|
Place slctv cath carotd art uni
|
$1,749.00 |
$10,014.40 |
$18,686.85 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,219.80 |
$6,048.00 |
$9,478.95 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,013.06 |
$7,763.20 |
$18,686.85 |
|
|
Place slctv cath subclavian art
|
$1,645.00 |
$7,440.00 |
$8,851.05 |
|
|
Place slctv cath vertebral art uni
|
$1,749.00 |
$9,472.00 |
$12,080.40 |
|
|
Plasma cryoprecipitate reduced each unit
|
$39.00 |
$247.65 |
$381.00 |
|
|
Plasma volume multiple
|
$211.20 |
$211.20 |
$909.30 |
|
|
Plasma volume single
|
$224.80 |
$224.80 |
$224.80 |
|
|
Plastic mod low ext pad/line
|
$139.22 |
$159.11 |
$162.43 |
|
|
Platelet aggregation each agent teg
|
$73.45 |
$95.72 |
$310.00 |
|
|
Platelet automated
|
$20.80 |
$33.57 |
$20,994.66 |
|
|
Platelet pheresis each unit
|
$682.10 |
$682.10 |
$2,112.60 |
|
|
Platelet pheresis irr ea
|
$682.10 |
$682.10 |
$1,737.60 |
|
|
Platelets each unit
|
$87.78 |
$302.84 |
$345.60 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$691.84 |
$1,504.10 |
$3,071.00 |
|
|
Platelets irradiated ea unit
|
$117.00 |
$117.00 |
$130.80 |
|
|
Platelets leukocytes reduced each unit
|
$235.95 |
$383.20 |
$2,843.05 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$377.00 |
$668.64 |
$795.06 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$682.10 |
$1,001.00 |
$2,750.00 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$682.10 |
$704.76 |
$1,801.00 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$500.22 |
$877.50 |
$3,952.00 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$588.90 |
$1,044.00 |
$1,895.00 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$682.10 |
$724.75 |
$1,620.00 |
|
|
Platelet survival
|
$362.40 |
$362.40 |
$362.40 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$923.00 |
$4,785.21 |
$7,362.84 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$347.40 |
$6,132.00 |
$14,230.40 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$423.60 |
$5,097.60 |
$9,609.60 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,080.68 |
$6,873.60 |
$12,468.30 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$716.94 |
$2,558.00 |
$9,203.59 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$363.36 |
$2,208.00 |
$4,177.00 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$235.30 |
$934.40 |
$1,273.76 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$660.00 |
$1,034.00 |
$11,666.91 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,505.60 |
$1,505.60 |
$3,684.00 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$506.40 |
$706.09 |
$41,074.99 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$729.60 |
$948.00 |
$56,652.59 |
|
|
Plethysmography lung volumes/airway resistance
|
$25.00 |
$324.60 |
$720.66 |
|
|
Pleurectomy parietal ; separate 32310
|
$1,320.00 |
$2,222.40 |
$2,831.00 |
|
|
Plmt access bil tree sm bwl
|
$923.00 |
$2,983.20 |
$13,548.52 |
|
|
Plmt biliary drainage cath
|
$923.00 |
$3,506.40 |
$7,362.84 |
|
|
Plmt nephroureteral catheter
|
$2,404.92 |
$5,628.80 |
$64,131.14 |
|
|
Plmt ureteral stent prq
|
$2,080.68 |
$5,668.80 |
$7,295.92 |
|
|
Plug insert indwelling 16f
|
$153.33 |
$153.33 |
$235.90 |
|
|
Pm device progr eval dual
|
$36.40 |
$164.80 |
$243.60 |
|
|
Pm device progr eval multi
|
$36.40 |
$180.80 |
$254.00 |
|
|
Pml/raralpha 1 breakpoint
|
$520.00 |
$520.00 |
$520.00 |
|
|
Pmp22 gene dup/delet
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
|
|
Pmp22 gene full sequence
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
|
|
Pm phone r-strip device eval
|
$36.40 |
$118.40 |
$150.61 |
|
|
Pms2 gene dup/delet variants
|
$407.20 |
$407.20 |
$407.20 |
|
|
