|
Pericardiotomy/clot/for bod remove 33020
|
$3,729.96 |
$3,729.96 |
$3,729.96 |
|
|
Peri-implt capslc brst compl
|
$442.20 |
$4,531.42 |
$4,531.42 |
|
|
Perineoplasty rpr per nonob
|
$167.64 |
$3,762.53 |
$3,762.53 |
|
|
Peripheral vascular rehab
|
$70.29 |
$70.29 |
$302.40 |
|
|
Peri-proc device eval icd
|
$13.20 |
$79.35 |
$221.00 |
|
|
Peri-proc device eval pm
|
$8.80 |
$221.00 |
$2,053.14 |
|
|
Peritoneal cath sub q resv per
|
$255.64 |
$6,396.89 |
$6,396.89 |
|
|
Peritoneogram rs&i
|
$13.42 |
$648.84 |
$1,490.95 |
|
|
Perit-vens shunt pat tst
|
$25.74 |
$475.51 |
$2,556.00 |
|
|
Perphenazine 4mg oral
|
$1.97 |
$1.97 |
$1.97 |
|
|
Perq art m-thrombect &/nfs
|
$3,172.03 |
$3,172.03 |
$12,543.96 |
|
|
Perq clsr tcat l atr apndge
|
$470.80 |
$21,071.89 |
$21,071.89 |
|
|
Perq dev breast 1st mr guide
|
$76.56 |
$832.60 |
$1,705.12 |
|
|
Perq dev breast 1st strtctc
|
$60.50 |
$832.60 |
$1,994.36 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$692.56 |
$10,942.71 |
$10,942.71 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$430.32 |
$10,942.71 |
$11,621.39 |
|
|
Perq p-art revsc 1 abnor bi
|
$13,419.98 |
$13,419.98 |
$26,537.16 |
|
|
Perq p-art revsc 1 abnor uni
|
$21,249.26 |
$21,249.26 |
$42,018.60 |
|
|
Perq p-art revsc 1 nm nt bi
|
$13,419.98 |
$13,419.98 |
$26,537.16 |
|
|
Perq p-art revsc 1 nm nt uni
|
$13,419.98 |
$13,419.98 |
$26,537.16 |
|
|
Perq p-art revsc each addl
|
$19,903.26 |
$19,903.26 |
$19,903.26 |
|
|
Perq plmt bile duct stent
|
$6,904.15 |
$6,904.15 |
$15,269.69 |
|
|
Perq plmt bile duct stent
|
$6,904.15 |
$6,904.15 |
$15,269.69 |
|
|
Perq plmt bile duct stent
|
$6,904.15 |
$6,904.15 |
$15,269.69 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$259.28 |
$287.81 |
$622.44 |
|
|
Perq skel fix rad/uln dislc
|
$337.26 |
$3,839.54 |
$3,839.54 |
|
|
Perq skel fix ulnar styld fx
|
$308.88 |
$3,839.54 |
$3,839.54 |
|
|
Perq transcath closure each
|
$234.08 |
$19,431.82 |
$19,431.82 |
|
|
Perq transcath closure pda
|
$399.08 |
$21,249.26 |
$25,833.90 |
|
|
Perq transcath cls aortic
|
$537.46 |
$21,249.26 |
$25,833.90 |
|
|
Perq transcath cls mitral
|
$648.34 |
$21,249.26 |
$25,833.90 |
|
|
Perq transcath septal reduxn
|
$447.48 |
$14,845.70 |
$14,845.70 |
|
|
Perq trluml angp nt/recr coa
|
$350.46 |
$350.46 |
$350.46 |
|
|
Perq tx big toe fracture w/manip 28496
|
$172.26 |
$3,839.54 |
$3,839.54 |
|
|
Perq tx malar fracture
|
$203.50 |
$3,837.72 |
$3,837.72 |
|
|
Perq tx mndblr fx xtrnl fixj
|
$271.04 |
$7,000.36 |
$7,000.36 |
|
|
Perq tx nasoethmoid fx
|
$466.84 |
$3,837.72 |
$3,837.72 |
|
|
Pertussis ag if
|
$11.98 |
$11.98 |
$136.20 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$16.12 |
$16.12 |
$1,631.70 |
|
|
Pertuzu, trastuzu, 10 mg
|
$64.58 |
$64.58 |
$3,107.36 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$17.60 |
$120.51 |
$148.32 |
|
|
Pessary reusable rub anytype
|
$47.81 |
$49.72 |
$58.85 |
|
|
Pet CT skull-mid thgh initial
|
$69.96 |
$1,726.04 |
$15,817.00 |
|
|
Pet CT whole body initial
|
$70.40 |
$1,726.04 |
$15,817.00 |
|
|
Pet fdg brain metoblic eval sb
|
$42.24 |
$1,726.04 |
$10,121.00 |
|
|
Pet image full body
|
$56.10 |
$1,726.04 |
$15,817.00 |
|
|
Pet image ltd area
|
$43.78 |
$1,544.85 |
$15,817.00 |
|
|
Pet image skull-thigh
|
$55.00 |
$1,726.04 |
$9,934.00 |
|
|
Pet image w/ct lmtd
|
$62.48 |
$1,726.04 |
$9,462.00 |
|
|
Pet not otherwise specified
|
