|
Phys blood bank serv authrj
|
$161.40 |
$161.40 |
$161.40 |
|
|
Phys blood bank serv reactj
|
$171.60 |
$321.00 |
$524.40 |
|
|
Phys blood bank serv xmatch
|
$77.40 |
$198.00 |
$206.40 |
|
|
Physical Therapy Evaluation (high complexity)
|
$191.12 |
$256.00 |
$458.90 |
|
|
Physical Therapy Evaluation (low complexity)
|
$111.00 |
$154.50 |
$458.90 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$159.00 |
$189.60 |
$458.90 |
|
|
Physical Therapy Re-Evaluation
|
$97.80 |
$147.50 |
$223.72 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$128.30 |
$133.36 |
$229.20 |
|
|
Piflu f-18, dia 1 millicurie
|
$1,107.00 |
$1,107.00 |
$4,368.08 |
|
|
Pik3ca gene trgt seq alys
|
$423.60 |
$447.00 |
$1,065.09 |
|
|
Pin caspar distraction 12mm
|
$17,400.00 |
$17,400.00 |
$17,400.00 |
|
|
Pinworm exam
|
$37.80 |
$68.40 |
$126.00 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$65.82 |
$104.73 |
$1,145.96 |
|
|
Place cath intracranial art
|
$3,626.00 |
$5,914.20 |
$6,184.80 |
|
|
Place cath xtrnl carotid
|
$4,123.80 |
$5,546.40 |
$12,866.40 |
|
|
Place cecostomy tube perc
|
$5,964.60 |
$5,964.60 |
$5,964.60 |
|
|
Place device/marker, non pro
|
$930.00 |
$1,120.20 |
$1,969.20 |
|
|
Place duod/jej tube perc
|
$3,127.50 |
$5,713.80 |
$5,713.80 |
|
|
Place endorectal app
|
$2,387.22 |
$2,387.22 |
$2,387.22 |
|
|
Place gastrostomy tube perc
|
$2,477.50 |
$4,968.60 |
$4,968.60 |
|
|
Placement bile duct support
|
$2,245.20 |
$2,245.20 |
$2,245.20 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,759.00 |
$3,307.80 |
$3,485.40 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$648.00 |
$3,307.80 |
$3,485.40 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$909.50 |
$1,972.20 |
$3,398.40 |
|
|
Placement nephrostomy catheter (both sides)
|
$4,653.60 |
$6,627.60 |
$9,694.00 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$548.00 |
$548.00 |
$571.45 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$11,164.00 |
$28,789.20 |
$32,816.40 |
|
|
Place needles h&n for right
|
$26,573.79 |
$26,573.79 |
$26,573.79 |
|
|
Place needles pelvic for right
|
$7,447.00 |
$8,070.60 |
$8,070.60 |
|
|
Place non-slctv cath thoracic arta
|
$4,210.00 |
$7,210.80 |
$11,838.50 |
|
|
Placental lactogen
|
$508.07 |
$508.07 |
$508.07 |
|
|
Place po breast cath for rad
|
$6,359.40 |
$6,572.40 |
$6,572.40 |
|
|
Place right device/marker pros
|
$2,159.50 |
$2,159.50 |
$2,905.50 |
|
|
Place slctv cath carotd art uni
|
$13,093.00 |
$31,406.40 |
$36,802.70 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$9,043.00 |
$22,881.60 |
$23,930.40 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$10,090.00 |
$26,664.00 |
$32,353.20 |
|
|
Place slctv cath subclavian art
|
$5,575.50 |
$17,930.40 |
$25,243.20 |
|
|
Place slctv cath vertebral art uni
|
$11,444.50 |
$24,604.80 |
$80,597.90 |
|
|
Plasma cryoprecipitate reduced each unit
|
$206.40 |
$288.60 |
$356.28 |
|
|
Plasmaprotein fract,5%,250ml
|
$127.32 |
$127.32 |
$127.32 |
|
|
Platelet aggregation each agent teg
|
$77.50 |
$190.20 |
$397.20 |
|
|
Platelet automated
|
$26.40 |
$54.81 |
$120.00 |
|
|
Platelet pheresis each unit
|
$1,384.20 |
$1,777.80 |
$2,792.27 |
|
|
Platelet pheresis irr ea
|
$1,603.20 |
$1,924.20 |
$4,069.70 |
|
|
Platelets each unit
|
$277.20 |
$300.60 |
$399.92 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,849.00 |
$2,340.00 |
$3,293.40 |
|
|
Platelets irradiated ea unit
|
$460.80 |
$792.60 |
$1,522.20 |
|
|
Platelets leukocytes reduced each unit
|
$294.00 |
$359.40 |
$433.20 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$341.40 |
$439.20 |
$675.25 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,148.40 |
