|
Place slctv cath carotid/inom art intcrn uni
|
$9,197.58 |
$9,197.58 |
$9,197.58 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$6,327.66 |
$6,327.66 |
$6,327.66 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$16,755.39 |
$16,755.39 |
$16,755.39 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$723.72 |
$723.72 |
$723.72 |
$172.78
|
|
Plasma volume multiple
|
$5,074.89 |
$5,074.89 |
$5,074.89 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$476.89 |
$476.89 |
$476.89 |
$147.96
|
|
Platelet automated
|
$145.97 |
$145.97 |
$145.97 |
$44.00
|
|
Platelet deplete of harvest
|
$4,636.03 |
$4,636.03 |
$4,636.03 |
$1,085.60
|
|
Platelet pheresis each unit
|
$3,330.64 |
$3,330.64 |
$3,330.64 |
$995.22
|
|
Platelets each unit
|
$278.67 |
$278.67 |
$278.67 |
$218.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$9,932.33 |
$9,932.33 |
$9,932.33 |
$1,341.40
|
|
Platelets irradiated ea unit
|
$1,807.41 |
$1,807.41 |
$1,807.41 |
$215.80
|
|
Platelets leukocytes reduced each unit
|
$1,927.30 |
$1,927.30 |
$1,927.30 |
$284.43
|
|
Platelets leukocytes reduced irradiated each unit
|
$3,737.31 |
$3,737.31 |
$3,737.31 |
$397.15
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$4,358.90 |
$4,358.90 |
$4,358.90 |
$1,109.28
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$4,061.61 |
$4,061.61 |
$4,061.61 |
$1,214.64
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,207.64 |
$6,207.64 |
$6,207.64 |
$1,109.76
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$7,874.27 |
$7,874.27 |
$7,874.27 |
$1,231.75
|
|
Platelets pheresis pathogen-reduced each unit
|
$3,424.77 |
$3,424.77 |
$3,424.77 |
$879.36
|
|
Plcmnt biliary drainage cath w/img ext
|
$22,488.55 |
$22,488.55 |
$22,488.55 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$10,144.06 |
$10,144.06 |
$10,144.06 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$23,175.61 |
$23,175.61 |
$23,175.61 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$23,175.61 |
$23,175.61 |
$23,175.61 |
$6,048.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$35,821.84 |
$35,821.84 |
$35,821.84 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,811.92 |
$2,811.92 |
$2,811.92 |
$1,292.45
|
|
Plcmt xtn pros evasc rpr per vsl
|
$10,007.38 |
$10,007.38 |
$10,007.38 |
$3,969.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$2,089.41 |
$2,089.41 |
$2,089.41 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$3,734.85 |
$3,734.85 |
$3,734.85 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$5,022.47 |
$5,022.47 |
$5,022.47 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$1,038.79 |
$1,038.79 |
$1,038.79 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$17,730.45 |
$17,730.45 |
$17,730.45 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$22,488.55 |
$22,488.55 |
$22,488.55 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$15,560.55 |
$15,560.55 |
$15,560.55 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$23,175.61 |
$23,175.61 |
$23,175.61 |
$5,419.00
|
|
Pm device progr eval dual
|
$474.97 |
$474.97 |
$474.97 |
$148.00
|
|
Pm device progr eval multi
|
$329.56 |
$329.56 |
$329.56 |
$160.55
|
|
Pm phone r-strip device eval
|
$301.43 |
$301.43 |
$301.43 |
$127.20
|
|
#pnh-flow cytometry interp
|
$156.15 |
$156.15 |
$156.15 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$633.64 |
$633.64 |
$633.64 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$9,418.94 |
$9,418.94 |
$9,418.94 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$8,262.30 |
$8,262.30 |
$8,262.30 |
$4,293.60
|
|
Potassium 24 hour urine
|
$137.38 |
$137.38 |
$137.38 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$266.29 |
$266.29 |
$266.29 |
$65.00
|
|
Potassium serum/plasma/whole blood
|
$142.67 |
$142.67 |
$142.67 |
$44.64
|
|
Pq biliary strict dil s&i
|
$3,426.88 |
$3,426.88 |
$3,426.88 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$1,347.63 |
$1,347.63 |
$1,347.63 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$41,333.44 |
$41,333.44 |
$41,333.44 |
$10,430.78
|
|
Pq thr inj ext pse
|
$861.67 |
$861.67 |
$861.67 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$7,470.62 |
$7,470.62 |
$7,470.62 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$17,861.30 |
