|
Peri-proc device eval icd
|
$134.40 |
$134.40 |
$159.00 |
$192.40
|
|
Peri-proc device eval pm
|
$129.60 |
$129.60 |
$133.80 |
$155.00
|
|
Peritoneal cath sub q resv per
|
$4,462.20 |
$4,462.20 |
$4,462.20 |
$5,625.74
|
|
Peritoneogram rs&i
|
$338.40 |
$338.40 |
$338.40 |
$698.50
|
|
Perq art m-thrombect &/nfs
|
$12,590.40 |
$21,964.80 |
$26,160.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$3,855.60 |
$3,855.60 |
$5,311.20 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$3,762.00 |
$3,762.00 |
$3,762.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$2,752.80 |
$2,752.80 |
$2,752.80 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$7,821.60 |
$20,091.00 |
$24,852.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$24,852.00 |
$24,852.00 |
$24,852.00 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$8,839.80 |
$20,091.00 |
$24,852.00 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,550.40 |
$1,662.00 |
$2,815.20 |
$625.93
|
|
Perqt bx lung/mediastinum 32405
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$1,770.60
|
|
Perq transcath septal reduxn
|
$390.00 |
$390.00 |
$390.00 |
$8,828.16
|
|
Perq tx mndblr fx xtrnl fixj
|
$3,046.20 |
$3,771.00 |
$5,595.00 |
$6,547.81
|
|
Pertuzumab 30 mg/ml desensitization
|
$22.20 |
$39.60 |
$18,274.80 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$340.20 |
$340.20 |
$340.20 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$105.00 |
$657.60 |
$829.80 |
$141.60
|
|
Pessary reusable rub anytype
|
$112.80 |
$112.80 |
$234.60 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$8,008.80 |
$9,591.60 |
$12,570.60 |
$4,707.00
|
|
Pet CT whole body initial
|
$9,824.40 |
$12,784.80 |
$15,426.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$7,773.00 |
$13,297.20 |
$13,366.80 |
$4,060.00
|
|
Pet image full body
|
$13,503.00 |
$14,161.80 |
$20,659.20 |
$5,148.14
|
|
Pet image ltd area
|
$8,234.40 |
$8,554.20 |
$12,324.00 |
$3,809.11
|
|
Pet image skull-thigh
|
$8,234.40 |
$11,310.00 |
$16,496.40 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$7,254.00 |
$9,382.20 |
$9,591.60 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$30,931.20 |
$38,883.60 |
$62,313.60 |
$40,252.07
|
|
Ph body fluid
|
$29.40 |
$45.00 |
$87.60 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$28.60 |
$42.15 |
$84.60 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$80.40 |
$273.00 |
$664.20 |
$104.80
|
|
Phentolaine mesylate inj
|
$397.60 |
$1,032.60 |
$1,032.60 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.03 |
$0.14 |
$0.60 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$44.25 |
$746.40 |
$883.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$91.80 |
$142.20 |
$772.20 |
$111.20
|
|
Phlebotomy therapeutic
|
$272.40 |
$369.60 |
$597.60 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,986.40 |
$4,579.20 |
$4,651.80 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$4,851.00 |
$4,851.00 |
$5,566.20 |
$4,516.05
|
|
Phosphorus
|
$39.60 |
$63.00 |
$226.20 |
$48.96
|
|
Phosphorus 24 hour urine
|
$44.40 |
$91.20 |
$424.20 |
$42.25
|
|
Photochemotherapy puva
|
$307.20 |
$307.20 |
$307.20 |
$181.79
|
|
Photo patch test
|
$36.60 |
$36.60 |
$36.60 |
$71.50
|
|
Photopheresis
|
$4,714.20 |
$4,714.20 |
$5,431.80 |
$8,010.00
|
|
Photosensitivity tests
|
$27.60 |
$27.60 |
$27.60 |
$142.80
|
|
Physical Therapy Evaluation (high complexity)
|
$303.00 |
$382.20 |
$692.40 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$303.00 |
$382.20 |
$692.40 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$303.00 |
$382.20 |
$692.40 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$110.40 |
$165.00 |
$276.00 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$21.00 |
$52.65 |
$274.80 |
$89.82
|
|
Piflu f-18, dia 1 millicurie
|
$1,231.20 |
$1,305.00 |
$1,641.60 |
$1,038.40
|
|
Pin caspar distraction 12mm
|
$18,651.00 |
$18,651.00 |
$52,037.40 |
$11,672.88
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$4,170.00 |
$4,170.00 |
