|
Place po breast cath for rad
|
$11,023.20 |
$11,023.20 |
$11,023.20 |
|
|
Place slctv cath carotd art uni
|
$10,576.80 |
$10,576.80 |
$14,059.20 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,237.60 |
$7,237.60 |
$12,543.20 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,748.00 |
$7,748.00 |
$14,174.40 |
|
|
Place slctv cath subclavian art
|
$10,005.60 |
$10,005.60 |
$13,133.60 |
|
|
Place slctv cath vertebral art uni
|
$11,411.20 |
$11,411.20 |
$16,327.20 |
|
|
Plasmaprotein fract,5%,250ml
|
$143.56 |
$143.56 |
$143.56 |
|
|
Plastic mod low ext pad/line
|
$555.94 |
$555.94 |
$555.94 |
|
|
Platelet aggregation each agent teg
|
$111.20 |
$111.20 |
$111.20 |
|
|
Platelet automated
|
$31.20 |
$31.20 |
$31.20 |
|
|
Platelet deplete of harvest
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
|
|
Platelet pheresis each unit
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
|
|
Platelet pheresis irr ea
|
$1,284.80 |
$1,284.80 |
$2,027.20 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,290.40 |
$1,290.40 |
$2,933.72 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$642.40 |
$642.40 |
$642.40 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,140.80 |
$1,408.00 |
$1,968.32 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,284.80 |
$1,316.00 |
$2,518.91 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,518.40 |
$1,518.40 |
$1,571.33 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,016.00 |
$6,016.00 |
$7,006.40 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$13,884.80 |
$13,884.80 |
$18,169.60 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,396.80 |
$5,396.80 |
$6,915.20 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,204.80 |
$5,204.80 |
$7,172.00 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$14,543.20 |
$14,543.20 |
$15,894.40 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,082.40 |
$1,082.40 |
$1,259.20 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,024.80 |
$1,024.80 |
$1,032.00 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$4,280.00 |
$4,280.00 |
$8,000.00 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$542.40 |
$542.40 |
$1,714.40 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,437.60 |
$1,437.60 |
$1,437.60 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,138.40 |
$1,138.40 |
$1,345.60 |
|
|
Plerixafor injection
|
$11,866.33 |
$11,866.33 |
$11,866.33 |
|
|
Plethysmography lung volumes/airway resistance
|
$436.00 |
$445.60 |
$913.60 |
|
|
Plmt access bil tree sm bwl
|
$5,416.80 |
$5,416.80 |
$5,457.60 |
|
|
Plmt biliary drainage cath
|
$6,370.40 |
$6,370.40 |
$7,162.40 |
|
|
Plmt nephroureteral catheter
|
$5,344.00 |
$5,344.00 |
$5,489.60 |
|
|
Plmt ureteral stent prq
|
$5,559.20 |
$5,559.20 |
$6,915.20 |
|
|
Pm device progr eval dual
|
$91.20 |
$91.20 |
$200.00 |
|
|
Pm device progr eval multi
|
$92.80 |
$92.80 |
$234.40 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$105.60 |
$105.60 |
$105.60 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$16,000.03 |
$16,000.03 |
$25,739.10 |
|
|
Polysom <6 yrs cpap/bilvl
|
$3,770.40 |
$3,770.40 |
$5,000.00 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,952.00 |
$4,293.60 |
$4,699.20 |
|
|
Postop app non-wgt bear dsg
|
$164.38 |
$164.38 |
$164.38 |
|
|
Postop app non-wgt bear dsg
|
$1,577.96 |
$1,577.96 |
$1,577.96 |
|
|
Post op service lvrs min 6
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
|
|
Potassium 24 hour urine
|
$27.20 |
$27.20 |
$27.20 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$76.56 |
$92.00 |
$105.92 |
|
|
Potassium serum/plasma/whole blood
|
$36.80 |
$36.80 |
$36.80 |
|
|
Pq biliary strict dil s&i
|
$1,560.00 |
$1,560.00 |
$1,561.60 |
|
|
Pq dr cath chg w cont s&i
|
$479.20 |
$479.20 |
