|
Plcmt dlyd xtn pros 1st vsl
|
$9,316.20 |
$9,316.20 |
$9,316.20 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,387.20 |
$1,387.20 |
$1,387.20 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,442.40 |
$1,442.40 |
$1,442.40 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$9,316.20 |
$9,316.20 |
$9,316.20 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,704.60 |
$1,704.60 |
$1,704.60 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$663.60 |
$663.60 |
$663.60 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$969.00 |
$969.00 |
$969.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$762.60 |
$762.60 |
$762.60 |
$408.05
|
|
Plmt biliary drainage cath
|
$7,503.60 |
$7,503.60 |
$7,503.60 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,190.00 |
$5,190.00 |
$5,190.00 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$7,729.80 |
$7,729.80 |
$7,729.80 |
$5,128.50
|
|
#pnh-flow cytometry interp
|
$165.60 |
$165.60 |
$165.60 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$141.60 |
$141.60 |
$141.60 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$10,525.80 |
$10,525.80 |
$10,525.80 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$3,382.20 |
$3,382.20 |
$3,382.20 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,898.40 |
$4,898.40 |
$4,898.40 |
$3,790.61
|
|
Porfimer sodium injection
|
$13,787.40 |
$13,787.40 |
$13,787.40 |
$37,618.13
|
|
Potassium 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$24.00 |
$24.00 |
$24.00 |
$47.85
|
|
Pq biliary strict dil s&i
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$2,119.80 |
$2,119.80 |
$2,119.80 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$18,813.00 |
$18,813.00 |
$18,813.00 |
$10,173.15
|
|
Pq thr inj ext pse
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$7,986.60 |
$7,986.60 |
$7,986.60 |
$4,811.54
|
|
Pralatrexate injection
|
$4,072.20 |
$4,072.20 |
$4,072.20 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$51.60 |
$51.60 |
$51.60 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$3,738.90
|
|
Pr application of long arm splint
|
$520.80 |
$520.80 |
$520.80 |
$332.75
|
|
Pr application splint static short arm
|
$406.20 |
$406.20 |
$406.20 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$690.60 |
$690.60 |
$690.60 |
$458.25
|
|
Pr correction hammertoe
|
$5,713.20 |
$5,713.20 |
$5,713.20 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$52.20 |
$52.20 |
$52.20 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$2,473.20 |
$2,473.20 |
$2,473.20 |
$2,253.00
|
|
Prealbumin
|
$74.40 |
$74.40 |
$74.40 |
$94.00
|
|
Pr ecg 12 lead report only
|
$22.20 |
$22.20 |
$22.20 |
$21.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,361.00 |
$2,361.00 |
$2,361.00 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$394.20 |
$394.20 |
$394.20 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$394.20 |
$394.20 |
$394.20 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$394.20 |
$394.20 |
$394.20 |
$459.00
|
|
Prep skin to 100cm2 other
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,772.40 |
$1,772.40 |
$1,772.40 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$279.00 |
$279.00 |
$279.00 |
$243.69
|
|
Pressure velocity wire add ves
|
$3,046.80 |
$3,046.80 |
$3,046.80 |
$1,596.10
|
|
Pretreat rbc w chem/drugs reference
|
$48.00 |
$48.00 |
$48.00 |
$114.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$484.80 |
$484.80 |
$484.80 |
$779.35
|
|
Prgr stim/pace a/iv drug
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$9,877.80 |
$9,877.80 |
$9,877.80 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$856.20 |
$856.20 |
$856.20 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$510.60 |
$510.60 |
$510.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$831.60 |
$831.60 |
$831.60 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$520.80 |
$520.80 |
$520.80 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$831.60 |
$831.60 |
$831.60 |
$253.55
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,250.20 |
$3,250.20 |
$3,250.20 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$36.00 |
$36.00 |
$36.00 |
$674.78
|
|
Procalcitonin
|
$138.00 |
$138.00 |
$138.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$5.40 |
$5.40 |
$5.40 |
$38.48
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.60 |
$0.60 |
$0.60 |
$2.09
|
|
Progesterone
|
$105.00 |
$105.00 |
$105.00 |
$116.00
|
|
Prolactin
|
$98.40 |
$98.40 |
$98.40 |
$123.50
|
|
Promethazine hcl injection
|
$1.80 |
$1.80 |
$1.80 |
$12.37
|
|
Propofol infusion 10 mg/ml
|
$6.00 |
$6.00 |
$6.00 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$6.60 |
$6.60 |
$6.60 |
$33.31
|
|
Prostate biopsy, any mthd
|
$643.20 |
$643.20 |
$643.20 |
$492.80
|
|
Protamine 10 mg/ml intravenous solution
|
$1.80 |
$1.80 |
$1.80 |
$56.70
|
|
Protein c activity
|
$70.20 |
$70.20 |
$70.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$54.60 |
$54.60 |
$54.60 |
$84.00
|
|
Protein s total
|
$58.80 |
$58.80 |
$58.80 |
$85.10
|
|
Protein total 24 hour urine
|
$19.80 |
$19.80 |
$19.80 |
$52.50
|
|
Protein total body fluid
|
$21.00 |
$21.00 |
$21.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$19.80 |
$19.80 |
$19.80 |
$43.00
|
|
Prothrombin complex kcentra
|
$32.40 |
$32.40 |
$32.40 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$21.00 |
$21.00 |
$21.00 |
$42.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$37,664.40 |
$37,664.40 |
$37,664.40 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$37,664.40 |
$37,664.40 |
$37,664.40 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$9,672.00 |
$9,672.00 |
$9,672.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,071.20 |
$5,071.20 |
$5,071.20 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$7,705.80 |
$7,705.80 |
$7,705.80 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$9,768.60 |
$9,768.60 |
$9,768.60 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$11,988.60 |
$11,988.60 |
$11,988.60 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$24,161.40 |
$24,161.40 |
$24,161.40 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$10,148.40 |
$10,148.40 |
$10,148.40 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$370.80 |
$370.80 |
$370.80 |
$252.00
|
|
Pr removal intrauterine device
|
$411.00 |
$411.00 |
$411.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$819.00 |
$819.00 |
$819.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$520.80 |
$520.80 |
$520.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$520.80 |
$520.80 |
$520.80 |
$406.35
|
