|
Perq nl/pl lithotrp smpl<2cm
|
$10,106.03 |
$10,106.03 |
$10,106.03 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$12,393.88 |
$12,393.88 |
$12,393.88 |
$18,599.75
|
|
Perq p-art revsc 1 abnor uni
|
$19,624.54 |
$19,624.54 |
$19,624.54 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$12,393.88 |
$12,393.88 |
$12,393.88 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$12,393.88 |
$12,393.88 |
$12,393.88 |
$17,321.20
|
|
Perq plmt bile duct stent
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$265.80 |
$265.80 |
$265.80 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Perq transcath closure pda
|
$19,624.54 |
$19,624.54 |
$19,624.54 |
$18,408.00
|
|
Perq transcath cls aortic
|
$19,624.54 |
$19,624.54 |
$19,624.54 |
$22,779.00
|
|
Perq transcath cls mitral
|
$19,624.54 |
$19,624.54 |
$19,624.54 |
$23,617.60
|
|
Perq tx big toe fracture w/manip 28496
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,981.06
|
|
Perq tx malar fracture
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$4,627.00
|
|
Perq tx mndblr fx xtrnl fixj
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Perq tx nasoethmoid fx
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$4,558.89
|
|
Pertussis ag if
|
$11.98 |
$11.98 |
$11.98 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$16.89 |
$16.89 |
$16.89 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$63.39 |
$63.39 |
$63.39 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$4,854.75
|
|
Pet fdg brain metoblic eval sb
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$4,060.00
|
|
Pet image full body
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$5,148.14
|
|
Pet image ltd area
|
$1,426.73 |
$1,426.73 |
$1,426.73 |
$3,809.11
|
|
Pet image skull-thigh
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$4,366.50
|
|
Pet not otherwise specified
|
$439.15 |
$439.15 |
$439.15 |
$1,070.40
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$30.24 |
$30.24 |
$30.24 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$43.07 |
$43.07 |
$43.07 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$15.47 |
$15.47 |
$15.47 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$2,508.80
|
|
Ph body fluid
|
$3.58 |
$3.58 |
$3.58 |
$41.60
|
|
Phenobarbital therapeutic drug level
|
$15.30 |
$15.30 |
$15.30 |
$105.00
|
|
Phentolaine mesylate inj
|
$436.51 |
$436.51 |
$436.51 |
$1,028.40
|
|
Phenylep ketorolac opth soln
|
$106.47 |
$106.47 |
$106.47 |
$934.56
|
|
Phenytoin total therapeutic drug level
|
$13.25 |
$13.25 |
$13.25 |
$110.88
|
|
Phlebotomy therapeutic
|
$140.87 |
$140.87 |
$140.87 |
$232.25
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,516.05
|
|
Phosphorus
|
$4.74 |
$4.74 |
$4.74 |
$48.80
|
|
Phosphorus 24 hour urine
|
$5.78 |
$5.78 |
$5.78 |
$42.25
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$64.92 |
$64.92 |
$64.92 |
$176.00
|
|
Photochemotherapy puva
|
$64.92 |
$64.92 |
$64.92 |
$181.79
|
|
Photochemotherapy uv-a or b
|
$436.64 |
$436.64 |
$436.64 |
$495.30
|
|
Photo patch test
|
$64.92 |
$64.92 |
$64.92 |
$71.50
|
|
Photopheresis
|
$5,120.33 |
$5,120.33 |
$5,120.33 |
$8,010.00
|
|
Photosensitivity tests
|
$140.87 |
$140.87 |
$140.87 |
$142.80
|
|
Phys blood bank serv authrj
|
$58.39 |
$58.39 |
$58.39 |
$97.60
|
|
Phys blood bank serv reactj
|
$187.28 |
$187.28 |
$187.28 |
$207.50
|
|
Phys blood bank serv xmatch
|
$26.76 |
$26.76 |
$26.76 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$126.19 |
