|
Plcmnt biliary drainage cath w/img ext
|
$4,222.48 |
$4,222.48 |
$35,283.97 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$10,796.21 |
$10,796.21 |
$10,796.21 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,460.21 |
$4,460.21 |
$4,460.21 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,048.00 |
$6,048.00 |
$6,048.00 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,298.61 |
$3,298.61 |
$3,298.61 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,260.47 |
$1,260.47 |
$1,260.47 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$878.22 |
$878.22 |
$878.22 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,320.69 |
$3,320.69 |
$3,320.69 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$843.08 |
$843.08 |
$843.08 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$964.04 |
$964.04 |
$964.04 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,071.23 |
$1,071.23 |
$1,071.23 |
$758.52
|
|
Plerixafor injection
|
$17,959.33 |
$17,959.33 |
$17,959.33 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$451.90 |
$451.90 |
$451.90 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$3,205.90 |
$3,205.90 |
$35,283.97 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$4,989.69 |
$4,989.69 |
$35,283.97 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,820.82 |
$3,820.82 |
$3,820.82 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$4,709.76 |
$4,709.76 |
$4,709.76 |
$5,151.51
|
|
Pm device progr eval dual
|
$252.07 |
$252.07 |
$252.07 |
$148.65
|
|
Pm device progr eval multi
|
$225.60 |
$225.60 |
$225.60 |
$139.10
|
|
Pmp22 gene dup/delet
|
$1,029.75 |
$1,029.75 |
$1,029.75 |
$1,029.75
|
|
Pms2 gene dup/delet variants
|
$87.38 |
$87.38 |
$87.38 |
$407.27
|
|
Pms2 gene full seq analysis
|
$290.46 |
$290.46 |
$290.46 |
$1,002.60
|
|
Pneumothrx tx-intraplrl inj ai
|
$811.82 |
$811.82 |
$811.82 |
$785.00
|
|
#pnh-flow cytometry interp
|
$154.14 |
$154.14 |
$154.14 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$259.66 |
$259.66 |
$259.66 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$32,554.79 |
$32,554.79 |
$32,554.79 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$4,802.77 |
$4,802.77 |
$4,802.77 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$11,873.15 |
$11,873.15 |
$11,873.15 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,236.15 |
$5,236.15 |
$19,084.66 |
$3,785.10
|
|
Post 1 srfc resinbased cmpst
|
$72.00 |
$72.00 |
$72.00 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$84.00 |
$84.00 |
$84.00 |
$186.48
|
|
Postop app non-wgt bear dsg
|
$881.95 |
$881.95 |
$10,411.00 |
$903.50
|
|
Potassium 24 hour urine
|
$58.91 |
$58.91 |
$58.91 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$97.20 |
$97.20 |
$97.20 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$59.87 |
$59.87 |
$59.87 |
$47.85
|
|
Pq biliary strict dil s&i
|
$707.71 |
$707.71 |
$3,445.47 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$633.97 |
$633.97 |
$6,186.70 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,430.78 |
$10,430.78 |
$10,430.78 |
$10,195.00
|
|
Pq thr inj ext pse
|
$1,014.07 |
$1,014.07 |
$1,014.07 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,725.56 |
$2,725.56 |
$2,725.56 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,236.34 |
$4,236.34 |
$4,236.34 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,811.54 |
$4,811.54 |
$4,811.54 |
$4,811.54
|
|
Pralatrexate injection
|
$24,465.07 |
$24,465.07 |
$24,465.07 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$234.09 |
$234.09 |
$234.09 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,865.99 |
$3,865.99 |
$3,865.99 |
$3,738.90
|
|
Pr application of long arm splint
|
$388.52 |
$388.52 |
$388.52 |
$334.08
|
|
Pr application splint static short arm
|
$370.91 |
$370.91 |
$567.81 |
$288.51
|
|
Pr biopsy skin punch single lesion
|
$505.18 |
$505.18 |
$505.18 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$48.71 |
$48.71 |
$48.71 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$1,769.84 |
$1,769.84 |