$4,170.00 |
$1,116.00
|
|
Pin finger fracture each
|
$4,115.40 |
$4,115.40 |
$4,115.40 |
$4,192.86
|
|
Pinworm exam
|
$46.80 |
$49.20 |
$62.40 |
$39.00
|
|
Pinworm examinations
|
$60.00 |
$64.20 |
$119.40 |
$5.70
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$80.00 |
$165.60 |
$660.00 |
$81.36
|
|
Place cath intracranial art
|
$5,670.60 |
$5,670.60 |
$6,072.60 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$10,440.00 |
$10,440.00 |
$14,867.40 |
$4,202.90
|
|
Place cecostomy tube perc
|
$15,438.00 |
$15,438.00 |
$15,438.00 |
$2,580.90
|
|
Place device/marker, non pro
|
$6,542.40 |
$6,542.40 |
$6,542.40 |
$1,969.20
|
|
Place duod/jej tube perc
|
$4,182.60 |
$5,186.40 |
$9,297.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$3,587.40 |
$4,101.00 |
$6,954.00 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,771.80 |
$1,950.00 |
$3,154.80 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$703.20 |
$1,264.80 |
$2,660.40 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,564.20 |
$1,847.40 |
$5,891.40 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,696.20 |
$2,236.80 |
$3,684.00 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$335.40 |
$942.00 |
$1,348.80 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$13,400.40 |
$13,400.40 |
$18,933.60 |
$13,879.25
|
|
Place needles pelvic for right
|
$4,385.40 |
$4,385.40 |
$4,385.40 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$11,718.60 |
$19,641.00 |
$30,161.40 |
$5,274.33
|
|
Placental lactogen
|
$165.60 |
$165.60 |
$165.60 |
$163.28
|
|
Place po breast cath for rad
|
$21,712.80 |
$21,712.80 |
$21,712.80 |
$10,741.80
|
|
Place right device/marker pros
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$18,765.00 |
$33,920.40 |
$38,252.40 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$11,832.00 |
$14,010.60 |
$30,780.60 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$12,801.00 |
$21,970.20 |
$35,768.40 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$10,678.80 |
$13,620.60 |
$30,964.80 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$14,634.60 |
$26,629.20 |
$33,124.80 |
$9,200.62
|
|
Plasma cryoprecipitate reduced each unit
|
$357.60 |
$357.60 |
$1,660.80 |
$163.04
|
|
Plasma volume multiple
|
$672.00 |
$672.00 |
$672.00 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$165.60 |
$202.80 |
$400.20 |
$148.98
|
|
Platelet automated
|
$33.00 |
$62.40 |
$316.20 |
$45.76
|
|
Platelet pheresis each unit
|
$3,184.20 |
$3,184.20 |
$3,184.20 |
$1,015.50
|
|
Platelets each unit
|
$306.00 |
$477.00 |
$1,672.20 |
$169.29
|
|
Platelets irradiated ea unit
|
$320.40 |
$595.80 |
$802.80 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$241.20 |
$528.00 |
$710.40 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$360.00 |
$686.40 |
$978.60 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,168.60 |
$3,525.60 |
$4,768.80 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,168.60 |
$3,525.60 |
$4,768.80 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,474.20 |
$1,474.20 |
$1,878.00 |
$1,007.82
|
|
Plcg2 gene common variants
|
$787.80 |
$787.80 |
$787.80 |
$478.92
|
|
Plcmnt biliary drainage cath w/img ext
|
$4,039.80 |
$4,655.40 |
$9,337.20 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$4,359.60 |
$4,680.60 |
$13,276.80 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,913.40 |
$4,913.40 |
$12,594.00 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,657.00 |
$13,408.20 |
$15,196.20 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$6,775.20 |
$6,775.20 |
$6,775.20 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,437.60 |
$1,437.60 |
$1,437.60 |
$1,230.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$3,987.60 |
$3,987.60 |
$3,987.60 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$691.20 |
$691.20 |
$691.20 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$498.00 |
$790.20 |
$2,660.40 |
$758.52
|
|
Plerixafor injection
|
$1,570.80 |
$1,570.80 |
$1,667.40 |
$16,079.30
|
