|
Perq plmt bile duct stent
|
$4,270.00 |
$4,270.00 |
$4,270.00 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$5,575.00 |
$5,575.00 |
$5,575.00 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$295.00 |
$295.00 |
$295.00 |
$625.93
|
|
Perq transcath closure pda
|
$17,610.00 |
$17,610.00 |
$17,610.00 |
$18,408.00
|
|
Perq transcath cls aortic
|
$18,420.00 |
$18,420.00 |
$18,420.00 |
$22,633.26
|
|
Perq transcath cls mitral
|
$18,420.00 |
$18,420.00 |
$18,420.00 |
$23,617.60
|
|
Perq trluml angp nt/recr coa
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$7,398.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$36.91 |
$36.91 |
$36.91 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$187.44 |
$187.44 |
$187.44 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$54,520.00 |
$54,520.00 |
$54,520.00 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$82.50 |
$82.50 |
$82.50 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$110.00 |
$110.00 |
$110.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$50.00 |
$50.00 |
$50.00 |
$31.20
|
|
Ph body fluid
|
$27.50 |
$27.50 |
$27.50 |
$42.00
|
|
Phencyclidine (pcp)
|
$212.50 |
$212.50 |
$212.50 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$75.24 |
$75.24 |
$75.24 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$105.00
|
|
Phentolaine mesylate inj
|
$888.53 |
$888.53 |
$888.53 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.54 |
$9.54 |
$9.54 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$100.00 |
$100.00 |
$100.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$207.50 |
$207.50 |
$207.50 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,785.00 |
$3,785.00 |
$3,785.00 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$4,621.21
|
|
Phosphorus
|
$35.00 |
$35.00 |
$35.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$57.50 |
$57.50 |
$57.50 |
$42.25
|
|
Phys blood bank serv reactj
|
$285.00 |
$285.00 |
$285.00 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$212.50 |
$212.50 |
$212.50 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$207.50 |
$207.50 |
$207.50 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$210.00 |
$210.00 |
$210.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$120.00 |
$120.00 |
$120.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$123.66 |
$123.66 |
$123.66 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$574.45 |
$574.45 |
$574.45 |
$1,038.40
|
|
Pinworm exam
|
$22.50 |
$22.50 |
$22.50 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$23.67 |
$23.67 |
$23.67 |
$81.36
|
|
Place cath intracranial art
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$4,202.90
|
|
Place device/marker, non pro
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,969.20
|
|
Place duod/jej tube perc
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$800.00 |
$800.00 |
$800.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$165.00 |
$165.00 |
$165.00 |
$572.00
|
|
Placement of seton
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$10,460.00 |
$10,460.00 |
$10,460.00 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$2,530.00 |
$2,530.00 |
$2,530.00 |
$5,271.46
|
|
Placental lactogen
|
$125.00 |
$125.00 |
$125.00 |
$163.28
|
|
Place right device/marker pros
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$7,710.00 |
$7,710.00 |
$7,710.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,030.00 |
$7,030.00 |
$7,030.00 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$6,750.00 |
$6,750.00 |
$6,750.00 |
$9,090.00
|
|
Plasma cryoprecipitate reduced each unit
|
$185.00 |
$185.00 |
$185.00 |
$163.04
|
|
Platelet aggregation each agent teg
|
$120.00 |
$120.00 |
$120.00 |
$148.98
|
|
Platelet automated
|
$32.50 |
$32.50 |
$32.50 |
$46.00
|
|
Platelet pheresis each unit
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$1,012.80
|
|
Platelet pheresis irr ea
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,108.52
|
|
Platelets each unit
|
$252.50 |
$252.50 |
$252.50 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$365.00 |
$365.00 |
$365.00 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$322.50 |
$322.50 |
$322.50 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$545.00 |
$545.00 |
$545.00 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$895.00 |
$895.00 |
$895.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,162.50
|
|
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
|
$3,915.00 |
$3,915.00 |
$3,915.00 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$5,900.00 |
$5,900.00 |
$5,900.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,055.00 |
$1,055.00 |
$1,055.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$590.00 |
$590.00 |
$590.00 |
$759.55
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$355.00 |
$355.00 |
$355.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$505.00 |
$505.00 |
$505.00 |
$408.05
|
|
Plmt biliary drainage cath
|
$3,915.00 |
$3,915.00 |
$3,915.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,615.00 |
$2,615.00 |
$2,615.00 |
$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
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$226.59 |
$226.59 |
$226.59 |
$35,781.91
|
|
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
|
$9.97 |
$9.97 |
$9.97 |
$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
|
$8,395.00 |
$8,395.00 |
$8,395.00 |
$10,173.15
|
|
Pq thr inj ext pse
|
$595.00 |
$595.00 |
$595.00 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$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
|
