|
Peri-proc device eval pm
|
$204.00 |
$204.00 |
$204.00 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$7,292.80 |
$7,292.80 |
$7,292.80 |
$5,625.74
|
|
Perit-vens shunt pat tst
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$752.49
|
|
Permanent tear duct plug
|
$384.00 |
$384.00 |
$384.00 |
$291.00
|
|
Pet CT skull-mid thgh initial
|
$6,978.40 |
$6,978.40 |
$6,978.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,875.20 |
$6,875.20 |
$6,875.20 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$54,924.00 |
$54,924.00 |
$54,924.00 |
$39,920.50
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$87.04 |
$87.04 |
$87.04 |
$114.56
|
|
Phentolaine mesylate inj
|
$401.12 |
$401.12 |
$401.12 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$49.40 |
$49.40 |
$49.40 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$45.29 |
$45.29 |
$45.29 |
$10.80
|
|
Phlebotomy therapeutic
|
$261.60 |
$261.60 |
$261.60 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$7,580.80 |
$7,580.80 |
$7,580.80 |
$4,621.21
|
|
Physical Therapy Evaluation (high complexity)
|
$340.80 |
$340.80 |
$340.80 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$268.80 |
$268.80 |
$268.80 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$304.00 |
$304.00 |
$304.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$154.40 |
$154.40 |
$154.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$81.54 |
$81.54 |
$81.54 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$880.00 |
$880.00 |
$880.00 |
$1,038.40
|
|
Pillow shldr abduc inflat univ
|
$391.56 |
$391.56 |
$391.56 |
$537.66
|
|
Pin caspar distraction 12mm
|
$36,726.40 |
$36,726.40 |
$36,726.40 |
$11,759.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$1,130.58
|
|
Pin finger fracture each
|
$5,220.00 |
$5,220.00 |
$5,220.00 |
$4,192.86
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$475.98 |
$475.98 |
$475.98 |
$81.36
|
|
Place cath intracranial art
|
$5,883.20 |
$5,883.20 |
$5,883.20 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$7,394.40 |
$7,394.40 |
$7,394.40 |
$4,202.90
|
|
Place duod/jej tube perc
|
$2,072.80 |
$2,072.80 |
$2,072.80 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$3,038.40 |
$3,038.40 |
$3,038.40 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,090.40 |
$1,090.40 |
$1,090.40 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$409.60 |
$409.60 |
$409.60 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$5,042.40 |
$5,042.40 |
$5,042.40 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$19,525.60 |
$19,525.60 |
$19,525.60 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$7,992.00 |
$7,992.00 |
$7,992.00 |
$5,271.46
|
|
Place right device/marker pros
|
$3,562.40 |
$3,562.40 |
$3,562.40 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$13,678.40 |
$13,678.40 |
$13,678.40 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,596.80 |
$7,596.80 |
$7,596.80 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$11,293.60 |
$11,293.60 |
$11,293.60 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$7,325.60 |
$7,325.60 |
$7,325.60 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$9,591.20 |
$9,591.20 |
$9,591.20 |
$9,090.00
|
|
Platelet pheresis each unit
|
$940.00 |
$940.00 |
$940.00 |
$1,012.80
|
|
Platelets each unit
|
$570.40 |
$570.40 |
$570.40 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$264.00 |
$264.00 |
$264.00 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,139.20 |
$1,139.20 |
$1,139.20 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$1,284.80
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,949.60 |
$6,949.60 |
$6,949.60 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$14,215.20 |
$14,215.20 |
$14,215.20 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,535.20 |
$5,535.20 |
$5,535.20 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,008.00 |
$6,008.00 |
$6,008.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$15,268.80 |
$15,268.80 |
$15,268.80 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,783.20 |
$1,783.20 |
$1,783.20 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$9,068.00 |
$9,068.00 |
$9,068.00 |
$3,473.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$556.80 |
$556.80 |
$556.80 |
$408.05
|
|
Plmt biliary drainage cath
|
$7,213.60 |
$7,213.60 |
$7,213.60 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,645.60 |
$5,645.60 |
$5,645.60 |
$4,128.81
|
|
Pm device progr eval dual
|
$154.40 |
$154.40 |
$154.40 |
$149.15
|
|
Pm device progr eval multi
|
$222.40 |
$222.40 |
$222.40 |
$139.10
|
|
Pm phone r-strip device eval
|
$160.80 |
$160.80 |
$160.80 |
$139.10
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,699.20 |
$4,699.20 |
$4,699.20 |
$3,790.61
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$51.00 |
$51.00 |
$51.00 |
$62.79
|
|
Pq dr cath chg w cont s&i
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$13,618.40 |
$13,618.40 |
$13,618.40 |
$10,173.15
|
|
Pq thr inj ext pse
|
$589.60 |
$589.60 |
$589.60 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,900.00 |
$4,900.00 |
$4,900.00 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,060.00 |
$5,060.00 |
$5,060.00 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$133.72 |
$133.72 |
$133.72 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,098.40 |
$4,098.40 |
$4,098.40 |
$3,738.90
|
|
Pr application of long arm splint
|
$408.00 |
$408.00 |
$408.00 |
$332.75
|
|
Pr application splint static short arm
|
$352.00 |
$352.00 |
$352.00 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$572.80 |
$572.80 |
$572.80 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$3,197.60 |
$3,197.60 |
$3,197.60 |
$2,253.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$9.92 |
$9.92 |
$9.92 |
$13.87
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$3,669.60 |
$3,669.60 |
$3,669.60 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$570.40 |
$570.40 |
$570.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$426.40 |
$426.40 |
$426.40 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$344.00 |
$344.00 |
$344.00 |
$459.00
|
|
Prep skin to 100cm2 other
|
$3,149.60 |
$3,149.60 |
$3,149.60 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$4,012.80 |
$4,012.80 |
$4,012.80 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$122.40 |
$122.40 |
$122.40 |
$243.69
|
|
Pressure velocity wire add ves
|
$3,244.00 |
$3,244.00 |
$3,244.00 |
$1,596.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$324.00 |
$324.00 |
$324.00 |
$313.30
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,873.60 |
$2,873.60 |
$2,873.60 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,381.60 |
$3,381.60 |
$3,381.60 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$138.40 |
$138.40 |
$138.40 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$192.00 |
$192.00 |
$192.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$131.20 |
$131.20 |
$131.20 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$232.00 |
$232.00 |
$232.00 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$256.80 |
$256.80 |
$256.80 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$196.80 |
$196.80 |
$196.80 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$5,922.40 |
$5,922.40 |
$5,922.40 |
$4,540.00
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$103.20 |
$103.20 |
$103.20 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$9,523.20 |
$9,523.20 |
$9,523.20 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,847.20 |
$6,847.20 |
$6,847.20 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$852.00 |
$852.00 |
$852.00 |
$705.00
|
