|
Plasma cryoprecipitate reduced each unit
|
$30.43 |
$30.43 |
$30.43 |
$174.31
|
|
Platelet aggregation each agent teg
|
$27.40 |
$27.40 |
$27.40 |
$147.96
|
|
Platelet automated
|
$4.93 |
$4.93 |
$4.93 |
$44.00
|
|
Platelet deplete of harvest
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,085.60
|
|
Platelet pheresis each unit
|
$311.67 |
$311.67 |
$311.67 |
$1,114.75
|
|
Platelet pheresis irr ea
|
$327.19 |
$327.19 |
$327.19 |
$1,025.00
|
|
Platelets each unit
|
$353.64 |
$353.64 |
$353.64 |
$240.25
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$918.12 |
$918.12 |
$918.12 |
$1,465.47
|
|
Platelets leukocytes reduced each unit
|
$71.40 |
$71.40 |
$71.40 |
$284.43
|
|
Platelets pheresis leukocytes reduced each unit
|
$390.63 |
$390.63 |
$390.63 |
$1,192.40
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$341.11 |
$341.11 |
$341.11 |
$1,336.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$390.63 |
$390.63 |
$390.63 |
$920.15
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,292.45
|
|
Plmt access bil tree sm bwl
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$5,419.00
|
|
Pml/raralpha 1 breakpoint
|
$228.04 |
$228.04 |
$228.04 |
$286.09
|
|
Pmp22 gene dup/delet
|
$834.20 |
$834.20 |
$834.20 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$846.54 |
$846.54 |
$846.54 |
$846.54
|
|
Pmp22 gene known fam variant
|
$51.26 |
$51.26 |
$51.26 |
$51.26
|
|
Pms2 gene dup/delet variants
|
$223.85 |
$223.85 |
$223.85 |
$407.20
|
|
Pms2 gene full seq analysis
|
$744.15 |
$744.15 |
$744.15 |
$860.68
|
|
Pms2 known familial variants
|
$364.10 |
$364.10 |
$364.10 |
$397.20
|
|
Pneumothrx tx-intraplrl inj ai
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$785.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$28.68 |
$28.68 |
$28.68 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$1,579.66 |
$1,579.66 |
$1,579.66 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,773.79 |
$1,773.79 |
$1,773.79 |
$4,293.60
|
|
Positional change of finger
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$5,886.74
|
|
Potassium 24 hour urine
|
$5.20 |
$5.20 |
$5.20 |
$50.00
|
|
Potassium hydroxide preps
|
$6.41 |
$6.41 |
$6.41 |
$21.78
|
|
Potassium serum/plasma/whole blood
|
$5.24 |
$5.24 |
$5.24 |
$44.64
|
|
Pq biliary strict dil s&i
|
$404.96 |
$404.96 |
$404.96 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$189.75 |
$189.75 |
$189.75 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$10,430.78
|
|
Pq thr inj ext pse
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,761.65
|
|
Pr application of long arm splint
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$332.75
|
|
Pr application splint static short arm
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$472.79
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$6,727.70
|
|
Pr correction hammertoe
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$11.13 |
$11.13 |
$11.13 |
$48.71
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$4,555.88
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$170.85 |
$170.85 |
$170.85 |
$356.40
|
|
Prealbumin
|
$16.05 |
$16.05 |
$16.05 |
$87.20
|
|
Pregabalin - sendout
|
$57.08 |
$57.08 |
$57.08 |
$65.25
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,363.79
|
|
Pregnancy associated plasma protein-a
|
$16.56 |
$16.56 |
$16.56 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$185.17 |
$185.17 |
$185.17 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$147.78 |
$147.78 |
$147.78 |
$541.45
|
|
Preparation palate mold
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$583.82
|
|
Pre-plan 3d model w/ccta
|
$476.36 |
$476.36 |
$476.36 |
$1,126.11
|
|
Prep skin to 100cm2 other
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,164.64
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$50.32 |
$50.32 |
$50.32 |
$141.00
|
|
Pretreat rbc absorption reference
|
$33.01 |
$33.01 |
$33.01 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$50.71 |
$50.71 |
$50.71 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$21.87 |
$21.87 |
$21.87 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$47.13 |
$47.13 |
$47.13 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$181.99 |
$181.99 |
$181.99 |
$313.30
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$827.94
|
|
Prgrmg dev eval impltbl sys
|
$17.50 |
$17.50 |
$17.50 |
$148.00
|
|
Prgr stim/pace a/iv drug
|
$1,217.26 |
$1,217.26 |
$1,217.26 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$9,470.97
|
|
Pr incision & drainage abscess complicated/multiple
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$615.60
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,921.60
|
|
Probe nasolacrimal duct
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$361.92
|
|
Probe nasolacrimal duct
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,685.65
|
|
Probe nasolacrimal duct
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,269.14
|
|
Procalcitonin
|
$29.94 |
$29.94 |
$29.94 |
$144.10
|
|
Proctosigmoidoscopy ablate
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,229.60
|
|
Proctosigmoidoscopy control bleed 45317
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,764.60
|
|
Proctosigmoidoscopy dx 45300
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,073.68
|
|
Proctosigmoidoscopy removal
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,245.23
|
|
Proctosigmoidoscopy removal
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$1,395.28
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$6,594.64
|
|
Progesterone
|
$22.95 |
$22.95 |
$22.95 |
$105.00
|
|
Prolactin
|
$21.32 |
$21.32 |
$21.32 |
$127.50
|
|
Proph rta dtchmnt crtx dthrm
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$436.44
|
|
Proph rta dtchmnt pc
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$756.27
|
|
Proph tx w/wo mthylmthcrylt
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$7,890.59
|
|
Prophylactic tx radius
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$6,311.00
|
