|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$554.40 |
$554.40 |
$554.40 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$554.40 |
$554.40 |
$554.40 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$554.40 |
$554.40 |
$554.40 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$440.72 |
$440.72 |
$440.72 |
$1,046.50
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,901.84 |
$5,901.84 |
$5,901.84 |
$4,406.61
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$24,910.48 |
$24,910.48 |
$24,910.48 |
$9,834.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,333.44 |
$5,333.44 |
$5,333.44 |
$5,139.60
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$9,446.64 |
$9,446.64 |
$9,446.64 |
$6,328.92
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,025.68 |
$3,025.68 |
$3,025.68 |
$4,420.93
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,316.16 |
$2,316.16 |
$2,316.16 |
$969.00
|
|
Plmt access bil tree sm bwl
|
$5,074.72 |
$5,074.72 |
$5,074.72 |
$4,126.58
|
|
Plmt biliary drainage cath
|
$5,901.84 |
$5,901.84 |
$5,901.84 |
$4,923.19
|
|
Plmt nephroureteral catheter
|
$5,427.52 |
$5,427.52 |
$5,427.52 |
$4,763.40
|
|
Plmt ureteral stent prq
|
$6,446.72 |
$6,446.72 |
$6,446.72 |
$5,668.80
|
|
Pm device progr eval dual
|
$159.60 |
$159.60 |
$159.60 |
$153.00
|
|
Pms2 gene dup/delet variants
|
$48.72 |
$48.72 |
$48.72 |
$407.20
|
|
Pms2 gene full seq analysis
|
$156.24 |
$156.24 |
$156.24 |
$860.68
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$165.76 |
$165.76 |
$165.76 |
$146.15
|
|
Potassium 24 hour urine
|
$19.04 |
$19.04 |
$19.04 |
$45.00
|
|
Potassium serum/plasma/whole blood
|
$33.60 |
$33.60 |
$33.60 |
$40.00
|
|
Pq biliary strict dil s&i
|
$474.88 |
$474.88 |
$474.88 |
$921.14
|
|
Pq dr cath chg w cont s&i
|
$519.68 |
$519.68 |
$519.68 |
$633.97
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$15,641.36 |
$15,641.36 |
$15,641.36 |
$10,430.78
|
|
Pq thr inj ext pse
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
$843.97
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,814.72 |
$3,814.72 |
$3,814.72 |
$2,582.15
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$6,436.64 |
$6,436.64 |
$6,436.64 |
$4,452.80
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,436.64 |
$6,436.64 |
$6,436.64 |
$4,432.24
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$22.40 |
$22.40 |
$22.40 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$520.24 |
$520.24 |
$520.24 |
$350.98
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$71.68 |
$71.68 |
$71.68 |
$148.00
|
|
Prealbumin
|
$47.04 |
$47.04 |
$47.04 |
$80.40
|
|
Pr ecg 12 lead report only
|
$35.84 |
$35.84 |
$35.84 |
$22.10
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$145.60 |
$145.60 |
$145.60 |
$73.80
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$16.30 |
$16.30 |
$16.30 |
$4.87
|
|
Prednisone 1 mg tablet
|
$2.27 |
$2.27 |
$2.27 |
$4.87
|
|
Pregnancy associated plasma protein-a
|
$32.32 |
$32.32 |
$32.32 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$117.60 |
$117.60 |
$117.60 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$217.84 |
$217.84 |
$217.84 |
$539.37
|
|
Prep skin to 100cm2 other
|
$1,037.12 |
$1,037.12 |
$1,037.12 |
$1,144.00
|
|
Prep skin to 100cm2 trk/ext
|
$1,037.12 |
$1,037.12 |
$1,037.12 |
$1,862.64
|
|
Pressure velocity wire add ves
|
$828.24 |
$828.24 |
$828.24 |
$1,463.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$34.16 |
$34.16 |
$34.16 |
$140.01
|
|
Pretreat rbc absorption reference
|
$29.12 |
$29.12 |
$29.12 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$67.76 |
$67.76 |
$67.76 |
$178.20
|
|
Pretreat rbc w chem/drugs reference
|
$16.24 |
$16.24 |
$16.24 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$174.16 |
$174.16 |
$174.16 |
$170.31
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,338.56 |
$2,338.56 |
$2,338.56 |
$2,184.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$665.28 |
$665.28 |
$665.28 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$112.56 |
$112.56 |
$112.56 |
$162.40
|
|
