|
Perc d-e cor revasc chro add
|
$2,251.55 |
$2,251.55 |
$2,251.55 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$8,161.30 |
$8,161.30 |
$8,161.30 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$2,110.85 |
$2,110.85 |
$2,110.85 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$6,894.65 |
$6,894.65 |
$6,894.65 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$3,939.95 |
$3,939.95 |
$3,939.95 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$13,507.90 |
$13,507.90 |
$13,507.90 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$2,251.55 |
$2,251.55 |
$2,251.55 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$14,070.70 |
$14,070.70 |
$14,070.70 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$2,707.74 |
$2,707.74 |
$19,445.65 |
$6,949.48
|
|
Percut ablate liver rf
|
$4,232.97 |
$4,232.97 |
$19,445.65 |
$7,024.12
|
|
Pericardiocentesis wwo imaging
|
$387.14 |
$387.14 |
$7,851.15 |
$2,573.60
|
|
Peri-proc device eval icd
|
$2,687.12 |
$2,687.12 |
$2,687.12 |
$220.35
|
|
Peri-proc device eval pm
|
$1,667.50 |
$1,667.50 |
$1,667.50 |
$195.80
|
|
Peritoneogram rs&i
|
$1,785.43 |
$1,785.43 |
$1,785.43 |
$648.84
|
|
Perit-vens shunt pat tst
|
$641.66 |
$641.66 |
$7,142.82 |
$695.40
|
|
Perq clsr tcat l atr apndge
|
$91,901.69 |
$91,901.69 |
$91,901.69 |
$12,032.67
|
|
Perq dev breast 1st strtctc
|
$1,671.08 |
$1,671.08 |
$1,671.08 |
$1,548.60
|
|
Perq nl/pl lithotrp cplx>2cm
|
$2,976.12 |
$2,976.12 |
$2,976.12 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$2,610.72 |
$2,610.72 |
$2,610.72 |
$8,748.48
|
|
Perq plmt bile duct stent
|
$5,663.07 |
$5,663.07 |
$5,663.07 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$131.99 |
$131.99 |
$131.99 |
$625.93
|
|
Pertussis ag if
|
$63.95 |
$63.95 |
$63.95 |
$49.00
|
|
Pet CT skull-mid thgh initial
|
$37,319.02 |
$37,319.02 |
$37,319.02 |
$4,854.75
|
|
Pet CT whole body initial
|
$37,319.02 |
$37,319.02 |
$37,319.02 |
$5,017.50
|
|
Pet image w/ct lmtd
|
$37,319.02 |
$37,319.02 |
$37,319.02 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$28,064.14 |
$28,064.14 |
$28,064.14 |
$34,848.45
|
|
Ph body fluid
|
$38.12 |
$38.12 |
$376.87 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$38.59 |
$38.59 |
$38.59 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$34.97 |
$34.97 |
$1,221.36 |
$104.50
|
|
Phentolaine mesylate inj
|
$566.08 |
$566.08 |
$566.08 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$6.99 |
$6.99 |
$6.99 |
$58.49
|
|
Phenytoin total therapeutic drug level
|
$152.25 |
$152.25 |
$1,253.65 |
$111.27
|
|
Phlebotomy therapeutic
|
$205.80 |
$205.80 |
$1,249.05 |
$249.00
|
|
Phosphorus
|
$162.05 |
$162.05 |
$162.05 |
$47.81
|
|
Phosphorus 24 hour urine
|
$23.63 |
$23.63 |
$23.63 |
$42.81
|
|
Phys blood bank serv reactj
|
$75.29 |
$75.29 |
$75.29 |
$219.94
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$40.80 |
$40.80 |
$40.80 |
$95.01
|
|
Place cath intracranial art
|
$3,038.00 |
$3,038.00 |
$3,038.00 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$5,935.30 |
$5,935.30 |
$5,935.30 |
$4,202.65
|
|
Place duod/jej tube perc
|
$1,905.75 |
$1,905.75 |
$1,905.75 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$1,905.75 |
$1,905.75 |
$8,875.49 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,494.36 |
$1,494.36 |
$1,494.36 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,046.75 |
$1,046.75 |
$1,046.75 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$891.14 |
$891.14 |
$891.14 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,354.65 |
$5,354.65 |
$5,354.65 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$68.36 |
$68.36 |
$68.36 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,684.24 |
$3,684.24 |
$50,248.17 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$1,143.14 |
$1,143.14 |
$14,869.08 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$14,991.20 |
$14,991.20 |
$14,991.20 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,006.30 |
$7,006.30 |
