|
Perq skel fix rad/uln dislc
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$2,398.40 |
$2,398.40 |
$2,398.40 |
$3,839.54
|
|
Perq transcath closure each
|
$893.60 |
$893.60 |
$893.60 |
$9,204.00
|
|
Perq transcath cls aortic
|
$2,031.20 |
$2,031.20 |
$2,031.20 |
$22,779.00
|
|
Perq transcath cls mitral
|
$2,449.60 |
$2,449.60 |
$2,449.60 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$8,828.16
|
|
Perq tx big toe fracture w/manip 28496
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$3,981.06
|
|
Perq tx malar fracture
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
$4,627.00
|
|
Perq tx mndblr fx xtrnl fixj
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$6,547.81
|
|
Perq tx nasoethmoid fx
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$4,558.89
|
|
Pertussis ag if
|
$38.58 |
$38.58 |
$38.58 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$17.60 |
$17.60 |
$17.60 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$141.60 |
$141.60 |
$141.60 |
$141.60
|
|
Pessary reusable rub anytype
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$4,019.75 |
$4,019.75 |
$4,019.75 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,045.91 |
$4,045.91 |
$4,045.91 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,781.68 |
$2,781.68 |
$2,781.68 |
$4,060.00
|
|
Pet image full body
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$5,148.14
|
|
Pet image ltd area
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$3,809.11
|
|
Pet image skull-thigh
|
$2,776.00 |
$2,776.00 |
$2,776.00 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$3,643.19 |
$3,643.19 |
$3,643.19 |
$4,366.50
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,272.16 |
$3,272.16 |
$3,272.16 |
$40,252.07
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$60.80 |
$60.80 |
$60.80 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$89.60 |
$89.60 |
$89.60 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$31.20 |
$31.20 |
$31.20 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$2,508.80
|
|
Pharmacologic management w/psytx
|
$118.20 |
$118.20 |
$118.20 |
$78.96
|
|
Ph body fluid
|
$33.57 |
$33.57 |
$33.57 |
$41.60
|
|
Phencyclidine (pcp)
|
$43.20 |
$43.20 |
$43.20 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$112.16 |
$112.16 |
$112.16 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$105.00
|
|
Phentolaine mesylate inj
|
$461.60 |
$461.60 |
$461.60 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$2.81 |
$2.81 |
$2.81 |
$61.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.80 |
$0.80 |
$0.80 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$110.88
|
|
Phlebotomy therapeutic
|
$232.56 |
$232.56 |
$232.56 |
$232.25
|
|
Phleb veins 1 extrm 10-20 stab
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$2,803.20 |
$2,803.20 |
$2,803.20 |
$4,516.05
|
|
Phosphorus
|
$33.57 |
$33.57 |
$33.57 |
$48.80
|
|
Phosphorus 24 hour urine
|
$33.57 |
$33.57 |
$33.57 |
$42.25
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$245.60 |
$245.60 |
$245.60 |
$176.00
|
|
Photochemotherapy puva
|
$210.40 |
$210.40 |
$210.40 |
$181.79
|
|
Photochemotherapy uv-a or b
|
$304.80 |
$304.80 |
$304.80 |
$495.30
|
|
Photodynamic tx addl 15 min
|
$59.20 |
$59.20 |
$59.20 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$124.00 |
$124.00 |
$124.00 |
$582.40
|
|
Photo patch test
|
$18.40 |
$18.40 |
$18.40 |
$71.50
|
|
Photopheresis
|
$4,664.80 |
$4,664.80 |
$4,664.80 |
$7,967.00
|
|
Photosensitivity tests
|
$137.60 |
$137.60 |
$137.60 |
$142.80
|
|
Phys blood bank serv authrj
|
$97.60 |
$97.60 |
$97.60 |
$97.60
|
|
Phys blood bank serv reactj
|
$97.60 |
$97.60 |
$97.60 |
$207.50
|
|
Phys blood bank serv xmatch
|
$97.60 |
$97.60 |
$97.60 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$281.16 |
