|
Perq transcath septal reduxn
|
$3,289.13 |
$3,289.13 |
$3,289.13 |
$8,828.16
|
|
Pertuzumab 30 mg/ml desensitization
|
$756.68 |
$756.68 |
$756.68 |
$18,443.20
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$745.15 |
$745.15 |
$745.15 |
$113.84
|
|
Pet CT skull-mid thgh initial
|
$2,270.10 |
$2,270.10 |
$2,270.10 |
$4,854.75
|
|
Pet CT whole body initial
|
$2,315.60 |
$2,315.60 |
$2,315.60 |
$5,017.50
|
|
Pet image ltd area
|
$1,327.55 |
$1,327.55 |
$1,327.55 |
$2,519.20
|
|
Pfc sigma fem post aug sz3 8mm
|
$30,838.33 |
$30,838.33 |
$30,838.33 |
$30,838.33
|
|
Ph body fluid
|
$25.20 |
$25.20 |
$25.20 |
$39.20
|
|
Phencyclidine (pcp)
|
$3.68 |
$3.68 |
$3.68 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$2.33 |
$2.33 |
$2.33 |
$124.21
|
|
Phenobarbital therapeutic drug level
|
$43.75 |
$43.75 |
$43.75 |
$104.50
|
|
Phentolaine mesylate inj
|
$68.17 |
$68.17 |
$68.17 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$1.06 |
$1.06 |
$1.06 |
$56.70
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.23 |
$0.23 |
$0.23 |
$21.17
|
|
Phenytoin total therapeutic drug level
|
$55.48 |
$55.48 |
$55.48 |
$111.27
|
|
Phlebotomy therapeutic
|
$77.88 |
$77.88 |
$77.88 |
$249.00
|
|
Phosphorus
|
$44.63 |
$44.63 |
$44.63 |
$47.81
|
|
Phosphorus 24 hour urine
|
$17.68 |
$17.68 |
$17.68 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$7.25 |
$7.25 |
$7.25 |
$85.79
|
|
Pin caspar distraction 12mm
|
$11,520.43 |
$11,520.43 |
$11,520.43 |
$9,784.88
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$328.13 |
$328.13 |
$328.13 |
$1,016.25
|
|
Pinworm exam
|
$2.72 |
$2.72 |
$2.72 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$1.86 |
$1.86 |
$1.86 |
$89.80
|
|
Place cath intracranial art
|
$893.55 |
$893.55 |
$893.55 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$658.53 |
$658.53 |
$658.53 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$295.75 |
$295.75 |
$295.75 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,307.43 |
$1,307.43 |
$1,307.43 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$536.03 |
$536.03 |
$536.03 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$607.43 |
$607.43 |
$607.43 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$814.28 |
$814.28 |
$814.28 |
$4,450.11
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$2,736.83 |
$2,736.83 |
$2,736.83 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$1,081.68 |
$1,081.68 |
$1,081.68 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$2,022.30 |
$2,022.30 |
$2,022.30 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,567.65 |
$1,567.65 |
$1,567.65 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$1,802.85 |
$1,802.85 |
$1,802.85 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$1,787.28 |
$1,787.28 |
$1,787.28 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$2,022.30 |
$2,022.30 |
$2,022.30 |
$9,472.00
|
|
Plasmaprotein fract,5%,250ml
|
$134.05 |
$134.05 |
$134.05 |
$127.32
|
|
Platelet automated
|
$47.78 |
$47.78 |
$47.78 |
$44.00
|
|
Platelet pheresis irr ea
|
$1,030.93 |
$1,030.93 |
$1,030.93 |
$980.70
|
|
Platelets each unit
|
$89.78 |
$89.78 |
$89.78 |
$158.73
|
|
Platelets leukocytes reduced each unit
|
$920.68 |
$920.68 |
$920.68 |
$274.95
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,062.43 |
$1,062.43 |
$1,062.43 |
$397.15
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,147.30 |
$1,147.30 |
$1,147.30 |
$1,146.75
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,062.43 |
$1,062.43 |
$1,062.43 |
$1,278.55
|
|
Plcmnt biliary drainage cath w/img ext
|
$578.90 |
$578.90 |
$578.90 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$2,158.63 |
$2,158.63 |
$2,158.63 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,003.45 |
$1,003.45 |
$1,003.45 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,048.60 |
$1,048.60 |
$1,048.60 |
$6,048.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,405.78 |
$1,405.78 |
$1,405.78 |
