|
Perq dev breast 1st strtctc
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,548.60
|
|
Perq nl/pl lithotrp cplx>2cm
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,748.48
|
|
Perq p-art revsc 1 abnor bi
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$15,145.00
|
|
Perq plmt bile duct stent
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,603.83
|
|
Perq skel fix ulnar styld fx
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Perq tx big toe fracture w/manip 28496
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Perq tx malar fracture
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Perq tx mndblr fx xtrnl fixj
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,110.00
|
|
Perq tx nasoethmoid fx
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Pertussis ag if
|
$13.18 |
$13.18 |
$13.18 |
$49.00
|
|
Pet fdg brain metoblic eval sb
|
$717.06 |
$717.06 |
$717.06 |
$3,559.05
|
|
Phalangectomy ea toe 28150
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Ph body fluid
|
$3.94 |
$3.94 |
$3.94 |
$39.20
|
|
Phencyclidine (pcp)
|
$19.01 |
$19.01 |
$19.01 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$16.83 |
$16.83 |
$16.83 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$14.58 |
$14.58 |
$14.58 |
$111.27
|
|
Phlebotomy therapeutic
|
$87.19 |
$87.19 |
$87.19 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,341.66
|
|
Phosphorus
|
$5.21 |
$5.21 |
$5.21 |
$47.81
|
|
Phosphorus 24 hour urine
|
$6.36 |
$6.36 |
$6.36 |
$42.81
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$56.87 |
$56.87 |
$56.87 |
$87.10
|
|
Photochemotherapy puva
|
$48.51 |
$48.51 |
$48.51 |
$108.55
|
|
Photochemotherapy uv-a or b
|
$144.23 |
$144.23 |
$144.23 |
$472.79
|
|
Photopheresis
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,988.98
|
|
Pik3ca gene trgt seq alys
|
$302.31 |
$302.31 |
$302.31 |
$400.95
|
|
Pillow shldr abduc inflat univ
|
$259.10 |
$259.10 |
$259.10 |
$537.66
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,016.25
|
|
Pin finger dislocation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,821.05
|
|
Pin finger fracture each
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,910.33
|
|
Pin hand dislocation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Pin knuckle dislocation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Pinworm exam
|
$4.70 |
$4.70 |
$4.70 |
$39.75
|
|
Place breast rad tube/caths
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,215.93
|
|
Place cecostomy tube perc
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,576.20
|
|
Place device/marker, non pro
|
$540.87 |
$540.87 |
$540.87 |
$1,868.78
|
|
Place duod/jej tube perc
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$134.56 |
$134.56 |
$134.56 |
$656.63
|
|
Placement of seton
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,375.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$14,934.35
|
|
Place ndl musc/tis for right
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,512.89
|
|
Place needles h&n for right
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,547.81
|
|
Place needles pelvic for right
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Place non-slctv cath thoracic arta
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,110.00
|
|
Placental lactogen
|
$22.24 |
$22.24 |
$22.24 |
$143.67
|
|
Place po breast cath for rad
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$11,238.72
|
|
Place right device/marker pros
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$9,472.00
|
|
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
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,085.60
|
|
Platelet pheresis irr ea
|
$317.47 |
$317.47 |
$317.47 |
$1,030.93
|
|
Platelets each unit
|
$407.94 |
$407.94 |
$407.94 |
$240.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$450.72 |
$450.72 |
$450.72 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$393.68 |
$393.68 |
$393.68 |
$1,363.70
|
|
Platelets pheresis pathogen-reduced each unit
|
$450.72 |
$450.72 |
$450.72 |
$992.49
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,292.45
|
|
Plethysmography lung volumes/airway resistance
|
$114.73 |
$114.73 |
$114.73 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$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
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$785.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$28.68 |
$28.68 |
$28.68 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$1,301.69 |
$1,301.69 |
$1,301.69 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,461.66 |
$1,461.66 |
$1,461.66 |
$4,293.60
|
|
Positional change of finger
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Potassium 24 hour urine
|
$5.20 |
$5.20 |
$5.20 |
$50.00
|
|
Potassium hydroxide preps
|
$6.41 |
$6.41 |
$6.41 |
$26.00
|
|
Potassium serum/plasma/whole blood
|
$5.24 |
$5.24 |
$5.24 |
$44.64
|
|
Pq biliary strict dil s&i
|
$333.70 |
$333.70 |
$333.70 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$156.36 |
$156.36 |
$156.36 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,430.78
|
