|
Phleb veins 1 extrm >20 stab
|
$16,593.50 |
$16,593.50 |
$16,593.50 |
$4,453.46
|
|
Phosphorus
|
$31.50 |
$31.50 |
$31.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$33.50 |
$33.50 |
$33.50 |
$41.51
|
|
Photo patch test
|
$74.50 |
$74.50 |
$74.50 |
$71.50
|
|
Phys blood bank serv reactj
|
$281.50 |
$281.50 |
$281.50 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$43.00 |
$43.00 |
$43.00 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$6,920.00 |
$6,920.00 |
$6,920.00 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$518.50 |
$518.50 |
$518.50 |
$463.20
|
|
Pin caspar distraction 12mm
|
$7,490.00 |
$7,490.00 |
$7,490.00 |
$11,925.00
|
|
Pin hand dislocation
|
$3,682.83 |
$3,682.83 |
$3,682.83 |
$3,839.54
|
|
Pinworm exam
|
$27.00 |
$27.00 |
$27.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$55.35 |
$55.35 |
$55.35 |
$83.03
|
|
Place cath intracranial art
|
$492.00 |
$492.00 |
$492.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$492.00 |
$492.00 |
$492.00 |
$4,202.90
|
|
Place duod/jej tube perc
|
$2,398.00 |
$2,398.00 |
$2,398.00 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$2,205.50 |
$2,205.50 |
$2,205.50 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,757.50 |
$1,757.50 |
$1,757.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$821.50 |
$821.50 |
$821.50 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,823.00 |
$3,823.00 |
$3,823.00 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$591.00 |
$591.00 |
$591.00 |
$571.45
|
|
Placement of seton
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$3,845.10
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$19,909.00 |
$19,909.00 |
$19,909.00 |
$13,964.50
|
|
Place needles pelvic for right
|
$4,578.00 |
$4,578.00 |
$4,578.00 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$5,053.33
|
|
Place po breast cath for rad
|
$7,397.50 |
$7,397.50 |
$7,397.50 |
$11,066.55
|
|
Place right device/marker pros
|
$1,693.00 |
$1,693.00 |
$1,693.00 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$8,971.00
|
|
Platelet aggregation each agent teg
|
$65.00 |
$65.00 |
$65.00 |
$148.80
|
|
Platelet automated
|
$29.00 |
$29.00 |
$29.00 |
$45.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$979.50 |
$979.50 |
$979.50 |
$1,139.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,004.00
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$894.00 |
$894.00 |
$894.00 |
$6,927.20
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,002.50 |
$3,002.50 |
$3,002.50 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$991.50 |
$991.50 |
$991.50 |
$1,230.00
|
|
Plcmt xtn pros evasc rpr per vsl
|
$655.00 |
$655.00 |
$655.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$102.00 |
$102.00 |
$102.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$236.50 |
$236.50 |
$236.50 |
$405.00
|
|
Plmt biliary drainage cath
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$4,762.80
|
|
Pm device progr eval dual
|
$46.00 |
$46.00 |
$46.00 |
$148.00
|
|
Pm device progr eval multi
|
$78.50 |
$78.50 |
$78.50 |
$139.00
|
|
Pmp22 gene dup/delet
|
$995.00 |
$995.00 |
$995.00 |
$1,029.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$126.50 |
$126.50 |
$126.50 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$48,854.96 |
$48,854.96 |
$48,854.96 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$3,048.00 |
$3,048.00 |
$3,048.00 |
$3,494.55
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,022.00 |
$3,022.00 |
$3,022.00 |
$3,751.48
|
|
Positional nystagmus test
|
$55.50 |
$55.50 |
$55.50 |
$73.50
|
|
Post non-seg/spine instrumentation 22840
|
$2,098.67 |
$2,098.67 |
$2,098.67 |
$1,831.20
|
|
Postpartum Care Only
|
$67.50 |
$67.50 |
$67.50 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$3,099.50 |
$3,099.50 |
$3,099.50 |
$1,837.60
|
|
Potassium 24 hour urine
|
$25.50 |
$25.50 |
$25.50 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$32.40 |
$32.40 |
$32.40 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$30.50 |
$30.50 |
$30.50 |
$46.75
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,800.50 |
$5,800.50 |
$5,800.50 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,192.50 |
$4,192.50 |
$4,192.50 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,192.50 |
$4,192.50 |
$4,192.50 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$11,894.76 |
$11,894.76 |
$11,894.76 |
$3,738.90
|
|
Pr application of long arm splint
|
$184.00 |
$184.00 |
$184.00 |
$329.00
|
|
Pr application splint static short arm
|
$274.00 |
$274.00 |
$274.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$44.00 |
$44.00 |
$44.00 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$1,244.17 |
$1,244.17 |
$1,244.17 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$19,561.50 |
$19,561.50 |
$19,561.50 |
$10,090.50
|
|
Pr correction hammertoe
|
$7,903.67 |
$7,903.67 |
$7,903.67 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$70.50 |
$70.50 |
$70.50 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$3,606.00 |
$3,606.00 |
$3,606.00 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$7,070.50 |
$7,070.50 |
$7,070.50 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$392.00 |
$392.00 |
$392.00 |
$351.60
|
|
Prealbumin
|
$93.00 |
$93.00 |
$93.00 |
$93.36
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$41.00 |
$41.00 |
$41.00 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$333.00 |
$333.00 |
$333.00 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.61 |
$1.61 |
$1.61 |
$3.00
|
|
Pregabalin - sendout
|
$18.50 |
$18.50 |
$18.50 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$4,861.50 |
$4,861.50 |
$4,861.50 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$714.00 |
$714.00 |
$714.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$570.00 |
$570.00 |
$570.00 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$281.00 |
$281.00 |
$281.00 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$44.50 |
$44.50 |
$44.50 |
$613.78
|
|
Prep corneal endo allograft
|
$1,890.33 |
$1,890.33 |
$1,890.33 |
$1,484.00
|
|
Prep skin to 100cm2 other
|
$5,476.17 |
$5,476.17 |
$5,476.17 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$5,745.33 |
$5,745.33 |
$5,745.33 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$2,936.92 |
$2,936.92 |
$2,936.92 |
$1,018.50
|
|
Pressure velocity wire add ves
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$1,579.40
|
|
Pretreat rbc absorption reference
|
$103.00 |
$103.00 |
$103.00 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$106.00 |
$106.00 |
$106.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$461.00 |
$461.00 |
$461.00 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$285.00 |
$285.00 |
$285.00 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$73.50 |
$73.50 |
$73.50 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$88.50 |
$88.50 |
$88.50 |
$116.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$295.50 |
$295.50 |
$295.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$11,068.00 |
$11,068.00 |
$11,068.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$4,313.25 |
$4,313.25 |
$4,313.25 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$6,827.50 |
$6,827.50 |
$6,827.50 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$43.00 |
$43.00 |
$43.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$43.00 |
$43.00 |
$43.00 |
$139.10
|
