|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$18.79 |
$18.79 |
$18.79 |
$83.41
|
|
Place cath intracranial art
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$4,156.80 |
$4,156.80 |
$4,156.80 |
$4,202.65
|
|
Place device/marker, non pro
|
$582.75 |
$582.75 |
$582.75 |
$1,870.00
|
|
Place duod/jej tube perc
|
$771.30 |
$771.30 |
$771.30 |
$2,519.22
|
|
Place gastrostomy tube perc
|
$598.05 |
$598.05 |
$598.05 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$241.50 |
$241.50 |
$241.50 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$54.90 |
$54.90 |
$54.90 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$280.35 |
$280.35 |
$280.35 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,372.35 |
$1,372.35 |
$1,372.35 |
$3,946.56
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$4,660.20 |
$4,660.20 |
$4,660.20 |
$13,964.50
|
|
Place needles pelvic for right
|
$1,412.85 |
$1,412.85 |
$1,412.85 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$2,654.85 |
$2,654.85 |
$2,654.85 |
$5,271.46
|
|
Place slctv cath carotd art uni
|
$3,463.65 |
$3,463.65 |
$3,463.65 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$2,037.45 |
$2,037.45 |
$2,037.45 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$4,156.80 |
$4,156.80 |
$4,156.80 |
$9,076.32
|
|
Plasma cryoprecipitate reduced each unit
|
$108.15 |
$108.15 |
$108.15 |
$163.04
|
|
Plasma volume multiple
|
$582.45 |
$582.45 |
$582.45 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$37.50 |
$37.50 |
$37.50 |
$145.24
|
|
Platelet automated
|
$7.65 |
$7.65 |
$7.65 |
$45.49
|
|
Platelet pheresis each unit
|
$108.15 |
$108.15 |
$108.15 |
$947.00
|
|
Platelet pheresis irr ea
|
$181.95 |
$181.95 |
$181.95 |
$1,030.93
|
|
Platelets each unit
|
$108.15 |
$108.15 |
$108.15 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$272.10 |
$272.10 |
$272.10 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$53.85 |
$53.85 |
$53.85 |
$273.35
|
|
Platelets leukocytes reduced each unit
|
$108.15 |
$108.15 |
$108.15 |
$294.84
|
|
Platelets leukocytes reduced irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$418.95
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$144.45 |
$144.45 |
$144.45 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$134.55 |
$134.55 |
$134.55 |
$1,176.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$146.25 |
$146.25 |
$146.25 |
$1,146.75
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$185.55 |
$185.55 |
$185.55 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$591.15 |
$591.15 |
$591.15 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,252.50 |
$1,252.50 |
$1,252.50 |
$4,477.78
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$6,318.45 |
$6,318.45 |
$6,318.45 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$4,913.40
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,216.65 |
$1,216.65 |
$1,216.65 |
$5,419.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$565.65 |
$565.65 |
$565.65 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$315.30 |
$315.30 |
$315.30 |
$1,259.20
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$91.20 |
$91.20 |
$91.20 |
$762.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$414.00 |
$414.00 |
$414.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$70.20 |
$70.20 |
$70.20 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$70.20 |
$70.20 |
$70.20 |
$691.68
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$93.90 |
$93.90 |
$93.90 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$92.40 |
$92.40 |
$92.40 |
$405.00
|
|
Plmt biliary drainage cath
|
$1,823.55 |
$1,823.55 |
$1,823.55 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,296.05 |
$2,296.05 |
$2,296.05 |
$4,198.50
|
|
Plmt ureteral stent prq
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$4,881.00
|
|
Pm device progr eval dual
