|
Platelets leukocytes reduced each unit
|
$449.79 |
$449.79 |
$858.69 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$470.25 |
$470.25 |
$897.75 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$501.60 |
$501.60 |
$957.60 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$522.39 |
$522.39 |
$997.29 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$495.00 |
$495.00 |
$945.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$515.79 |
$515.79 |
$984.69 |
$1,278.55
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,759.80 |
$1,759.80 |
$1,935.78 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,477.60 |
$3,477.60 |
$3,825.36 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,812.60 |
$1,812.60 |
$1,993.86 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,812.60 |
$1,812.60 |
$1,993.86 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,012.50 |
$1,012.50 |
$1,113.75 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,012.50 |
$1,012.50 |
$1,113.75 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$1,273.80 |
$1,273.80 |
$1,273.80 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$961.20 |
$961.20 |
$1,057.32 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$760.20 |
$760.20 |
$836.22 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$609.00 |
$609.00 |
$669.90 |
$758.52
|
|
Plerixafor injection
|
$9,524.63 |
$9,524.63 |
$10,477.09 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$188.76 |
$188.76 |
$188.76 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$1,054.80 |
$1,054.80 |
$1,160.28 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$2,109.60 |
$2,109.60 |
$2,320.56 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,192.40 |
$2,192.40 |
$2,411.64 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$1,812.60 |
$1,812.60 |
$1,993.86 |
$5,104.20
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$78.87 |
$78.87 |
$150.57 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$4,077.50 |
$4,077.50 |
$4,485.25 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,015.80 |
$1,015.80 |
$1,117.38 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$1,191.00 |
$1,191.00 |
$1,310.10 |
$977.13
|
|
Potassium 24 hour urine
|
$14.19 |
$14.19 |
$27.09 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$14.03 |
$14.03 |
$15.43 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$10.08 |
$10.08 |
$15.18 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$673.20 |
$673.20 |
$740.52 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$2,632.08 |
$2,632.08 |
$2,632.08 |
$9,977.57
|
|
Pq thr inj ext pse
|
$307.80 |
$307.80 |
$338.58 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,165.20 |
$1,165.20 |
$1,281.72 |
$4,565.03
|
|
Pralatrexate injection
|
$12,762.34 |
$12,762.34 |
$14,038.58 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$88.64 |
$88.64 |
$97.51 |
$271.00
|
|
Pr application of long arm splint
|
$74.70 |
$74.70 |
$82.17 |
$329.00
|
|
Pr application splint static short arm
|
$61.80 |
$61.80 |
$67.98 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$186.90 |
$186.90 |
$205.59 |
$458.25
|
|
Prcrd drg 6+yr without anomly
|
$635.40 |
$635.40 |
$698.94 |
$2,253.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$92.10 |
$92.10 |
$101.31 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$83.16 |
$83.16 |
$83.16 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$123.48 |
$123.48 |
$123.48 |
$182.65
|
|
Prealbumin
|
$41.91 |
$41.91 |
$80.01 |
$93.36
|
|
Pr ecg 12 lead report only
|
$5.80 |
$5.80 |
$23.94 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$29.80 |
$29.80 |
$29.80 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.23 |
$1.23 |
$1.35 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.12 |
$1.12 |
$1.23 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$198.60 |
$198.60 |
$218.46 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$198.60 |
$198.60 |
$218.46 |
$539.37
|
|
Prep skin to 100cm2 other
|
$302.94 |
$302.94 |
$302.94 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$905.52 |
$905.52 |
$905.52 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$70.50 |
$70.50 |
$77.55 |
$238.33
|
|
Pressure velocity wire add ves
|
$466.20 |
$466.20 |
$512.82 |
$1,579.40
|
|
Pretreat rbc absorption reference
|
$62.70 |
$62.70 |
$119.70 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$66.00 |
$66.00 |
$126.00 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$62.70 |
$62.70 |
$119.70 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$49.50 |
$49.50 |
$94.50 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$207.90 |
$207.90 |
$207.90 |
$297.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$263.67 |
$263.67 |
$263.67 |
$779.35
|
|
Prgr stim/pace a/iv drug
|
$238.50 |
$238.50 |
$262.35 |
$4,601.35
|
|
Pr hospital ip/obs care initial high level per day
|
$173.25 |
$173.25 |
$173.25 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$157.50 |
$157.50 |
$157.50 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$141.75 |
$141.75 |
$141.75 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$173.25 |
$173.25 |
$173.25 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$157.50 |
$157.50 |
$157.50 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$141.75 |
$141.75 |
$141.75 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$2,094.60 |
$2,094.60 |
$2,304.06 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$497.70 |
$497.70 |
$547.47 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$288.09 |
$288.09 |
$288.09 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$250.47 |
$250.47 |
$250.47 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$301.95 |
$301.95 |
$301.95 |
$586.80
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,525.00 |
$3,525.00 |
$3,877.50 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$613.44 |
$613.44 |
$674.78 |
$670.00
|
|
Procalcitonin
|
$54.78 |
$54.78 |
$104.58 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.44 |
$11.44 |
$12.58 |
$36.72
|
|
Progesterone
|
$69.30 |
$69.30 |
$132.30 |
$115.64
|
|
Prolactin
|
$64.35 |
$64.35 |
$122.85 |
$123.50
|
|
Prolonged IV inf, req pump
|
$149.70 |
$149.70 |
$164.67 |
$557.50
|
|
Promethazine hcl injection
|
$183.50 |
$183.50 |
$201.85 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$16.82 |
$16.82 |
$18.50 |
$32.93
|
|
Prostate biopsy, any mthd
|
$194.04 |
$194.04 |
$370.44 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$69.34 |
$69.34 |
$76.27 |
$57.89
|
|
Protein c activity
|
$43.89 |
$43.89 |
$83.79 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$10.23 |
$10.23 |
$19.53 |
$84.00
|
|
Protein s total
|
$15.18 |
$15.18 |
$28.98 |
$83.52
|
|
Protein total 24 hour urine
|
$12.21 |
$12.21 |
$23.31 |
$52.50
|
|
Protein total body fluid
|
$18.81 |
$18.81 |
$35.91 |
$49.80
|
|
Protein total serum plasma whole blood
|
$11.55 |
$11.55 |
$22.05 |
$42.81
|
|
Prothrombin complex kcentra
|
$6.27 |
$6.27 |
$6.90 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$57.09 |
$57.09 |
$108.99 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$3,599.70 |
$3,599.70 |
$3,959.67 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$5,548.80 |
$5,548.80 |
$6,103.68 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,047.80 |
$5,047.80 |
$5,552.58 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$5,047.80 |
$5,047.80 |
$5,552.58 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$8,015.70 |
$8,015.70 |
$8,817.27 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$8,015.70 |
$8,015.70 |
$8,817.27 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$2,488.80 |
$2,488.80 |
$2,737.68 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$5,047.80 |
$5,047.80 |
$5,552.58 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$5,047.80 |
$5,047.80 |
$5,552.58 |
$15,349.60
|