|
Papaverin hcl injection
|
$112.42 |
$112.42 |
$112.42 |
$73.07
|
|
Parathormone (pth) intact
|
$2,736.89 |
$2,736.89 |
$2,736.89 |
$196.95
|
|
Parathyroid planar imaging
|
$8,256.03 |
$8,256.03 |
$8,256.03 |
$1,159.15
|
|
Parathyroid planar img w/tomo spect
|
$8,223.38 |
$8,223.38 |
$8,223.38 |
$1,385.07
|
|
Paricalcitol
|
$303.35 |
$303.35 |
$303.35 |
$47.38
|
|
Passy muir valve metal trach
|
$2,569.50 |
$2,569.50 |
$2,569.50 |
$227.90
|
|
Pelvic MRI (with and without contrast)
|
$18,152.95 |
$18,152.95 |
$18,152.95 |
$2,713.80
|
|
Pelvic MRI (with contrast)
|
$9,182.33 |
$9,182.33 |
$9,182.33 |
$2,070.00
|
|
Pelvic MRI (without contrast)
|
$13,106.54 |
$13,106.54 |
$13,106.54 |
$1,810.38
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$107.13 |
$107.13 |
$107.13 |
$78.84
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$299.24 |
$299.24 |
$299.24 |
$370.40
|
|
Pericardiocentesis wwo imaging
|
$6,777.95 |
$6,777.95 |
$6,777.95 |
$2,522.88
|
|
Ph body fluid
|
$467.11 |
$467.11 |
$467.11 |
$37.00
|
|
Phenobarbital therapeutic drug level
|
$1,675.41 |
$1,675.41 |
$1,675.41 |
$99.27
|
|
Phenytoin total therapeutic drug level
|
$1,715.97 |
$1,715.97 |
$1,715.97 |
$109.20
|
|
Phosphorus
|
$861.48 |
$861.48 |
$861.48 |
$47.00
|
|
Place duod/jej tube perc
|
$10,813.39 |
$10,813.39 |
$10,813.39 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$7,642.68 |
$7,642.68 |
$7,642.68 |
$2,289.60
|
|
Placement nephrostomy catheter (both sides)
|
$14,136.54 |
$14,136.54 |
$14,136.54 |
$4,392.85
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$73,282.48 |
$73,282.48 |
$73,282.48 |
$15,319.20
|
|
Place non-slctv cath thoracic arta
|
$19,948.59 |
$19,948.59 |
$19,948.59 |
$5,053.33
|
|
Platelet automated
|
$486.68 |
$486.68 |
$486.68 |
$43.50
|
|
Platelet pheresis each unit
|
$1,848.43 |
$1,848.43 |
$1,848.43 |
$882.66
|
|
Platelets each unit
|
$204.03 |
$204.03 |
$204.03 |
$170.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$844.64 |
$844.64 |
$844.64 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,037.48 |
$2,037.48 |
$2,037.48 |
$1,366.30
|
|
Platelets pheresis pathogen-reduced each unit
|
$844.64 |
$844.64 |
$844.64 |
$1,046.50
|
|
Plcmnt biliary drainage cath w/img ext
|
$23,856.54 |
$23,856.54 |
$23,856.54 |
$4,406.61
|
|
Plmt access bil tree sm bwl
|
$8,087.53 |
$8,087.53 |
$8,087.53 |
$4,627.00
|
|
Plmt ureteral stent prq
|
$3,962.00 |
$3,962.00 |
$3,962.00 |
$5,337.00
|
|
Potassium 24 hour urine
|
$791.55 |
$791.55 |
$791.55 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$773.38 |
$773.38 |
$773.38 |
$44.20
|
|
Pouch high output 2pc 50mm red
|
$186.50 |
$186.50 |
$186.50 |
$20.15
|
|
Pq thr inj ext pse
|
$3,158.09 |
$3,158.09 |
$3,158.09 |
$861.67
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$32,048.01 |
$32,048.01 |
$32,048.01 |
$4,499.12
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$39,123.91 |
$39,123.91 |
$39,123.91 |
$4,582.03
|
|
Prcrd drg 6+yr without anomly
|
$9,651.23 |
$9,651.23 |
$9,651.23 |
$2,479.73
|
|
Prealbumin
|
$706.26 |
$706.26 |
$706.26 |
$85.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$35.70 |
$35.70 |
$35.70 |
$19.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$6,281.33 |
$6,281.33 |
$6,281.33 |
$590.27
|
|
Pressure velocity wire add ves
|
$1,741.95 |
$1,741.95 |
$1,741.95 |
$1,596.10
|
|
Pretreat rbc absorption reference
|
$244.75 |
$244.75 |
$244.75 |
$139.00
|
|
Prgrmg dev eval scrms ip
|
$216.18 |
$216.18 |
$216.18 |
$139.10
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$273.38
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$246.00 |
$246.00 |
$246.00 |
$44.48
|
|
Progesterone
|
$1,529.98 |
$1,529.98 |
$1,529.98 |
$99.00
|
|
Prolactin
|
$1,636.26 |
$1,636.26 |
$1,636.26 |
$127.40
|
|
Promethazine hcl injection
|
$158.71 |
$158.71 |
$158.71 |
$24.00
|
|
Protein c activity
|
$711.84 |
$711.84 |
$711.84 |
$118.80
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,664.23 |
$1,664.23 |
$1,664.23 |
$84.00
|
|
Protein s total
|
$1,492.21 |
$1,492.21 |