|
$513.90 |
$513.90 |
$513.90 |
$148.00
|
|
Pm device progr eval multi
|
$513.90 |
$513.90 |
$513.90 |
$139.10
|
|
Pmp22 gene dup/delet
|
$96.75 |
$96.75 |
$96.75 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$96.75 |
$96.75 |
$96.75 |
$986.40
|
|
Pms2 gene dup/delet variants
|
$174.15 |
$174.15 |
$174.15 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$33.90 |
$33.90 |
$33.90 |
$186.00
|
|
Polysom <6 yrs cpap/bilvl
|
$972.45 |
$972.45 |
$972.45 |
$3,447.50
|
|
Polysom any age 1-3> param
|
$512.85 |
$512.85 |
$512.85 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$555.60 |
$555.60 |
$555.60 |
$3,751.48
|
|
Postpartum Care Only
|
$72.00 |
$72.00 |
$72.00 |
$364.80
|
|
Potassium 24 hour urine
|
$7.50 |
$7.50 |
$7.50 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$10.50 |
$10.50 |
$10.50 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$8.10 |
$8.10 |
$8.10 |
$47.40
|
|
Ppp2r2b gen detc abnor allel
|
$107.70 |
$107.70 |
$107.70 |
$189.06
|
|
Pq biliary strict dil s&i
|
$183.60 |
$183.60 |
$183.60 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$69.30 |
$69.30 |
$69.30 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$3,454.50 |
$3,454.50 |
$3,454.50 |
$9,977.57
|
|
Pq thr inj ext pse
|
$241.50 |
$241.50 |
$241.50 |
$799.38
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$753.90 |
$753.90 |
$753.90 |
$3,043.81
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,421.70 |
$1,421.70 |
$1,421.70 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,316.40 |
$1,316.40 |
$1,316.40 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$962.40 |
$962.40 |
$962.40 |
$3,738.90
|
|
Pr application of long arm splint
|
$107.85 |
$107.85 |
$107.85 |
$329.00
|
|
Pr application splint static short arm
|
$77.25 |
$77.25 |
$77.25 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$75.45 |
$75.45 |
$75.45 |
$458.25
|
|
Prcrd drg 0-5yr or w/anomly
|
$913.65 |
$913.65 |
$913.65 |
$2,148.00
|
|
Prcrd drg 6+yr without anomly
|
$913.65 |
$913.65 |
$913.65 |
$2,253.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$76.95 |
$76.95 |
$76.95 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$38.10 |
$38.10 |
$38.10 |
$132.60
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$56.55 |
$56.55 |
$56.55 |
$186.12
|
|
Prealbumin
|
$24.60 |
$24.60 |
$24.60 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$6.93 |
$6.93 |
$6.93 |
$13.87
|
|
Prednisone 1 mg tablet
|
$52.08 |
$52.08 |
$52.08 |
$3.00
|
|
Pregabalin - sendout
|
$19.20 |
$19.20 |
$19.20 |
$74.20
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$772.80 |
$772.80 |
$772.80 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$16.20 |
$16.20 |
$16.20 |
$72.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$101.55 |
$101.55 |
$101.55 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$101.55 |
$101.55 |
$101.55 |
$537.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$66.60 |
$66.60 |
$66.60 |
$127.44
|
|
Prenatal Care Only (4-6 visits)
|
$183.30 |
$183.30 |
$183.30 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$324.45 |
$324.45 |
$324.45 |
$1,143.04
|
|
Prep skin to 100cm2 other
|
$258.90 |
$258.90 |
$258.90 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$311.40 |
$311.40 |
$311.40 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$45.00 |
$45.00 |
$45.00 |
$1,025.40
|
|
Pressure max expiratory/inspiratory
|
$21.60 |
$21.60 |
$21.60 |
$240.00
|
|
Pressure velocity wire add ves
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,596.10
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$49.05 |
$49.05 |
$49.05 |
$152.85
|
|
Pretreat rbc absorption reference
|
$91.65 |
$91.65 |
$91.65 |
$149.50
|
|
Pretreat rbc density gradient separation reference
|
$91.65 |
$91.65 |
$91.65 |
$185.90
|
|
Pretreat rbc w chem/drugs reference
|
$91.65 |
$91.65 |
$91.65 |
$111.20
|