|
Platelet pheresis irr ea
|
$682.10 |
$682.10 |
$682.10 |
$1,108.52
|
|
Platelets each unit
|
$302.84 |
$302.84 |
$302.84 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$691.84 |
$691.84 |
$1,996.15 |
$1,558.20
|
|
Platelets leukocytes reduced each unit
|
$235.95 |
$235.95 |
$682.10 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$377.00 |
$377.00 |
$682.10 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$682.10 |
$682.10 |
$1,787.50 |
$1,050.28
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$682.10 |
$682.10 |
$1,146.60 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$682.10 |
$682.10 |
$713.05 |
$1,176.80
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$682.10 |
$682.10 |
$742.95 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$682.10 |
$682.10 |
$724.75 |
$1,007.82
|
|
Platelet survival
|
$362.40 |
$362.40 |
$362.40 |
$545.61
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,186.80 |
$5,186.80 |
$5,186.80 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$9,586.11 |
$9,586.11 |
$9,586.11 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,097.60 |
$5,097.60 |
$5,097.60 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,873.60 |
$6,873.60 |
$6,873.60 |
$5,649.04
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,964.00 |
$1,964.00 |
$1,964.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,315.60 |
$1,315.60 |
$2,208.00 |
$1,236.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$934.40 |
$934.40 |
$934.40 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$792.00 |
$792.00 |
$792.00 |
$3,572.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,505.60 |
$1,505.60 |
$1,505.60 |
$1,300.20
|
|
Plc pq device breast ea addl lesion stereo guide
|
$506.40 |
$506.40 |
$506.40 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$948.00 |
$948.00 |
$1,312.35 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$240.97 |
$240.97 |
$343.20 |
$416.96
|
|
Pleurectomy parietal ; separate 32310
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$2,222.40
|
|
Plmt access bil tree sm bwl
|
$2,983.20 |
$2,983.20 |
$2,983.20 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$3,506.40 |
$3,506.40 |
$3,506.40 |
$4,799.10
|
|
Plmt nephroureteral catheter
|
$4,988.10 |
$4,988.10 |
$5,628.80 |
$4,220.74
|
|
Plmt ureteral stent prq
|
$5,668.80 |
$5,668.80 |
$5,668.80 |
$5,194.80
|
|
Plug insert indwelling 16f
|
$153.33 |
$153.33 |
$153.33 |
$149.90
|
|
Pm device progr eval dual
|
$164.80 |
$164.80 |
$164.80 |
$153.00
|
|
Pm device progr eval multi
|
$180.80 |
$180.80 |
$180.80 |
$139.10
|
|
Pml/raralpha 1 breakpoint
|
$520.00 |
$520.00 |
$520.00 |
$307.13
|
|
Pmp22 gene dup/delet
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$986.40
|
|
Pm phone r-strip device eval
|
$120.95 |
$120.95 |
$120.95 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$407.20 |
$407.20 |
$407.20 |
$407.27
|
|
Pms2 gene full seq analysis
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$1,002.60
|
|
Pms2 known familial variants
|
$662.40 |
$662.40 |
$662.40 |
$540.00
|
|
Pneumothrx tx-intraplrl inj ai
|
$318.40 |
$318.40 |
$318.40 |
$785.00
|
|
#pnh-flow cytometry interp
|
$121.60 |
$121.60 |
$121.60 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$86.42 |
$86.42 |
$1,298.70 |
$187.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$59,184.30 |
$59,184.30 |
$59,184.30 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$3,557.58
|
|
Polysom any age 1-3> param
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,208.76 |
$2,208.76 |
$3,877.25 |
$3,804.00
|
|
Polyvalent mult org ea ag ia
|
$26.40 |
$26.40 |
$26.40 |
$14.50
|
|
Positional change of finger
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
$7,907.11
|
|
Positional nystagmus test
|
$42.40 |
$42.40 |
$42.40 |
$73.50
|
|
Positioner proc acufex leg acs
|
$197.14 |
$197.14 |
$197.14 |
$79.80
|
|
Post 1 srfc resinbased cmpst