$4,002.00
|
|
Plcmt xtn pros evasc rpr per vsl
|
$27.65 |
$27.65 |
$27.65 |
$3,969.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$264.78 |
$264.78 |
$264.78 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$832.13 |
$832.13 |
$832.13 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$260.40 |
$260.40 |
$260.40 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$118.30 |
$118.30 |
$118.30 |
$411.51
|
|
Plmt biliary drainage cath
|
$1,293.78 |
$1,293.78 |
$1,293.78 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$1,349.08 |
$1,349.08 |
$1,349.08 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$1,003.45 |
$1,003.45 |
$1,003.45 |
$5,419.00
|
|
#pnh-flow cytometry interp
|
$40.08 |
$40.08 |
$40.08 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$101.85 |
$101.85 |
$101.85 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,094.58 |
$2,094.58 |
$2,094.58 |
$4,293.60
|
|
Positional nystagmus test
|
$5.25 |
$5.25 |
$5.25 |
$109.44
|
|
Potassium 24 hour urine
|
$21.70 |
$21.70 |
$21.70 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$0.62 |
$0.62 |
$0.62 |
$65.00
|
|
Potassium serum/plasma/whole blood
|
$42.53 |
$42.53 |
$42.53 |
$44.64
|
|
Pq biliary strict dil s&i
|
$386.58 |
$386.58 |
$386.58 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$356.30 |
$356.30 |
$356.30 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$3,022.95 |
$3,022.95 |
$3,022.95 |
$10,430.78
|
|
Pq thr inj ext pse
|
$227.15 |
$227.15 |
$227.15 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,097.08 |
$1,097.08 |
$1,097.08 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,401.75 |
$1,401.75 |
$1,401.75 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,401.75 |
$1,401.75 |
$1,401.75 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$14.88 |
$14.88 |
$14.88 |
$379.27
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,028.13 |
$1,028.13 |
$1,028.13 |
$3,761.65
|
|
Pr application of long arm splint
|
$122.33 |
$122.33 |
$122.33 |
$332.75
|
|
Pr application splint static short arm
|
$125.83 |
$125.83 |
$125.83 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$1.58 |
$1.58 |
$1.58 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$85.75 |
$85.75 |
$85.75 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$14.18 |
$14.18 |
$14.18 |
$48.71
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$117.08 |
$117.08 |
$117.08 |
$4,555.88
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$218.40 |
$218.40 |
$218.40 |
$356.40
|
|
Prealbumin
|
$47.95 |
$47.95 |
$47.95 |
$87.20
|
|
Pr ecg 12 lead report only
|
$9.45 |
$9.45 |
$9.45 |
$19.20
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$63.35 |
$63.35 |
$63.35 |
$63.35
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.92 |
$0.92 |
$0.92 |
$13.87
|
|
Prednisone 1 mg tablet
|
$0.17 |
$0.17 |
$0.17 |
$4.06
|
|
Pregabalin - sendout
|
$3.68 |
$3.68 |
$3.68 |
$65.25
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$329.00 |
$329.00 |
$329.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$282.98 |
$282.98 |
$282.98 |
$541.45
|
|
Prep skin to 100cm2 other
|
$89.25 |
$89.25 |
$89.25 |
$1,193.40
|
|
Pressure max expiratory/inspiratory
|
$96.25 |
$96.25 |
$96.25 |
$253.00
|
|
Pressure velocity wire add ves
|
$155.40 |
$155.40 |
$155.40 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$26.95 |
$26.95 |
$26.95 |
$141.00
|
|
Pretreat rbc absorption reference
|
$52.85 |
$52.85 |
$52.85 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$100.45 |
$100.45 |
$100.45 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$26.95 |
$26.95 |
$26.95 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$29.05 |
$29.05 |
$29.05 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$61.78 |
$61.78 |
$61.78 |
$313.30
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$37.45 |
$37.45 |
$37.45 |
$152.50
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$325.85 |
$325.85 |
$325.85 |
$1,908.09
|