|
Platelet deplete of harvest
|
$514.85 |
$514.85 |
$514.85 |
$1,315.60
|
|
Platelet pheresis each unit
|
$467.68 |
$467.68 |
$467.68 |
$1,015.50
|
|
Platelet pheresis irr ea
|
$692.05 |
$692.05 |
$692.05 |
$1,108.52
|
|
Platelets each unit
|
$89.46 |
$89.46 |
$89.46 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$915.62 |
$915.62 |
$915.62 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$159.90 |
$159.90 |
$159.90 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$148.11 |
$148.11 |
$148.11 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$241.88 |
$241.88 |
$241.88 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$267.62 |
$267.62 |
$267.62 |
$1,050.28
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$540.82 |
$540.82 |
$540.82 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$573.64 |
$573.64 |
$573.64 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$795.70 |
$795.70 |
$795.70 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$691.62 |
$691.62 |
$691.62 |
$1,007.82
|
|
Platelet survival
|
$473.22 |
$473.22 |
$473.22 |
$545.61
|
|
Plcg2 gene common variants
|
$291.36 |
$291.36 |
$291.36 |
$478.92
|
|
Plcmnt biliary drainage cath w/img ext
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$5,590.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$828.59 |
$828.59 |
$828.59 |
$1,230.00
|
|
Plerixafor injection
|
$119.47 |
$119.47 |
$119.47 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$366.72 |
$366.72 |
$366.72 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$7,348.30 |
$7,348.30 |
$7,348.30 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$5,151.51
|
|
Pm device progr eval dual
|
$43.91 |
$43.91 |
$43.91 |
$148.65
|
|
Pm device progr eval multi
|
$43.91 |
$43.91 |
$43.91 |
$139.10
|
|
Pml/raralpha 1 breakpoint
|
$207.31 |
$207.31 |
$207.31 |
$307.13
|
|
Pmp22 gene dup/delet
|
$758.36 |
$758.36 |
$758.36 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$769.58 |
$769.58 |
$769.58 |
$986.40
|
|
Pmp22 gene known fam variant
|
$46.60 |
$46.60 |
$46.60 |
$63.42
|
|
Pm phone r-strip device eval
|
$43.91 |
$43.91 |
$43.91 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$203.50 |
$203.50 |
$203.50 |
$407.27
|
|
Pms2 gene full seq analysis
|
$676.50 |
$676.50 |
$676.50 |
$1,002.60
|
|
Pms2 known familial variants
|
$331.00 |
$331.00 |
$331.00 |
$540.00
|
|
Pne flu hepb cov home admin
|
$43.40 |
$43.40 |
$43.40 |
$43.61
|
|
Pneumothrx tx-intraplrl inj ai
|
$728.10 |
$728.10 |
$728.10 |
$785.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$26.07 |
$26.07 |
$26.07 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$136.23 |
$136.23 |
$136.23 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$3,785.10
|
|
Polyvalent mult org ea ag ia
|
$10.51 |
$10.51 |
$10.51 |
$14.50
|
|
Porfimer sodium injection
|
$24,228.42 |
$24,228.42 |
$24,228.42 |
$37,618.13
|
|
Positional change of finger
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Post 1 srfc resinbased cmpst
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$285.60
|
|
Post-coital mucous exam
|
$25.00 |
$25.00 |
$25.00 |
$34.50
|
|
Post d/c phone follow up
|
$108.93 |
$108.93 |
$108.93 |
$153.95
|
|
Post op service lvrs min 6
|
$624.87 |
$624.87 |
$624.87 |
$948.13
|
|
Potassium 24 hour urine
|
$4.73 |
$4.73 |
$4.73 |
$51.10
|
|
Potassium hydroxide preps
|
$5.83 |
$5.83 |
$5.83 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$4.76 |
$4.76 |
$4.76 |
$47.85
|
|
Ppp2r2b gen detc abnor allel
|
$137.00 |
$137.00 |
$137.00 |
$189.06
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$10,195.00
|
|
Pq thr inj ext pse
|
$728.10 |
$728.10 |
$728.10 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,811.54
|
|
Pralatrexate injection
|
$388.83 |
$388.83 |
$388.83 |
$20,353.38
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,738.90
|
|
Pr application of long arm splint
|
$185.82 |
$185.82 |
$185.82 |
$334.08
|
|
Pr application splint static short arm
|
$151.80 |
$151.80 |
$151.80 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$46.22 |
$46.22 |
$46.22 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$470.51 |
$470.51 |
$470.51 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$6,653.00
|
|
Pr correction hammertoe
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$35.08 |
$35.08 |
$35.08 |
$48.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$5,262.80
|
|
Prealbumin
|
$14.59 |
$14.59 |
$14.59 |
$94.00
|
|
Prefab stnlss steel crown pe
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$845.60
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,234.01 |
$2,234.01 |
$2,234.01 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$15.05 |
$15.05 |
$15.05 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$125.23 |
$125.23 |
$125.23 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$125.23 |
$125.23 |
$125.23 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$125.23 |
$125.23 |
$125.23 |
$459.00
|
|
Pre-op service lvrs 10-15dos
|
$366.72 |
$366.72 |
$366.72 |
$1,568.00
|
|
Pre-op service lvrs 1-9 dos
|
$624.87 |
$624.87 |
$624.87 |
$1,579.20
|
|
Pre-op service lvrs complete
|
$624.87 |
$624.87 |
$624.87 |
$948.13
|
|
Preparation palate mold
|
$599.72 |
$599.72 |
$599.72 |
$602.63
|
|
Prepare embryo for transfer
|
$62.92 |
$62.92 |
$62.92 |
$273.28
|
|
Prepj skn cll ssp agrft 1st
|
$8,538.62 |
$8,538.62 |
$8,538.62 |
$14,138.80
|
|
Pre-plan 3d model w/ccta
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$1,203.94
|
|
Prep skin cell susp, automtd
|
$8,538.62 |
$8,538.62 |
$8,538.62 |
$9,758.35
|
|
Prep skin to 100cm2 other
|
$720.88 |
$720.88 |
$720.88 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$184.26 |
$184.26 |
$184.26 |
$243.75
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$201.80 |
$201.80 |
$201.80 |
$162.00
|
|
Pretreat rbc absorption reference
|
$69.95 |
$69.95 |
$69.95 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$201.80 |
$201.80 |
$201.80 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$69.95 |
$69.95 |
$69.95 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$201.80 |
$201.80 |
$201.80 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$189.21 |
$189.21 |
$189.21 |
$308.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$151.77 |
$151.77 |
$151.77 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,908.09 |
$1,908.09 |
$1,908.09 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,908.09 |
$1,908.09 |
$1,908.09 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$470.51 |
$470.51 |
$470.51 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$43.91 |
$43.91 |
$43.91 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$43.91 |
$43.91 |
$43.91 |
$139.10
|