|
$18,131.33 |
$18,131.33 |
$18,131.33 |
$142.80
|
|
Post >=4srfc resinbase cmpst
|
$18,522.40 |
$18,522.40 |
$18,522.40 |
$285.60
|
|
Post-coital mucous exam
|
$50.40 |
$50.40 |
$50.40 |
$34.50
|
|
Post non-seg/spine instrumentation 22840
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$1,831.20
|
|
Postpartum Care Only
|
$501.60 |
$501.60 |
$580.00 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$1,837.60 |
$1,837.60 |
$1,837.60 |
$1,837.60
|
|
Potassium 24 hour urine
|
$33.57 |
$33.57 |
$44.85 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$48.00 |
$48.00 |
$60.00 |
$61.80
|
|
Potassium hydroxide preps
|
$12.00 |
$12.00 |
$12.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$33.57 |
$33.57 |
$12,258.09 |
$47.80
|
|
Pouch high output 2pc 50mm red
|
$282.29 |
$282.29 |
$282.29 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$0.28 |
$0.28 |
$0.28 |
$3.25
|
|
Pouch ostmy nb pouchkin ctf
|
$0.38 |
$0.38 |
$0.38 |
$1.55
|
|
Pouch uros new (both sides) 2.75in clr
|
$67.84 |
$67.84 |
$67.84 |
$15.80
|
|
Powder prem protct 1oz
|
$0.45 |
$0.45 |
$0.45 |
$5.43
|
|
Pq biliary strict dil s&i
|
$431.20 |
$431.20 |
$431.20 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$551.28 |
$551.28 |
$551.28 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$16,062.40 |
$16,062.40 |
$30,159.09 |
$10,203.30
|
|
Pq thr inj ext pse
|
$764.80 |
$764.80 |
$764.80 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,095.20 |
$2,095.20 |
$2,095.20 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,713.04 |
$4,713.04 |
$4,713.04 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,713.04 |
$4,713.04 |
$4,713.04 |
$4,811.54
|
|
Pralatrexate injection
|
$402.40 |
$402.40 |
$402.40 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$411.85 |
$411.85 |
$411.85 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,118.73 |
$2,118.73 |
$2,118.73 |
$3,738.90
|
|
Pr application of long arm splint
|
$396.80 |
$396.80 |
$396.80 |
$334.20
|
|
Pr application splint static short arm
|
$312.00 |
$312.00 |
$403.65 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$56.80 |
$56.80 |
$56.80 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$326.45 |
$326.45 |
$326.45 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$5,227.20 |
$5,227.20 |
$33,178.71 |
$6,653.00
|
|
Pr correction hammertoe
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$54.20 |
$54.20 |
$54.20 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$4,797.60 |
$4,797.60 |
$4,797.60 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$790.40 |
$790.40 |
$4,174.72 |
$2,260.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$2,228.80 |
$2,228.80 |
$22,375.09 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$148.00 |
$148.00 |
$174.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$209.60 |
$209.60 |
$256.00 |
$178.75
|
|
Prealbumin
|
$64.28 |
$64.28 |
$81.25 |
$93.98
|
|
Pr ecg 12 lead report only
|
$19.20 |
$19.20 |
$19.20 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$51.75
|
|
Prednisolone acetate inj
|
$1.20 |
$1.20 |
$1.20 |
$1.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.80 |
$0.80 |
$151.70 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.46 |
$0.46 |
$28,210.47 |
$2.88
|
|
Prefab stnlss steel crown pe
|
$18,166.69 |
$18,166.69 |
$18,166.69 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$19,833.06 |
$19,833.06 |
$19,833.06 |
$845.60
|
|
Pregabalin - sendout
|
$72.14 |
$72.14 |
$72.14 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$502.40 |
$502.40 |
$17,577.20 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$64.28 |
$64.28 |
$64.28 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$619.26 |
$619.26 |
$772.20 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$475.80 |
$475.80 |
$645.63 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$210.07 |
$210.07 |
$434.20 |
$459.00
|