|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.30 |
$91.30 |
$148.42 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$81.95 |
$81.95 |
$88.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$91.30 |
$91.30 |
$97.35 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$82.50 |
$82.50 |
$83.60 |
$93.75
|
|
Parathormone (pth) intact
|
$181.50 |
$181.50 |
$221.65 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,021.35 |
$1,021.35 |
$1,078.55 |
$1,574.40
|
|
Parathyroid planar imaging
|
$581.90 |
$581.90 |
$806.30 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$607.20 |
$607.20 |
$860.20 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$158.02 |
$158.02 |
$328.90 |
$270.00
|
|
Partial removal finger bone
|
$2,905.65 |
$2,905.65 |
$2,905.65 |
$2,211.05
|
|
Partial removal of eye fluid
|
$4,470.40 |
$4,470.40 |
$4,470.40 |
$2,698.92
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,794.19 |
$3,794.19 |
$3,794.19 |
$4,418.35
|
|
Passy muir valve metal trach
|
$112.93 |
$112.93 |
$112.93 |
$242.47
|
|
Pdgfra gene
|
$1,192.40 |
$1,192.40 |
$1,192.40 |
$659.20
|
|
Pedicle enel/ntroral 15576
|
$465.86 |
$465.86 |
$465.86 |
$2,436.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,668.70 |
$1,668.70 |
$2,030.60 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,289.75 |
$1,289.75 |
$1,375.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$858.00 |
$858.00 |
$1,126.40 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,311.65 |
$2,311.65 |
$3,080.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,989.35 |
$1,989.35 |
$1,989.35 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,575.14 |
$1,575.14 |
$1,720.40 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$550.00 |
$550.00 |
$577.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$387.20 |
$387.20 |
$407.00 |
$445.00
|
|
Penile injection
|
$641.30 |
$641.30 |
$641.30 |
$418.00
|
|
Penile vascular study
|
$1,380.66 |
$1,380.66 |
$1,380.66 |
$460.20
|
|
Perc cryo ablate renal tum
|
$9,109.10 |
$9,109.10 |
$12,592.80 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$18,150.00 |
$18,150.00 |
$18,150.00 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$19,250.00 |
$19,250.00 |
$19,250.00 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$17,047.25 |
$17,047.25 |
$17,047.25 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$15,950.00 |
$15,950.00 |
$15,950.00 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$16,500.00 |
$16,500.00 |
$16,500.00 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$16,500.00 |
$16,500.00 |
$16,500.00 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$8,800.00 |
$8,800.00 |
$8,800.00 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$12,100.00 |
$12,100.00 |
$12,100.00 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$7,248.67 |
$7,248.67 |
$10,655.70 |
$6,949.48
|
|
Percut ablate liver rf
|
$5,535.53 |
$5,535.53 |
$9,900.00 |
$7,024.12
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,846.45 |
$2,846.45 |
$2,846.45 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$948.75 |
$948.75 |
$3,002.16 |
$2,573.60
|
|
Peri-proc device eval icd
|
$224.51 |
$224.51 |
$224.51 |
$220.35
|
|
Peri-proc device eval pm
|
$203.78 |
$203.78 |
$203.78 |
$195.80
|
|
Peritoneogram rs&i
|
$239.25 |
$239.25 |
$1,021.24 |
$648.84
|
|
Perit-vens shunt pat tst
|
$515.90 |
$515.90 |
$515.90 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$6,758.18 |
$6,758.18 |
$7,417.30 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$3,245.00 |
$3,245.00 |
$3,245.00 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$3,710.85 |
$3,710.85 |
$3,710.85 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$2,167.55 |
$2,167.55 |
$2,167.55 |
$1,548.60
|
|
Perq p-art revsc 1 abnor bi
|
$21,466.39 |
$21,466.39 |
$21,466.39 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$10,733.20 |
$10,733.20 |
$10,733.20 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$13,265.45 |
$13,265.45 |