$475.51 |
$475.51 |
$475.51 |
|
|
Pet scan brain perf study
|
$242.00 |
$9,934.00 |
$15,817.00 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,115.40 |
$1,115.40 |
$21,439.80 |
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$14.08 |
$24.67 |
$187.24 |
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$19.80 |
$34.06 |
$579.00 |
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$7.26 |
$12.72 |
$161.42 |
|
|
Phalangectomy ea toe 28150
|
$174.68 |
$3,839.54 |
$3,839.54 |
|
|
Pharmacologic management w/psytx
|
$15.40 |
$224.78 |
$599.00 |
|
|
Ph body fluid
|
$2.20 |
$3.58 |
$205.00 |
|
|
Phencyclidine (pcp)
|
$88.00 |
$207.92 |
$230.28 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$20.29 |
$130.90 |
$130.90 |
|
|
Phenobarbital therapeutic drug level
|
$15.30 |
$27.60 |
$183.00 |
|
|
Phentolaine mesylate inj
|
$367.12 |
$367.12 |
$1,523.24 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.05 |
$3.03 |
$3.03 |
|
|
Phenylep ketorolac opth soln
|
$114.30 |
$114.30 |
$413.00 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.82 |
$1.82 |
$295.20 |
|
|
Phenytoin total therapeutic drug level
|
$13.25 |
$32.40 |
$206.00 |
|
|
Phlebotomy therapeutic
|
$90.95 |
$152.54 |
$679.00 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$163.68 |
$3,724.63 |
$6,509.50 |
|
|
Phleb veins 1 extrm >20 stab
|
$202.18 |
$3,724.63 |
$6,509.50 |
|
|
Phone e/m phys/qhp 11-20 min
|
$41.14 |
$152.13 |
$187.24 |
|
|
Phone e/m phys/qhp 21-30 min
|
$60.94 |
$138.14 |
$230.15 |
|
|
Phone e/m phys/qhp 5-10 min
|
$22.00 |
$131.16 |
$161.42 |
|
|
Phosphorus
|
$4.74 |
$11.40 |
$170.00 |
|
|
Phosphorus 24 hour urine
|
$3.96 |
$5.78 |
$170.00 |
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$70.29 |
$70.29 |
$369.00 |
|
|
Photochemotherapy puva
|
$70.29 |
$70.29 |
$369.00 |
|
|
Photochemotherapy uv-a or b
|
$472.79 |
$472.79 |
$472.79 |
|
|
Photodynamic tx addl 15 min
|
$15.40 |
$15.40 |
$15.40 |
|
|
Photodynmc tx 30 min add-on
|
$33.22 |
$33.22 |
$33.22 |
|
|
Photo patch test
|
$70.29 |
$70.29 |
$135.00 |
|
|
Photopheresis
|
$58.96 |
$5,544.24 |
$20,638.00 |
|
|
Photosensitivity tests
|
$152.54 |
$152.54 |
$152.54 |
|
|
Phys blood bank serv authrj
|
$29.48 |
$63.23 |
$63.23 |
|
|
Phys blood bank serv reactj
|
$29.70 |
$202.78 |
$391.78 |
|
|
Phys blood bank serv xmatch
|
$28.98 |
$29.55 |
$724.88 |
|
|
Physical Therapy Evaluation (high complexity)
|
$108.60 |
$111.81 |
$922.00 |
|
|
Physical Therapy Evaluation (low complexity)
|
$90.60 |
$111.81 |
$761.00 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$98.40 |
$111.81 |
$837.00 |
|
|
Physical Therapy Re-Evaluation
|
$66.00 |
$77.39 |
$587.00 |
|
|
Physician standby services
|
$37.84 |
$37.84 |
$37.84 |
|
|
Phys review of motion tests
|
$65.56 |
$65.56 |
$65.56 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$5.51 |
$66.00 |
$156.23 |
|
|
Piflu f-18, dia 1 millicurie
|
$332.44 |
$332.44 |
$16,100.00 |
|
|
Pik3ca gene trgt seq alys
|
$181.28 |
$274.83 |
$1,394.00 |
|
|
Pild/placebo control clin tr
|
$225.72 |
$8,453.60 |
$8,453.60 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$283.36 |
$724.37 |
$1,651.23 |
|
|
Pin finger dislocation
|
$283.58 |
$3,839.54 |
$3,839.54 |
|
|
Pin finger fracture each
|
$266.86 |
$3,839.54 |
$10,554.00 |
|
|
Pin hand dislocation
|
$321.20 |
$3,839.54 |
$3,839.54 |
|
|
Pin knuckle dislocation
|
$282.70 |
$3,839.54 |
$3,839.54 |
|
