|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$19.08 |
$19.08 |
$19.08 |
$27.16
|
|
Parathyroid planar imaging
|
$138.78 |
$138.78 |
$138.78 |
$1,073.82
|
|
Parial mast w/lymph removal 19302
|
$1,868.40 |
$1,868.40 |
$1,868.40 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$147.96 |
$147.96 |
$147.96 |
$242.88
|
|
Part hymenectomy/revi hymenal ring 56700
|
$424.44 |
$424.44 |
$424.44 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,340.28 |
$1,340.28 |
$1,340.28 |
$4,810.50
|
|
Partial hip replacement
|
$2,621.43 |
$2,621.43 |
$2,621.43 |
$3,874.00
|
|
Partial hysterectomy
|
$1,993.68 |
$1,993.68 |
$1,993.68 |
$2,400.00
|
|
Partial removal finger bone
|
$753.84 |
$753.84 |
$753.84 |
$2,021.04
|
|
Partial removal finger bone
|
$948.24 |
$948.24 |
$948.24 |
$1,964.00
|
|
Partial removal foot fascia
|
$766.80 |
$766.80 |
$766.80 |
$3,762.00
|
|
Partial removal of foot bone
|
$928.80 |
$928.80 |
$928.80 |
$3,839.54
|
|
Partial removal of thyroid
|
$1,651.59 |
$1,651.59 |
$1,651.59 |
$6,376.26
|
|
Partial removal of toe
|
$572.40 |
$572.40 |
$572.40 |
$3,657.72
|
|
Partial thyroid excision
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$6,311.00
|
|
Part removal of metatarsal
|
$631.26 |
$631.26 |
$631.26 |
$3,795.71
|
|
Part removal of metatarsal
|
$1,472.58 |
$1,472.58 |
$1,472.58 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$1,115.91 |
$1,115.91 |
$1,115.91 |
$3,839.54
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,275.53 |
$5,275.53 |
$5,275.53 |
$7,297.36
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$4,067.80
|
|
Pelvic CT scan (with and without contrast)
|
$215.46 |
$215.46 |
$215.46 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$205.20 |
$205.20 |
$205.20 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$192.24 |
$192.24 |
$192.24 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$387.72 |
$387.72 |
$387.72 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$307.26 |
$307.26 |
$307.26 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$258.66 |
$258.66 |
$258.66 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$394.20 |
$394.20 |
$394.20 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$181.44 |
$181.44 |
$181.44 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,127.38 |
$6,127.38 |
$6,127.38 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$81.54 |
$81.54 |
$81.54 |
$6,202.54
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$645.67 |
$645.67 |
$645.67 |
$826.47
|
|
Penile injection
|
$192.78 |
$192.78 |
$192.78 |
$418.00
|
|
Pentamidine 300 mg solution for injection
|
$231.82 |
$231.82 |
$231.82 |
$453.61
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$648.67 |
$648.67 |
$648.67 |
$335.79
|
|
Perq skel fix ulnar styld fx
|
$1,093.77 |
$1,093.77 |
$1,093.77 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$7,660.77 |
$7,660.77 |
$7,660.77 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$421.20 |
$421.20 |
$421.20 |
$4,711.20
|
|
Pet CT whole body initial
|
$424.44 |
$424.44 |
$424.44 |
$4,850.00
|
|
Pet image w/ct lmtd
|
$379.62 |
$379.62 |
$379.62 |
$4,366.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$44.28 |
$44.28 |
$44.28 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$76.14 |
$76.14 |
$76.14 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$24.30 |
$24.30 |
$24.30 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$883.71 |
$883.71 |
$883.71 |
$2,674.81
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$116.97 |
$116.97 |
$116.97 |
$114.60
|
|
Phenylephrine 10 mg/ml injection solution
|
$21.06 |
$21.06 |
$21.06 |
$62.98
|
|
Phlebotomy therapeutic
|
$184.68 |
$184.68 |
$184.68 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,757.70 |
$1,757.70 |
$1,757.70 |
$4,599.65
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$100.93 |
$100.93 |
$100.93 |
$85.79
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$966.60 |
$966.60 |
$966.60 |
$1,083.60
|
|
