|
Ph body fluid
|
$7.48 |
$7.48 |
$13.60 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$648.97 |
$648.97 |
$1,179.95 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$22.44 |
$22.44 |
$40.80 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,421.01 |
$1,421.01 |
$2,583.66 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$131.97 |
$131.97 |
$239.94 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$22.00 |
$22.00 |
$40.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$11.44 |
$11.44 |
$20.80 |
$110.88
|
|
Phlebotomy therapeutic
|
$53.02 |
$53.02 |
$96.40 |
$231.66
|
|
Phosphorus
|
$6.82 |
$6.82 |
$12.40 |
$48.80
|
|
Phosphorus 24 hour urine
|
$64.68 |
$64.68 |
$117.60 |
$41.51
|
|
Phys blood bank serv reactj
|
$51.92 |
$51.92 |
$94.40 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.37 |
$79.37 |
$144.32 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$445.30 |
$445.30 |
$809.64 |
$83.03
|
|
Place gastrostomy tube perc
|
$516.78 |
$516.78 |
$939.60 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$290.62 |
$290.62 |
$528.40 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$71.94 |
$71.94 |
$130.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$290.62 |
$290.62 |
$528.40 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,769.90 |
$1,769.90 |
$3,218.00 |
$3,873.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$5,053.33
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,251.04 |
$2,251.04 |
$4,092.80 |
$8,538.00
|
|
Plasma cryoprecipitate reduced each unit
|
$53.46 |
$53.46 |
$97.20 |
$157.95
|
|
Platelet aggregation each agent teg
|
$38.94 |
$38.94 |
$70.80 |
$148.80
|
|
Platelet automated
|
$17.16 |
$17.16 |
$31.20 |
$45.60
|
|
Platelet pheresis each unit
|
$616.00 |
$616.00 |
$1,120.00 |
$961.70
|
|
Platelet pheresis irr ea
|
$1,307.46 |
$1,307.46 |
$2,377.20 |
$1,082.25
|
|
Platelets irradiated ea unit
|
$165.22 |
$165.22 |
$300.40 |
$259.70
|
|
Platelets pheresis leukocytes reduced each unit
|
$143.44 |
$143.44 |
$260.80 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$237.16 |
$237.16 |
$431.20 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$175.78 |
$175.78 |
$319.60 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$4,482.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$5,589.75
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$71.94 |
$71.94 |
$130.80 |
$758.52
|
|
Plerixafor injection
|
$1,465.36 |
$1,465.36 |
$2,664.29 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$73.48 |
$73.48 |
$133.60 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$1,769.90 |
$1,769.90 |
$3,218.00 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$2,883.98 |
$2,883.98 |
$5,243.60 |
$5,104.20
|
|
#pnh-flow cytometry interp
|
$55.22 |
$55.22 |
$100.40 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$40.92 |
$40.92 |
$74.40 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,331.44 |
$1,331.44 |
$2,420.80 |
$3,751.48
|
|
Potassium 24 hour urine
|
$23.98 |
$23.98 |
$43.60 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$106.92 |
$106.92 |
$194.40 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$6.16 |
$6.16 |
$11.20 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$150.92 |
$150.92 |
$274.40 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$2,845.26 |
$2,845.26 |
$5,173.20 |
$9,977.57
|
|
Pq thr inj ext pse
|
$392.48 |
$392.48 |
$713.60 |
$775.00
|
|
Pralatrexate injection
|
$12,167.27 |
$12,167.27 |
$22,122.31 |
$21,919.03
|
|
Pr application of long arm splint
|
$59.18 |
$59.18 |
$107.60 |
$329.00
|
|
Pr application splint static short arm
|
$59.18 |
$59.18 |
$107.60 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$109.56 |
$109.56 |
$199.20 |
$458.25
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$95.70 |
$95.70 |
$174.00 |
$351.60
|
|
Prealbumin
|
$19.58 |
$19.58 |
$35.60 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$351.65 |
$351.65 |
$639.36 |
$13.87
|
|
Prednisone 1 mg tablet
|
$174.24 |
$174.24 |
$316.80 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$135.30 |
$135.30 |
$246.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$135.30 |
$135.30 |
$246.00 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$84.48 |
$84.48 |
$153.60 |
$238.33
|
|
Pressure velocity wire add ves
|
$250.80 |
$250.80 |
$456.00 |
$1,579.40
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$673.86 |
$673.86 |
$1,225.20 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$673.86 |
$673.86 |
$1,225.20 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$272.80 |
$272.80 |
$496.00 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$9,149.60
|
|
Pr incision & drainage abscess complicated/multiple
|
$265.32 |
$265.32 |
$482.40 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$62.70 |
$62.70 |
$114.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$115.94 |
$115.94 |
$210.80 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$272.80 |
$272.80 |
$496.00 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$75.68 |
$75.68 |
$137.60 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$75.68 |
$75.68 |
$137.60 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$90.86 |
$90.86 |
$165.20 |
$256.27
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,740.12 |
$1,740.12 |
$3,163.86 |
$670.00
|
|
Procalcitonin
|
$34.10 |
$34.10 |
$62.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$274.82 |
$274.82 |
$499.68 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.05 |
$3.05 |
$5.55 |
$1.50
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$433.40 |
$433.40 |
$788.00 |
$3,245.23
|
|
Progesterone
|
$48.18 |
$48.18 |
$87.60 |
$115.64
|
|
Prolactin
|
$7.48 |
$7.48 |
$13.60 |
$123.50
|
|
Prolonged IV inf, req pump
|
$113.96 |
$113.96 |
$207.20 |
$557.50
|
|
Promethazine 25 mg tablet
|
$2.09 |
$2.09 |
$3.79 |
$4.06
|
|
Promethazine hcl injection
|
$33.66 |
$33.66 |
$61.20 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$89.10 |
$89.10 |
$162.00 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$22.00 |
$22.00 |
$40.00 |
$32.93
|
|
Prostate biopsy, any mthd
|
$104.28 |
$104.28 |
$189.60 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$99.91 |
$99.91 |
$181.65 |
$57.89
|
|
Protein c activity
|
$19.14 |
$19.14 |
$34.80 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$12.32 |
$12.32 |
$22.40 |
$84.00
|
|
Protein s total
|
$51.26 |
$51.26 |
$93.20 |
$83.52
|
|
Protein total 24 hour urine
|
$41.14 |
$41.14 |
$74.80 |
$52.50
|
|
Protein total body fluid
|
$45.76 |
$45.76 |
$83.20 |
$49.80
|
|
Protein total serum plasma whole blood
|
$10.56 |
$10.56 |
$19.20 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$19.36 |
$19.36 |
$35.20 |
$41.50
|
|
Pr planning advance care 1st 30 minutes
|
$30.58 |
$30.58 |
$55.60 |
$121.00
|
|
Prq av fstl crt uxtr sep acs
|
$7,302.46 |
$7,302.46 |
$13,277.20 |
$20,978.32
|
|
Prq card angio/athrect addl
|
$149.60 |
$149.60 |
$272.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$1,725.02 |
$1,725.02 |
$3,136.40 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$4,400.00 |
$4,400.00 |
$8,000.00 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$6,149.44 |
$6,149.44 |
$11,180.80 |
$18,150.00
|