$13,265.45 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$13,265.45 |
$13,265.45 |
$13,265.45 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$7,959.41 |
$7,959.41 |
$7,959.41 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$8,620.70 |
$8,620.70 |
$10,476.18 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,338.95 |
$4,338.95 |
$9,353.63 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$4,338.95 |
$4,338.95 |
$9,353.63 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$380.60 |
$380.60 |
$943.08 |
$625.93
|
|
Perq transcath closure each
|
$715.00 |
$715.00 |
$715.00 |
$10,244.02
|
|
Perq transcath closure pda
|
$22,037.34 |
$22,037.34 |
$22,037.34 |
$18,277.50
|
|
Perq transcath cls aortic
|
$33,389.40 |
$33,389.40 |
$33,389.40 |
$22,633.26
|
|
Perq transcath cls mitral
|
$16,600.10 |
$16,600.10 |
$16,600.10 |
$23,883.21
|
|
Perq transcath septal reduxn
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$880.00 |
$880.00 |
$11,194.11 |
$9,074.63
|
|
Perq tx big toe fracture w/manip 28496
|
$2,971.65 |
$2,971.65 |
$2,971.65 |
$3,839.54
|
|
Pet CT skull-mid thgh initial
|
$3,740.00 |
$3,740.00 |
$4,919.75 |
$4,854.75
|
|
Pet CT whole body initial
|
$4,070.00 |
$4,070.00 |
$5,036.35 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$3,655.85 |
$3,655.85 |
$3,655.85 |
$3,559.05
|
|
Pet image full body
|
$5,732.65 |
$5,732.65 |
$5,732.65 |
$4,795.47
|
|
Pet image skull-thigh
|
$5,732.65 |
$5,732.65 |
$5,732.65 |
$4,247.10
|
|
Pet image w/ct lmtd
|
$3,025.00 |
$3,025.00 |
$3,025.00 |
$4,422.60
|
|
Pet not otherwise specified
|
$8,939.15 |
$8,939.15 |
$8,939.15 |
$576.30
|
|
Pfc sigma fem post aug sz3 8mm
|
$2,398.43 |
$2,398.43 |
$3,778.20 |
$33,990.40
|
|
Ph body fluid
|
$33.00 |
$33.00 |
$44.55 |
$39.20
|
|
Phencyclidine (pcp)
|
$127.60 |
$127.60 |
$164.45 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$71.50 |
$71.50 |
$73.70 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$73.70 |
$73.70 |
$130.90 |
$111.27
|
|
Phlebotomy therapeutic
|
$271.15 |
$271.15 |
$295.30 |
$249.00
|
|
Phosphorus
|
$33.00 |
$33.00 |
$36.30 |
$47.81
|
|
Phosphorus 24 hour urine
|
$33.00 |
$33.00 |
$40.70 |
$42.81
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$117.01 |
$117.01 |
$117.01 |
$87.10
|
|
Photopheresis
|
$5,705.15 |
$5,705.15 |
$5,871.58 |
$5,988.98
|
|
Phys blood bank serv reactj
|
$117.70 |
$117.70 |
$117.70 |
$219.94
|
|
Piflu f-18, dia 1 millicurie
|
$2,366.46 |
$2,366.46 |
$2,366.46 |
$1,035.81
|
|
Pin caspar distraction 12mm
|
$4,914.77 |
$4,914.77 |
$6,312.34 |
$10,255.29
|
|
Pin finger fracture each
|
$7,381.55 |
$7,381.55 |
$7,381.55 |
$3,910.33
|
|
Pinworm exam
|
$34.10 |
$34.10 |
$60.50 |
$39.75
|
|
Place cath intracranial art
|
$568.42 |
$568.42 |
$4,607.90 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$5,141.56 |
$5,141.56 |
$10,055.65 |
$4,202.65
|
|
Place cecostomy tube perc
|
$3,173.17 |
$3,173.17 |
$3,173.17 |
$2,576.20
|
|
Place duod/jej tube perc
|
$1,761.04 |
$1,761.04 |
$2,421.65 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$2,414.56 |
$2,414.56 |
$4,229.50 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,567.40 |
$2,567.40 |
$2,567.40 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,654.95 |
$1,654.95 |
$1,654.95 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,654.95 |
$1,654.95 |
$1,654.95 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$6,790.36 |
$6,790.36 |
$6,846.40 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$280.50 |
$280.50 |
$885.17 |
$656.63
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$7,700.00 |
$7,700.00 |
$9,323.46 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$4,230.66 |
$4,230.66 |
$7,960.70 |
$5,110.00
|
|
Place right device/marker pros
|
$2,224.75 |
$2,224.75 |
$2,224.75 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$10,837.97 |
$10,837.97 |
$26,018.30 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,442.30 |
$4,442.30 |
$8,379.80 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,911.62 |
$5,911.62 |
$22,624.25 |
$9,181.35
|
