|
Place slctv cath subclavian art
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$10,467.20 |
$10,467.20 |
$10,467.20 |
$9,200.62
|
|
Plastic mod low ext pad/line
|
$225.60 |
$225.60 |
$225.60 |
$241.54
|
|
Platelet pheresis each unit
|
$1,389.60 |
$1,389.60 |
$1,389.60 |
$1,015.50
|
|
Platelet pheresis irr ea
|
$1,864.00 |
$1,864.00 |
$1,864.00 |
$1,108.52
|
|
Platelets each unit
|
$593.60 |
$593.60 |
$593.60 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$2,304.80 |
$2,304.80 |
$2,304.80 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$276.80 |
$276.80 |
$276.80 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$396.80 |
$396.80 |
$396.80 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,288.20
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,284.80 |
$5,284.80 |
$5,284.80 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$14,277.60 |
$14,277.60 |
$14,277.60 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$6,628.00 |
$6,628.00 |
$6,628.00 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$7,955.20 |
$7,955.20 |
$7,955.20 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$12,996.80 |
$12,996.80 |
$12,996.80 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
$1,230.00
|
|
Plcmt xtn pros evasc rpr per vsl
|
$5,394.40 |
$5,394.40 |
$5,394.40 |
$3,473.00
|
|
Plethysmography lung volumes/airway resistance
|
$567.20 |
$567.20 |
$567.20 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$5,510.40 |
$5,510.40 |
$5,510.40 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$5,284.80 |
$5,284.80 |
$5,284.80 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,747.20 |
$5,747.20 |
$5,747.20 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$6,864.00 |
$6,864.00 |
$6,864.00 |
$5,151.51
|
|
Polysom <6 yrs cpap/bilvl
|
$5,164.00 |
$5,164.00 |
$5,164.00 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,358.40 |
$5,358.40 |
$5,358.40 |
$3,785.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$337.20 |
$337.20 |
$337.20 |
$61.80
|
|
Pq biliary strict dil s&i
|
$1,772.80 |
$1,772.80 |
$1,772.80 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$12,624.00 |
$12,624.00 |
$12,624.00 |
$10,195.00
|
|
Pq thr inj ext pse
|
$1,127.20 |
$1,127.20 |
$1,127.20 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,439.20 |
$4,439.20 |
$4,439.20 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$7,684.00 |
$7,684.00 |
$7,684.00 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$7,352.00 |
$7,352.00 |
$7,352.00 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$376.04 |
$376.04 |
$376.04 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,582.40 |
$3,582.40 |
$3,582.40 |
$3,738.90
|
|
Pr application of long arm splint
|
$405.60 |
$405.60 |
$405.60 |
$334.08
|
|
Pr application splint static short arm
|
$360.00 |
$360.00 |
$360.00 |
$288.51
|
|
Pr biopsy skin punch single lesion
|
$520.80 |
$520.80 |
$520.80 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$53.60 |
$53.60 |
$53.60 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,245.60 |
$3,245.60 |
$3,245.60 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$3,475.20 |
$3,475.20 |
$3,475.20 |
$2,253.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$20.08 |
$20.08 |
$20.08 |
$13.80
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$960.00 |
$960.00 |
$960.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$984.80 |
$984.80 |
$984.80 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$548.00 |
$548.00 |
$548.00 |
$459.00
|
|
Prepare penis study
|
$628.80 |
$628.80 |
$628.80 |
$275.52
|
|
Prep skin to 100cm2 other
|
$3,065.60 |
$3,065.60 |
$3,065.60 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,346.40 |
$3,346.40 |
$3,346.40 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$1,901.60 |
$1,901.60 |
$1,901.60 |
$243.75
|
|
Pressure velocity wire add ves
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,618.20
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$308.00 |
$308.00 |
$308.00 |
$308.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,263.20 |
$3,263.20 |
$3,263.20 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,158.40 |
$1,158.40 |
$1,158.40 |
$780.60
|
|
Prgrmg eval implantable dfb
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$181.35
|
|
Prgr stim/pace a/iv drug
|
$3,859.20 |
$3,859.20 |
$3,859.20 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$10,380.80 |
$10,380.80 |
$10,380.80 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$7,024.80 |
$7,024.80 |
$7,024.80 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$752.80 |
$752.80 |
$752.80 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$536.00 |
$536.00 |
$536.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$512.80 |
$512.80 |
$512.80 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$855.20 |
$855.20 |
$855.20 |
$605.28
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$264.80 |
$264.80 |
$264.80 |
$255.00
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$5,412.80 |
$5,412.80 |
$5,412.80 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$9,503.20 |
$9,503.20 |
$9,503.20 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$315.63 |
$315.63 |
$315.63 |
$674.78
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$321.14 |
$321.14 |
$321.14 |
$38.32
|
|
Proctosigmoidoscopy dx 45300
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$1,078.88
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$5,040.80 |
$5,040.80 |
$5,040.80 |
$3,245.23
|
|
Propofol infusion 10 mg/ml
|
$331.36 |
$331.36 |
$331.36 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$314.80 |
$314.80 |
$314.80 |
$33.31
|
|
Pros sock single ply ak
|
$29.60 |
$29.60 |
$29.60 |
$14.00
|
|
Prosthesis voc advantage 20f 14mm
|
$2,944.00 |
$2,944.00 |
$2,944.00 |
$1,088.12
|
|
Prosthesis voc lopres 20f 22mm
|
$612.00 |
$612.00 |
$612.00 |
$622.73
|
|
Protamine 10 mg/ml intravenous solution
|
$190.95 |
$190.95 |
$190.95 |
$56.70
|
|
Prothrombin complex kcentra
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$6.98
|
|
Provide inr test mater/equip
|
$259.20 |
$259.20 |
$259.20 |
$250.08
|
|
Prq card revasc mi 1 vsl
|
$25,937.60 |
$25,937.60 |
$25,937.60 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$27,753.60 |
$27,753.60 |
$27,753.60 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$25,937.60 |
$25,937.60 |
$25,937.60 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$22,156.80 |
$22,156.80 |
$22,156.80 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$28,000.00 |
$28,000.00 |
$28,000.00 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$24,996.00 |
$24,996.00 |
$24,996.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$14,700.00 |
$14,700.00 |
$14,700.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$20,373.60 |
$20,373.60 |
$20,373.60 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$27,701.60 |
$27,701.60 |
$27,701.60 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$311.20 |
$311.20 |
$311.20 |
$252.00
|
|
Pr removal intrauterine device
|
$503.20 |
$503.20 |
$503.20 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$679.20 |
$679.20 |
$679.20 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$514.40 |
$514.40 |
$514.40 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$514.40 |
$514.40 |
$514.40 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$514.40 |
$514.40 |
$514.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$514.40 |
$514.40 |
$514.40 |
$397.80
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$3,218.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,042.40 |
$1,042.40 |
$1,042.40 |
$1,761.00
|
|
Psychoanalysis
|
$467.20 |
$467.20 |
$467.20 |
$250.85
|
|
Psychotherapy group therapy
|
$212.80 |
$212.80 |
$212.80 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$196.00 |
$196.00 |
$196.00 |
$189.21
|
