|
Pessary 3.5 in 7 vag sil rng fold
|
$41.40 |
$41.40 |
$41.40 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$4,409.00 |
$4,409.00 |
$4,409.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,409.00 |
$4,409.00 |
$4,409.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,530.50 |
$2,530.50 |
$2,530.50 |
$4,060.00
|
|
Pet image full body
|
$5,070.50 |
$5,070.50 |
$5,070.50 |
$5,070.50
|
|
Pet image ltd area
|
$5,070.50 |
$5,070.50 |
$5,070.50 |
$3,677.40
|
|
Pet image skull-thigh
|
$5,070.50 |
$5,070.50 |
$5,070.50 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$4,409.00 |
$4,409.00 |
$4,409.00 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$10,384.45 |
$10,384.45 |
$10,384.45 |
$38,834.22
|
|
Ph body fluid
|
$90.50 |
$90.50 |
$90.50 |
$41.28
|
|
Phenobarbital therapeutic drug level
|
$32.00 |
$32.00 |
$32.00 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$156.50 |
$156.50 |
$156.50 |
$110.88
|
|
Phlebotomy therapeutic
|
$392.00 |
$392.00 |
$392.00 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,981.50 |
$5,981.50 |
$5,981.50 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$5,981.50 |
$5,981.50 |
$5,981.50 |
$4,453.46
|
|
Phosphorus
|
$61.50 |
$61.50 |
$61.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$32.50 |
$32.50 |
$32.50 |
$41.51
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$137.00 |
$137.00 |
$137.00 |
$176.00
|
|
Piflu f-18, dia 1 millicurie
|
$317.62 |
$317.62 |
$317.62 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$383.50 |
$383.50 |
$383.50 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$446.60 |
$446.60 |
$446.60 |
$614.36
|
|
Pin caspar distraction 12mm
|
$4,512.50 |
$4,512.50 |
$4,512.50 |
$11,925.00
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,799.00 |
$1,799.00 |
$1,799.00 |
$1,116.00
|
|
Pin finger fracture each
|
$5,075.50 |
$5,075.50 |
$5,075.50 |
$4,115.40
|
|
Pin service 60m per month
|
$114.00 |
$114.00 |
$114.00 |
$114.00
|
|
Pinworm exam
|
$16.00 |
$16.00 |
$16.00 |
$39.75
|
|
Place cath intracranial art
|
$4,569.00 |
$4,569.00 |
$4,569.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$4,569.00 |
$4,569.00 |
$4,569.00 |
$4,202.90
|
|
Place cecostomy tube perc
|
$3,293.50 |
$3,293.50 |
$3,293.50 |
$2,580.90
|
|
Place device/marker, non pro
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$1,969.20
|
|
Place duod/jej tube perc
|
$2,042.50 |
$2,042.50 |
$2,042.50 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$2,042.50 |
$2,042.50 |
$2,042.50 |
$2,289.60
|
|
Placement bile duct support
|
$2,888.50 |
$2,888.50 |
$2,888.50 |
$2,732.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,597.50 |
$2,597.50 |
$2,597.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,597.50 |
$2,597.50 |
$2,597.50 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,628.50 |
$2,628.50 |
$2,628.50 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$437.50 |
$437.50 |
$437.50 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$6,983.00 |
$6,983.00 |
$6,983.00 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$7,495.50 |
$7,495.50 |
$7,495.50 |
$5,053.33
|
|
Place po breast cath for rad
|
$13,844.50 |
$13,844.50 |
$13,844.50 |
$11,066.55
|
|
Place right device/marker pros
|
$2,402.50 |
$2,402.50 |
$2,402.50 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$11,928.50 |
$11,928.50 |
$11,928.50 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$9,355.50 |
$9,355.50 |
$9,355.50 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$11,894.00 |
$11,894.00 |
$11,894.00 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$15,845.00 |
$15,845.00 |
$15,845.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$15,543.50 |
$15,543.50 |
$15,543.50 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$328.50 |
$328.50 |
$328.50 |
$157.95
|
|
Plas shoe insert w ank joint
|
$94.18 |
$94.18 |
$94.18 |
$245.71
|
|
Plastic mod low ext pad/line
|
$101.43 |
$101.43 |
$101.43 |
$241.54
|
|
Platelet aggregation each agent teg
|
$202.50 |
$202.50 |
$202.50 |
$148.80
|
|
Platelet automated
|
$108.00 |
$108.00 |
$108.00 |
$45.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,897.00 |
$1,897.00 |
$1,897.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,506.50 |
$2,506.50 |
$2,506.50 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,584.50 |
$3,584.50 |
$3,584.50 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$869.50 |
$869.50 |
$869.50 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$999.50 |
$999.50 |
$999.50 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$399.00 |
$399.00 |
$399.00 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$3,363.00 |
$3,363.00 |
$3,363.00 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$3,363.00 |
$3,363.00 |
$3,363.00 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$430.00 |
$430.00 |
$430.00 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$3,584.50 |
$3,584.50 |
$3,584.50 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$5,104.20
|
|
Pm device progr eval dual
|
$389.00 |
$389.00 |
$389.00 |
$148.00
|
|
Pm device progr eval multi
|
$389.00 |
$389.00 |
$389.00 |
$139.00
|
|
Pm phone r-strip device eval
|
$145.50 |
$145.50 |
$145.50 |
$139.10
|
|
#pnh-flow cytometry interp
|
$20.00 |
$20.00 |
$20.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$290.00 |
$290.00 |
$290.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$347.24 |
$347.24 |
$347.24 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$388.64 |
$388.64 |
$388.64 |
$1,389.71
|
|
Postop dress & 1 cast chg bk
|
$971.35 |
$971.35 |
$971.35 |
$2,533.77
|
|
Post-op hip abduct custom fa
|
$940.82 |
$940.82 |
$940.82 |
$1,760.02
|
|
Potassium 24 hour urine
|
$47.00 |
$47.00 |
$47.00 |
$50.40
|
|
Potassium hydroxide preps
|
$20.00 |
$20.00 |
$20.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$63.00 |
$63.00 |
$63.00 |
$46.75
|
|
Pouch drainable w barrier at
|
$16.56 |
$16.56 |
$16.56 |
$7.00
|
|
Pq biliary strict dil s&i
|
$760.50 |
$760.50 |
$760.50 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$500.00 |
$500.00 |
$500.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$7,971.50 |
$7,971.50 |
$7,971.50 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,465.50 |
$3,465.50 |
$3,465.50 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,028.00 |
$4,028.00 |
$4,028.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,035.50 |
$4,035.50 |
$4,035.50 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$489.00 |
$489.00 |
$489.00 |
$329.00
|
|
Pr application splint static short arm
|
$422.00 |
$422.00 |
$422.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$31.00 |
$31.00 |
$31.00 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$393.50 |
$393.50 |
$393.50 |
$458.25
|
|
Pr correction hammertoe
|
$5,445.00 |
$5,445.00 |
$5,445.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$46.50 |
$46.50 |
$46.50 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$1,640.50 |
$1,640.50 |
$1,640.50 |
$2,253.00
|