|
Perq dev breast 1st strtctc
|
$1,634.10 |
$1,634.10 |
$1,634.10 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$29,525.55 |
$29,525.55 |
$60,357.73 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$26,428.19 |
$26,428.19 |
$26,428.19 |
|
|
Perq plmt bile duct stent
|
$7,122.70 |
$7,122.70 |
$7,122.70 |
|
|
Perq plmt bile duct stent
|
$7,725.90 |
$7,725.90 |
$7,725.90 |
|
|
Perq plmt bile duct stent
|
$4,132.05 |
$4,132.05 |
$4,132.05 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$272.25 |
$422.50 |
$699.40 |
|
|
Perq transcath closure each
|
$15,364.70 |
$15,364.70 |
$15,364.70 |
|
|
Perq transcath cls aortic
|
$52,438.75 |
$52,438.75 |
$52,438.75 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$11,201.92 |
$15,007.91 |
$18,007.29 |
|
|
Pet CT skull-mid thgh initial
|
$7,312.50 |
$7,312.50 |
$9,107.15 |
|
|
Pet CT whole body initial
|
$7,660.25 |
$7,660.25 |
$9,007.05 |
|
|
Pet fdg brain metoblic eval sb
|
$2,482.35 |
$2,482.35 |
$5,746.00 |
|
|
Pet image full body
|
$4,824.30 |
$4,824.30 |
$6,882.85 |
|
|
Pet image ltd area
|
$6,535.75 |
$6,535.75 |
$6,535.75 |
|
|
Pet image skull-thigh
|
$4,589.00 |
$4,589.00 |
$4,589.00 |
|
|
Pet image w/ct lmtd
|
$7,299.50 |
$7,299.50 |
$7,386.60 |
|
|
Pet scan brain perf study
|
$4,279.60 |
$4,279.60 |
$4,279.60 |
|
|
Ph body fluid
|
$46.15 |
$49.40 |
$68.90 |
|
|
Phencyclidine (pcp)
|
$22.10 |
$77.35 |
$113.75 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$35.94 |
$58.50 |
$192.02 |
|
|
Phenobarbital therapeutic drug level
|
$39.00 |
$135.85 |
$213.20 |
|
|
Phentolaine mesylate inj
|
$886.83 |
$1,268.85 |
$1,480.94 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.50 |
|
|
Phenytoin total therapeutic drug level
|
$39.00 |
$143.65 |
$215.15 |
|
|
Phlebotomy therapeutic
|
$151.45 |
$173.55 |
$261.95 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$12,750.22 |
$12,750.22 |
$12,750.22 |
|
|
Phleb veins 1 extrm >20 stab
|
$14,213.12 |
$14,213.12 |
$14,213.12 |
|
|
Phosphorus
|
$21.75 |
$66.30 |
$101.40 |
|
|
Phosphorus 24 hour urine
|
$29.25 |
$52.00 |
$104.00 |
|
|
Phys blood bank serv reactj
|
$112.45 |
$140.40 |
$154.70 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$5.73 |
$41.70 |
$80.37 |
|
|
Piflu f-18, dia 1 millicurie
|
$585.65 |
$585.65 |
$585.65 |
|
|
Pinworm exam
|
$33.80 |
$45.50 |
$79.30 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$37.06 |
$39.84 |
$477.00 |
|
|
Place cath intracranial art
|
$3,548.35 |
$3,548.35 |
$3,548.35 |
|
|
Place cath xtrnl carotid
|
$41,426.81 |
$41,426.81 |
$41,426.81 |
|
|
Place device/marker, non pro
|
$744.90 |
$744.90 |
$2,570.75 |
|
|
Place gastrostomy tube perc
|
$5,808.77 |
$5,808.77 |
$12,155.47 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$462.15 |
$462.15 |
$462.15 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,867.45 |
$1,867.45 |
$1,867.45 |
|
|
Placement nephrostomy catheter (both sides)
|
$8,501.45 |
$8,501.45 |
$8,522.85 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$934.05 |
$934.05 |
$5,503.55 |
|
|
Placement of seton
|
$485.55 |
$9,115.81 |
$15,579.69 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$21,135.46 |
$21,135.46 |
$46,093.68 |
|
|
Place needles pelvic for right
|
$12,476.00 |
$12,476.00 |
$12,476.00 |
|
|
Place non-slctv cath thoracic arta
|
$2,354.95 |
$2,354.95 |
$2,354.95 |
|
|
Place po breast cath for rad
|
$921.70 |
$921.70 |
$921.70 |
|
|
Place right device/marker pros
|
$21,147.22 |
$21,147.22 |
$29,165.06 |
|
|
Place slctv cath carotd art uni
|
$35,322.87 |
$35,322.87 |
$35,322.87 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$19,304.08 |
