|
Ph body fluid
|
$33.60 |
$33.60 |
$33.60 |
$42.00
|
|
Phencyclidine (pcp)
|
$136.20 |
$136.20 |
$136.20 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$135.50 |
$135.50 |
$135.50 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$155.40 |
$155.40 |
$155.40 |
$104.80
|
|
Phentolaine mesylate inj
|
$881.36 |
$881.36 |
$881.36 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$132.26 |
$132.26 |
$132.26 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$38.86 |
$38.86 |
$38.86 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$90.60 |
$90.60 |
$90.60 |
$111.20
|
|
Phlebotomy therapeutic
|
$180.00 |
$180.00 |
$180.00 |
$231.87
|
|
Phosphorus
|
$60.00 |
$60.00 |
$60.00 |
$48.96
|
|
Phosphorus 24 hour urine
|
$32.40 |
$32.40 |
$32.40 |
$42.25
|
|
Photodynamic tx addl 15 min
|
$835.80 |
$835.80 |
$835.80 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$582.40
|
|
Phys blood bank serv reactj
|
$171.60 |
$171.60 |
$171.60 |
$207.50
|
|
Phys blood bank serv xmatch
|
$175.80 |
$175.80 |
$175.80 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$225.00 |
$225.00 |
$225.00 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$134.40 |
$134.40 |
$134.40 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$180.00 |
$180.00 |
$180.00 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$100.20 |
$100.20 |
$100.20 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$133.36 |
$133.36 |
$133.36 |
$89.82
|
|
Piflu f-18, dia 1 millicurie
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,038.40
|
|
Pinworm exam
|
$37.80 |
$37.80 |
$37.80 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$102.75 |
$102.75 |
$102.75 |
$81.36
|
|
Place cath intracranial art
|
$5,059.80 |
$5,059.80 |
$5,059.80 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$4,123.80 |
$4,123.80 |
$4,123.80 |
$4,202.90
|
|
Place device/marker, non pro
|
$930.00 |
$930.00 |
$930.00 |
$1,969.20
|
|
Place duod/jej tube perc
|
$3,345.00 |
$3,345.00 |
$3,345.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$3,061.80 |
$3,061.80 |
$3,061.80 |
$2,308.95
|
|
Placement bile duct support
|
$2,245.20 |
$2,245.20 |
$2,245.20 |
$2,732.00
|
|
Placement nephrostomy catheter (both sides)
|
$4,653.60 |
$4,653.60 |
$4,653.60 |
$3,946.56
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$20,791.80 |
$20,791.80 |
$20,791.80 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$5,603.40 |
$5,603.40 |
$5,603.40 |
$5,274.33
|
|
Place po breast cath for rad
|
$6,359.40 |
$6,359.40 |
$6,359.40 |
$10,741.80
|
|
Place slctv cath carotd art uni
|
$21,986.40 |
$21,986.40 |
$21,986.40 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$15,127.20 |
$15,127.20 |
$15,127.20 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$13,725.60 |
$13,725.60 |
$13,725.60 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$13,738.80 |
$13,738.80 |
$13,738.80 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$19,321.20 |
$19,321.20 |
$19,321.20 |
$9,200.62
|
|
Plasma cryoprecipitate reduced each unit
|
$259.20 |
$259.20 |
$259.20 |
$163.04
|
|
Platelet aggregation each agent teg
|
$190.20 |
$190.20 |
$190.20 |
$148.98
|
|
Platelet automated
|
$26.40 |
$26.40 |
$26.40 |
$45.76
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$2,818.20 |
$2,818.20 |
$2,818.20 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$359.40 |
$359.40 |
$359.40 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$341.40 |
$341.40 |
$341.40 |
$411.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,540.40 |
$2,540.40 |
$2,540.40 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$718.20 |
$718.20 |
$718.20 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$9,326.40 |
$9,326.40 |
$9,326.40 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$6,128.40 |
$6,128.40 |
$6,128.40 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,128.40 |
$6,128.40 |
$6,128.40 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,762.40 |
$2,762.40 |
$2,762.40 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,761.00 |
$1,761.00 |
$1,761.00 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
$3,473.00
|
|
Plethysmography lung volumes/airway resistance
|
$342.00 |
$342.00 |
$342.00 |
$411.51
|
|
Plmt biliary drainage cath
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$10,190.40 |
$10,190.40 |
$10,190.40 |
$4,170.03
|
|
Pm device progr eval multi
|
$133.20 |
$133.20 |
$133.20 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$186.00 |
$186.00 |
$186.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$197.22 |
$197.22 |
$197.22 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$3,838.20 |
$3,838.20 |
$3,838.20 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,827.40 |
$3,827.40 |
$3,827.40 |
$3,785.10
|
|
Porfimer sodium injection
|
$17,192.35 |
$17,192.35 |
$17,192.35 |
$37,618.13
|
|
Potassium 24 hour urine
|
$58.80 |
$58.80 |
$58.80 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$64.50 |
$64.50 |
$64.50 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$46.20 |
$46.20 |
$46.20 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$532.80 |
$532.80 |
$532.80 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$12,576.00 |
$12,576.00 |
$12,576.00 |
$10,195.00
|
|
Pq thr inj ext pse
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,551.20 |
$5,551.20 |
$5,551.20 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,551.20 |
$5,551.20 |
$5,551.20 |
$4,811.54
|
|
Pralatrexate injection
|
$534.21 |
$534.21 |
$534.21 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$305.77 |
$305.77 |
$305.77 |
$292.00
|
|
Pr application of long arm splint
|
$199.20 |
$199.20 |
$199.20 |
$334.08
|
|
Pr application splint static short arm
|
$196.20 |
$196.20 |
$196.20 |
$288.51
|
|
Pr biopsy skin punch single lesion
|
$379.20 |
$379.20 |
$379.20 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$30.00 |
$30.00 |
$30.00 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$3,073.80 |
$3,073.80 |
$3,073.80 |
$2,253.00
|
|
Prealbumin
|
$116.40 |
$116.40 |
$116.40 |
$94.00
|
|
Pr ecg 12 lead report only
|
$66.00 |
$66.00 |
$66.00 |
$20.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$54.62 |
$54.62 |
$54.62 |
$13.80
|
|
Prednisone 1 mg tablet
|
$1.97 |
$1.97 |
$1.97 |
$2.88
|
|
Pregnancy associated plasma protein-a
|
$87.00 |
$87.00 |
$87.00 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$523.80 |
$523.80 |
$523.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$523.80 |
$523.80 |
$523.80 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$544.20 |
$544.20 |
$544.20 |
$459.00
|
|
Prep skin to 100cm2 trk/ext
|
$1,979.40 |
$1,979.40 |
$1,979.40 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$361.20 |
$361.20 |
$361.20 |
$243.75
|
|
Pressure velocity wire add ves
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$1,618.20
|
|
Pretreat rbc absorption reference
|
$233.40 |
$233.40 |
$233.40 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$86.40 |
$86.40 |
$86.40 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$139.80 |
$139.80 |
$139.80 |
$170.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$780.60
|
|
Prgr stim/pace a/iv drug
|
$5,176.20 |
$5,176.20 |
$5,176.20 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$9,420.00 |
$9,420.00 |
$9,420.00 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,463.00 |
$5,463.00 |
$5,463.00 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$955.20 |
$955.20 |
$955.20 |
$705.00
|