$881.60 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$11,984.80 |
$11,984.80 |
$13,566.40 |
|
|
Pq thr inj ext pse
|
$1,096.80 |
$1,096.80 |
$1,552.00 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,958.40 |
$3,958.40 |
$4,261.60 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,304.80 |
$5,304.80 |
$5,879.20 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,344.00 |
$5,344.00 |
$5,876.00 |
|
|
Pralatrexate injection
|
$14,055.04 |
$14,055.04 |
$14,055.04 |
|
|
Pralidoxime 1 gram solution for injection
|
$160.43 |
$168.02 |
$292.36 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,125.60 |
$4,125.60 |
$4,847.20 |
|
|
Pr application of long arm splint
|
$272.00 |
$320.00 |
$400.00 |
|
|
Pr application splint static short arm
|
$239.20 |
$285.60 |
$347.20 |
|
|
Pr biopsy skin punch single lesion
|
$436.00 |
$436.00 |
$488.80 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$54.40 |
$54.40 |
$59.20 |
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,196.80 |
$2,196.80 |
$3,152.80 |
|
|
Prcrd drg 6+yr without anomly
|
$2,835.20 |
$2,835.20 |
$3,439.20 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,328.80 |
$4,328.80 |
$4,328.80 |
|
|
Prealbumin
|
$59.20 |
$59.20 |
$59.20 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.40 |
$12.04 |
$19.67 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$554.40 |
$554.40 |
$872.80 |
|
|
Pregnancy Ultrasound (first trimester)
|
$482.40 |
$482.40 |
$717.60 |
|
|
Pregnancy Ultrasound (limited)
|
$410.40 |
$421.60 |
$505.60 |
|
|
Pre-op service lvrs 10-15dos
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
|
|
Prepare embryo for transfer
|
$480.00 |
$480.00 |
$480.00 |
|
|
Prepare fecal microbiota
|
$114.40 |
$114.40 |
$114.40 |
|
|
Prepare penis study
|
$172.00 |
$172.00 |
$172.00 |
|
|
Prep skin to 100cm2 other
|
$3,054.40 |
$3,054.40 |
$3,054.40 |
|
|
Pressure max expiratory/inspiratory
|
$150.40 |
$150.40 |
$433.60 |
|
|
Pressure treatment esophagus
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
|
|
Pressure velocity wire add ves
|
$870.40 |
$870.40 |
$3,165.60 |
|
|
Pre-tibial shell molded to p
|
$400.69 |
$400.69 |
$400.69 |
|
|
Pretreat rbc w chem/drugs reference
|
$51.20 |
$51.20 |
$51.20 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$434.40 |
$434.40 |
$434.40 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,472.00 |
$2,472.00 |
$2,691.20 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,879.20 |
$1,879.20 |
$2,472.00 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$640.80 |
$640.80 |
$1,200.80 |
|
|
Prgrmg dev eval pm/ldls pm
|
$78.40 |
$78.40 |
$192.00 |
|
|
Prgrmg dev eval scrms ip
|
$76.80 |
$76.80 |
$166.40 |
|
|
Prgrmg eval implantable dfb
|
$94.40 |
$94.40 |
$246.40 |
|
|
Prgrmg eval implantable dfb
|
$162.40 |
$162.40 |
$257.60 |
|
|
Prgrmg eval implantable dfb
|
$124.00 |
$124.00 |
$257.60 |
|
|
Prgr stim/pace a/iv drug
|
$5,231.20 |
$5,231.20 |
$11,396.00 |
|
|
Prim art mech thrmbc non-intracranial
|
$7,375.20 |
$7,375.20 |
$9,948.80 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,097.60 |
$6,097.60 |
$7,392.00 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$648.80 |
$648.80 |
$922.40 |
|
|
Pr incision & drainage abscess simple/single
|
$486.40 |
$522.40 |
$593.60 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$526.40 |
$690.40 |
$736.00 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$695.20 |
$751.20 |
$839.20 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$156.00 |
$156.00 |
$277.60 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$5,249.60 |
$5,249.60 |
$5,249.60 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,973.44 |
$5,973.44 |
$7,059.52 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$3.36 |
$314.56 |
$457.50 |
|
