|
Phenytoin total therapeutic drug level
|
$66.00 |
$66.00 |
$66.00 |
$112.50
|
|
Phleb veins 1 extrm 10-20 stab
|
$42,088.82 |
$42,088.82 |
$42,088.82 |
$4,627.00
|
|
Phleb veins 1 extrm >20 stab
|
$32,012.93 |
$32,012.93 |
$32,012.93 |
$4,453.46
|
|
Phosphorus 24 hour urine
|
$12.00 |
$12.00 |
$12.00 |
$41.58
|
|
Phys blood bank serv reactj
|
$136.20 |
$136.20 |
$136.20 |
$208.73
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$55.80 |
$55.80 |
$55.80 |
$85.79
|
|
Pillow shldr abduc inflat univ
|
$1,717.48 |
$1,717.48 |
$1,717.48 |
$537.66
|
|
Pin caspar distraction 12mm
|
$24,142.82 |
$24,142.82 |
$24,142.82 |
$11,925.00
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$1,083.60
|
|
Pinworm exam
|
$38.40 |
$38.40 |
$38.40 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$114.66 |
$114.66 |
$114.66 |
$83.75
|
|
Place cath intracranial art
|
$5,756.40 |
$5,756.40 |
$5,756.40 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$4,771.80 |
$4,771.80 |
$4,771.80 |
$4,202.65
|
|
Place duod/jej tube perc
|
$3,428.40 |
$3,428.40 |
$3,428.40 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$1,816.20 |
$1,816.20 |
$1,816.20 |
$2,251.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,966.80 |
$1,966.80 |
$1,966.80 |
$1,519.00
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,289.40 |
$1,289.40 |
$1,289.40 |
$591.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$24,115.80 |
$24,115.80 |
$24,115.80 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$4,744.20 |
$4,744.20 |
$4,744.20 |
$5,271.46
|
|
Place right device/marker pros
|
$3,418.80 |
$3,418.80 |
$3,418.80 |
$2,159.50
|
|
Place slctv cath carotd art uni
|
$9,666.00 |
$9,666.00 |
$9,666.00 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,747.80 |
$7,747.80 |
$7,747.80 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$11,017.80 |
$11,017.80 |
$11,017.80 |
$8,924.40
|
|
Place slctv cath subclavian art
|
$5,836.20 |
$5,836.20 |
$5,836.20 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$6,378.60 |
$6,378.60 |
$6,378.60 |
$8,978.40
|
|
Plasma cryoprecipitate reduced each unit
|
$117.60 |
$117.60 |
$117.60 |
$162.21
|
|
Plas shoe insert w ank joint
|
$247.36 |
$247.36 |
$247.36 |
$245.71
|
|
Plastic mod low ext pad/line
|
$351.65 |
$351.65 |
$351.65 |
$244.53
|
|
Plastic mold recipro hip & c
|
$5,056.93 |
$5,056.93 |
$5,056.93 |
$4,492.38
|
|
Platelet pheresis each unit
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$947.00
|
|
Platelet pheresis irr ea
|
$1,182.00 |
$1,182.00 |
$1,182.00 |
$1,025.00
|
|
Platelets each unit
|
$265.80 |
$265.80 |
$265.80 |
$163.35
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$1,523.42
|
|
Platelets irradiated ea unit
|
$225.60 |
$225.60 |
$225.60 |
$273.35
|
|
Platelets leukocytes reduced each unit
|
$232.20 |
$232.20 |
$232.20 |
$294.84
|
|
Platelets leukocytes reduced irradiated each unit
|
$232.20 |
$232.20 |
$232.20 |
$418.95
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$1,244.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$1,005.65
|
|
Plating chrome/nickel pr bar
|
$184.93 |
$184.93 |
$184.93 |
$168.95
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,062.80 |
$5,062.80 |
$5,062.80 |
$4,406.61
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$19,448.40 |
$19,448.40 |
$19,448.40 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$4,881.00
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$5,289.60
|
|
Plc pq device breast ea addl lesion MRI guide
|
$2,730.60 |
$2,730.60 |
$2,730.60 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$3,929.40 |
$3,929.40 |
$3,929.40 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$758.52
|
|
Plmt biliary drainage cath
|
$5,807.40 |
$5,807.40 |
$5,807.40 |
$4,720.17
|
|
Plmt nephroureteral catheter
|
$3,702.00 |
$3,702.00 |
$3,702.00 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$4,846.99
