|
Osteopath manip tx/5-6 body region 98927
|
$1,966.00 |
$1,966.00 |
$1,966.00 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$1,966.00 |
$1,966.00 |
$1,966.00 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$92.42
|
|
Oth resp proc, group
|
$138.00 |
$138.00 |
$138.00 |
$126.00
|
|
Oth resp proc, indiv
|
$177.00 |
$177.00 |
$177.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$208.00 |
$208.00 |
$208.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$189.00 |
$189.00 |
$189.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$87.00 |
$87.00 |
$87.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$62.00 |
$62.00 |
$62.00 |
$93.12
|
|
Parathormone (pth) intact
|
$183.00 |
$183.00 |
$183.00 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$724.00 |
$724.00 |
$724.00 |
$245.67
|
|
Pelvic CT scan (with and without contrast)
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,737.00 |
$2,737.00 |
$2,737.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$5,536.00 |
$5,536.00 |
$5,536.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$729.00 |
$729.00 |
$729.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$393.00 |
$393.00 |
$393.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$393.00 |
$393.00 |
$393.00 |
$351.75
|
|
Penile injection
|
$418.00 |
$418.00 |
$418.00 |
$424.60
|
|
Penile vascular study
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$561.00
|
|
Perc cryo ablate renal tum
|
$30,941.00 |
$30,941.00 |
$30,941.00 |
$11,523.76
|
|
Perc rf ablate renal tumor
|
$25,910.00 |
$25,910.00 |
$25,910.00 |
$7,243.60
|
|
Percut ablate liver rf
|
$15,300.00 |
$15,300.00 |
$15,300.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$89.55 |
$89.55 |
$89.55 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$6,330.00 |
$6,330.00 |
$6,330.00 |
$2,375.00
|
|
Peripheral vascular rehab
|
$234.00 |
$234.00 |
$234.00 |
$132.50
|
|
Peri-proc device eval icd
|
$160.00 |
$160.00 |
$160.00 |
$192.40
|
|
Perit-vens shunt pat tst
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$752.49
|
|
Perq art m-thrombect &/nfs
|
$6,927.00 |
$6,927.00 |
$6,927.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$7,847.00 |
$7,847.00 |
$7,847.00 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$804.00 |
$804.00 |
$804.00 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$19,993.00 |
$19,993.00 |
$19,993.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$17,094.00 |
$17,094.00 |
$17,094.00 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$625.93
|
|
Perq transcath closure each
|
$26,856.00 |
$26,856.00 |
$26,856.00 |
$9,204.00
|
|
Perq transcath cls mitral
|
$52,679.00 |
$52,679.00 |
$52,679.00 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$3,903.00 |
$3,903.00 |
$3,903.00 |
$8,999.20
|
|
Pet CT skull-mid thgh initial
|
$7,656.00 |
$7,656.00 |
$7,656.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$8,803.00 |
$8,803.00 |
$8,803.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$7,581.00 |
$7,581.00 |
$7,581.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$7,581.00 |
$7,581.00 |
$7,581.00 |
$4,349.76
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$73.00 |
$73.00 |
$73.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$111.00 |
$111.00 |
$111.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$36.00 |
$36.00 |
$36.00 |
$31.20
|
|
Ph body fluid
|
$16.00 |
$16.00 |
$16.00 |
$42.00
|
|
Phencyclidine (pcp)
|
$60.00 |
$60.00 |
$60.00 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$149.00 |
$149.00 |
$149.00 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$450.00 |
$450.00 |
$450.00 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$11,463.00 |
$11,463.00 |
$11,463.00 |
$4,810.00
|
|
Phosphorus
|
$21.00 |
$21.00 |
$21.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$44.00 |
$44.00 |
$44.00 |
$42.25
|
|
Photopheresis
|
$13,771.00 |
$13,771.00 |
$13,771.00 |
$7,967.00
|
|
Physical Therapy Evaluation (high complexity)
|
$395.00 |
$395.00 |
$395.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$198.00 |
$198.00 |
$198.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$297.00 |
$297.00 |
$297.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$189.00 |
$189.00 |
$189.00 |
$154.80
|
|
Pinworm exam
|
$46.00 |
$46.00 |
$46.00 |
$39.62
|
|
Place cath intracranial art
|
$12,744.00 |
$12,744.00 |
$12,744.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$14,571.00 |
$14,571.00 |
$14,571.00 |
$4,202.90
|
|
Place cecostomy tube perc
|
$3,701.00 |
$3,701.00 |
$3,701.00 |
$2,580.90
|
|
Place duod/jej tube perc
|
$10,276.00 |
$10,276.00 |
$10,276.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$9,459.00 |
$9,459.00 |
$9,459.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$36,791.00 |
$36,791.00 |
$36,791.00 |
$13,879.25
|
|
Place needles pelvic for right
|
$6,629.00 |
$6,629.00 |
$6,629.00 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$5,271.46
|
|
Placental lactogen
|
$133.00 |
$133.00 |
$133.00 |
$163.28
|
|
Place right device/marker pros
|
$4,404.00 |
$4,404.00 |
$4,404.00 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$15,480.00 |
$15,480.00 |
$15,480.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$15,480.00 |
$15,480.00 |
$15,480.00 |
$9,090.00
|
|
Plasma cryoprecipitate reduced each unit
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$163.04
|
|
Platelet aggregation each agent teg
|
$152.00 |
$152.00 |
$152.00 |
$148.98
|
|
Platelet automated
|
$27.00 |
$27.00 |
$27.00 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,654.00 |
$1,654.00 |
$1,654.00 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$12,861.00 |
$12,861.00 |
$12,861.00 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$27,838.00 |
$27,838.00 |
$27,838.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$12,484.78 |
$12,484.78 |
$12,484.78 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$12,485.00 |
$12,485.00 |
$12,485.00 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,583.00 |
$1,583.00 |
$1,583.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$759.55
|
|
Plc pq device breast ea addl lesion stereo guide
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$685.00
|
