|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$970.00 |
$970.00 |
$970.00 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$12,440.00 |
$12,440.00 |
$12,440.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,515.00 |
$3,515.00 |
$3,515.00 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,510.00 |
$4,510.00 |
$4,510.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,310.00 |
$3,310.00 |
$3,310.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$575.00 |
$575.00 |
$575.00 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$4,825.00 |
$4,825.00 |
$4,825.00 |
$3,473.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$470.00 |
$470.00 |
$470.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$505.00 |
$505.00 |
$505.00 |
$408.05
|
|
Plmt biliary drainage cath
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,095.00 |
$3,095.00 |
$3,095.00 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$4,510.00 |
$4,510.00 |
$4,510.00 |
$5,128.50
|
|
Pm device progr eval dual
|
$240.00 |
$240.00 |
$240.00 |
$149.15
|
|
Pm device progr eval multi
|
$280.00 |
$280.00 |
$280.00 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$75.00 |
$75.00 |
$75.00 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$3,790.61
|
|
Potassium 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$6.75 |
$6.75 |
$6.75 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$37.50 |
$37.50 |
$37.50 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$545.00 |
$545.00 |
$545.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$8,280.00 |
$8,280.00 |
$8,280.00 |
$10,173.15
|
|
Pq thr inj ext pse
|
$460.00 |
$460.00 |
$460.00 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$8,245.00 |
$8,245.00 |
$8,245.00 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,895.00 |
$3,895.00 |
$3,895.00 |
$4,811.54
|
|
Pr application of long arm splint
|
$370.00 |
$370.00 |
$370.00 |
$332.75
|
|
Pr application splint static short arm
|
$300.00 |
$300.00 |
$300.00 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$212.50 |
$212.50 |
$212.50 |
$458.25
|
|
Prcrd drg 6+yr without anomly
|
$960.00 |
$960.00 |
$960.00 |
$2,253.00
|
|
Prealbumin
|
$85.00 |
$85.00 |
$85.00 |
$94.00
|
|
Prednisone 1 mg tablet
|
$0.38 |
$0.38 |
$0.38 |
$2.88
|
|
Pregabalin - sendout
|
$87.50 |
$87.50 |
$87.50 |
$76.70
|
|
Pregnancy associated plasma protein-a
|
$125.00 |
$125.00 |
$125.00 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$635.00 |
$635.00 |
$635.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$555.00 |
$555.00 |
$555.00 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$362.50 |
$362.50 |
$362.50 |
$459.00
|
|
Pressure velocity wire add ves
|
$645.00 |
$645.00 |
$645.00 |
$1,596.10
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$265.00 |
$265.00 |
$265.00 |
$161.40
|
|
Pretreat rbc absorption reference
|
$82.50 |
$82.50 |
$82.50 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$100.00 |
$100.00 |
$100.00 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$77.50 |
$77.50 |
$77.50 |
$168.50
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$262.50 |
$262.50 |
$262.50 |
$313.30
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$700.00 |
$700.00 |
$700.00 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$205.00 |
$205.00 |
$205.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$260.00 |
$260.00 |
$260.00 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$315.00 |
$315.00 |
$315.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$370.00 |
$370.00 |
$370.00 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$3,935.00 |
$3,935.00 |
$3,935.00 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$6,340.00 |
$6,340.00 |
$6,340.00 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,945.00 |
$2,945.00 |
$2,945.00 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$605.00 |
$605.00 |
$605.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$480.00 |
$480.00 |
$480.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$362.50 |
$362.50 |
$362.50 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$465.00 |
$465.00 |
$465.00 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$327.50 |
$327.50 |
$327.50 |
$253.55
|
|
Probe cryo 1150mm endo flex ster disp
|
$8,669.51 |
$8,669.51 |
$8,669.51 |
$7,350.00
|
|
Procalcitonin
|
$142.50 |
$142.50 |
$142.50 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$70.58 |
$70.58 |
$70.58 |
$38.48
|
|
Proctosigmoidoscopy dx 45300
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,078.88
|
|
Progesterone
|
$135.00 |
$135.00 |
$135.00 |
$116.00
|
|
Prolactin
|
$115.00 |
$115.00 |
$115.00 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$15.00 |
$15.00 |
$15.00 |
$61.60
|
|
Propofol infusion 10 mg/ml
|
$6.03 |
$6.03 |
$6.03 |
$73.36
|
|
_propoxygc/msur
|
$185.00 |
$185.00 |
$185.00 |
$95.55
|
|
Prostate biopsy, any mthd
|
$302.50 |
$302.50 |
$302.50 |
$492.80
|
|
Prosthesis voc advantage 20f 14mm
|
$280.00 |
$280.00 |
$280.00 |
$1,088.12
|
|
Protamine 10 mg/ml intravenous solution
|
$13.97 |
$13.97 |
$13.97 |
$56.70
|
|
Protein c activity
|
$115.00 |
$115.00 |
$115.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$97.50 |
$97.50 |
$97.50 |
$84.00
|
|
Protein s total
|
$62.50 |
$62.50 |
$62.50 |
$85.10
|
|
Protein total 24 hour urine
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Protein total body fluid
|
$52.50 |
$52.50 |
$52.50 |
$49.80
|
|
Protein total serum plasma whole blood
|
$45.00 |
$45.00 |
$45.00 |
$43.00
|
|
Prothrombin complex kcentra
|
$5.49 |
$5.49 |
$5.49 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$32.50 |
$32.50 |
$32.50 |
$42.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$17,920.00 |
$17,920.00 |
$17,920.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$20,905.00 |
$20,905.00 |
$20,905.00 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$7,015.00 |
$7,015.00 |
$7,015.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,305.00 |
$5,305.00 |
$5,305.00 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$7,385.00 |
$7,385.00 |
$7,385.00 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$17,190.00 |
$17,190.00 |
$17,190.00 |
$14,817.50
|
|
Prq card stent/ath/angio
|
$5,990.00 |
$5,990.00 |
$5,990.00 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$7,380.00 |
$7,380.00 |
$7,380.00 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$14,010.00 |
$14,010.00 |
$14,010.00 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$7,835.00 |
$7,835.00 |
$7,835.00 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$16,805.00 |
$16,805.00 |
$16,805.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$20,060.00 |
$20,060.00 |
$20,060.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$9,465.00 |
$9,465.00 |
$9,465.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$14,010.00 |
$14,010.00 |
$14,010.00 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$17,190.00 |
$17,190.00 |
$17,190.00 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$275.00 |
$275.00 |
$275.00 |
$252.00
|
|
Pr removal intrauterine device
|
$400.00 |
$400.00 |
$400.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$675.00 |
$675.00 |
$675.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$410.00 |
$410.00 |
$410.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$452.50 |
$452.50 |
$452.50 |
$406.35
|
