|
Perq dev breast 1st strtctc
|
$5,577.76 |
$5,577.76 |
$5,577.76 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$68,142.29 |
$68,142.29 |
$68,142.29 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$64,131.14 |
$64,131.14 |
$64,131.14 |
$9,442.38
|
|
Pertuzumab 30 mg/ml desensitization
|
$39,737.90 |
$39,737.90 |
$39,737.90 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$96.38 |
$96.38 |
$96.38 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$5,685.55 |
$5,685.55 |
$5,685.55 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,768.10 |
$5,768.10 |
$5,768.10 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$54,744.57 |
$54,744.57 |
$54,744.57 |
$40,252.07
|
|
Ph body fluid
|
$52.65 |
$52.65 |
$52.65 |
$42.00
|
|
Phencyclidine (pcp)
|
$54.60 |
$54.60 |
$54.60 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$201.80 |
$201.80 |
$201.80 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$89.70 |
$89.70 |
$89.70 |
$104.80
|
|
Phentolaine mesylate inj
|
$2,253.40 |
$2,253.40 |
$2,253.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$43.70 |
$43.70 |
$43.70 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$8.25 |
$8.25 |
$8.25 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$70.85 |
$70.85 |
$70.85 |
$111.20
|
|
Phlebotomy therapeutic
|
$240.50 |
$240.50 |
$240.50 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$9,844.90 |
$9,844.90 |
$9,844.90 |
$4,810.00
|
|
Phosphorus
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$48.96
|
|
Phosphorus 24 hour urine
|
$69.55 |
$69.55 |
$69.55 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$164.45 |
$164.45 |
$164.45 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$979.00 |
$979.00 |
$979.00 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$164.45 |
$164.45 |
$164.45 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$109.85 |
$109.85 |
$109.85 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$67.60 |
$67.60 |
$67.60 |
$89.82
|
|
Pillow shldr abduc inflat univ
|
$781.90 |
$781.90 |
$781.90 |
$537.66
|
|
Pin caspar distraction 12mm
|
$24,304.88 |
$24,304.88 |
$24,304.88 |
$11,672.88
|
|
Pinworm exam
|
$23.40 |
$23.40 |
$23.40 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$120.55 |
$120.55 |
$120.55 |
$81.36
|
|
Place gastrostomy tube perc
|
$3,264.30 |
$3,264.30 |
$3,264.30 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,955.26 |
$3,955.26 |
$3,955.26 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,264.25 |
$1,264.25 |
$1,264.25 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,380.30 |
$2,380.30 |
$2,380.30 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$6,453.85 |
$6,453.85 |
$6,453.85 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$391.95 |
$391.95 |
$391.95 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$26,086.45 |
$26,086.45 |
$26,086.45 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$7,475.00 |
$7,475.00 |
$7,475.00 |
$5,274.33
|
|
Place slctv cath subclavian art
|
$8,851.05 |
$8,851.05 |
$8,851.05 |
$6,325.00
|
|
Plasma cryoprecipitate reduced each unit
|
$247.65 |
$247.65 |
$247.65 |
$163.04
|
|
Platelet aggregation each agent teg
|
$114.40 |
$114.40 |
$114.40 |
$148.98
|
|
Platelet automated
|
$3,335.00 |
$3,335.00 |
$3,335.00 |
$45.76
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$235.95 |
$235.95 |
$235.95 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$400.40 |
$400.40 |
$400.40 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,787.50 |
$1,787.50 |
$1,787.50 |
$1,050.28
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$588.90 |
$588.90 |
$588.90 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$724.75 |
$724.75 |
$724.75 |
$1,007.82
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,158.35 |
$3,158.35 |
$3,158.35 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$9,609.60 |
$9,609.60 |
$9,609.60 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$9,609.60 |
$9,609.60 |
$9,609.60 |
$5,590.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$3,967.05 |
$3,967.05 |
$3,967.05 |
$1,230.00
|
|
Plc pq device breast ea addl lesion stereo guide
|
$41,074.99 |
$41,074.99 |
$41,074.99 |
$685.00
|
|
Plethysmography lung volumes/airway resistance
|
$306.15 |
$306.15 |
$306.15 |
$411.51
|
|
Plmt nephroureteral catheter
|
$64,131.14 |
$64,131.14 |
$64,131.14 |
$4,170.03
|
|
Plug insert indwelling 16f
|
$153.33 |
$153.33 |
$153.33 |
$149.90
|
|
Pm device progr eval dual
|
$36.40 |
$36.40 |
$36.40 |
$148.65
|
|
Pm device progr eval multi
|
$36.40 |
$36.40 |
$36.40 |
$139.10
|
|
Pm phone r-strip device eval
|
$36.40 |
$36.40 |
$36.40 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$2,139.00 |
$2,139.00 |
$2,139.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$59,184.30 |
$59,184.30 |
$59,184.30 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,915.60 |
$3,915.60 |
$3,915.60 |
$3,785.10
|
|
Positioner proc acufex leg acs
|
$197.14 |
$197.14 |
$197.14 |
$79.80
|
|
Post 2 srfc resinbased cmpst
|
$50,121.45 |
$50,121.45 |
$50,121.45 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$42,843.45 |
$42,843.45 |
$42,843.45 |
$285.60
|
|
Post non-seg/spine instrumentation 22840
|
$82,589.51 |
$82,589.51 |
$82,589.51 |
$1,831.20
|
|
Postpartum Care Only
|
$580.00 |
$580.00 |
$580.00 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$91,234.92 |
$91,234.92 |
$91,234.92 |
$1,837.60
|
|
Potassium 24 hour urine
|
$49.40 |
$49.40 |
$49.40 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$35.00 |
$35.00 |
$35.00 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$204.00 |
$204.00 |
$204.00 |
$47.85
|
|
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 dr cath chg w cont s&i
|
$586.95 |
$586.95 |
$586.95 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$21,852.35 |
$21,852.35 |
$21,852.35 |
$10,195.00
|
|
Pq thr inj ext pse
|
$2,744.95 |
$2,744.95 |
$2,744.95 |
$786.66
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$27,627.45 |
$27,627.45 |
$27,627.45 |
$3,738.90
|
|
Pr application of long arm splint
|
$675.00 |
$675.00 |
$675.00 |
$334.08
|
|
Pr application splint static short arm
|
$416.00 |
$416.00 |
$416.00 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$574.00 |
$574.00 |
$574.00 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$1,502.00 |
$1,502.00 |
$1,502.00 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$80,402.07 |
$80,402.07 |
$80,402.07 |
$6,653.00
|
|
Pr correction hammertoe
|
$55,156.48 |
$55,156.48 |
$55,156.48 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$563.00 |
$563.00 |
$563.00 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$36,507.53 |
$36,507.53 |
$36,507.53 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$174.00 |
$174.00 |
$174.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$256.00 |
$256.00 |
$256.00 |
$178.75
|
|
Prealbumin
|
$67.60 |
$67.60 |
$67.60 |
$94.00
|
|
Pr ecg 12 lead report only
|
$26.00 |
$26.00 |
$26.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$83.00 |
$83.00 |
$83.00 |
$51.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$5.90 |
$5.90 |
$5.90 |
$13.80
|
|
Prednisone 1 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.88
|
|
Prefab stnlss steel crown pe
|
$47,050.20 |
$47,050.20 |
$47,050.20 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$45,129.65 |
$45,129.65 |
$45,129.65 |
$845.60
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$10,516.91 |
$10,516.91 |
$10,516.91 |
$2,298.00
|