Pms2 gene full seq analysis
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
|
|
Pms2 known familial variants
|
$662.40 |
$662.40 |
$662.40 |
|
|
Pneum full leg splnt pre ots
|
$32.40 |
$34.20 |
$34.20 |
|
|
Pneumothrx tx-intraplrl inj ai
|
$250.80 |
$318.40 |
$318.40 |
|
|
#pnh-flow cytometry interp
|
$61.80 |
$121.60 |
$121.60 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$86.42 |
$187.32 |
$33,073.02 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$198.58 |
$59,184.30 |
$59,184.30 |
|
|
Polysom <6 yrs cpap/bilvl
|
$692.64 |
$2,172.00 |
$4,278.42 |
|
|
Polysom any age 1-3> param
|
$757.68 |
$1,424.80 |
$6,304.35 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,465.60 |
$3,809.89 |
$8,876.00 |
|
|
Polyvalent mult org ea ag ia
|
$26.40 |
$26.40 |
$26.40 |
|
|
Porfimer sodium injection
|
$31,312.32 |
$31,312.32 |
$31,312.32 |
|
|
Portable 02 contents, gas
|
$25.80 |
$27.00 |
$27.00 |
|
|
Positional change of finger
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
|
|
Positional nystagmus test
|
$42.40 |
$42.40 |
$48.00 |
|
|
Positioner proc acufex leg acs
|
$197.14 |
$197.14 |
$303.30 |
|
|
Post 1 srfc resinbased cmpst
|
$18,131.33 |
$18,131.33 |
$41,669.75 |
|
|
Post 2 srfc resinbased cmpst
|
$41,002.90 |
$41,002.90 |
$50,121.45 |
|
|
Post >=4srfc resinbase cmpst
|
$18,522.40 |
$40,915.85 |
$42,843.45 |
|
|
Post-coital mucous exam
|
$50.40 |
$50.40 |
$50.40 |
|
|
Post non-seg/spine instrumentation 22840
|
$1,317.00 |
$1,831.20 |
$82,589.51 |
|
|
Postop app non-wgt bear dsg
|
$295.07 |
$1,429.60 |
$2,538.72 |
|
|
Postop app non-wgt bear dsg
|
$2,538.72 |
$2,538.72 |
$2,538.72 |
|
|
Postpartum Care Only
|
$347.40 |
$501.60 |
$1,078.56 |
|
|
Post seg spine instrument/3-6 seg 22842
|
$1,373.40 |
$1,837.60 |
$95,582.64 |
|
|
Potassium 24 hour urine
|
$33.57 |
$49.40 |
$171.00 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$15.52 |
$38.73 |
$101.31 |
|
|
Potassium hydroxide preps
|
$12.00 |
$12.00 |
$12.60 |
|
|
Potassium serum/plasma/whole blood
|
$33.57 |
$54.00 |
$32,568.75 |
|
|
Pouch high output 2pc 50mm red
|
$9.01 |
$282.29 |
$434.29 |
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$0.28 |
$0.28 |
$1.12 |
|
|
Pouch ostmy nb pouchkin ctf
|
$0.36 |
$0.38 |
$1.53 |
|
|
Pouch uros new (both sides) 2.75in clr
|
$2.27 |
$67.84 |
$104.37 |
|
|
Powder prem protct 1oz
|
$0.45 |
$0.45 |
$1.82 |
|
|
Pq biliary strict dil s&i
|
$431.20 |
$593.06 |
$1,630.44 |
|
|
Pq dr cath chg w cont s&i
|
$235.20 |
$685.58 |
$1,067.30 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$1,077.60 |
$16,062.40 |
$30,159.09 |
|
|
Pq thr inj ext pse
|
$248.40 |
$764.80 |
$2,744.95 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$453.60 |
$2,619.05 |
$4,942.64 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$961.80 |
$4,452.80 |
$8,097.29 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$904.20 |
$4,407.20 |
$8,097.29 |
|
|
Pralatrexate injection
|
$402.40 |
$402.40 |
$22,150.81 |
|
|
Pralidoxime 1 gram solution for injection
|
$166.53 |
$194.36 |
$411.85 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$946.56 |
$2,445.00 |
$27,627.45 |
|
|
Pr application of long arm splint
|
$82.00 |
$396.80 |
$1,140.00 |
|
|
Pr application splint static short arm
|
$139.00 |
$312.00 |
$1,019.00 |
|
|
Pr assessment emotional/behavioral per instrument brief
|
$7.80 |
$56.80 |
$749.45 |
|
|
Pr biopsy skin punch single lesion
|
$153.12 |
$393.84 |
$7,180.07 |
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$1,494.00 |
$5,227.20 |
$80,402.07 |
|
|
Pr correction hammertoe
|
$955.20 |
$2,688.00 |
$55,156.48 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$14.40 |
$49.64 |
$563.00 |
|