$1,818.00 |
$4,531.40 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,052.00 |
$2,284.80 |
$4,960.41 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,453.20 |
$2,355.00 |
$4,086.68 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,155.50 |
$2,336.40 |
$4,531.40 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$709.80 |
$742.20 |
$1,534.00 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,081.60 |
$8,568.00 |
$9,969.60 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$9,326.40 |
$28,789.20 |
$31,080.00 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$6,128.40 |
$7,859.40 |
$15,957.00 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,128.40 |
$11,854.80 |
$18,813.00 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$104.12 |
$2,907.00 |
$2,907.00 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,160.00 |
$2,181.60 |
$2,307.00 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,691.40 |
$1,691.40 |
$1,691.40 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$2,305.80 |
$2,305.80 |
$2,320.80 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$636.50 |
$1,972.20 |
$2,167.20 |
|
|
Plerixafor injection
|
$356.78 |
$356.78 |
$7,535.71 |
|
|
Plethysmography lung volumes/airway resistance
|
$342.00 |
$491.21 |
$1,011.00 |
|
|
Plmt access bil tree sm bwl
|
$10,639.20 |
$10,639.20 |
$10,639.20 |
|
|
Plmt biliary drainage cath
|
$4,425.00 |
$10,871.40 |
$12,130.80 |
|
|
Plmt nephroureteral catheter
|
$10,190.40 |
$11,854.80 |
$16,797.00 |
|
|
Plmt ureteral stent prq
|
$7,405.80 |
$7,405.80 |
$18,813.00 |
|
|
Plug insert indwelling 16f
|
$650.09 |
$650.09 |
$650.09 |
|
|
Pm device progr eval dual
|
$161.07 |
$161.07 |
$161.07 |
|
|
Pm device progr eval multi
|
$133.20 |
$133.20 |
$133.80 |
|
|
Pmp22 gene dup/delet
|
$2,106.97 |
$2,106.97 |
$2,106.97 |
|
|
Pmp22 gene full sequence
|
$1,497.49 |
$1,497.49 |
$1,497.49 |
|
|
Pms2 gene dup/delet variants
|
$899.59 |
$899.59 |
$899.59 |
|
|
Pms2 gene full seq analysis
|
$2,841.08 |
$2,841.08 |
$2,841.08 |
|
|
Pms2 known familial variants
|
$1,340.19 |
$1,340.19 |
$1,340.19 |
|
|
Pneum full leg splnt pre ots
|
$341.44 |
$341.44 |
$341.44 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$121.50 |
$239.40 |
$395.40 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$197.22 |
$45,244.50 |
$45,244.50 |
|
|
Polysom <6 yrs cpap/bilvl
|
$3,346.00 |
$3,514.50 |
$10,344.03 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,216.38 |
$3,991.80 |
$10,132.43 |
|
|
Porfimer sodium injection
|
$17,192.35 |
$29,486.00 |
$212,032.26 |
|
|
Postop app non-wgt bear dsg
|
$5,118.37 |
$5,118.37 |
$5,118.37 |
|
|
Potassium 24 hour urine
|
$36.00 |
$61.50 |
$120.00 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$63.27 |
$64.50 |
$385.10 |
|
|
Potassium serum/plasma/whole blood
|
$27.00 |
$51.00 |
$88.20 |
|
|
Pouch drainable w barrier at
|
$12.60 |
$12.60 |
$12.60 |
|
|
Pouch high output 2pc 50mm red
|
$2.40 |
$7.20 |
$7.20 |
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$9.60 |
$9.60 |
$9.60 |
|
|
Ppp2r2b gen detc abnor allel
|
$303.32 |
$303.32 |
$303.32 |
|
|
Pq biliary strict dil s&i
|
$939.31 |
$1,224.00 |
$1,242.60 |
|
|
Pq dr cath chg w cont s&i
|
$391.50 |
$532.80 |
$1,165.38 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,414.50 |
$22,959.00 |
$52,807.95 |
|
|
Pq thr inj ext pse
|
$654.50 |
$687.50 |
$2,603.85 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,951.50 |
$7,242.00 |
$10,532.86 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,551.20 |
$9,996.00 |
$52,807.95 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,551.20 |
$9,996.00 |
$52,807.95 |
|
