453.60 |
$453.60 |
$377.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$453.60 |
$453.60 |
$453.60 |
$404.80
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$453.60 |
$453.60 |
$453.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$453.60 |
$453.60 |
$453.60 |
$391.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,544.80 |
$3,544.80 |
$3,544.80 |
$1,700.82
|
|
PSA (Prostate) Test
|
$164.50 |
$164.50 |
$164.50 |
$107.50
|
|
Psychotherapy group therapy
|
$194.60 |
$194.60 |
$194.60 |
$213.27
|
|
Psychotherapy patient individual therapy 30 minutes
|
$337.40 |
$337.40 |
$337.40 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$337.40 |
$337.40 |
$337.40 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$184.10 |
$184.10 |
$184.10 |
$287.47
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$98.00 |
$98.00 |
$98.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$98.00 |
$98.00 |
$98.00 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$91.00 |
$91.00 |
$91.00 |
$79.76
|
|
Pt application of modality traction mechanical
|
$91.00 |
$91.00 |
$91.00 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$455.00 |
$455.00 |
$455.00 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$375.90 |
$375.90 |
$375.90 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$415.10 |
$415.10 |
$415.10 |
$249.26
|
|
Pt re-evaluation patient/family
|
$294.70 |
$294.70 |
$294.70 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$194.60 |
$194.60 |
$194.60 |
$115.35
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$100.80 |
$100.80 |
$100.80 |
$79.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$147.00 |
$147.00 |
$147.00 |
$87.10
|
|
Pt wheelchair management each 15 minutes
|
$155.40 |
$155.40 |
$155.40 |
$86.53
|