$7,006.30 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,640.15 |
$7,640.15 |
$7,640.15 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$5,181.75 |
$5,181.75 |
$5,181.75 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$10,284.05 |
$10,284.05 |
$10,284.05 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$33.08 |
$33.08 |
$33.08 |
$147.96
|
|
Platelet automated
|
$146.65 |
$146.65 |
$678.36 |
$44.00
|
|
Platelet pheresis each unit
|
$552.30 |
$552.30 |
$552.30 |
$864.00
|
|
Platelets each unit
|
$112.00 |
$112.00 |
$220.92 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$223.65 |
$223.65 |
$1,610.20 |
$273.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,825.17 |
$1,825.17 |
$1,825.17 |
$334.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$3,329.90 |
$3,329.90 |
$3,329.90 |
$879.36
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,877.21 |
$2,877.21 |
$2,877.21 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,838.47 |
$2,838.47 |
$2,838.47 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,760.54 |
$1,760.54 |
$1,760.54 |
$6,048.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$51,393.90 |
$51,393.90 |
$51,393.90 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$826.25 |
$826.25 |
$826.25 |
$878.22
|
|
Plcmt xtn pros evasc rpr per vsl
|
$25,697.75 |
$25,697.75 |
$25,697.75 |
$3,969.00
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,257.17 |
$1,257.17 |
$1,257.17 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$480.38 |
$480.38 |
$480.38 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$637.47 |
$637.47 |
$637.47 |
$411.51
|
|
Plmt biliary drainage cath
|
$2,618.28 |
$2,618.28 |
$2,618.28 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$1,922.55 |
$1,922.55 |
$1,922.55 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$1,688.72 |
$1,688.72 |
$1,688.72 |
$5,419.00
|
|
Pm device progr eval dual
|
$4,977.52 |
$4,977.52 |
$4,977.52 |
$148.00
|
|
#pnh-flow cytometry interp
|
$66.47 |
$66.47 |
$66.47 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$998.32 |
$998.32 |
$998.32 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$9,742.76 |
$9,742.76 |
$9,742.76 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,497.20 |
$3,497.20 |
$24,346.21 |
$4,293.60
|
|
Potassium 24 hour urine
|
$42.00 |
$42.00 |
$613.76 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$10.66 |
$10.66 |
$10.66 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$118.34 |
$118.34 |
$613.76 |
$44.64
|
|
Pouch ostmy nb pouchkin ctf
|
$161.00 |
$161.00 |
$161.00 |
$0.59
|
|
Pq dr cath chg w cont s&i
|
$512.19 |
$512.19 |
$6,292.84 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,456.85 |
$5,456.85 |
$5,456.85 |
$10,430.78
|
|
Pq thr inj ext pse
|
$245.07 |
$245.07 |
$245.07 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,058.09 |
$1,058.09 |
$1,058.09 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,352.30 |
$1,352.30 |
$1,352.30 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,165.82 |
$1,165.82 |
$1,165.82 |
$4,811.54
|
|
Pr application of long arm splint
|
$167.58 |
$167.58 |
$167.58 |
$332.75
|
|
Pr application splint static short arm
|
$197.35 |
$197.35 |
$197.35 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$318.85 |
$318.85 |
$318.85 |
$472.79
|
|
Pr correction hammertoe
|
$1,028.92 |
$1,028.92 |
$1,028.92 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$14.70 |
$14.70 |
$14.70 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$387.14 |
$387.14 |
$11,848.30 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$244.76 |
$244.76 |
$244.76 |
$356.40
|
|
Prealbumin
|
$144.90 |
$144.90 |
$956.78 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$93.90 |
$93.90 |
$93.90 |
$16.30
|
|
Prednisone 1 mg tablet
|
$2.21 |
$2.21 |
$2.21 |
$4.57
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,068.55 |
$1,068.55 |
$1,068.55 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,088.50 |
$1,088.50 |
$1,088.50 |
$592.71
|
