|
Pertuzumab 30 mg/ml desensitization
|
$15,664.29 |
$15,664.29 |
$15,664.29 |
$13,666.00
|
|
Pet CT skull-mid thgh initial
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$15,042.02 |
$15,042.02 |
$15,042.02 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$36.80 |
$36.80 |
$36.80 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$52.80 |
$52.80 |
$52.80 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$19.20 |
$19.20 |
$19.20 |
$33.30
|
|
Ph body fluid
|
$20.80 |
$20.80 |
$20.80 |
$41.28
|
|
Phencyclidine (pcp)
|
$177.60 |
$177.60 |
$177.60 |
$96.00
|
|
Phenobarbital therapeutic drug level
|
$25.60 |
$25.60 |
$25.60 |
$104.50
|
|
Phentolaine mesylate inj
|
$648.24 |
$648.24 |
$648.24 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$1.20 |
$1.20 |
$1.20 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$25.60 |
$25.60 |
$25.60 |
$110.88
|
|
Phlebotomy therapeutic
|
$201.60 |
$201.60 |
$201.60 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$465.60 |
$465.60 |
$465.60 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$574.40 |
$574.40 |
$574.40 |
$4,453.46
|
|
Phosphorus
|
$10.40 |
$10.40 |
$10.40 |
$48.80
|
|
Phosphorus 24 hour urine
|
$18.40 |
$18.40 |
$18.40 |
$41.51
|
|
Photopheresis
|
$143.20 |
$143.20 |
$143.20 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$72.00 |
$72.00 |
$72.00 |
$207.50
|
|
Physician standby services
|
$93.60 |
$93.60 |
$93.60 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$45.86 |
$45.86 |
$45.86 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$923.20 |
$923.20 |
$923.20 |
$1,035.81
|
|
Pin finger dislocation
|
$763.20 |
$763.20 |
$763.20 |
$3,839.54
|
|
Pin finger fracture each
|
$4,172.00 |
$4,172.00 |
$4,172.00 |
$4,115.40
|
|
Pin hand dislocation
|
$860.80 |
$860.80 |
$860.80 |
$3,839.54
|
|
Pin knuckle dislocation
|
$738.40 |
$738.40 |
$738.40 |
$3,839.54
|
|
Pinworm exam
|
$10.40 |
$10.40 |
$10.40 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$29.10 |
$29.10 |
$29.10 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$154.40 |
$154.40 |
$154.40 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$133.60 |
$133.60 |
$133.60 |
$1,332.43
|
|
Placement of seton
|
$203.20 |
$203.20 |
$203.20 |
$3,845.10
|
|
Place right device/marker pros
|
$165.60 |
$165.60 |
$165.60 |
$2,195.93
|
|
Place slctv cath subclavian art
|
$571.20 |
$571.20 |
$571.20 |
$6,325.00
|
|
Platelet automated
|
$30.40 |
$30.40 |
$30.40 |
$45.60
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$422.40 |
$422.40 |
$422.40 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$346.40 |
$346.40 |
$346.40 |
$6,927.20
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$132.80 |
$132.80 |
$132.80 |
$1,230.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$67.20 |
$67.20 |
$67.20 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$692.00 |
$692.00 |
$692.00 |
$405.00
|
|
Plmt biliary drainage cath
|
$592.00 |
$592.00 |
$592.00 |
$4,762.80
|
|
Pm device progr eval dual
|
$65.60 |
$65.60 |
$65.60 |
$148.00
|
|
Pm device progr eval multi
|
$72.80 |
$72.80 |
$72.80 |
$139.00
|
|
Pmp22 gene dup/delet
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$76.00 |
$76.00 |
$76.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$472.80 |
$472.80 |
$472.80 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$29,736.96 |
$29,736.96 |
$29,736.96 |
$35,781.91
|
|
Postpartum Care Only
|
$313.60 |
$313.60 |
$313.60 |
$364.80
|
|
Potassium 24 hour urine
|
$14.40 |
$14.40 |
$14.40 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$11.52 |
$11.52 |
$11.52 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$9.60 |
$9.60 |
$9.60 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$67.20 |
$67.20 |
$67.20 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$787.20 |
$787.20 |
$787.20 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$344.80 |
$344.80 |
$344.80 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$711.20 |
$711.20 |
$711.20 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$669.60 |
$669.60 |
$669.60 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$3,738.90
|
|
Pr application of long arm splint
|
$354.40 |
$354.40 |
$354.40 |
$329.00
|
|
Pr application splint static short arm
|
$281.60 |
$281.60 |
$281.60 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$63.20 |
$63.20 |
$63.20 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$623.20 |
$623.20 |
$623.20 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$10,090.50
|
|
Pr correction hammertoe
|
$656.00 |
$656.00 |
$656.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$43.20 |
$43.20 |
$43.20 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$485.60 |
$485.60 |
$485.60 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$413.60 |
$413.60 |
$413.60 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$256.80 |
$256.80 |
$256.80 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$300.80 |
$300.80 |
$300.80 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$140.00 |
$140.00 |
$140.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$192.00 |
$192.00 |
$192.00 |
$182.65
|
|
Prealbumin
|
$19.20 |
$19.20 |
$19.20 |
$93.36
|
|
Pr ecg 12 lead report only
|
$15.20 |
$15.20 |
$15.20 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$31.20 |
$31.20 |
$31.20 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.69 |
$2.69 |
$2.69 |
$13.87
|
|
Prednisone 1 mg tablet
|
$2.86 |
$2.86 |
$2.86 |
$3.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$329.60 |
$329.60 |
$329.60 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$398.40 |
$398.40 |
$398.40 |
$590.27
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$166.40 |
$166.40 |
$166.40 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$763.20 |
$763.20 |
$763.20 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$1,143.04
|
|
Prep corneal endo allograft
|
$197.60 |
$197.60 |
$197.60 |
$1,484.00
|
|
Prep skin to 100cm2 other
|
$623.20 |
$623.20 |
$623.20 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$364.80 |
$364.80 |
$364.80 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$76.00 |
$76.00 |
$76.00 |
$1,018.50
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$292.80 |
$292.80 |
$292.80 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$37.60 |
$37.60 |
$37.60 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$76.80 |
$76.80 |
$76.80 |
$116.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$214.40 |
$214.40 |
$214.40 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,089.60 |
$3,089.60 |
$3,089.60 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$2,401.60 |
$2,401.60 |
$2,401.60 |
$3,336.80
|
|
Prgrmg dev eval pm/ldls pm
|
$54.40 |
$54.40 |
$54.40 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$44.80 |
$44.80 |
$44.80 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$72.00 |
$72.00 |
$72.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$96.80 |
$96.80 |
$96.80 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$105.60 |
$105.60 |
$105.60 |
$205.40
|
|
Pr hospital ip/obs care initial high level per day
|
$301.60 |
$301.60 |
$301.60 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$228.00 |
$228.00 |
$228.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$138.40 |
$138.40 |
$138.40 |
$180.05
|
