|
Perq clsr tcat l atr apndge
|
$20,784.58 |
$20,784.58 |
$205,376.82 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$2,281.60 |
$2,281.60 |
$2,281.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$490.20 |
$2,200.66 |
$2,200.66 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$10,114.58 |
$10,114.58 |
$10,114.58 |
$10,114.58
|
|
Perq p-art revsc 1 abnor bi
|
$12,403.61 |
$12,403.61 |
$12,403.61 |
$18,035.00
|
|
Perq p-art revsc 1 abnor uni
|
$20,071.40 |
$20,071.40 |
$20,071.40 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$12,403.61 |
$12,403.61 |
$12,403.61 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$12,403.61 |
$12,403.61 |
$12,403.61 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$9,442.02 |
$9,442.02 |
$9,442.02 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$5,100.60 |
$8,164.80 |
$8,164.80 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,904.40 |
$6,085.18 |
$6,085.18 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$5,100.60 |
$7,082.99 |
$7,082.99 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$507.60 |
$625.93 |
$625.93 |
$625.93
|
|
Perq skel fix ulnar styld fx
|
$3,098.15 |
$3,098.15 |
$3,098.15 |
$3,839.54
|
|
Perqt bx lung/mediastinum 32405
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$1,770.60
|
|
Perq transcath closure each
|
$17,513.80 |
$17,513.80 |
$17,513.80 |
$9,204.00
|
|
Perq transcath closure pda
|
$28,594.22 |
$28,594.22 |
$28,594.22 |
$18,408.00
|
|
Perq transcath cls aortic
|
$35,806.50 |
$35,806.50 |
$35,806.50 |
$22,633.26
|
|
Perq transcath cls mitral
|
$32,632.58 |
$32,632.58 |
$32,632.58 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$22,203.10 |
$22,203.10 |
$22,203.10 |
$8,828.16
|
|
Pertussis ag if
|
$79.09 |
$79.09 |
$79.09 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$11,778.22 |
$11,778.22 |
$40,087.24 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$4,099.76 |
$4,099.76 |
$22,517.33 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,231.06 |
$5,231.06 |
$22,517.33 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,028.73 |
$3,028.73 |
$22,517.33 |
$4,060.00
|
|
Pet image full body
|
$5,148.14 |
$5,148.14 |
$22,096.44 |
$5,148.14
|
|
Pet image ltd area
|
$2,253.07 |
$2,253.07 |
$2,253.07 |
$3,809.11
|
|
Pet image w/ct lmtd
|
$4,422.60 |
$4,422.60 |
$22,096.44 |
$4,349.76
|
|
Pet scan brain perf study
|
$2,209.74 |
$2,209.74 |
$24,084.63 |
$3,724.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$49,800.00 |
$50,985.00 |
$50,985.00 |
$40,252.07
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$53.40 |
$53.40 |
$53.40 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$87.78 |
$87.78 |
$87.78 |
$91.30
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$27.60 |
$27.60 |
$27.60 |
$31.20
|
|
Ph body fluid
|
$54.62 |
$54.62 |
$475.18 |
$42.00
|
|
Phencyclidine (pcp)
|
$115.40 |
$115.40 |
$826.82 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$160.05 |
$184.67 |
$184.67 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$124.42 |
$124.42 |
$698.52 |
$104.80
|
|
Phentolaine mesylate inj
|
$1,325.32 |
$1,325.32 |
$3,112.92 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$100.62 |
$158.10 |
$158.10 |
$62.98
|
|
Phenylep ketorolac opth soln
|
$934.56 |
$934.56 |
$934.56 |
$934.56
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.00 |
$10.80 |
$41.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$146.87 |
$146.87 |
$1,205.38 |
$111.20
|
|
Phlebotomy therapeutic
|
$167.70 |
$275.15 |
$275.15 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$4,879.20 |
$4,879.20 |
$4,879.20 |
$4,810.00
|
|
Phosphorus
|
$62.87 |
$62.87 |
$654.17 |
$48.96
|
|
Phosphorus 24 hour urine
|
$39.60 |
$59.55 |
$418.17 |
$42.25
|
|
Photopheresis
|
$9,713.30 |
$9,713.30 |
$9,713.30 |
$8,010.00
|
|
Phys blood bank serv reactj
|
$219.94 |
$219.94 |
$239.55 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$305.27 |
$305.27 |
$858.80 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$237.28 |
$237.28 |
