|
Perc d-e cor revasc t cabg b
|
$13,254.40 |
$13,254.40 |
$13,254.40 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$16,113.60 |
$16,113.60 |
$16,113.60 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$11,957.60 |
$11,957.60 |
$11,957.60 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$26,470.40 |
$26,470.40 |
$26,470.40 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$14,565.60 |
$14,565.60 |
$14,565.60 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$17,790.40 |
$17,790.40 |
$17,790.40 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$9,214.40 |
$9,214.40 |
$9,214.40 |
$7,243.60
|
|
Percut ablate liver rf
|
$9,884.80 |
$9,884.80 |
$9,884.80 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$480.24 |
$480.24 |
$480.24 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,152.80 |
$3,152.80 |
$3,152.80 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$2,623.20 |
$2,623.20 |
$2,623.20 |
$2,375.00
|
|
Peripheral vascular rehab
|
$141.60 |
$141.60 |
$141.60 |
$132.50
|
|
Peri-proc device eval icd
|
$220.80 |
$220.80 |
$220.80 |
$192.40
|
|
Peri-proc device eval pm
|
$198.40 |
$198.40 |
$198.40 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$466.40 |
$466.40 |
$466.40 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$752.49
|
|
Permanent tear duct plug
|
$432.00 |
$432.00 |
$432.00 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$10,435.20 |
$10,435.20 |
$10,435.20 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$15,208.00 |
$15,208.00 |
$15,208.00 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$873.60 |
$873.60 |
$873.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$2,096.80 |
$2,096.80 |
$2,096.80 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$9,742.40 |
$9,742.40 |
$9,742.40 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,193.60 |
$8,193.60 |
$8,193.60 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$9,742.40 |
$9,742.40 |
$9,742.40 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$964.80 |
$964.80 |
$964.80 |
$625.93
|
|
Perq transcath closure each
|
$5,352.80 |
$5,352.80 |
$5,352.80 |
$9,204.00
|
|
Perq transcath closure pda
|
$22,406.40 |
$22,406.40 |
$22,406.40 |
$18,408.00
|
|
Perq transcath cls aortic
|
$25,693.60 |
$25,693.60 |
$25,693.60 |
$22,633.26
|
|
Perq transcath cls mitral
|
$24,132.00 |
$24,132.00 |
$24,132.00 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$14,810.40 |
$14,810.40 |
$14,810.40 |
$8,999.20
|
|
Pet CT skull-mid thgh initial
|
$7,493.60 |
$7,493.60 |
$7,493.60 |
$4,707.00
|
|
Pet CT whole body initial
|
$7,863.20 |
$7,863.20 |
$7,863.20 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,608.80 |
$6,608.80 |
$6,608.80 |
$4,060.00
|
|
Pet image skull-thigh
|
$6,074.40 |
$6,074.40 |
$6,074.40 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$7,195.20 |
$7,195.20 |
$7,195.20 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$57,312.00 |
$57,312.00 |
$57,312.00 |
$39,920.50
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$177.77 |
$177.77 |
$177.77 |
$114.56
|
|
Phentolaine mesylate inj
|
$1,065.43 |
$1,065.43 |
$1,065.43 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$153.12 |
$153.12 |
$153.12 |
$62.98
|
|
Phenylep ketorolac opth soln
|
$1,618.20 |
$1,618.20 |
$1,618.20 |
$934.56
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$16.80 |
$16.80 |
$16.80 |
$10.80
|
|
Phlebotomy therapeutic
|
$264.00 |
$264.00 |
$264.00 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$6,238.40 |
$6,238.40 |
$6,238.40 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$7,216.80 |
$7,216.80 |
$7,216.80 |
$4,621.21
|
|
Photopheresis
|
$11,030.40 |
$11,030.40 |
$11,030.40 |
$7,967.00
|
|
Physical Therapy Evaluation (high complexity)
|
$308.80 |
$308.80 |
$308.80 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$252.80 |
$252.80 |
$252.80 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$280.00 |
$280.00 |
$280.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$185.60 |
$185.60 |
$185.60 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$134.64 |
$134.64 |
$134.64 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$880.00 |
$880.00 |
$880.00 |
$1,038.40
|
|
Pillow shldr abduc inflat univ
|
$440.50 |
$440.50 |
$440.50 |
$537.66
|
|
Pin caspar distraction 12mm
|
$38,323.20 |
$38,323.20 |
$38,323.20 |
$11,759.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$716.80 |
$716.80 |
$716.80 |
$1,130.58
|
|
Pin finger fracture each
|
$3,984.80 |
$3,984.80 |
$3,984.80 |
$4,192.86
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$43.33 |
$43.33 |
$43.33 |
$81.36
|
|
Place cath intracranial art
|
$5,536.00 |
$5,536.00 |
$5,536.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$7,012.00 |
$7,012.00 |
$7,012.00 |
$4,202.90
|
|
Place duod/jej tube perc
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$2,517.60 |
$2,517.60 |
$2,517.60 |
$2,289.60
|
|
Placement bile duct support
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
$2,732.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,095.20 |
$2,095.20 |
$2,095.20 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$4,944.00 |
$4,944.00 |
$4,944.00 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$788.00 |
$788.00 |
$788.00 |
$572.00
|
|
Placement of seton
|
$3,315.20 |
$3,315.20 |
$3,315.20 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,978.40 |
$16,978.40 |
$16,978.40 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$10,517.60 |
$10,517.60 |
$10,517.60 |
$5,271.46
|
|
Place po breast cath for rad
|
$11,023.20 |
$11,023.20 |
$11,023.20 |
$10,741.80
|
|
Place slctv cath carotd art uni
|
$14,059.20 |
$14,059.20 |
$14,059.20 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$12,543.20 |
$12,543.20 |
$12,543.20 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$14,174.40 |
$14,174.40 |
$14,174.40 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$13,133.60 |
$13,133.60 |
$13,133.60 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$16,327.20 |
$16,327.20 |
$16,327.20 |
$9,090.00
|
|
Plasmaprotein fract,5%,250ml
|
$143.56 |
$143.56 |
$143.56 |
$123.83
|
|
Plastic mod low ext pad/line
|
$555.94 |
$555.94 |
$555.94 |
$241.54
|
|
Platelet deplete of harvest
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$1,315.60
|
|
Platelet pheresis irr ea
|
$1,284.80 |
$1,284.80 |
$1,284.80 |
$1,108.52
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,290.40 |
$1,290.40 |
$1,290.40 |
$1,532.70
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,284.80 |
$1,284.80 |
$1,284.80 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,016.00 |
$6,016.00 |
$6,016.00 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$13,884.80 |
$13,884.80 |
$13,884.80 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,396.80 |
$5,396.80 |
$5,396.80 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,204.80 |
$5,204.80 |
$5,204.80 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$14,543.20 |
$14,543.20 |
$14,543.20 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$8,000.00 |
$8,000.00 |
$8,000.00 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$542.40 |
$542.40 |
$542.40 |
$1,421.06
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,138.40 |
$1,138.40 |
$1,138.40 |
$754.00
|
|
Plerixafor injection
|
$11,866.33 |
$11,866.33 |
$11,866.33 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$913.60 |
$913.60 |
$913.60 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$5,457.60 |
$5,457.60 |
$5,457.60 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$6,370.40 |
$6,370.40 |
$6,370.40 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,489.60 |
$5,489.60 |
$5,489.60 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$5,559.20 |
$5,559.20 |
$5,559.20 |
$5,128.50
|
|
Pm device progr eval dual
|
$200.00 |
$200.00 |
$200.00 |
$149.15
|
