|
Place gastrostomy tube perc
|
$633.00 |
$633.00 |
$633.00 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$708.60 |
$708.60 |
$708.60 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$354.30 |
$354.30 |
$354.30 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$777.60 |
$777.60 |
$777.60 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$2,073.75 |
$2,073.75 |
$2,073.75 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$132.60 |
$132.60 |
$132.60 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,944.40 |
$3,944.40 |
$3,944.40 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$1,040.85 |
$1,040.85 |
$1,040.85 |
$5,110.00
|
|
Place right device/marker pros
|
$642.75 |
$642.75 |
$642.75 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$1,946.70 |
$1,946.70 |
$1,946.70 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,503.45 |
$1,503.45 |
$1,503.45 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$1,734.75 |
$1,734.75 |
$1,734.75 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$1,715.40 |
$1,715.40 |
$1,715.40 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$1,927.41 |
$1,927.41 |
$1,927.41 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$67.35 |
$67.35 |
$67.35 |
$156.20
|
|
Platelet aggregation each agent teg
|
$13.08 |
$13.08 |
$13.08 |
$147.96
|
|
Platelet automated
|
$23.85 |
$23.85 |
$23.85 |
$44.00
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$508.05 |
$508.05 |
$508.05 |
$1,175.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$463.80 |
$463.80 |
$463.80 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$658.50 |
$658.50 |
$658.50 |
$1,180.31
|
|
Plcmnt biliary drainage cath w/img ext
|
$894.60 |
$894.60 |
$894.60 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,266.30 |
$1,266.30 |
$1,266.30 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,949.40 |
$1,949.40 |
$1,949.40 |
$6,048.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$303.15 |
$303.15 |
$303.15 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$325.20 |
$325.20 |
$325.20 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$325.95 |
$325.95 |
$325.95 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$112.80 |
$112.80 |
$112.80 |
$411.51
|
|
Plmt biliary drainage cath
|
$2,089.05 |
$2,089.05 |
$2,089.05 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$2,073.75 |
$2,073.75 |
$2,073.75 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$2,073.75 |
$2,073.75 |
$2,073.75 |
$5,419.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,830.15 |
$1,830.15 |
$1,830.15 |
$4,293.60
|
|
Potassium 24 hour urine
|
$35.70 |
$35.70 |
$35.70 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$71.74 |
$71.74 |
$71.74 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$32.59 |
$32.59 |
$32.59 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$534.60 |
$534.60 |
$534.60 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$2,508.45 |
$2,508.45 |
$2,508.45 |
$10,430.78
|
|
Pq thr inj ext pse
|
$387.30 |
$387.30 |
$387.30 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$786.75 |
$786.75 |
$786.75 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$867.45 |
$867.45 |
$867.45 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$815.40 |
$815.40 |
$815.40 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$300.89 |
$300.89 |
$300.89 |
$374.55
|
|
Pr application of long arm splint
|
$93.33 |
$93.33 |
$93.33 |
$332.75
|
|
Pr application splint static short arm
|
$124.50 |
$124.50 |
$124.50 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$105.90 |
$105.90 |
$105.90 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$16.95 |
$16.95 |
$16.95 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$447.90 |
$447.90 |
$447.90 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$94.95 |
$94.95 |
$94.95 |
$356.40
|
|
Prealbumin
|
$29.25 |
$29.25 |
$29.25 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$5.85 |
$5.85 |
$5.85 |
$16.30
|
|
Prednisone 1 mg tablet
|
$39.05 |
$39.05 |
$39.05 |
$4.57
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$546.44 |
$546.44 |
$546.44 |
$2,363.79
|
|
Pregnancy associated plasma protein-a
|
$95.85 |
$95.85 |
$95.85 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$561.75 |
$561.75 |
$561.75 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$484.35 |
$484.35 |
$484.35 |
$541.45
|
|
Prep skin to 100cm2 other
|
$272.40 |
$272.40 |
$272.40 |
$1,193.40
|
|
Pressure velocity wire add ves
|
$213.30 |
$213.30 |
$213.30 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$54.00 |
$54.00 |
$54.00 |
$141.00
|
|
Pretreat rbc absorption reference
|
$20.74 |
$20.74 |
$20.74 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$24.15 |
$24.15 |
$24.15 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$43.29 |
$43.29 |
$43.29 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$101.55 |
$101.55 |
$101.55 |
$166.10
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$210.84 |
$210.84 |
$210.84 |
$827.94
|
|
Prgrmg eval implantable dfb
|
$149.25 |
$149.25 |
$149.25 |
$172.33
|
|
Prgr stim/pace a/iv drug
|
$2,217.45 |
$2,217.45 |
$2,217.45 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$1,036.50 |
$1,036.50 |
$1,036.50 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,141.35 |
$1,141.35 |
$1,141.35 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$304.35 |
$304.35 |
$304.35 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$177.00 |
$177.00 |
$177.00 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$182.53 |
$182.53 |
$182.53 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$281.10 |
$281.10 |
$281.10 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$333.00 |
$333.00 |
$333.00 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,701.41 |
$3,701.41 |
$3,701.41 |
$6,760.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$587.42 |
$587.42 |
$587.42 |
$666.10
|
|
Procalcitonin
|
$68.25 |
$68.25 |
$68.25 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$312.34 |
$312.34 |
$312.34 |
$46.50
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.12 |
$0.12 |
$0.12 |
$4.25
|
|
Progesterone
|
$51.90 |
$51.90 |
$51.90 |
$105.00
|
|
Prolactin
|
$74.85 |
$74.85 |
$74.85 |
$127.50
|
|
Promethazine 25 mg tablet
|
$1.59 |
$1.59 |
$1.59 |
$7.01
|
|
Promethazine hcl injection
|
$74.47 |
$74.47 |
$74.47 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$157.26 |
$157.26 |
$157.26 |
$80.95
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$294.99 |
$294.99 |
$294.99 |
$39.59
|
|
Prostate biopsy, any mthd
|
$176.87 |
$176.87 |
$176.87 |
$555.26
|
|
Prosthesis voc advantage 20f 14mm
|
$44.89 |
$44.89 |
$44.89 |
$1,030.28
|
|
Protamine 10 mg/ml intravenous solution
|
$40.61 |
$40.61 |
$40.61 |
$50.70
|
|
Protector nerve neurawrap 4cm
|
$2,565.84 |
$2,565.84 |
$2,565.84 |
$3,902.63
|
|
Protein c activity
|
$89.54 |
$89.54 |
$89.54 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$37.35 |
$37.35 |
$37.35 |
$85.20
|
|
Protein s total
|
$44.85 |
$44.85 |
$44.85 |
$78.87
|
|
Protein total 24 hour urine
|
$37.20 |
$37.20 |
$37.20 |
$52.50
|
|
Protein total body fluid
|
$40.50 |
$40.50 |
$40.50 |
$52.57
|
|
Protein total serum plasma whole blood
|
$31.95 |
$31.95 |
$31.95 |
$42.81
|
|
Prothrombin complex kcentra
|
$3,962.19 |
$3,962.19 |
$3,962.19 |
$5.50
|
|
Prothrombin time substitution plasma fractions each
|
$12.15 |
$12.15 |
$12.15 |
$37.05
|
|
Prq cardiac angio addl art
|
$4,309.95 |
$4,309.95 |
$4,309.95 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$7,561.20 |
$7,561.20 |
$7,561.20 |
$18,340.14
|
|
Prq card stent w/angio addl
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$13,419.98
|