|
Pelv band/spread bar thigh c
|
$282.80 |
$282.80 |
$282.80 |
$802.87
|
|
Pelvic band & belt thigh fla
|
$204.00 |
$204.00 |
$204.00 |
$504.00
|
|
Pelvic control band & belt b
|
$238.80 |
$238.80 |
$238.80 |
$566.16
|
|
Pelvic control band & belt u
|
$153.20 |
$153.20 |
$153.20 |
$500.58
|
|
Pelvic control pelvic sling
|
$321.20 |
$321.20 |
$321.20 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$1,405.20 |
$1,405.20 |
$1,405.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$831.20 |
$831.20 |
$831.20 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,928.40 |
$1,928.40 |
$1,928.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,815.60 |
$1,815.60 |
$1,815.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$420.00 |
$420.00 |
$420.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$358.40 |
$358.40 |
$358.40 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$48.50 |
$48.50 |
$48.50 |
$826.47
|
|
Penile rear tip xtnd 0.5cm
|
$21,658.00 |
$21,658.00 |
$21,658.00 |
$18,764.94
|
|
Penile vascular study
|
$576.40 |
$576.40 |
$576.40 |
$576.40
|
|
Penis study
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$368.50
|
|
Perc cryo ablate renal tum
|
$5,024.80 |
$5,024.80 |
$5,024.80 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$5,563.60 |
$5,563.60 |
$5,563.60 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$15,349.60 |
$15,349.60 |
$15,349.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$3,842.00 |
$3,842.00 |
$3,842.00 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$13,156.80 |
$13,156.80 |
$13,156.80 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$4,890.00 |
$4,890.00 |
$4,890.00 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$13,156.80 |
$13,156.80 |
$13,156.80 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$4,543.20 |
$4,543.20 |
$4,543.20 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$12,061.20 |
$12,061.20 |
$12,061.20 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$7,243.60
|
|
Percut ablate liver rf
|
$4,690.00 |
$4,690.00 |
$4,690.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$33.20 |
$33.20 |
$33.20 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$1,120.40 |
$1,120.40 |
$1,120.40 |
$2,251.20
|
|
Peripheral vascular rehab
|
$140.40 |
$140.40 |
$140.40 |
$132.50
|
|
Peri-proc device eval icd
|
$381.60 |
$381.60 |
$381.60 |
$192.40
|
|
Peri-proc device eval pm
|
$131.20 |
$131.20 |
$131.20 |
$159.90
|
|
Peritoneogram rs&i
|
$561.20 |
$561.20 |
$561.20 |
$695.89
|
|
Permanent tear duct plug
|
$838.80 |
$838.80 |
$838.80 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$4,374.80 |
$4,374.80 |
$4,374.80 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$3,572.40 |
$3,572.40 |
$3,572.40 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$1,463.60 |
$1,463.60 |
$1,463.60 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,463.60 |
$1,463.60 |
$1,463.60 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$34,348.00 |
$34,348.00 |
$34,348.00 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$34,388.80 |
$34,388.80 |
$34,388.80 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt bi
|
$27,122.80 |
$27,122.80 |
$27,122.80 |
$15,873.70
|
|
Perq p-art revsc 1 nm nt uni
|
$23,725.60 |
$23,725.60 |
$23,725.60 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$12,625.20 |
$12,625.20 |
$12,625.20 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$2,550.80 |
$2,550.80 |
$2,550.80 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$4,122.40 |
$4,122.40 |
$4,122.40 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$739.20 |
$739.20 |
$739.20 |
$625.93
|
|
Perq transcath closure each
|
$4,930.80 |
$4,930.80 |
$4,930.80 |
$9,204.00
|
|
Perq transcath closure pda
|
$14,702.00 |
$14,702.00 |
$14,702.00 |
$18,408.00
|
|
Perq transcath cls aortic
|
$31,318.00 |
$31,318.00 |
$31,318.00 |
$22,633.26
|
|
Perq transcath cls mitral
|
$27,805.60 |
$27,805.60 |
$27,805.60 |
$23,617.60
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$183.20 |
$183.20 |
$183.20 |
$141.60
|
|
Pessary reusable rub anytype
|
$195.60 |
$195.60 |
$195.60 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$4,542.40 |
$4,542.40 |
$4,542.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,625.20 |
$4,625.20 |
$4,625.20 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,625.20 |
$4,625.20 |
$4,625.20 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,487.60 |
$4,487.60 |
$4,487.60 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$136,790.40 |
$136,790.40 |
$136,790.40 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$75.20 |
$75.20 |
$75.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$110.40 |
$110.40 |
$110.40 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$38.40 |
$38.40 |
$38.40 |
$33.30
|
|
Ph body fluid
|
$7.60 |
$7.60 |
$7.60 |
$41.28
|
|
Phencyclidine (pcp)
|
$36.00 |
$36.00 |
$36.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$50.00 |
$50.00 |
$50.00 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$44.40 |
$44.40 |
$44.40 |
$104.50
|
|
Phentolaine mesylate inj
|
$574.75 |
$574.75 |
$574.75 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$10.01 |
$10.01 |
$10.01 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$32.40 |
$32.40 |
$32.40 |
$110.88
|
|
Phlebotomy therapeutic
|
$291.20 |
$291.20 |
$291.20 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,756.40 |
$5,756.40 |
$5,756.40 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$6,280.00 |
$6,280.00 |
$6,280.00 |
$4,453.46
|
|
Phosphorus
|
$12.00 |
$12.00 |
$12.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$12.40 |
$12.40 |
$12.40 |
$41.51
|
|
Phys review of motion tests
|
$814.80 |
$814.80 |
$814.80 |
$252.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$66.24 |
$66.24 |
$66.24 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$1,088.80 |
$1,088.80 |
$1,088.80 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$483.20 |
$483.20 |
$483.20 |
$463.20
|
|
Pin caspar distraction 12mm
|
$14,552.00 |
$14,552.00 |
$14,552.00 |
$11,925.00
|
|
Pinworm exam
|
$11.20 |
$11.20 |
$11.20 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$30.92 |
$30.92 |
$30.92 |
$83.03
|
|
Place cath intracranial art
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$4,202.90
|
|
Place cecostomy tube perc
|
$1,872.40 |
$1,872.40 |
$1,872.40 |
$2,580.90
|
|
Place duod/jej tube perc
|
$3,342.80 |
$3,342.80 |
$3,342.80 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$3,063.60 |
$3,063.60 |
$3,063.60 |
$2,289.60
|
|
Placement bile duct support
|
$2,941.60 |
$2,941.60 |
$2,941.60 |
$2,732.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,463.60 |
$1,463.60 |
$1,463.60 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,463.60 |
$1,463.60 |
$1,463.60 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$581.20 |
$581.20 |
$581.20 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$13,140.80 |
$13,140.80 |
$13,140.80 |
$13,964.50
|
|
Place ndl musc/tis for right
|
$7,110.40 |
$7,110.40 |
$7,110.40 |
$3,591.33
|
|
Place non-slctv cath thoracic arta
|
$3,336.40 |
$3,336.40 |
$3,336.40 |
$5,053.33
|
|
Place po breast cath for rad
|
$5,206.80 |
$5,206.80 |
$5,206.80 |
$11,066.55
|
|
Place right device/marker pros
|
$3,064.00 |
$3,064.00 |
$3,064.00 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$5,874.80 |
$5,874.80 |
$5,874.80 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,237.20 |
$4,237.20 |
$4,237.20 |
$6,498.00
|
