|
Pelvic Ultrasound (limited)
|
$560.92 |
$560.92 |
$560.92 |
$435.13
|
|
Pelvis X-ray (1 to 2 views)
|
$411.44 |
$411.44 |
$411.44 |
$281.40
|
|
Pelvis X-ray (complete, 4 or more views)
|
$513.56 |
$513.56 |
$513.56 |
$349.57
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$688.16 |
$688.16 |
$688.16 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$50.05 |
$50.05 |
$50.05 |
$97.85
|
|
Penile injection
|
$54.34 |
$54.34 |
$54.34 |
$418.86
|
|
Penile vascular study
|
$43.16 |
$43.16 |
$43.16 |
$561.00
|
|
Penile vascular study
|
$373.70 |
$373.70 |
$373.70 |
$574.60
|
|
Penile venous occlusion
|
$355.16 |
$355.16 |
$355.16 |
$4,081.37
|
|
Penis plastic surgery
|
$527.02 |
$527.02 |
$527.02 |
$4,081.37
|
|
Penis study
|
$47.06 |
$47.06 |
$47.06 |
$368.50
|
|
Perc cryo ablate renal tum
|
$29,276.62 |
$29,276.62 |
$29,276.62 |
$11,533.76
|
|
Perc d-e cor revasc chro add
|
$15,605.12 |
$15,605.12 |
$15,605.12 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$15,605.12 |
$15,605.12 |
$15,605.12 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$31,889.56 |
$31,889.56 |
$31,889.56 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$15,605.12 |
$15,605.12 |
$15,605.12 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$18,195.12 |
$18,195.12 |
$18,195.12 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$31,889.56 |
$31,889.56 |
$31,889.56 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$16,405.80 |
$16,405.80 |
$16,405.80 |
$7,243.60
|
|
Percut ablate liver rf
|
$16,405.80 |
$16,405.80 |
$16,405.80 |
$6,904.15
|
|
Percutaneous islet celltrans
|
$415.48 |
$415.48 |
$415.48 |
$1,729.73
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$337.39 |
$337.39 |
$337.39 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$5,460.46 |
$5,460.46 |
$5,460.46 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$1,775.54 |
$1,775.54 |
$1,775.54 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$4,368.22 |
$4,368.22 |
$4,368.22 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$4,482.18 |
$4,482.18 |
$4,482.18 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$522.60 |
$522.60 |
$522.60 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$198.12 |
$198.12 |
$198.12 |
$3,720.50
|
|
Peri-proc device eval icd
|
$15.60 |
$15.60 |
$15.60 |
$184.60
|
|
Peri-proc device eval pm
|
$10.40 |
$10.40 |
$10.40 |
$151.92
|
|
Peritoneal cath sub q resv per
|
$302.12 |
$302.12 |
$302.12 |
$5,625.74
|
|
Peritoneogram rs&i
|
$15.86 |
$15.86 |
$15.86 |
$698.50
|
|
Perit-vens shunt pat tst
|
$988.64 |
$988.64 |
$988.64 |
$787.20
|
|
Perq art m-thrombect &/nfs
|
$15,073.80 |
$15,073.80 |
$15,073.80 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$556.40 |
$556.40 |
$556.40 |
$8,767.54
|
|
Perq dev breast 1st mr guide
|
$1,978.02 |
$1,978.02 |
$1,978.02 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$71.50 |
$71.50 |
$71.50 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$818.48 |
$818.48 |
$818.48 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$508.56 |
$508.56 |
$508.56 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$31,889.56 |
$31,889.56 |
$31,889.56 |
$18,599.75
|
|
Perq p-art revsc 1 abnor uni
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$31,889.56 |
$31,889.56 |
$31,889.56 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$31,889.56 |
$31,889.56 |
$31,889.56 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$23,917.54 |
$23,917.54 |
$23,917.54 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$16,405.80 |
$16,405.80 |
$16,405.80 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$16,405.80 |
$16,405.80 |
$16,405.80 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$16,405.80 |
$16,405.80 |
$16,405.80 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$748.14 |
