|
Platelets leukocytes reduced irradiated each unit
|
$921.05 |
$921.05 |
$921.05 |
$411.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,059.85 |
$2,059.85 |
$2,059.85 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,184.65 |
$2,184.65 |
$2,184.65 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,030.30 |
$3,030.30 |
$3,030.30 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$15,863.90 |
$15,863.90 |
$15,863.90 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$401.05 |
$401.05 |
$401.05 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$3,473.00
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$754.00
|
|
Plerixafor injection
|
$19,437.74 |
$19,437.74 |
$19,437.74 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$930.80 |
$930.80 |
$930.80 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$18,656.95 |
$18,656.95 |
$18,656.95 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,151.51
|
|
Pm device progr eval dual
|
$139.10 |
$139.10 |
$139.10 |
$149.15
|
|
Pm device progr eval multi
|
$139.10 |
$139.10 |
$139.10 |
$139.10
|
|
Pm phone r-strip device eval
|
$139.10 |
$139.10 |
$139.10 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$117.00 |
$117.00 |
$117.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$58,067.59 |
$58,067.59 |
$58,067.59 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,494.55
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,785.10
|
|
Porfimer sodium injection
|
$72,767.76 |
$72,767.76 |
$72,767.76 |
$37,618.13
|
|
Post op service lvrs min 6
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$948.13
|
|
Potassium 24 hour urine
|
$21.45 |
$21.45 |
$21.45 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$2.32 |
$2.32 |
$2.32 |
$62.72
|
|
Potassium hydroxide preps
|
$26.00 |
$26.00 |
$26.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$21.45 |
$21.45 |
$21.45 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,069.25 |
$1,069.25 |
$1,069.25 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$683.15 |
$683.15 |
$683.15 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$10,188.48
|
|
Pq thr inj ext pse
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$786.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,925.65 |
$2,925.65 |
$2,925.65 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,811.54
|
|
Pralatrexate injection
|
$15,543.74 |
$15,543.74 |
$15,543.74 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$202.88 |
$202.88 |
$202.88 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,738.90
|
|
Pr application of long arm splint
|
$471.90 |
$471.90 |
$471.90 |
$334.08
|
|
Pr application splint static short arm
|
$385.45 |
$385.45 |
$385.45 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$42.90 |
$42.90 |
$42.90 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$779.35 |
$779.35 |
$779.35 |
$458.25
|
|
Pr correction hammertoe
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$57.85 |
$57.85 |
$57.85 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,454.10 |
$3,454.10 |
$3,454.10 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$3,518.45 |
$3,518.45 |
$3,518.45 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,262.80
|
|
Prealbumin
|
$65.65 |
$65.65 |
$65.65 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.68 |
$2.68 |
$2.68 |
$13.80
|
|
Prednisone 1 mg tablet
|
$8.45 |
$8.45 |
$8.45 |
$2.88
|
|
Pregabalin - sendout
|
$20.80 |
$20.80 |
$20.80 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$67.60 |
$67.60 |
$67.60 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$477.10 |
$477.10 |
$477.10 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$477.10 |
$477.10 |
$477.10 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$120.90 |
$120.90 |
$120.90 |
$144.00
|
|
Prepj skn cll ssp agrft 1st
|
$14,138.80 |
$14,138.80 |
$14,138.80 |
$14,138.80
|
|
Prep skin to 100cm2 other
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$612.95 |
$612.95 |
$612.95 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$313.95 |
$313.95 |
$313.95 |
$243.75
|
|
Pressure velocity wire add ves
|
$3,087.50 |
$3,087.50 |
$3,087.50 |
$1,596.10
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$768.30 |
$768.30 |
$768.30 |
$161.40
|
|
Pretreat rbc absorption reference
|
$266.50 |
$266.50 |
$266.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$768.30 |
$768.30 |
$768.30 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$266.50 |
$266.50 |
$266.50 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$768.30 |
$768.30 |
$768.30 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$313.30 |
$313.30 |
$313.30 |
$308.00
|
|
Prev med cnsl indiv apprx 15
|
$80.60 |
$80.60 |
$80.60 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$144.30 |
$144.30 |
$144.30 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$219.05 |
$219.05 |
$219.05 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$291.20 |
$291.20 |
$291.20 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$334.75 |
$334.75 |
$334.75 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$779.35 |
$779.35 |
$779.35 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$139.10 |
$139.10 |
$139.10 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$139.10 |
$139.10 |
$139.10 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$139.10 |
$139.10 |
$139.10 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$139.10 |
$139.10 |
$139.10 |
$158.06
|
|
Prgrmg eval implantable dfb
|
$139.10 |
$139.10 |
$139.10 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$139.10 |
$139.10 |
$139.10 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$6,281.60 |
$6,281.60 |
$6,281.60 |
$4,491.63
|
|
Prim art mech thrmbc non-intracranial
|
$32,778.20 |
$32,778.20 |
$32,778.20 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,600.35 |
$3,600.35 |
$3,600.35 |
$3,674.52
|
|
Pr incision & drainage abscess complicated/multiple
|
$779.35 |
$779.35 |
$779.35 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$387.40 |
$387.40 |
$387.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$909.35 |
$909.35 |
$909.35 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$779.35 |
$779.35 |
$779.35 |
$602.00
|
|
Pr management transitional care high w/in 7 days of discharge
|
$577.85 |
$577.85 |
$577.85 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$577.85 |
$577.85 |
$577.85 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$455.65 |
$455.65 |
$455.65 |
$254.25
|
|
Probe cryo 1150mm endo flex ster disp
|
$8,125.00 |
$8,125.00 |
$8,125.00 |
$7,350.00
|