|
Platelets each unit
|
$1,876.50 |
$1,876.50 |
$1,876.50 |
$169.29
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,982.25 |
$1,982.25 |
$1,982.25 |
$1,176.80
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,487.00 |
$2,487.00 |
$2,487.00 |
$1,007.82
|
|
Plcg2 gene common variants
|
$972.00 |
$972.00 |
$972.00 |
$478.92
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$10,059.75 |
$10,059.75 |
$10,059.75 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,677.50 |
$2,677.50 |
$2,677.50 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,677.50 |
$2,677.50 |
$2,677.50 |
$5,653.73
|
|
Plcmt dlyd xtn pros 1st vsl
|
$7,148.25 |
$7,148.25 |
$7,148.25 |
$3,833.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,124.25 |
$1,124.25 |
$1,124.25 |
$1,236.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$560.25 |
$560.25 |
$560.25 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$5,988.00 |
$5,988.00 |
$5,988.00 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$4,497.00 |
$4,497.00 |
$4,497.00 |
$1,238.40
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$758.52
|
|
Plerixafor injection
|
$36,856.95 |
$36,856.95 |
$36,856.95 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$368.25 |
$368.25 |
$368.25 |
$419.52
|
|
Plmt biliary drainage cath
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$4,799.10
|
|
Plmt nephroureteral catheter
|
$2,677.50 |
$2,677.50 |
$2,677.50 |
$4,220.74
|
|
Plmt ureteral stent prq
|
$2,677.50 |
$2,677.50 |
$2,677.50 |
$5,194.80
|
|
Pm device progr eval dual
|
$237.75 |
$237.75 |
$237.75 |
$153.00
|
|
Pm device progr eval multi
|
$245.25 |
$245.25 |
$245.25 |
$139.10
|
|
Pmp22 gene dup/delet
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$1,029.75
|
|
Pm phone r-strip device eval
|
$181.50 |
$181.50 |
$181.50 |
$139.10
|
|
#pnh-flow cytometry interp
|
$181.50 |
$181.50 |
$181.50 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$249.75 |
$249.75 |
$249.75 |
$187.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$68,815.70 |
$68,815.70 |
$68,815.70 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$6,604.50 |
$6,604.50 |
$6,604.50 |
$3,785.10
|
|
Porfimer sodium injection
|
$75,528.84 |
$75,528.84 |
$75,528.84 |
$37,618.13
|
|
Postpartum Care Only
|
$255.75 |
$255.75 |
$255.75 |
$364.80
|
|
Potassium 24 hour urine
|
$93.00 |
$93.00 |
$93.00 |
$50.74
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$137.19 |
$137.19 |
$137.19 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$101.25 |
$101.25 |
$101.25 |
$47.40
|
|
Pq biliary strict dil s&i
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$4,221.75 |
$4,221.75 |
$4,221.75 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$9,145.50 |
$9,145.50 |
$9,145.50 |
$10,203.30
|
|
Pq thr inj ext pse
|
$993.00 |
$993.00 |
$993.00 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,061.75 |
$2,061.75 |
$2,061.75 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,752.25 |
$3,752.25 |
$3,752.25 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,787.00 |
$2,787.00 |
$2,787.00 |
$4,811.54
|
|
Pralatrexate injection
|
$46,709.38 |
$46,709.38 |
$46,709.38 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$297.18 |
$297.18 |
$297.18 |
$292.00
|
|
Pr application of long arm splint
|
$467.25 |
$467.25 |
$467.25 |
$334.20
|
|
Pr application splint static short arm
|
$307.50 |
$307.50 |
$307.50 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$39.75 |
$39.75 |
$39.75 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$311.25 |
$311.25 |
$311.25 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$120.75 |
$120.75 |
$120.75 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,798.00 |
$3,798.00 |
$3,798.00 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$3,798.00 |
$3,798.00 |
$3,798.00 |
$2,260.00
|
|
Prealbumin
|
$144.75 |
$144.75 |
$144.75 |
$93.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3,856.50 |
$3,856.50 |
$3,856.50 |
$13.80
|
|
Prednisone 1 mg tablet
|
$398.89 |
$398.89 |
$398.89 |
$2.88
|
|
Pregabalin - sendout
|
$65.25 |
$65.25 |
$65.25 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$3,061.50 |
$3,061.50 |
$3,061.50 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$75.00 |
$75.00 |
$75.00 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$867.00 |
$867.00 |
$867.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$801.75 |
$801.75 |
$801.75 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$548.25 |
$548.25 |
$548.25 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$167.25 |
$167.25 |
$167.25 |
$149.50
|
|
Prep skin to 100cm2 other
|
$2,049.75 |
$2,049.75 |
$2,049.75 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$1,018.50 |
$1,018.50 |
$1,018.50 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$260.25 |
$260.25 |
$260.25 |
$243.75
|
|
Pressure treatment esophagus
|
$1,555.50 |
$1,555.50 |
$1,555.50 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,636.60
|
|
Pretreat rbc absorption reference
|
$131.25 |
$131.25 |
$131.25 |
$148.80
|
|
Pretreat rbc w enzyme reference
|
$270.75 |
$270.75 |
$270.75 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$394.50 |
$394.50 |
$394.50 |
$308.00
|
|
Prev med cnsl indiv apprx 15
|
$104.25 |
$104.25 |
$104.25 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$216.00 |
$216.00 |
$216.00 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$320.25 |
$320.25 |
$320.25 |
$175.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$130.50 |
$130.50 |
$130.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,709.00 |
$2,709.00 |
$2,709.00 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,716.75 |
$1,716.75 |
$1,716.75 |
$788.40
|
|
Prgrmg dev eval impltbl sys
|
$336.75 |
$336.75 |
$336.75 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$204.00 |
$204.00 |
$204.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$289.50 |
$289.50 |
$289.50 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$300.00 |
$300.00 |
$300.00 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$510.00 |
$510.00 |
$510.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$329.25 |
$329.25 |
$329.25 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$5,091.75 |
$5,091.75 |
$5,091.75 |
$4,555.93
|
|
Prim art mech thrmbc non-intracranial
|
$18,078.00 |
$18,078.00 |
$18,078.00 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,235.00 |
$5,235.00 |
$5,235.00 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$382.50 |
$382.50 |
$382.50 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$561.75 |
$561.75 |
$561.75 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$465.75 |
$465.75 |
$465.75 |
$544.05
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$676.50 |
$676.50 |
$676.50 |
$606.60
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$229.50 |
$229.50 |
$229.50 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$330.00 |
$330.00 |
$330.00 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,175.00 |
$5,175.00 |
$5,175.00 |
$7,372.61
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,611.15 |
$1,611.15 |
$1,611.15 |
$674.78
|
|
Procalcitonin
|
$99.00 |
$99.00 |
$99.00 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$63.42 |
$63.42 |
$63.42 |
$37.27
|
|
Proctosigmoidoscopy control bleed 45317
|
$1,989.75 |
$1,989.75 |
$1,989.75 |
$1,395.28
|
|
Proctosigmoidoscopy dx 45300
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
$3,481.77
|
|
Proctosigmoidoscopy w/bx 45305
|
$2,566.50 |
$2,566.50 |
$2,566.50 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,251.25 |
$3,251.25 |
$3,251.25 |
$3,245.23
|
|
Progesterone
|
$99.00 |
$99.00 |
$99.00 |
$116.00
|
