|
Platelets each unit
|
$158.95 |
$158.95 |
$158.95 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$1,123.70 |
$1,123.70 |
$1,123.70 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,184.05 |
$1,184.05 |
$1,184.05 |
$411.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,886.60 |
$2,886.60 |
$2,886.60 |
$1,278.55
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$643.45 |
$643.45 |
$643.45 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$643.45 |
$643.45 |
$643.45 |
$751.30
|
|
Plc pq device breast ea addl lesion MRI guide
|
$3,003.05 |
$3,003.05 |
$3,003.05 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,224.85 |
$1,224.85 |
$1,224.85 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$756.50 |
$756.50 |
$756.50 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$2,915.50 |
$2,915.50 |
$2,915.50 |
$4,661.80
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$378.25 |
$378.25 |
$378.25 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$76,794.66 |
$76,794.66 |
$76,794.66 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$1,226.55 |
$1,226.55 |
$1,226.55 |
$3,494.55
|
|
Polysom any age 1-3> param
|
$1,343.85 |
$1,343.85 |
$1,343.85 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,168.85 |
$5,168.85 |
$5,168.85 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$597.16 |
$597.16 |
$597.16 |
$977.13
|
|
Potassium 24 hour urine
|
$86.70 |
$86.70 |
$86.70 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$175.74 |
$175.74 |
$175.74 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$96.05 |
$96.05 |
$96.05 |
$46.75
|
|
Pouch uros new (both sides) 2.75in clr
|
$4.59 |
$4.59 |
$4.59 |
$15.80
|
|
Pq dr cath chg w cont s&i
|
$1,385.50 |
$1,385.50 |
$1,385.50 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,613.10 |
$10,613.10 |
$10,613.10 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$6,072.40 |
$6,072.40 |
$6,072.40 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,072.40 |
$6,072.40 |
$6,072.40 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$337.01 |
$337.01 |
$337.01 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,676.20 |
$1,676.20 |
$1,676.20 |
$3,738.90
|
|
Pr application of long arm splint
|
$328.95 |
$328.95 |
$328.95 |
$329.00
|
|
Pr application splint static short arm
|
$334.90 |
$334.90 |
$334.90 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$271.15 |
$271.15 |
$271.15 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$25.50 |
$25.50 |
$25.50 |
$46.56
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$244.80 |
$244.80 |
$244.80 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$171.70 |
$171.70 |
$171.70 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$251.60 |
$251.60 |
$251.60 |
$182.65
|
|
Prealbumin
|
$129.20 |
$129.20 |
$129.20 |
$93.36
|
|
Pr ecg 12 lead report only
|
$20.40 |
$20.40 |
$20.40 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$45.90 |
$45.90 |
$45.90 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$243.99 |
$243.99 |
$243.99 |
$13.87
|
|
Prednisone 1 mg tablet
|
$712.30 |
$712.30 |
$712.30 |
$3.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$468.35 |
$468.35 |
$468.35 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$863.60 |
$863.60 |
$863.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,106.70 |
$1,106.70 |
$1,106.70 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$357.85 |
$357.85 |
$357.85 |
$238.33
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$215.05 |
$215.05 |
$215.05 |
$152.85
|
|
Pretreat rbc absorption reference
|
$192.10 |
$192.10 |
$192.10 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$161.50 |
$161.50 |
$161.50 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$133.45 |
$133.45 |
$133.45 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$86.70 |
$86.70 |
$86.70 |
$167.05
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,181.10 |
$2,181.10 |
$2,181.10 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$494.70 |
$494.70 |
$494.70 |
$779.35
|
|
Pr hospital ip/obs care initial high level per day
|
$473.45 |
$473.45 |
$473.45 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$321.30 |
$321.30 |
$321.30 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$236.30 |
$236.30 |
$236.30 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$244.80 |
$244.80 |
$244.80 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$170.00 |
$170.00 |
$170.00 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$91.80 |
$91.80 |
$91.80 |
$74.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$955.40 |
$955.40 |
$955.40 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$298.35 |
$298.35 |
$298.35 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$565.25 |
$565.25 |
$565.25 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$360.40 |
$360.40 |
$360.40 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$90.95 |
$90.95 |
$90.95 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,727.94 |
$5,727.94 |
$5,727.94 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,215.62 |
$2,215.62 |
$2,215.62 |
$670.00
|
|
Procalcitonin
|
$332.35 |
$332.35 |
$332.35 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$84.58 |
$84.58 |
$84.58 |
$36.72
|
|
Proctosigmoidoscopy ablate
|
$539.75 |
$539.75 |
$539.75 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$536.35 |
$536.35 |
$536.35 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$2,379.15 |
$2,379.15 |
$2,379.15 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$1,031.90 |
$1,031.90 |
$1,031.90 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$494.70 |
$494.70 |
$494.70 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$510.00 |
$510.00 |
$510.00 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$549.95 |
$549.95 |
$549.95 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$234.60 |
$234.60 |
$234.60 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$440.30 |
$440.30 |
$440.30 |
$1,395.28
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,251.20 |
$1,251.20 |
$1,251.20 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$264.35 |
$264.35 |
$264.35 |
$6,588.93
|
|
Progesterone
|
$231.20 |
$231.20 |
$231.20 |
$115.64
|
|
Prolactin
|
$235.45 |
$235.45 |
$235.45 |
$123.50
|
|
Prolng clin staff svc 1st hr
|
$387.60 |
$387.60 |
$387.60 |
$36.80
|
|
Prolng ip/obs e/m ea 15 min
|
$74.80 |
$74.80 |
$74.80 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$130.05 |
$130.05 |
$130.05 |
$61.10
|
|
Prolonged IV inf, req pump
|
$410.55 |
$410.55 |
$410.55 |
$557.50
|
|
Promethazine hcl injection
|
$84.58 |
$84.58 |
$84.58 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$84.58 |
$84.58 |
$84.58 |
$73.36
|
|
_propoxygc/msur
|
$206.55 |
$206.55 |
$206.55 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$182.75 |
$182.75 |
$182.75 |
$32.93
|
|
Protamine 10 mg/ml intravenous solution
|
$127.29 |
$127.29 |
$127.29 |
$57.89
|
|
Protect body sock ea pre ots
|
$123.14 |
$123.14 |
$123.14 |
$113.63
|
|
Protector nerve neurawrap 4cm
|
$3,486.95 |
$3,486.95 |
$3,486.95 |
$3,831.38
|
|
Protein c activity
|
$291.55 |
$291.55 |
$291.55 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$220.15 |
$220.15 |
$220.15 |
$84.00
|
|
Protein s total
|
$310.25 |
$310.25 |
$310.25 |
$83.52
|
|
Protein total 24 hour urine
|
$56.10 |
$56.10 |
$56.10 |
$52.50
|
|
Protein total body fluid
|
$57.80 |
$57.80 |
$57.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$130.90 |
$130.90 |
$130.90 |
$42.81
|
|
Prothrombin complex kcentra
|
$84.58 |
$84.58 |
$84.58 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$85.85 |
$85.85 |
$85.85 |
$41.50
|