$327.15 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$285.10 |
$285.10 |
$574.57 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$128.83 |
$128.83 |
$446.85 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$31.16 |
$176.28 |
$308.32 |
$89.82
|
|
Pik3ca gene trgt seq alys
|
$632.84 |
$632.84 |
$632.84 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$365.34 |
$365.34 |
$365.34 |
$537.66
|
|
Pin caspar distraction 12mm
|
$11,580.00 |
$11,580.00 |
$15,120.00 |
$11,672.88
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$1,116.00
|
|
Pin finger fracture each
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$4,192.86
|
|
Pinworm exam
|
$49.50 |
$49.50 |
$175.81 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$64.05 |
$399.28 |
$399.28 |
$81.36
|
|
Place cath intracranial art
|
$2,293.15 |
$2,293.15 |
$2,293.15 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$3,452.29 |
$3,452.29 |
$3,775.95 |
$4,202.90
|
|
Place cecostomy tube perc
|
$2,298.30 |
$2,298.30 |
$2,298.30 |
$2,580.90
|
|
Place device/marker, non pro
|
$1,583.00 |
$1,583.00 |
$1,583.00 |
$1,969.20
|
|
Place duod/jej tube perc
|
$1,862.85 |
$2,302.66 |
$2,302.66 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$1,865.10 |
$1,915.88 |
$8,852.37 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$972.15 |
$1,799.78 |
$1,799.78 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$490.20 |
$1,167.64 |
$1,167.64 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$490.20 |
$1,721.65 |
$1,721.65 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,150.90 |
$4,772.36 |
$4,772.36 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$208.50 |
$925.72 |
$925.72 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$11,631.90 |
$16,799.75 |
$16,799.75 |
$13,879.25
|
|
Place ndl musc/tis for right
|
$3,512.89 |
$3,512.89 |
$3,512.89 |
$3,545.97
|
|
Place non-slctv cath thoracic arta
|
$5,377.65 |
$5,498.01 |
$23,864.87 |
$5,274.33
|
|
Placental lactogen
|
$207.64 |
$207.64 |
$207.64 |
$163.28
|
|
Place right device/marker pros
|
$2,926.58 |
$2,926.58 |
$2,926.58 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$8,795.70 |
$12,531.28 |
$12,531.28 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,377.65 |
$6,732.48 |
$6,732.48 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,377.65 |
$9,181.35 |
$9,181.35 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$5,377.65 |
$6,732.48 |
$6,732.48 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$8,795.70 |
$10,750.82 |
$10,750.82 |
$9,200.62
|
|
Plasma cryoprecipitate reduced each unit
|
$132.30 |
$172.78 |
$172.78 |
$163.04
|
|
Plasmaprotein fract,5%,250ml
|
$123.83 |
$123.83 |
$123.83 |
$123.83
|
|
Plas shoe insert w ank joint
|
$292.23 |
$292.23 |
$292.23 |
$245.71
|
|
Plastic mod low ext pad/line
|
$244.53 |
$244.53 |
$244.53 |
$241.54
|
|
Platelet aggregation each agent teg
|
$192.99 |
$192.99 |
$270.15 |
$148.98
|
|
Platelet automated
|
$73.34 |
$73.34 |
$586.06 |
$45.76
|
|
Platelet deplete of harvest
|
$1,427.12 |
$1,427.12 |
$1,427.12 |
$1,315.60
|
|
Platelet pheresis each unit
|
$1,260.36 |
$1,260.36 |
$3,740.59 |
$1,015.50
|
|
Platelet pheresis irr ea
|
$3,214.69 |
$3,214.69 |
$3,214.69 |
$1,108.52
|
|
Platelets each unit
|
$129.90 |
$240.25 |
$240.25 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,642.65 |
$1,642.65 |
$7,172.46 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$274.65 |
$274.65 |
$865.14 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$273.75 |
$284.43 |
$284.43 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$373.92 |
$373.92 |
$1,466.22 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,109.28 |
$1,109.28 |
$4,910.89 |
$1,050.28
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,214.64 |
$1,214.64 |
$1,214.64 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,254.99 |
$1,254.99 |
$1,367.85 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,387.23 |
$1,387.23 |
$4,998.83 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$822.60 |
$822.60 |
$3,307.25 |
$1,007.82
|