Prgrmg dev eval pm/ldls pm
|
$133.84 |
$133.84 |
$133.84 |
$140.80
|
|
Prgrmg eval implantable dfb
|
$166.88 |
$166.88 |
$166.88 |
$168.80
|
|
Prgrmg eval implantable dfb
|
$166.88 |
$166.88 |
$166.88 |
$209.60
|
|
Prgr stim/pace a/iv drug
|
$4,163.60 |
$4,163.60 |
$4,163.60 |
$4,709.90
|
|
Pr hospital ip/obs care initial high level per day
|
$211.12 |
$211.12 |
$211.12 |
$362.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$131.04 |
$131.04 |
$131.04 |
$266.50
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$81.76 |
$81.76 |
$81.76 |
$182.00
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$59.92 |
$59.92 |
$59.92 |
$145.60
|
|
Prim art mech thrmbc non-intracranial
|
$5,291.44 |
$5,291.44 |
$5,291.44 |
$9,548.80
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,718.00 |
$4,718.00 |
$4,718.00 |
$3,966.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$193.20 |
$193.20 |
$193.20 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$140.56 |
$140.56 |
$140.56 |
$437.53
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$248.08 |
$248.08 |
$248.08 |
$606.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$81.76 |
$81.76 |
$81.76 |
$266.64
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$5,175.00
|
|
Procalcitonin
|
$58.80 |
$58.80 |
$58.80 |
$133.20
|
|
Progesterone
|
$64.95 |
$64.95 |
$64.95 |
$100.24
|
|
Prolactin
|
$63.84 |
$63.84 |
$63.84 |
$123.20
|
|
Prolonged IV inf, req pump
|
$268.24 |
$268.24 |
$268.24 |
$367.13
|
|
Prostate biopsy, any mthd
|
$410.48 |
$410.48 |
$410.48 |
$599.68
|
|
Protector nerve neurawrap 4cm
|
$1,723.68 |
$1,723.68 |
$1,723.68 |
$3,608.70
|
|
Protein c activity
|
$28.00 |
$28.00 |
$28.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$43.68 |
$43.68 |
$43.68 |
$84.00
|
|
Protein s total
|
$13.44 |
$13.44 |
$13.44 |
$85.10
|
|
Protein total 24 hour urine
|
$19.04 |
$19.04 |
$19.04 |
$45.00
|
|
Protein total body fluid
|
$19.04 |
$19.04 |
$19.04 |
$49.20
|
|
Protein total serum plasma whole blood
|
$19.04 |
$19.04 |
$19.04 |
$40.70
|
|
Prothrombin time substitution plasma fractions each
|
$18.48 |
$18.48 |
$18.48 |
$37.05
|
|
Prq cardiac angio addl art
|
$3,039.12 |
$3,039.12 |
$3,039.12 |
$5,583.00
|
|
Prq card revasc chronic addl
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$13,928.62
|
|
Prq card revasc mi 1 vsl
|
$16,675.68 |
$16,675.68 |
$16,675.68 |
$16,678.62
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$16,675.68 |
$16,675.68 |
$16,675.68 |
$21,078.63
|
|
Prq card stent w/angio addl
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$9,768.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$12,410.72 |
$12,410.72 |
$12,410.72 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$11,988.60
|
|
Prq tcat plmt ntrac st 1 les
|
$9,253.44 |
$9,253.44 |
$9,253.44 |
$13,054.80
|
|
Prq trlml c athrc st angiop1
|
$13,782.16 |
$13,782.16 |
$13,782.16 |
$19,875.58
|
|
Prq trluml c angiop 1art&/br
|
$5,857.04 |
$5,857.04 |
$5,857.04 |
$9,255.50
|
|
Prq trluml c athrc 1 art&/br
|
$13,768.72 |
$13,768.72 |
$13,768.72 |
$14,212.25
|
|
Prq trluml revsc ch occ ant
|
$13,832.00 |
$13,832.00 |
$13,832.00 |
$17,474.24
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$288.40 |
$288.40 |
$288.40 |
$742.40
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$148.40 |
$148.40 |
$148.40 |
$365.00
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$164.64 |
$164.64 |
$164.64 |
$370.93
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$5,169.92 |
$5,169.92 |
$5,169.92 |
$2,530.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$855.12 |
$855.12 |
$855.12 |
$1,653.31
|
|
PSA (Prostate) Test
|
$47.60 |
$47.60 |
$47.60 |
$103.85
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$50.40 |
$50.40 |
$50.40 |
$87.49
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$50.40 |
$50.40 |
$50.40 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$52.64 |
$52.64 |
$52.64 |
$82.55
|
|
Pt application of modality traction mechanical
|
$52.08 |
$52.08 |
$52.08 |
$87.19
|
|
Pten gene dup/delet variant
|
$69.44 |
$69.44 |
$69.44 |
$300.00
|