$748.14 |
$748.14 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$398.58 |
$398.58 |
$398.58 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$365.04 |
$365.04 |
$365.04 |
$3,839.54
|
|
Perq transcath closure each
|
$37,870.98 |
$37,870.98 |
$37,870.98 |
$9,204.00
|
|
Perq transcath closure pda
|
$471.64 |
$471.64 |
$471.64 |
$18,408.00
|
|
Perq transcath cls aortic
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$22,779.00
|
|
Perq transcath cls mitral
|
$50,494.64 |
$50,494.64 |
$50,494.64 |
$23,883.21
|
|
Perq transcath septal reduxn
|
$528.84 |
$528.84 |
$528.84 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$414.18 |
$414.18 |
$414.18 |
$6,658.00
|
|
Perq tx big toe fracture w/manip 28496
|
$203.58 |
$203.58 |
$203.58 |
$3,981.06
|
|
Perq tx malar fracture
|
$240.50 |
$240.50 |
$240.50 |
$4,627.00
|
|
Perq tx mndblr fx xtrnl fixj
|
$320.32 |
$320.32 |
$320.32 |
$6,547.81
|
|
Perq tx nasoethmoid fx
|
$551.72 |
$551.72 |
$551.72 |
$4,558.89
|
|
Pertussis ag if
|
$9.36 |
$9.36 |
$9.36 |
$65.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$20.80 |
$20.80 |
$20.80 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$82.68 |
$82.68 |
$82.68 |
$4,707.00
|
|
Pet CT whole body initial
|
$83.20 |
$83.20 |
$83.20 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$49.92 |
$49.92 |
$49.92 |
$4,060.00
|
|
Pet image full body
|
$66.30 |
$66.30 |
$66.30 |
$5,148.14
|
|
Pet image ltd area
|
$51.74 |
$51.74 |
$51.74 |
$3,809.11
|
|
Pet image skull-thigh
|
$7,178.00 |
$7,178.00 |
$7,178.00 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$73.84 |
$73.84 |
$73.84 |
$4,366.50
|
|
Pet scan brain perf study
|
$286.00 |
$286.00 |
$286.00 |
$3,724.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$65,869.44 |
$65,869.44 |
$65,869.44 |
$40,252.07
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$16.64 |
$16.64 |
$16.64 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$23.40 |
$23.40 |
$23.40 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$8.58 |
$8.58 |
$8.58 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$206.44 |
$206.44 |
$206.44 |
$2,508.80
|
|
Pharmacologic management w/psytx
|
$18.20 |
$18.20 |
$18.20 |
$78.96
|
|
Ph body fluid
|
$22.20 |
$22.20 |
$22.20 |
$41.60
|
|
Phencyclidine (pcp)
|
$185.00 |
$185.00 |
$185.00 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$23.98 |
$23.98 |
$23.98 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$96.94 |
$96.94 |
$96.94 |
$105.00
|
|
Phentolaine mesylate inj
|
$445.87 |
$445.87 |
$445.87 |
$1,028.40
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.82 |
$1.82 |
$1.82 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$83.62 |
$83.62 |
$83.62 |
$110.88
|
|
Phlebotomy therapeutic
|
$362.60 |
$362.60 |
$362.60 |
$235.11
|
|
Phleb veins 1 extrm 10-20 stab
|
$193.44 |
$193.44 |
$193.44 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$238.94 |
$238.94 |
$238.94 |
$4,516.05
|
|
Phone e/m phys/qhp 11-20 min
|
$48.62 |
$48.62 |
$48.62 |
$155.60
|
|
Phone e/m phys/qhp 21-30 min
|
$72.02 |
$72.02 |
$72.02 |
$187.00
|
|
Phone e/m phys/qhp 5-10 min
|
$26.00 |
$26.00 |
$26.00 |
$55.97
|
|
Phosphorus
|
$30.34 |
$30.34 |
$30.34 |
$48.60
|
|
Phosphorus 24 hour urine
|
$36.26 |
$36.26 |
$36.26 |
$42.25
|
|
Photodynamic tx addl 15 min
|
$18.20 |
$18.20 |
$18.20 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$39.26 |
$39.26 |
$39.26 |
$582.40
|
|
Photopheresis
|
$13,174.96 |
$13,174.96 |
$13,174.96 |
$7,967.00
|
|
Phys blood bank serv authrj
|
$34.84 |
$34.84 |
$34.84 |
$97.60
|
|
Phys blood bank serv reactj
|
$35.10 |
$35.10 |
$35.10 |
$207.50
|
|
Phys blood bank serv xmatch
|
$34.84 |
$34.84 |
$34.84 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$615.68 |
$615.68 |
$615.68 |
$292.80
|