$19,304.08 |
$19,304.08 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$21,357.84 |
$21,357.84 |
$29,237.44 |
|
|
Place slctv cath subclavian art
|
$6,615.05 |
$6,615.05 |
$30,647.10 |
|
|
Place slctv cath vertebral art uni
|
$34,799.54 |
$34,799.54 |
$34,799.54 |
|
|
Plasma cryoprecipitate reduced each unit
|
$150.80 |
$174.85 |
$195.00 |
|
|
Platelet aggregation each agent teg
|
$146.25 |
$163.15 |
$212.55 |
|
|
Platelet automated
|
$17.25 |
$63.70 |
$84.50 |
|
|
Platelet pheresis each unit
|
$875.55 |
$910.65 |
$1,035.45 |
|
|
Platelet pheresis irr ea
|
$976.30 |
$979.55 |
$1,077.70 |
|
|
Platelets each unit
|
$171.60 |
$251.55 |
$494.00 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,484.60 |
$1,484.60 |
$1,511.25 |
|
|
Platelets irradiated ea unit
|
$180.05 |
$342.55 |
$916.50 |
|
|
Platelets leukocytes reduced each unit
|
$274.95 |
$277.55 |
$302.25 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$252.20 |
$252.20 |
$481.65 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$27.95 |
$1,010.10 |
$1,276.60 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,303.90 |
$1,374.75 |
$2,340.65 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$915.85 |
$1,162.85 |
$2,062.45 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$905.45 |
$1,462.50 |
$2,241.85 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,032.85 |
$1,123.20 |
$1,285.70 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,147.60 |
$2,147.60 |
$8,075.90 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$793.65 |
$793.65 |
$793.65 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,593.10 |
$5,593.10 |
$8,077.89 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$7,492.55 |
$7,492.55 |
$7,492.55 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$11,262.55 |
$11,262.55 |
$11,262.55 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$663.65 |
$663.65 |
$663.65 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,803.10 |
$1,803.10 |
$1,803.10 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$7,895.55 |
$7,895.55 |
$7,895.55 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$2,071.55 |
$2,071.55 |
$2,071.55 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$3,348.80 |
$3,348.80 |
$3,348.80 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$991.25 |
$991.25 |
$991.25 |
|
|
Plethysmography lung volumes/airway resistance
|
$114.75 |
$391.30 |
$804.70 |
|
|
Plmt access bil tree sm bwl
|
$3,077.10 |
$3,077.10 |
$3,077.10 |
|
|
Plmt biliary drainage cath
|
$8,075.90 |
$8,075.90 |
$9,003.88 |
|
|
Plmt nephroureteral catheter
|
$7,474.24 |
$7,474.24 |
$26,693.86 |
|
|
Plmt ureteral stent prq
|
$10,462.09 |
$10,462.09 |
$10,462.09 |
|
|
Plug insert indwelling 16f
|
$135.20 |
$135.20 |
$135.20 |
|
|
Pm device progr eval dual
|
$78.65 |
$78.65 |
$78.65 |
|
|
Pm device progr eval multi
|
$91.65 |
$91.65 |
$91.65 |
|
|
Pm phone r-strip device eval
|
$66.95 |
$66.95 |
$66.95 |
|
|
#pnh-flow cytometry interp
|
$56.55 |
$56.55 |
$142.35 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$135.85 |
$151.45 |
$281.45 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$11,053.50 |
$32,065.95 |
$42,965.72 |
|
|
Polysom <6 yrs cpap/bilvl
|
$4,271.80 |
$4,271.80 |
$4,582.50 |
|
|
Polysom any age 1-3> param
|
$1,502.80 |
$1,502.80 |
$1,502.80 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$293.25 |
$3,306.55 |
$6,773.65 |
|
|
Porfimer sodium injection
|
$50,793.63 |
$50,793.63 |
$50,793.63 |
|
|
Potassium 24 hour urine
|
$50.05 |
$55.90 |
$80.60 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$50.70 |
$68.25 |
$130.00 |
|
