|
Partial thyroid excision
|
$787.50 |
$787.50 |
$787.50 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.00 |
$8.00 |
$8.00 |
$4,921.76
|
|
Part removal of metatarsal
|
$1,480.25 |
$1,480.25 |
$1,480.25 |
$3,795.71
|
|
Part removal of metatarsal
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$357.00 |
$357.00 |
$357.00 |
$3,839.54
|
|
Pcv21 vaccine im
|
$333.50 |
$333.50 |
$333.50 |
$410.26
|
|
Pelvic CT scan (with and without contrast)
|
$68.50 |
$68.50 |
$68.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$951.50 |
$951.50 |
$951.50 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$426.00 |
$426.00 |
$426.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$374.00 |
$374.00 |
$374.00 |
$430.00
|
|
Peng benzathine/procaine inj
|
$28.00 |
$28.00 |
$28.00 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$210.13 |
$210.13 |
$210.13 |
$826.47
|
|
Penile injection
|
$82.50 |
$82.50 |
$82.50 |
$418.00
|
|
Pericardiocentesis wwo imaging
|
$252.50 |
$252.50 |
$252.50 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$959.00 |
$959.00 |
$959.00 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$783.50 |
$783.50 |
$783.50 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$293.00 |
$293.00 |
$293.00 |
$3,522.35
|
|
Peri-proc device eval icd
|
$26.50 |
$26.50 |
$26.50 |
$192.40
|
|
Peri-proc device eval pm
|
$98.50 |
$98.50 |
$98.50 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$478.00 |
$478.00 |
$478.00 |
$5,625.74
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$101.00 |
$101.00 |
$101.00 |
$625.93
|
|
Perq skel fix ulnar styld fx
|
$565.50 |
$565.50 |
$565.50 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$331.50 |
$331.50 |
$331.50 |
$3,842.58
|
|
Pet CT skull-mid thgh initial
|
$3,981.00 |
$3,981.00 |
$3,981.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,981.00 |
$3,981.00 |
$3,981.00 |
$4,850.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$25.00 |
$25.00 |
$25.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$36.00 |
$36.00 |
$36.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$13.00 |
$13.00 |
$13.00 |
$33.30
|
|
Ph body fluid
|
$13.50 |
$13.50 |
$13.50 |
$41.28
|
|
Phencyclidine (pcp)
|
$77.00 |
$77.00 |
$77.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$35.82 |
$35.82 |
$35.82 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$56.50 |
$56.50 |
$56.50 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.25 |
$0.25 |
$0.25 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$83.00 |
$83.00 |
$83.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$112.50 |
$112.50 |
$112.50 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$301.50 |
$301.50 |
$301.50 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$371.00 |
$371.00 |
$371.00 |
$4,453.46
|
|
Phosphorus
|
$32.50 |
$32.50 |
$32.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$49.50 |
$49.50 |
$49.50 |
$41.51
|
|
Photopheresis
|
$96.50 |
$96.50 |
$96.50 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$49.00 |
$49.00 |
$49.00 |
$207.50
|
|
Physician standby services
|
$59.50 |
$59.50 |
$59.50 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$3.00 |
$3.00 |
$3.00 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$577.00 |
$577.00 |
$577.00 |
$1,035.81
|
|
Pin finger dislocation
|
$517.50 |
$517.50 |
$517.50 |
$3,839.54
|
|
Pin finger fracture each
|
$493.00 |
$493.00 |
$493.00 |
$4,115.40
|
|
Pin hand dislocation
|
$583.00 |
$583.00 |
$583.00 |
$3,839.54
|
|
Pin knuckle dislocation
|
$500.00 |
$500.00 |
$500.00 |
$3,839.54
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$5.51 |
$5.51 |
$5.51 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$103.00 |
$103.00 |
$103.00 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$88.50 |
$88.50 |
$88.50 |
$1,332.43
|
|
Placement of seton
|
$134.50 |
$134.50 |
$134.50 |
$3,845.10
|
|
Place right device/marker pros
|
$111.00 |
$111.00 |
$111.00 |
$2,195.93
|
|
Place slctv cath subclavian art
|
$363.00 |
$363.00 |
$363.00 |
$6,325.00
|
|
Platelet aggregation each agent teg
|
$52.50 |
$52.50 |
$52.50 |
$148.80
|
|
Platelet automated
|
$42.00 |
$42.00 |
$42.00 |
$45.60
|
|
Platelets pheresis pathogen-reduced each unit
|
$821.50 |
$821.50 |
$821.50 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$280.00 |
$280.00 |
$280.00 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$225.00 |
$225.00 |
$225.00 |
$6,927.20
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$88.00 |
$88.00 |
$88.00 |
$1,230.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$44.50 |
$44.50 |
$44.50 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$14.50 |
$14.50 |
$14.50 |
$405.00
|
|
Plmt biliary drainage cath
|
$392.00 |
$392.00 |
$392.00 |
$4,762.80
|
|
Pm device progr eval dual
|
$45.00 |
$45.00 |
$45.00 |
$148.00
|
|
Pm device progr eval multi
|
$49.50 |
$49.50 |
$49.50 |
$139.00
|
|
Pmp22 gene dup/delet
|
$995.00 |
$995.00 |
$995.00 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$43.00 |
$43.00 |
$43.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$196.00 |
$196.00 |
$196.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,304.50 |
$2,304.50 |
$2,304.50 |
$3,751.48
|
|
Positional nystagmus test
|
$26.50 |
$26.50 |
$26.50 |
$73.50
|
|
Postpartum Care Only
|
$199.50 |
$199.50 |
$199.50 |
$364.80
|
|
Potassium 24 hour urine
|
$61.00 |
$61.00 |
$61.00 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$21.15 |
$21.15 |
$21.15 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$35.00 |
$35.00 |
$35.00 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$45.50 |
$45.50 |
$45.50 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$4,834.00 |
$4,834.00 |
$4,834.00 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,609.50 |
$1,609.50 |
$1,609.50 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$824.00 |
$824.00 |
$824.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$215.00 |
$215.00 |
$215.00 |
$329.00
|
|
Pr application splint static short arm
|
$320.00 |
$320.00 |
$320.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$58.00 |
$58.00 |
$58.00 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$159.00 |
$159.00 |
$159.00 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$756.00 |
$756.00 |
$756.00 |
$10,090.50
|
|
Pr correction hammertoe
|
$2,081.75 |
$2,081.75 |
$2,081.75 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$64.00 |
$64.00 |
$64.00 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$311.00 |
$311.00 |
$311.00 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$265.00 |
$265.00 |
$265.00 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$171.00 |
$171.00 |
$171.00 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$358.00 |
$358.00 |
$358.00 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$99.00 |
$99.00 |
$99.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$137.50 |
$137.50 |
$137.50 |
$182.65
|
|
Prealbumin
|
$87.50 |
$87.50 |
$87.50 |
$93.36
|
|
Pr ecg 12 lead report only
|
$11.00 |
$11.00 |
$11.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$21.50 |
$21.50 |
$21.50 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.56 |
$0.56 |
$0.56 |
$13.87
|
