|
Place slctv cath carotid/inom art excrn uni
|
$6,360.60 |
$6,360.60 |
$6,360.60 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$10,549.80 |
$10,549.80 |
$10,549.80 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$6,360.60 |
$6,360.60 |
$6,360.60 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$10,549.80 |
$10,549.80 |
$10,549.80 |
$9,200.62
|
|
Plasma cryoprecipitate reduced each unit
|
$130.80 |
$130.80 |
$130.80 |
$163.04
|
|
Platelet aggregation each agent teg
|
$126.00 |
$126.00 |
$126.00 |
$148.98
|
|
Platelet automated
|
$23.40 |
$23.40 |
$23.40 |
$45.76
|
|
Platelet pheresis irr ea
|
$991.80 |
$991.80 |
$991.80 |
$1,108.52
|
|
Platelets each unit
|
$154.80 |
$154.80 |
$154.80 |
$169.29
|
|
Platelets irradiated ea unit
|
$199.80 |
$199.80 |
$199.80 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$181.80 |
$181.80 |
$181.80 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$310.20 |
$310.20 |
$310.20 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$715.80 |
$715.80 |
$715.80 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$908.40 |
$908.40 |
$908.40 |
$1,288.20
|
|
Plcmnt biliary drainage cath w/img ext
|
$7,503.60 |
$7,503.60 |
$7,503.60 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$16,133.40 |
$16,133.40 |
$16,133.40 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$7,729.80 |
$7,729.80 |
$7,729.80 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$7,729.80 |
$7,729.80 |
$7,729.80 |
$5,590.00
|
|
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 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$762.60 |
$762.60 |
$762.60 |
$411.51
|
|
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 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$7,729.80 |
$7,729.80 |
$7,729.80 |
$5,151.51
|
|
Pm phone r-strip device eval
|
$254.40 |
$254.40 |
$254.40 |
$139.10
|
|
#pnh-flow cytometry interp
|
$165.60 |
$165.60 |
$165.60 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$243.00 |
$243.00 |
$243.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$10,525.80 |
$10,525.80 |
$10,525.80 |
$35,781.91
|
|
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 |
$51.10
|
|
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 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$18,813.00 |
$18,813.00 |
$18,813.00 |
$10,195.00
|
|
Pq thr inj ext pse
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$4,664.99
|
|
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 |
$334.08
|
|
Pr application splint static short arm
|
$406.20 |
$406.20 |
$406.20 |
$288.51
|
|
Pr biopsy skin punch single lesion
|
$690.60 |
$690.60 |
$690.60 |
$458.25
|
|
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
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$256.20 |
$256.20 |
$256.20 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$274.20 |
$274.20 |
$274.20 |
$178.75
|
|
Prealbumin
|
$74.40 |
$74.40 |
$74.40 |
$94.00
|
|
Pr ecg 12 lead report only
|
$22.20 |
$22.20 |
$22.20 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$129.00 |
$129.00 |
$129.00 |
$51.75
|
|
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 cadaver renal allograft
|
$2,292.60 |
$2,292.60 |
$2,292.60 |
$476.00
|
|
Prep donor pancreas
|
$1,720.20 |
$1,720.20 |
$1,720.20 |
$212.42
|
|
Prep donor pancreas/venous
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$325.54
|
|
Prep donor renal graft
|
$2,292.60 |
$2,292.60 |
$2,292.60 |
$415.20
|
|
Prep renal graft/arterial
|
$725.40 |
$725.40 |
$725.40 |
$466.40
|
|
Prep renal graft/venous
|
$999.00 |
$999.00 |
$999.00 |
$532.00
|
|
Pressure max expiratory/inspiratory
|
$279.00 |
$279.00 |
$279.00 |
$243.75
|
|
Pressure velocity wire add ves
|
$3,046.80 |
$3,046.80 |
$3,046.80 |
$1,618.20
|
|
Pretreat rbc w chem/drugs reference
|
$48.00 |
$48.00 |
$48.00 |
$114.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$351.60 |
$351.60 |
$351.60 |
$308.00
|
|
Prev med cnsl indiv apprx 15
|
$55.20 |
$55.20 |
$55.20 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$76.80 |
$76.80 |
$76.80 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$352.80 |
$352.80 |
$352.80 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$148.80 |
$148.80 |
$148.80 |
$209.40
|
|
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 |
$780.60
|
|
Prgr stim/pace a/iv drug
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$4,540.00
|
|
Pr hospital ip/obs care initial high level per day
|
$584.40 |
$584.40 |
$584.40 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$420.00 |
$420.00 |
$420.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$277.80 |
$277.80 |
$277.80 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$296.40 |
$296.40 |
$296.40 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$205.20 |
$205.20 |
$205.20 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$134.40 |
$134.40 |
$134.40 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$9,877.80 |
$9,877.80 |
$9,877.80 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$955.80 |
$955.80 |
$955.80 |
$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 |
$605.28
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$255.00 |
$255.00 |
$255.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$831.60 |
$831.60 |
$831.60 |
$255.00
|
|
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 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.60 |
$0.60 |
$0.60 |
$2.09
|
|
Proctosigmoidoscopy dx 45300
|
$1,420.20 |
$1,420.20 |
$1,420.20 |
$1,078.88
|
|
Progesterone
|
$105.00 |
$105.00 |
$105.00 |
$116.00
|
|
Prolactin
|
$98.40 |
$98.40 |
$98.40 |
$123.50
|