$126.19 |
$126.19 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$126.19 |
$126.19 |
$126.19 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$126.19 |
$126.19 |
$126.19 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$86.04 |
$86.04 |
$86.04 |
$155.40
|
|
Piflu f-18, dia 1 millicurie
|
$332.44 |
$332.44 |
$332.44 |
$1,038.40
|
|
Pik3ca gene trgt seq alys
|
$274.83 |
$274.83 |
$274.83 |
$463.20
|
|
Pild/placebo control clin tr
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,907.11
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$668.98 |
$668.98 |
$668.98 |
$1,116.00
|
|
Pin finger dislocation
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Pin finger fracture each
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,192.86
|
|
Pin hand dislocation
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Pin knuckle dislocation
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,821.05
|
|
Pin service 60m per month
|
$101.09 |
$101.09 |
$101.09 |
$114.00
|
|
Pinworm exam
|
$4.27 |
$4.27 |
$4.27 |
$39.62
|
|
Pinworm examinations
|
$4.27 |
$4.27 |
$4.27 |
$5.70
|
|
Pituitary evaluation panel
|
$579.48 |
$579.48 |
$579.48 |
$799.68
|
|
Place breast rad tube/caths
|
$7,127.17 |
$7,127.17 |
$7,127.17 |
$7,680.06
|
|
Place cecostomy tube perc
|
$1,288.59 |
$1,288.59 |
$1,288.59 |
$2,580.90
|
|
Place device/marker, non pro
|
$1,495.34 |
$1,495.34 |
$1,495.34 |
$2,039.82
|
|
Place duod/jej tube perc
|
$2,073.18 |
$2,073.18 |
$2,073.18 |
$2,575.96
|
|
Place endorectal app
|
$996.39 |
$996.39 |
$996.39 |
$1,260.56
|
|
Place gastrostomy tube perc
|
$2,073.18 |
$2,073.18 |
$2,073.18 |
$2,316.30
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$1,498.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$768.94 |
$768.94 |
$768.94 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$3,949.98
|
|
Placement of seton
|
$2,997.10 |
$2,997.10 |
$2,997.10 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$12,393.88 |
$12,393.88 |
$12,393.88 |
$13,964.50
|
|
Place ndl musc/tis for right
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,545.97
|
|
Place needles h&n for right
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$7,000.36
|
|
Place needles pelvic for right
|
$5,394.95 |
$5,394.95 |
$5,394.95 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$5,274.33
|
|
Placental lactogen
|
$20.22 |
$20.22 |
$20.22 |
$163.28
|
|
Place po breast cath for rad
|
$10,457.82 |
$10,457.82 |
$10,457.82 |
$10,741.80
|
|
Place right device/marker pros
|
$1,495.34 |
$1,495.34 |
$1,495.34 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$8,924.40
|
|
Place slctv cath subclavian art
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$6,327.66
|
|
Place slctv cath vertebral art uni
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$9,320.00
|
|
Plaelet rich plasma unit
|
$609.08 |
$609.08 |
$609.08 |
$659.51
|
|
Plasma cryoprecipitate reduced each unit
|
$160.98 |
$160.98 |
$160.98 |
$163.04
|
|
Plasma cryo redu path each
|
$147.70 |
$147.70 |
$147.70 |
$21.84
|
|
Plasmaprotein fract,5%,250ml
|
$80.57 |
$80.57 |
$80.57 |
$123.83
|
|
Plasma protein fract,5%,50ml
|
$8.82 |
$8.82 |
$8.82 |
$9.55
|
|
Plasma volume multiple
|
$1,426.73 |
$1,426.73 |
$1,426.73 |
$1,544.85
|
|
Plasma volume single
|
$1,426.73 |
$1,426.73 |
$1,426.73 |
$1,704.65
|
|
Platelet aggregation each agent teg
|
$24.91 |
$24.91 |
$24.91 |
$148.98
|
|
Platelet automated
|
$4.48 |
$4.48 |
$4.48 |
$45.60
|
