|
Phlebotomy therapeutic
|
$69.90 |
$69.90 |
$69.90 |
$231.66
|
|
Phosphorus
|
$13.20 |
$13.20 |
$13.20 |
$48.80
|
|
Phosphorus 24 hour urine
|
$15.60 |
$15.60 |
$15.60 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$74.52 |
$74.52 |
$74.52 |
$87.50
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$456.00 |
$456.00 |
$456.00 |
$1,116.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$33.95 |
$33.95 |
$33.95 |
$83.03
|
|
Place cath xtrnl carotid
|
$597.00 |
$597.00 |
$597.00 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$501.00 |
$501.00 |
$501.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$759.30 |
$759.30 |
$759.30 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$368.10 |
$368.10 |
$368.10 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$609.00 |
$609.00 |
$609.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,217.40 |
$1,217.40 |
$1,217.40 |
$3,873.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$1,451.70 |
$1,451.70 |
$1,451.70 |
$5,053.33
|
|
Place slctv cath carotd art uni
|
$5,116.50 |
$5,116.50 |
$5,116.50 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$2,903.40 |
$2,903.40 |
$2,903.40 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,116.50 |
$5,116.50 |
$5,116.50 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$2,903.40 |
$2,903.40 |
$2,903.40 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$5,116.50 |
$5,116.50 |
$5,116.50 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$66.90 |
$66.90 |
$66.90 |
$157.95
|
|
Platelet aggregation each agent teg
|
$102.30 |
$102.30 |
$102.30 |
$148.80
|
|
Platelet automated
|
$13.50 |
$13.50 |
$13.50 |
$45.60
|
|
Platelets leukocytes reduced each unit
|
$408.90 |
$408.90 |
$408.90 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$427.50 |
$427.50 |
$427.50 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$456.00 |
$456.00 |
$456.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$474.90 |
$474.90 |
$474.90 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$450.00 |
$450.00 |
$450.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$468.90 |
$468.90 |
$468.90 |
$1,278.55
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$751.30
|
|
Plc pq device breast ea addl lesion MRI guide
|
$961.20 |
$961.20 |
$961.20 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$760.20 |
$760.20 |
$760.20 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$609.00 |
$609.00 |
$609.00 |
$758.52
|
|
Plerixafor injection
|
$9,524.63 |
$9,524.63 |
$9,524.63 |
$16,079.30
|
|
Plmt access bil tree sm bwl
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$2,109.60 |
$2,109.60 |
$2,109.60 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,192.40 |
$2,192.40 |
$2,192.40 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$5,104.20
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$4,077.50 |
$4,077.50 |
$4,077.50 |
$35,781.91
|
|
Postop app non-wgt bear dsg
|
$1,064.87 |
$1,064.87 |
$1,064.87 |
$977.13
|
|
Potassium 24 hour urine
|
$12.90 |
$12.90 |
$12.90 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$14.03 |
$14.03 |
$14.03 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$4.80 |
$4.80 |
$4.80 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$673.20 |
$673.20 |
$673.20 |
$720.00
|
|
Pq thr inj ext pse
|
$307.80 |
$307.80 |
$307.80 |
$775.00
|
|
Pralatrexate injection
|
$12,762.34 |
$12,762.34 |
$12,762.34 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$88.64 |
$88.64 |
$88.64 |
$271.00
|
|
Pr application of long arm splint
|
$74.70 |
$74.70 |
$74.70 |
$329.00
|
|
Pr application splint static short arm
|
$61.80 |
$61.80 |
$61.80 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$186.90 |
$186.90 |
$186.90 |
$458.25
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$92.10 |
$92.10 |
$92.10 |
$351.60
|
|
Prealbumin
|
$38.10 |
$38.10 |
$38.10 |
$93.36
|
|
Pr ecg 12 lead report only
|
$5.27 |
$5.27 |
$5.27 |
$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 |
$1.23 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.12 |
$1.12 |
$1.12 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$198.60 |
$198.60 |
$198.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$198.60 |
$198.60 |
$198.60 |
$539.37
|
|
Prep skin to 100cm2 other
|
$275.40 |
$275.40 |
$275.40 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$823.20 |
$823.20 |
$823.20 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$70.50 |
$70.50 |
$70.50 |
$238.33
|
|
Pressure velocity wire add ves
|
$466.20 |
$466.20 |
$466.20 |
$1,579.40
|
|
Pretreat rbc absorption reference
|
$57.00 |
$57.00 |
$57.00 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$60.00 |
$60.00 |
$60.00 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$57.00 |
$57.00 |
$57.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$45.00 |
$45.00 |
$45.00 |
$167.05
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$239.70 |
$239.70 |
$239.70 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$1,047.30 |
$1,047.30 |
$1,047.30 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$497.70 |
$497.70 |
$497.70 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$261.90 |
$261.90 |
$261.90 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$227.70 |
$227.70 |
$227.70 |
$467.85
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$274.50 |
$274.50 |
$274.50 |
$586.80
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$613.44 |
$613.44 |
$613.44 |
$670.00
|
|
Procalcitonin
|
$49.80 |
$49.80 |
$49.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.44 |
$11.44 |
$11.44 |
$36.72
|
|
Progesterone
|
$63.00 |
$63.00 |
$63.00 |
$115.64
|
|
Prolactin
|
$58.50 |
$58.50 |
$58.50 |
$123.50
|
|
Prolonged IV inf, req pump
|
$149.70 |
$149.70 |
$149.70 |
$557.50
|
|
Promethazine hcl injection
|
$183.50 |
$183.50 |
$183.50 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$16.82 |
$16.82 |
$16.82 |
$32.93
|
|
Prostate biopsy, any mthd
|
$176.40 |
$176.40 |
$176.40 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$69.34 |
$69.34 |
$69.34 |
$57.89
|
|
Protein c activity
|
$39.90 |
$39.90 |
$39.90 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$9.30 |
$9.30 |
$9.30 |
$84.00
|
|
Protein s total
|
$13.80 |
$13.80 |
$13.80 |
$83.52
|
|
Protein total 24 hour urine
|
$11.10 |
$11.10 |
$11.10 |
$52.50
|
|
Protein total body fluid
|
$17.10 |
$17.10 |
$17.10 |
$49.80
|
|
Protein total serum plasma whole blood
|
$10.50 |
$10.50 |
$10.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$6.27 |
$6.27 |
$6.27 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$51.90 |
$51.90 |
$51.90 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$3,599.70 |
$3,599.70 |
$3,599.70 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$5,548.80 |
$5,548.80 |
$5,548.80 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$8,015.70 |
$8,015.70 |
$8,015.70 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$8,015.70 |
$8,015.70 |
$8,015.70 |
$15,296.00
|