|
Perq transcath cls mitral
|
$35,660.40 |
$35,660.40 |
$35,660.40 |
$23,617.60
|
|
Perq trluml angp nt/recr coa
|
$27,233.40 |
$27,233.40 |
$27,233.40 |
$7,398.00
|
|
Perq tx big toe fracture w/manip 28496
|
$363.00 |
$363.00 |
$363.00 |
$3,842.58
|
|
Pet CT skull-mid thgh initial
|
$7,617.60 |
$7,617.60 |
$7,617.60 |
$4,707.00
|
|
Pet CT whole body initial
|
$8,328.00 |
$8,328.00 |
$8,328.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,528.60 |
$6,528.60 |
$6,528.60 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$6,527.40 |
$6,527.40 |
$6,527.40 |
$4,305.60
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$84.60 |
$84.60 |
$84.60 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$126.00 |
$126.00 |
$126.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$43.80 |
$43.80 |
$43.80 |
$33.30
|
|
Ph body fluid
|
$85.80 |
$85.80 |
$85.80 |
$41.28
|
|
Phencyclidine (pcp)
|
$375.60 |
$375.60 |
$375.60 |
$96.00
|
|
Phenobarbital therapeutic drug level
|
$189.00 |
$189.00 |
$189.00 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$249.00 |
$249.00 |
$249.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$324.60 |
$324.60 |
$324.60 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,832.60 |
$5,832.60 |
$5,832.60 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$6,219.00 |
$6,219.00 |
$6,219.00 |
$4,453.46
|
|
Phosphorus
|
$85.80 |
$85.80 |
$85.80 |
$48.80
|
|
Phosphorus 24 hour urine
|
$189.60 |
$189.60 |
$189.60 |
$41.51
|
|
Physician standby services
|
$108.00 |
$108.00 |
$108.00 |
$145.60
|
|
Pillow shldr abduc inflat univ
|
$307.80 |
$307.80 |
$307.80 |
$614.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,116.00
|
|
Pin finger fracture each
|
$604.80 |
$604.80 |
$604.80 |
$4,115.40
|
|
Pin hand dislocation
|
$4,014.00 |
$4,014.00 |
$4,014.00 |
$3,839.54
|
|
Pin knuckle dislocation
|
$683.40 |
$683.40 |
$683.40 |
$3,839.54
|
|
Pin service 60m per month
|
$196.20 |
$196.20 |
$196.20 |
$114.00
|
|
Pinworm exam
|
$118.80 |
$118.80 |
$118.80 |
$39.75
|
|
Place breast cath for rad
|
$9,090.00 |
$9,090.00 |
$9,090.00 |
$3,332.00
|
|
Place cath intracranial art
|
$13,914.60 |
$13,914.60 |
$13,914.60 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$11,128.20 |
$11,128.20 |
$11,128.20 |
$4,202.90
|
|
Place duod/jej tube perc
|
$1,992.60 |
$1,992.60 |
$1,992.60 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$2,908.20 |
$2,908.20 |
$2,908.20 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,546.40 |
$2,546.40 |
$2,546.40 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,675.40 |
$2,675.40 |
$2,675.40 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$4,949.40 |
$4,949.40 |
$4,949.40 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$596.40 |
$596.40 |
$596.40 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$20,400.00 |
$20,400.00 |
$20,400.00 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$7,269.00 |
$7,269.00 |
$7,269.00 |
$5,053.33
|
|
Place po breast cath for rad
|
$10,741.80 |
$10,741.80 |
$10,741.80 |
$11,066.55
|
|
Place right device/marker pros
|
$1,950.60 |
$1,950.60 |
$1,950.60 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$29,079.00 |
$29,079.00 |
$29,079.00 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$11,852.40 |
$11,852.40 |
$11,852.40 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$17,782.80 |
$17,782.80 |
$17,782.80 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$17,782.80 |
$17,782.80 |
$17,782.80 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$29,079.00 |
$29,079.00 |
$29,079.00 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$406.20 |
$406.20 |
$406.20 |
$157.95
|
|
Platelet aggregation each agent teg
|
$597.60 |
$597.60 |
$597.60 |
$148.80
|
|
Platelet automated
|
$97.80 |
$97.80 |
$97.80 |
$45.60
|
|
Platelet pheresis each unit
|
$2,950.80 |
$2,950.80 |
$2,950.80 |
$961.70
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$2,973.00 |
$2,973.00 |
$2,973.00 |
$1,504.10
|
|
Platelets leukocytes reduced each unit
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,849.40 |
$2,849.40 |
$2,849.40 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,555.20 |
$1,555.20 |
$1,555.20 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,849.40 |
$2,849.40 |
$2,849.40 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,559.80 |
$6,559.80 |
$6,559.80 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$23,373.00 |
$23,373.00 |
$23,373.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,965.80 |
$5,965.80 |
$5,965.80 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$10,915.20 |
$10,915.20 |
$10,915.20 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$4,360.20 |
$4,360.20 |
$4,360.20 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$598.80 |
$598.80 |
$598.80 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$299.40 |
$299.40 |
$299.40 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$4,360.20 |
$4,360.20 |
$4,360.20 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$7,224.00 |
$7,224.00 |
$7,224.00 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$390.00 |
$390.00 |
$390.00 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$4,679.40 |
$4,679.40 |
$4,679.40 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$7,416.00 |
$7,416.00 |
$7,416.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$5,965.80 |
$5,965.80 |
$5,965.80 |
$5,104.20
|
|
Pm device progr eval dual
|
$126.60 |
$126.60 |
$126.60 |
$148.00
|
|
Pm device progr eval multi
|
$126.60 |
$126.60 |
$126.60 |
$139.00
|
|
Pmp22 gene dup/delet
|
$2,161.20 |
$2,161.20 |
$2,161.20 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$2,161.20 |
$2,161.20 |
$2,161.20 |
$986.40
|
|
Pm phone r-strip device eval
|
$186.60 |
$186.60 |
$186.60 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$573.00 |
$573.00 |
$573.00 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$303.00 |
$303.00 |
$303.00 |
$187.32
|
|
Polysom any age 1-3> param
|
$4,292.40 |
$4,292.40 |
$4,292.40 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,362.80 |
$5,362.80 |
$5,362.80 |
$3,751.48
|
|
Post seg spine instrument/3-6 seg 22842
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,837.60
|
|
Potassium 24 hour urine
|
$106.20 |
$106.20 |
$106.20 |
$50.40
|
|
Potassium serum/plasma/whole blood
|
$82.80 |
$82.80 |
$82.80 |
$46.75
|
|
Pq biliary strict dil s&i
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$9,652.80 |
$9,652.80 |
$9,652.80 |
$9,977.57
|
|
Pq thr inj ext pse
|
$400.20 |
$400.20 |
$400.20 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,762.80 |
$4,762.80 |
$4,762.80 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,758.00 |
$4,758.00 |
$4,758.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,297.60 |
$6,297.60 |
$6,297.60 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,959.80 |
$2,959.80 |
$2,959.80 |
$3,738.90
|
|
Pr application of long arm splint
|
$341.40 |
$341.40 |
$341.40 |
$329.00
|
|
Pr application splint static short arm
|
$454.20 |
$454.20 |
$454.20 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$409.20 |
$409.20 |
$409.20 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$928.20 |
$928.20 |
$928.20 |
$10,090.50
|
|
Pr correction hammertoe
|
$996.00 |
$996.00 |
$996.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$46.80 |
$46.80 |
$46.80 |
$46.56
|