$1,492.21 |
$77.91
|
|
Protein total 24 hour urine
|
$739.81 |
$739.81 |
$739.81 |
$52.50
|
|
Protein total body fluid
|
$739.81 |
$739.81 |
$739.81 |
$52.50
|
|
Protein total serum plasma whole blood
|
$851.70 |
$851.70 |
$851.70 |
$42.00
|
|
Prothrombin time substitution plasma fractions each
|
$390.18 |
$390.18 |
$390.18 |
$38.40
|
|
PSA (Prostate) Test
|
$805.54 |
$805.54 |
$805.54 |
$107.50
|
|
Pt re-evaluation patient/family
|
$553.35 |
$553.35 |
$553.35 |
$157.50
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$293.60 |
$293.60 |
$293.60 |
$86.35
|
|
Pt wheelchair management each 15 minutes
|
$230.09 |
$230.09 |
$230.09 |
$85.00
|
|
Pulmonary vent imaging
|
$8,336.27 |
$8,336.27 |
$8,336.27 |
$828.73
|
|
Pulse ox single
|
$437.86 |
$437.86 |
$437.86 |
$88.80
|
|
Puncture spinal lumbar diagnostic
|
$4,609.17 |
$4,609.17 |
$4,609.17 |
$1,088.25
|
|
Puraply 1 sq cm
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$662.50
|
|
Pyridoxine hcl 100 mg
|
$117.71 |
$117.71 |
$117.71 |
$39.63
|
|
Quest t3 uptake
|
$549.62 |
$549.62 |
$549.62 |
$58.60
|
|
Rabies ig heat-treated human im/subq 90376
|
$2,942.75 |
$2,942.75 |
$2,942.75 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,716.34 |
$4,716.34 |
$4,716.34 |
$3,054.30
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$7,785.41 |
$7,785.41 |
$7,785.41 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,303.60 |
$4,303.60 |
$4,303.60 |
$2,290.77
|
|
Rapid Strep Test
|
$455.48 |
$455.48 |
$455.48 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$5,266.53 |
$5,266.53 |
$5,266.53 |
$2,675.00
|
|
Red blood cells leukocytes reduced each unit
|
$745.36 |
$745.36 |
$745.36 |
$439.45
|
|
Redo endovas vena cava filtr
|
$3,510.24 |
$3,510.24 |
$3,510.24 |
$4,380.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$228.78 |
$228.78 |
$228.78 |
$626.62
|
|
Relocation skin pocket aicd
|
$12,969.70 |
$12,969.70 |
$12,969.70 |
$3,128.16
|
|
Relocation skin pocket pm
|
$12,969.70 |
$12,969.70 |
$12,969.70 |
$2,939.25
|
|
Rem endovas vena cava filter
|
$3,826.19 |
$3,826.19 |
$3,826.19 |
$5,846.40
|
|
Removal central venous catheter tunneled without port/pump
|
$8,609.98 |
$8,609.98 |
$8,609.98 |
$1,671.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$8,354.98 |
$8,354.98 |
$8,354.98 |
$2,599.13
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$489.81 |
$489.81 |
$489.81 |
$235.13
|
|
Removal/replacement ppm generator dual lead system
|
$85,513.56 |
$85,513.56 |
$85,513.56 |
$12,384.25
|
|
Remove renal tube w/fluoro
|
$4,717.26 |
$4,717.26 |
$4,717.26 |
$1,209.46
|
|
Renal function panel
|
$1,390.12 |
$1,390.12 |
$1,390.12 |
$112.00
|
|
Renal venogram bil s&i
|
$15,814.75 |
$15,814.75 |
$15,814.75 |
$3,486.86
|
|
Replace duod/jej tube perc
|
$10,813.39 |
$10,813.39 |
$10,813.39 |
$1,354.54
|
|
Replace g/c tube perc
|
$4,893.25 |
$4,893.25 |
$4,893.25 |
$1,280.27
|
|
Replace g-j tube perc
|
$4,893.25 |
$4,893.25 |
$4,893.25 |
$1,568.05
|
|
Reposition pm/icd lead
|
$21,442.48 |
$21,442.48 |
$21,442.48 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$12,688.38 |
$12,688.38 |
$12,688.38 |
$2,085.00
|
|
Repos lv lead pm/icd
|
$17,563.63 |
$17,563.63 |
$17,563.63 |
$3,724.63
|
|
Repos sq defib eltrd
|
$19,046.44 |
$19,046.44 |
$19,046.44 |
$4,821.60
|
|
Reticulocyte automated
|
$541.22 |
$541.22 |
$541.22 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$60,680.02 |
$60,680.02 |
$60,680.02 |
$17,995.65
|
|
Revasc intra lithotrip-stent
|
$60,680.02 |
$60,680.02 |
$60,680.02 |
$18,706.80
|
|
Revasc intravasc lithotripsy
|
$29,951.29 |
$29,951.29 |
$29,951.29 |
$12,542.59
|
|
Revasc lithotrip-stent-ather
|
$97,060.04 |
$97,060.04 |
$97,060.04 |
$19,892.81
|
|
Revasc lithotrip tibi/perone
|
$60,680.02 |
$60,680.02 |
$60,680.02 |
$12,754.50
|
|
Revasc lithotr-stent tib/per
|
$97,060.04 |
$97,060.04 |
$97,060.04 |
$18,271.50
|
|
Revision open av fistula without thromb
|
$24,160.49 |
$24,160.49 |
$24,160.49 |
$7,651.38
|
|
Rheumatoid factor qualitative
|
$763.58 |
$763.58 |
$763.58 |
$54.60
|