$281.16 |
$281.16 |
$292.80
|
|
Physical Therapy Evaluation (low complexity)
|
$233.51 |
$233.51 |
$233.51 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$257.34 |
$257.34 |
$257.34 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$128.80 |
$128.80 |
$128.80 |
$155.40
|
|
Physician standby services
|
$145.60 |
$145.60 |
$145.60 |
$145.60
|
|
Phys review of motion tests
|
$252.80 |
$252.80 |
$252.80 |
$252.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$89.80 |
$89.80 |
$89.80 |
$89.78
|
|
Pierce earlobes 69090
|
$75.20 |
$75.20 |
$75.20 |
$75.20
|
|
Piflu f-18, dia 1 millicurie
|
$1,160.72 |
$1,160.72 |
$1,160.72 |
$1,038.40
|
|
Pik3ca gene trgt seq alys
|
$263.84 |
$263.84 |
$263.84 |
$463.20
|
|
Pild/placebo control clin tr
|
$840.80 |
$840.80 |
$840.80 |
$7,907.11
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$1,116.00
|
|
Pin finger dislocation
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$3,839.54
|
|
Pin finger fracture each
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$4,192.86
|
|
Pin hand dislocation
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$3,839.54
|
|
Pin knuckle dislocation
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$3,821.05
|
|
Pin service 60m per month
|
$151.20 |
$151.20 |
$151.20 |
$114.00
|
|
Pinworm exam
|
$38.58 |
$38.58 |
$38.58 |
$39.62
|
|
Pinworm examinations
|
$8.80 |
$8.80 |
$8.80 |
$5.70
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$81.36
|
|
Pituitary evaluation panel
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$799.68
|
|
Place breast cath for rad
|
$232.80 |
$232.80 |
$232.80 |
$3,332.00
|
|
Place breast rad tube/caths
|
$4,883.20 |
$4,883.20 |
$4,883.20 |
$7,680.06
|
|
Place cath intracranial art
|
$6,400.00 |
$6,400.00 |
$6,400.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$2,789.66 |
$2,789.66 |
$2,789.66 |
$4,202.90
|
|
Place cecostomy tube perc
|
$2,170.40 |
$2,170.40 |
$2,170.40 |
$2,580.90
|
|
Place device/marker, non pro
|
$2,590.05 |
$2,590.05 |
$2,590.05 |
$2,039.82
|
|
Place duod/jej tube perc
|
$2,588.00 |
$2,588.00 |
$2,588.00 |
$2,575.96
|
|
Place gastrostomy tube open 43832
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$2,483.71 |
$2,483.71 |
$2,483.71 |
$2,316.30
|
|
Placement bile duct support
|
$2,732.00 |
$2,732.00 |
$2,732.00 |
$2,732.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,498.00
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$424.80 |
$424.80 |
$424.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,228.80 |
$2,228.80 |
$2,228.80 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$4,352.00 |
$4,352.00 |
$4,352.00 |
$3,949.98
|
|
Placement occlusive device venous/arterial access site post procedure
|
$304.99 |
$304.99 |
$304.99 |
$581.20
|
|
Placement of drain pancreas
|
$5,656.80 |
$5,656.80 |
$5,656.80 |
$3,241.77
|
|
Placement of seton
|
$692.80 |
$692.80 |
$692.80 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$20,939.08 |
$20,939.08 |
$20,939.08 |
$13,964.50
|
|
Place ndl musc/tis for right
|
$830.40 |
$830.40 |
$830.40 |
$3,545.97
|
|
Place needles h&n for right
|
$1,234.40 |
$1,234.40 |
$1,234.40 |
$7,000.36
|
|
Place needles pelvic for right
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$5,271.46 |
$5,271.46 |
$5,271.46 |
$5,274.33
|
|
Placental lactogen
|
$64.28 |
$64.28 |
$64.28 |
$163.28
|
|
Place po breast cath for rad
|
$19,462.40 |
$19,462.40 |
$19,462.40 |
$10,741.80
|
|
Place right device/marker pros
|
$361.60 |
$361.60 |
$361.60 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$10,014.40 |
$10,014.40 |
$10,014.40 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$6,048.00 |
$6,048.00 |
$6,048.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,763.20 |
$7,763.20 |
$7,763.20 |
$8,924.40
|