Pin finger dislocation
|
$970.38 |
$970.38 |
$970.38 |
$3,839.54
|
|
Pin finger fracture each
|
$914.76 |
$914.76 |
$914.76 |
$3,986.00
|
|
Pin hand dislocation
|
$1,098.90 |
$1,098.90 |
$1,098.90 |
$3,839.54
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$26.27 |
$26.27 |
$26.27 |
$83.57
|
|
Place duod/jej tube perc
|
$515.16 |
$515.16 |
$515.16 |
$2,577.56
|
|
Place gastrostomy tube perc
|
$417.96 |
$417.96 |
$417.96 |
$2,244.82
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$311.58 |
$311.58 |
$311.58 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$265.68 |
$265.68 |
$265.68 |
$1,332.43
|
|
Placement of seton
|
$342.09 |
$342.09 |
$342.09 |
$3,816.64
|
|
Platelets each unit
|
$163.35 |
$163.35 |
$163.35 |
$169.20
|
|
Platelets leukocytes reduced each unit
|
$224.91 |
$224.91 |
$224.91 |
$322.50
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$413.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,060.29 |
$1,060.29 |
$1,060.29 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$970.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$201.96 |
$201.96 |
$201.96 |
$1,230.00
|
|
Plethysmography lung volumes/airway resistance
|
$30.78 |
$30.78 |
$30.78 |
$399.50
|
|
Pm device progr eval dual
|
$111.78 |
$111.78 |
$111.78 |
$139.10
|
|
Pm device progr eval multi
|
$110.16 |
$110.16 |
$110.16 |
$139.10
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$314.01 |
$314.01 |
$314.01 |
$3,751.48
|
|
Postpartum Care Only
|
$540.00 |
$540.00 |
$540.00 |
$364.80
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$69.50 |
$69.50 |
$69.50 |
$64.09
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,487.70 |
$1,487.70 |
$1,487.70 |
$3,738.90
|
|
Pr application of long arm splint
|
$178.20 |
$178.20 |
$178.20 |
$328.78
|
|
Pr application splint static short arm
|
$145.26 |
$145.26 |
$145.26 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$258.66 |
$258.66 |
$258.66 |
$456.60
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$1,270.08 |
$1,270.08 |
$1,270.08 |
$10,090.50
|
|
Pr correction hammertoe
|
$955.26 |
$955.26 |
$955.26 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$31.05 |
$31.05 |
$31.05 |
$48.43
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$700.38 |
$700.38 |
$700.38 |
$5,257.95
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$188.46 |
$188.46 |
$188.46 |
$350.98
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$115.56 |
$115.56 |
$115.56 |
$133.25
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$226.26 |
$226.26 |
$226.26 |
$189.80
|
|
Pr ecg 12 lead report only
|
$41.31 |
$41.31 |
$41.31 |
$21.00
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$117.45 |
$117.45 |
$117.45 |
$60.00
|
|
Prednisone 1 mg tablet
|
$2.29 |
$2.29 |
$2.29 |
$3.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$509.49 |
$509.49 |
$509.49 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$506.52 |
$506.52 |
$506.52 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$440.10 |
$440.10 |
$440.10 |
$537.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$165.78 |
$165.78 |
$165.78 |
$126.50
|
|
Prenatal Care Only (4-6 visits)
|
$1,153.44 |
$1,153.44 |
$1,153.44 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$2,109.24 |
$2,109.24 |
$2,109.24 |
$1,143.04
|
|
Prep skin to 100cm2 other
|
$743.04 |
$743.04 |
$743.04 |
$1,151.50
|
|
Prep skin to 100cm2 trk/ext
|
$453.60 |
$453.60 |
$453.60 |
$2,164.64
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$250.56 |
$250.56 |
$250.56 |
$313.30
|
|
Preventive counseling group
|
$22.41 |
$22.41 |
$22.41 |
$29.60
|
|
Preventive counseling group
|
$29.70 |
$29.70 |
$29.70 |
$44.80
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$219.78 |
$219.78 |
$219.78 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$266.22 |
$266.22 |
$266.22 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$471.42 |
$471.42 |
$471.42 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$447.93 |
$447.93 |
$447.93 |
$753.64
|