$17,861.30 |
$17,861.30 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$41,333.44 |
$41,333.44 |
$41,333.44 |
$4,811.54
|
|
Pr application of long arm splint
|
$1,026.75 |
$1,026.75 |
$1,026.75 |
$332.75
|
|
Pr application splint static short arm
|
$827.54 |
$827.54 |
$827.54 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$181.71 |
$181.71 |
$181.71 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$735.39 |
$735.39 |
$735.39 |
$472.79
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$31,712.89 |
$31,712.89 |
$31,712.89 |
$6,727.70
|
|
Pr correction hammertoe
|
$19,505.45 |
$19,505.45 |
$19,505.45 |
$3,839.54
|
|
Prcrd drg 6+yr without anomly
|
$2,600.17 |
$2,600.17 |
$2,600.17 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,135.12 |
$1,135.12 |
$1,135.12 |
$356.40
|
|
Prealbumin
|
$183.29 |
$183.29 |
$183.29 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$41.17 |
$41.17 |
$41.17 |
$15.30
|
|
Pregabalin - sendout
|
$89.71 |
$89.71 |
$89.71 |
$65.25
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$9,744.95 |
$9,744.95 |
$9,744.95 |
$2,363.79
|
|
Pregnancy associated plasma protein-a
|
$181.11 |
$181.11 |
$181.11 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$2,385.55 |
$2,385.55 |
$2,385.55 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,383.93 |
$1,383.93 |
$1,383.93 |
$541.45
|
|
Prep skin to 100cm2 other
|
$1,633.59 |
$1,633.59 |
$1,633.59 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,712.80 |
$1,712.80 |
$1,712.80 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,712.80 |
$1,712.80 |
$1,712.80 |
$1,018.50
|
|
Pressure velocity wire add ves
|
$2,140.98 |
$2,140.98 |
$2,140.98 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$713.86 |
$713.86 |
$713.86 |
$141.00
|
|
Pretreat rbc absorption reference
|
$745.00 |
$745.00 |
$745.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$287.68 |
$287.68 |
$287.68 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$219.75 |
$219.75 |
$219.75 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$287.68 |
$287.68 |
$287.68 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$840.17 |
$840.17 |
$840.17 |
$313.30
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$9,242.76 |
$9,242.76 |
$9,242.76 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$8,688.98 |
$8,688.98 |
$8,688.98 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,387.54 |
$1,387.54 |
$1,387.54 |
$827.94
|
|
Prgrmg dev eval impltbl sys
|
$318.74 |
$318.74 |
$318.74 |
$148.00
|
|
Prgrmg dev eval pm/ldls pm
|
$310.09 |
$310.09 |
$310.09 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$260.87 |
$260.87 |
$260.87 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$284.13 |
$284.13 |
$284.13 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$311.71 |
$311.71 |
$311.71 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$315.49 |
$315.49 |
$315.49 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$10,297.52 |
$10,297.52 |
$10,297.52 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$39,743.66 |
$39,743.66 |
$39,743.66 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$20,012.43 |
$20,012.43 |
$20,012.43 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,218.50 |
$1,218.50 |
$1,218.50 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$1,164.08 |
$1,164.08 |
$1,164.08 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$2,155.58 |
$2,155.58 |
$2,155.58 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,909.30 |
$1,909.30 |
$1,909.30 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$1,440.13 |
$1,440.13 |
$1,440.13 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$1,440.13 |
$1,440.13 |
$1,440.13 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,104.29 |
$1,104.29 |
$1,104.29 |
$277.60
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$14,469.64 |
$14,469.64 |
$14,469.64 |
$2,921.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,823.56 |
$1,823.56 |
$1,823.56 |
$601.60
|
|
Procalcitonin
|
$923.42 |
$923.42 |
$923.42 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$59.22 |
$59.22 |
$59.22 |
$44.81
|
|
Proctosigmoidoscopy dx 45300
|
$7,332.17 |
$7,332.17 |
$7,332.17 |
$1,073.68
|