|
Placement nephrostomy catheter (both sides)
|
$4,990.40 |
$4,990.40 |
$4,990.40 |
$3,933.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,774.40 |
$16,774.40 |
$16,774.40 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$7,705.60 |
$7,705.60 |
$7,705.60 |
$5,271.46
|
|
Place slctv cath carotd art uni
|
$2,379.20 |
$2,379.20 |
$2,379.20 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,203.20 |
$7,203.20 |
$7,203.20 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$9,074.40 |
$9,074.40 |
$9,074.40 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$6,162.40 |
$6,162.40 |
$6,162.40 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$10,416.00 |
$10,416.00 |
$10,416.00 |
$9,090.00
|
|
Plasma volume multiple
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,544.85
|
|
Platelets each unit
|
$197.60 |
$197.60 |
$197.60 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$262.40 |
$262.40 |
$262.40 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,005.65
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$14,556.80 |
$14,556.80 |
$14,556.80 |
$6,927.20
|
|
Plcmt dlyd xtn pros 1st vsl
|
$4,535.20 |
$4,535.20 |
$4,535.20 |
$3,793.50
|
|
Plethysmography lung volumes/airway resistance
|
$506.40 |
$506.40 |
$506.40 |
$408.05
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,254.40 |
$4,254.40 |
$4,254.40 |
$3,790.61
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$101.15 |
$101.15 |
$101.15 |
$62.79
|
|
Pq biliary strict dil s&i
|
$1,649.60 |
$1,649.60 |
$1,649.60 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$963.20 |
$963.20 |
$963.20 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$11,730.40 |
$11,730.40 |
$11,730.40 |
$10,173.15
|
|
Pq thr inj ext pse
|
$712.80 |
$712.80 |
$712.80 |
$781.62
|
|
Pr application of long arm splint
|
$292.00 |
$292.00 |
$292.00 |
$332.75
|
|
Pr application splint static short arm
|
$256.80 |
$256.80 |
$256.80 |
$288.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$38.40 |
$38.40 |
$38.40 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$3,475.20 |
$3,475.20 |
$3,475.20 |
$2,253.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$913.60 |
$913.60 |
$913.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$741.60 |
$741.60 |
$741.60 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$542.40 |
$542.40 |
$542.40 |
$459.00
|
|
Prepare penis study
|
$534.40 |
$534.40 |
$534.40 |
$275.52
|
|
Pressure max expiratory/inspiratory
|
$207.20 |
$207.20 |
$207.20 |
$243.69
|
|
Pressure velocity wire add ves
|
$1,395.20 |
$1,395.20 |
$1,395.20 |
$1,596.10
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,722.40 |
$1,722.40 |
$1,722.40 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$859.20 |
$859.20 |
$859.20 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$6,884.00 |
$6,884.00 |
$6,884.00 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,631.20 |
$3,631.20 |
$3,631.20 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$693.60 |
$693.60 |
$693.60 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$460.00 |
$460.00 |
$460.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$544.80 |
$544.80 |
$544.80 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$892.80 |
$892.80 |
$892.80 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$359.20 |
$359.20 |
$359.20 |
$253.55
|
|
Probe cryo 1150mm endo flex ster disp
|
$6,390.40 |
$6,390.40 |
$6,390.40 |
$7,350.00
|
|
Proctosigmoidoscopy dx 45300
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$1,078.88
|
|
Provide inr test mater/equip
|
$267.20 |
$267.20 |
$267.20 |
$250.08
|
|
Prq card revasc mi 1 vsl
|
$19,312.80 |
$19,312.80 |
$19,312.80 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$21,836.80 |
$21,836.80 |
$21,836.80 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$21,621.60 |
$21,621.60 |
$21,621.60 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$18,580.80 |
$18,580.80 |
$18,580.80 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$22,252.80 |
$22,252.80 |
$22,252.80 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$14,864.80 |
$14,864.80 |
$14,864.80 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$14,518.40 |
$14,518.40 |
$14,518.40 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$25,256.80 |
$25,256.80 |
$25,256.80 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$204.80 |
$204.80 |
$204.80 |
$252.00
|
|
Pr removal intrauterine device
|
$562.40 |
$562.40 |
$562.40 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$708.80 |
$708.80 |
$708.80 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$356.80 |
$356.80 |
$356.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$440.00 |
$440.00 |
$440.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$343.20 |
$343.20 |
$343.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$362.40 |
$362.40 |
$362.40 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$1,761.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$113.60 |
$113.60 |
$113.60 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$94.40 |
$94.40 |
$94.40 |
$81.48
|
|
Pt repositioning canalith procedure(s) per day
|
$238.40 |
$238.40 |
$238.40 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$94.40 |
$94.40 |
$94.40 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$126.40 |
$126.40 |
$126.40 |
$88.00
|
|
Pul art balloon repr percut
|
$5,341.60 |
$5,341.60 |
$5,341.60 |
$9,760.40
|
|
Pulmonary vent imaging
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$357.60 |
$357.60 |
$357.60 |
$347.11
|
|
Pulse ox multiple
|
$177.60 |
$177.60 |
$177.60 |
$157.30
|
|
Pulse ox single
|
$80.80 |
$80.80 |
$80.80 |
$84.00
|
|
Punc of shunt for asp or inj
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$100.00 |
$100.00 |
$100.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$492.00 |
$492.00 |
$492.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$921.60 |
$921.60 |
$921.60 |
$1,060.47
|
|
Quant diff pulm perf and vent w/imaging
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,199.16
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$4.92 |
$4.92 |
$4.92 |
$6.48
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,806.40 |
$2,806.40 |
$2,806.40 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,712.00 |
$3,712.00 |
$3,712.00 |
$2,719.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,669.60 |
$2,669.60 |
$2,669.60 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$949.60 |
$949.60 |
$949.60 |
$1,126.32
|
|
Rbc irradiated each unit
|
$573.60 |
$573.60 |
$573.60 |
$550.40
|
|
Red blood cells each unit
|
$459.20 |
$459.20 |
$459.20 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$449.60 |
$449.60 |
$449.60 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$748.80 |
$748.80 |
$748.80 |
$534.15
|
|
Red blood cells washed each unit
|
$783.20 |
$783.20 |
$783.20 |
$583.68
|
|
Red cell mass multiple
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$636.97
|
|
Relocation skin pocket pm
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$305.60 |
$305.60 |
$305.60 |
$324.00
|
|
Rem endovas vena cava filter
|
$8,036.80 |
$8,036.80 |
$8,036.80 |
$5,509.05
|
|
Removal central venous catheter tunneled without port/pump
|
$1,395.20 |
$1,395.20 |
$1,395.20 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,602.40 |
$2,602.40 |
$2,602.40 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$138.40 |
$138.40 |
$138.40 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$337.60 |
$337.60 |
$337.60 |
$255.97
|
|
Removal foreign body foot cmplx
|
$2,882.40 |
$2,882.40 |
$2,882.40 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$1,263.20 |
$1,263.20 |
$1,263.20 |
$1,260.80
|
|
Removal implant superficial separate procedure
|
$3,279.20 |
$3,279.20 |
$3,279.20 |
$3,065.04
|
|
Removal of foreign body
|
$5,639.20 |
$5,639.20 |
$5,639.20 |
$4,149.00
|
|
Removal/replacement ppm generator dual lead system
|
$17,815.20 |
$17,815.20 |
$17,815.20 |
$12,384.25
|