|
|
Pms2 gene dup/delet variants
|
$541.80 |
$541.80 |
$541.80 |
$407.20
|
|
Pneum full leg splnt pre ots
|
$309.50 |
$309.50 |
$309.50 |
$309.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$138.60 |
$138.60 |
$138.60 |
$187.04
|
|
Postop app non-wgt bear dsg
|
$598.11 |
$598.11 |
$598.11 |
$914.43
|
|
Postop app non-wgt bear dsg
|
$1,389.71 |
$1,389.71 |
$1,389.71 |
$1,389.71
|
|
Postop dsg & 1 cast chg ak/d
|
$3,339.01 |
$3,339.01 |
$3,339.01 |
$3,339.01
|
|
Post-operative body jacket
|
$4,247.46 |
$4,247.46 |
$4,247.46 |
$3,773.28
|
|
Potassium 24 hour urine
|
$10.20 |
$10.20 |
$10.20 |
$50.74
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$22.86 |
$22.86 |
$22.86 |
$63.88
|
|
Potassium serum/plasma/whole blood
|
$34.80 |
$34.80 |
$34.80 |
$47.80
|
|
Pq biliary strict dil s&i
|
$2,656.20 |
$2,656.20 |
$2,656.20 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$1,824.60 |
$1,824.60 |
$1,824.60 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$25,109.89 |
$25,109.89 |
$25,109.89 |
$9,977.57
|
|
Pq thr inj ext pse
|
$417.00 |
$417.00 |
$417.00 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$9,685.20 |
$9,685.20 |
$9,685.20 |
$3,018.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$9,685.20 |
$9,685.20 |
$9,685.20 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$9,685.20 |
$9,685.20 |
$9,685.20 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,738.90
|
|
Pr application of long arm splint
|
$363.00 |
$363.00 |
$363.00 |
$328.95
|
|
Pr application splint static short arm
|
$490.20 |
$490.20 |
$490.20 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$606.60 |
$606.60 |
$606.60 |
$456.60
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$84,574.46 |
$84,574.46 |
$84,574.46 |
$10,090.50
|
|
Pr correction hammertoe
|
$84,360.17 |
$84,360.17 |
$84,360.17 |
$3,839.54
|
|
Prcrd drg 6+yr without anomly
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$30,943.76 |
$30,943.76 |
$30,943.76 |
$4,881.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$349.80 |
$349.80 |
$349.80 |
$351.20
|
|
Prealbumin
|
$34.20 |
$34.20 |
$34.20 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.00 |
$3.00 |
$3.00 |
$13.87
|
|
Prednisone 1 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$3.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$7,378.92 |
$7,378.92 |
$7,378.92 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$918.00 |
$918.00 |
$918.00 |
$596.40
|
|
Pregnancy Ultrasound (first trimester)
|
$730.80 |
$730.80 |
$730.80 |
$539.37
|
|
Prep bk ptb open end socket
|
$4,585.93 |
$4,585.93 |
$4,585.93 |
$4,073.94
|
|
Prep bk ptb thermopls molded
|
$3,998.60 |
$3,998.60 |
$3,998.60 |
$3,998.60
|
|
Prep skin to 100cm2 other
|
$15,601.64 |
$15,601.64 |
$15,601.64 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$18,378.55 |
$18,378.55 |
$18,378.55 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$3,015.60 |
$3,015.60 |
$3,015.60 |
$1,025.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$101.40 |
$101.40 |
$101.40 |
$152.85
|
|
Pretreat rbc absorption reference
|
$251.40 |
$251.40 |
$251.40 |
$149.50
|
|
Pretreat rbc density gradient separation reference
|
$174.00 |
$174.00 |
$174.00 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$336.60 |
$336.60 |
$336.60 |
$111.20
|
|
Pretreat rbc w enzyme reference
|
$54.60 |
$54.60 |
$54.60 |
$165.50
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,985.20 |
$3,985.20 |
$3,985.20 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$13,711.92 |
$13,711.92 |
$13,711.92 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$9,999.72 |
$9,999.72 |
$9,999.72 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$15,008.40 |
$15,008.40 |
$15,008.40 |
$9,401.76
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,415.60 |
$2,415.60 |
$2,415.60 |
$3,733.10
|
