|
Piflu f-18, dia 1 millicurie
|
$6,228.00 |
$6,228.00 |
$6,228.00 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$496.50 |
$496.50 |
$496.50 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$282.00 |
$282.00 |
$282.00 |
$614.36
|
|
Pin caspar distraction 12mm
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$11,925.00
|
|
Pinworm exam
|
$9.00 |
$9.00 |
$9.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$27.64 |
$27.64 |
$27.64 |
$83.03
|
|
Place cath xtrnl carotid
|
$6,086.50 |
$6,086.50 |
$6,086.50 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$3,680.00 |
$3,680.00 |
$3,680.00 |
$2,289.60
|
|
Placement nephrostomy catheter (both sides)
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$591.00 |
$591.00 |
$591.00 |
$571.45
|
|
Placement of seton
|
$4,460.00 |
$4,460.00 |
$4,460.00 |
$3,845.10
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$6,284.50 |
$6,284.50 |
$6,284.50 |
$5,053.33
|
|
Place right device/marker pros
|
$1,871.50 |
$1,871.50 |
$1,871.50 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$4,922.00 |
$4,922.00 |
$4,922.00 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,060.50 |
$5,060.50 |
$5,060.50 |
$8,538.00
|
|
Place slctv cath vertebral art uni
|
$4,922.00 |
$4,922.00 |
$4,922.00 |
$8,971.00
|
|
Platelet aggregation each agent teg
|
$53.50 |
$53.50 |
$53.50 |
$148.80
|
|
Platelet automated
|
$68.00 |
$68.00 |
$68.00 |
$45.60
|
|
Platelet pheresis each unit
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$961.70
|
|
Platelets each unit
|
$96.00 |
$96.00 |
$96.00 |
$169.29
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$780.00 |
$780.00 |
$780.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$673.50 |
$673.50 |
$673.50 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,126.00 |
$1,126.00 |
$1,126.00 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$6,112.50 |
$6,112.50 |
$6,112.50 |
$6,927.20
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$1,230.00
|
|
Plmt biliary drainage cath
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,762.80
|
|
Pm device progr eval dual
|
$80.50 |
$80.50 |
$80.50 |
$148.00
|
|
Pm device progr eval multi
|
$76.50 |
$76.50 |
$76.50 |
$139.00
|
|
Pmp22 gene dup/delet
|
$995.00 |
$995.00 |
$995.00 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$84.00 |
$84.00 |
$84.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$99.00 |
$99.00 |
$99.00 |
$187.32
|
|
Postop app non-wgt bear dsg
|
$883.00 |
$883.00 |
$883.00 |
$977.13
|
|
Postop dress & 1 cast chg bk
|
$2,112.50 |
$2,112.50 |
$2,112.50 |
$2,533.77
|
|
Postop dsg & 1 cast chg ak/d
|
$2,429.50 |
$2,429.50 |
$2,429.50 |
$3,339.01
|
|
Postpartum Care Only
|
$65.00 |
$65.00 |
$65.00 |
$364.80
|
|
Potassium 24 hour urine
|
$45.00 |
$45.00 |
$45.00 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$21.15 |
$21.15 |
$21.15 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$45.00 |
$45.00 |
$45.00 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$207.50 |
$207.50 |
$207.50 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$15,028.00 |
$15,028.00 |
$15,028.00 |
$9,977.57
|
|
Pq thr inj ext pse
|
$503.00 |
$503.00 |
$503.00 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,186.50 |
$2,186.50 |
$2,186.50 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$6,881.00 |
$6,881.00 |
$6,881.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,505.50 |
$5,505.50 |
$5,505.50 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$5,733.50 |
$5,733.50 |
$5,733.50 |
$3,738.90
|
|
Pr application of long arm splint
|
$390.00 |
$390.00 |
$390.00 |
$329.00
|
|
Pr application splint static short arm
|
$250.00 |
$250.00 |
$250.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$74.50 |
$74.50 |
$74.50 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$721.00 |
$721.00 |
$721.00 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$7,313.34 |
$7,313.34 |
$7,313.34 |
$10,090.50
|
|
Pr correction hammertoe
|
$6,537.00 |
$6,537.00 |
$6,537.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$47.00 |
$47.00 |
$47.00 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$4,018.00 |
$4,018.00 |
$4,018.00 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$3,988.50 |
$3,988.50 |
$3,988.50 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$6,806.63 |
$6,806.63 |
$6,806.63 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$351.60
|
|
Prealbumin
|
$43.00 |
$43.00 |
$43.00 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$16.38 |
$16.38 |
$16.38 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.61 |
$1.61 |
$1.61 |
$3.00
|
|
Pregabalin - sendout
|
$85.00 |
$85.00 |
$85.00 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,795.50 |
$2,795.50 |
$2,795.50 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$473.50 |
$473.50 |
$473.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$469.50 |
$469.50 |
$469.50 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$80.50 |
$80.50 |
$80.50 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$47.00 |
$47.00 |
$47.00 |
$613.78
|
|
Prep skin to 100cm2 other
|
$1,634.00 |
$1,634.00 |
$1,634.00 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,372.00 |
$2,372.00 |
$2,372.00 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$52.50 |
$52.50 |
$52.50 |
$238.33
|
|
Pressure treatment esophagus
|
$217.50 |
$217.50 |
$217.50 |
$1,555.50
|
|
Pressure velocity wire add ves
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$66.50 |
$66.50 |
$66.50 |
$152.85
|
|
Pretreat rbc absorption reference
|
$73.50 |
$73.50 |
$73.50 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$47.50 |
$47.50 |
$47.50 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$118.50 |
$118.50 |
$118.50 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$206.50 |
$206.50 |
$206.50 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$29.50 |
$29.50 |
$29.50 |
$77.18
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$151.50 |
$151.50 |
$151.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$5,755.50 |
$5,755.50 |
$5,755.50 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,459.50 |
$1,459.50 |
$1,459.50 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$3,262.00 |
$3,262.00 |
$3,262.00 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$78.50 |
$78.50 |
$78.50 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$76.50 |
$76.50 |
$76.50 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$76.50 |
$76.50 |
$76.50 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$76.50 |
$76.50 |
$76.50 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$76.50 |
$76.50 |
$76.50 |
$205.40
|
|
Prim art mech thrmbc non-intracranial
|
$5,843.50 |
$5,843.50 |
$5,843.50 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$106.00 |
$106.00 |
$106.00 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$4,410.00 |
$4,410.00 |
$4,410.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$5,138.00 |
$5,138.00 |
$5,138.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$107.50 |
$107.50 |
$107.50 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$201.00 |
$201.00 |
$201.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$210.50 |
$210.50 |
$210.50 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$6,460.00 |
$6,460.00 |
$6,460.00 |
$4,154.01
|