$1,769.84 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$3,161.89 |
$3,161.89 |
$9,201.94 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,342.83 |
$4,342.83 |
$4,342.83 |
$5,262.80
|
|
Prealbumin
|
$115.26 |
$115.26 |
$800.15 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$63.65 |
$63.65 |
$63.65 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.40 |
$0.40 |
$0.40 |
$2.88
|
|
Pregabalin - sendout
|
$5.00 |
$5.00 |
$5.00 |
$76.70
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$590.27 |
$590.27 |
$590.27 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$660.98 |
$660.98 |
$660.98 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$459.00 |
$459.00 |
$459.00 |
$459.00
|
|
Pre-op service lvrs 10-15dos
|
$3,907.86 |
$3,907.86 |
$3,907.86 |
$1,568.00
|
|
Pre-op service lvrs 1-9 dos
|
$2,062.26 |
$2,062.26 |
$2,062.26 |
$1,579.20
|
|
Preparation for bladder xray
|
$1,143.32 |
$1,143.32 |
$1,143.32 |
$1,222.00
|
|
Preparation palate mold
|
$583.82 |
$583.82 |
$583.82 |
$602.63
|
|
Prep skin to 100cm2 other
|
$1,198.40 |
$1,198.40 |
$1,198.40 |
$1,193.40
|
|
Pressure max expiratory/inspiratory
|
$349.83 |
$349.83 |
$349.83 |
$243.75
|
|
Pressure treatment esophagus
|
$2,587.56 |
$2,587.56 |
$2,587.56 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$2,208.05 |
$2,208.05 |
$2,208.05 |
$1,618.20
|
|
Pre-tibial shell molded to p
|
$2,039.00 |
$2,039.00 |
$2,039.00 |
$661.30
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$107.65 |
$107.65 |
$107.65 |
$162.00
|
|
Pretreat rbc absorption reference
|
$255.19 |
$255.19 |
$1,138.94 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$47.73 |
$47.73 |
$480.09 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$132.48 |
$132.48 |
$480.09 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$214.33 |
$214.33 |
$480.09 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$328.28 |
$328.28 |
$328.28 |
$308.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$178.57 |
$178.57 |
$178.57 |
$188.86
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,015.52 |
$1,015.52 |
$1,015.52 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$210.00 |
$210.00 |
$210.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$194.40 |
$194.40 |
$194.40 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$180.33 |
$180.33 |
$180.33 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$202.13 |
$202.13 |
$202.13 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$179.07 |
$218.79 |
$218.79 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$247.66 |
$247.66 |
$378.40 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$2,041.52 |
$6,468.87 |
$6,468.87 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$6,534.20 |
$6,534.20 |
$6,534.20 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,187.67 |
$5,187.67 |
$5,187.67 |
$3,675.76
|
|
Prin care mgmt staff 1st 30
|
$91.70 |
$91.70 |
$91.70 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$782.98 |
$782.98 |
$782.98 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$596.67 |
$596.67 |
$596.67 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$692.24 |
$692.24 |
$692.24 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$699.02 |
$699.02 |
$699.02 |
$605.28
|
|
Pr management transitional care high w/in 7 days of discharge
|
$84.79 |
$84.79 |
$84.79 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$64.44 |
$64.44 |
$64.44 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$232.42 |
$232.42 |
$232.42 |
$255.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$12,640.20 |
$12,640.20 |
$12,640.20 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$248.56 |
$248.56 |
$574.52 |
$674.78
|
|
Procalcitonin
|
$194.93 |
$194.93 |
$1,447.07 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$22.86 |
$22.86 |
$33.07 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.97 |
$0.97 |
$0.97 |
$2.09
|
|
Proctosigmoidoscopy dx 45300
|
$1,650.30 |
$1,650.30 |
$1,650.30 |
$1,078.88
|
|
Progesterone
|
$146.26 |
$146.26 |
$2,036.11 |
$116.00
|
