|
Peri-proc device eval icd
|
$367.50 |
$367.50 |
$367.50 |
$192.40
|
|
Peri-proc device eval pm
|
$310.00 |
$310.00 |
$310.00 |
$159.90
|
|
Peritoneogram rs&i
|
$845.00 |
$845.00 |
$845.00 |
$695.89
|
|
Perq art m-thrombect &/nfs
|
$9,600.00 |
$9,600.00 |
$9,600.00 |
$7,559.55
|
|
Perq dev breast 1st mr guide
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$25,825.00 |
$25,825.00 |
$25,825.00 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$20,660.00 |
$20,660.00 |
$20,660.00 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt bi
|
$15,655.00 |
$15,655.00 |
$15,655.00 |
$15,873.70
|
|
Perq p-art revsc 1 nm nt uni
|
$12,520.00 |
$12,520.00 |
$12,520.00 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$5,010.00 |
$5,010.00 |
$5,010.00 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$6,520.00 |
$6,520.00 |
$6,520.00 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$8,410.00 |
$8,410.00 |
$8,410.00 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$9,105.00 |
$9,105.00 |
$9,105.00 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$457.50 |
$457.50 |
$457.50 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,060.00
|
|
Pet image skull-thigh
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,305.60
|
|
Pet not otherwise specified
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$1,070.40
|
|
Pet scan brain perf study
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$26,075.21 |
$26,075.21 |
$26,075.21 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$82.50 |
$82.50 |
$82.50 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$105.00 |
$105.00 |
$105.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$50.00 |
$50.00 |
$50.00 |
$33.30
|
|
Ph body fluid
|
$35.00 |
$35.00 |
$35.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$90.00 |
$90.00 |
$90.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$79.11 |
$79.11 |
$79.11 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$112.50 |
$112.50 |
$112.50 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.48 |
$0.48 |
$0.48 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$97.50 |
$97.50 |
$97.50 |
$110.88
|
|
Phlebotomy therapeutic
|
$125.00 |
$125.00 |
$125.00 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$4,453.46
|
|
Phosphorus
|
$47.50 |
$47.50 |
$47.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$47.50 |
$47.50 |
$47.50 |
$41.51
|
|
Phys blood bank serv reactj
|
$207.50 |
$207.50 |
$207.50 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$95.53 |
$95.53 |
$95.53 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$890.00 |
$890.00 |
$890.00 |
$1,035.81
|
|
Pinworm exam
|
$52.50 |
$52.50 |
$52.50 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$12.23 |
$12.23 |
$12.23 |
$83.03
|
|
Place cath intracranial art
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$4,202.90
|
|
Place duod/jej tube perc
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$990.00 |
$990.00 |
$990.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$795.00 |
$795.00 |
$795.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$8,460.00 |
$8,460.00 |
$8,460.00 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$775.00 |
$775.00 |
$775.00 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,005.00 |
$16,005.00 |
$16,005.00 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$7,535.00 |
$7,535.00 |
$7,535.00 |
$5,053.33
|
|
Placental lactogen
|
$140.00 |
$140.00 |
$140.00 |
$163.28
|
|
Place slctv cath carotd art uni
|
$17,170.00 |
$17,170.00 |
$17,170.00 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$10,265.00 |
$10,265.00 |
$10,265.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$13,030.00 |
$13,030.00 |
$13,030.00 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$11,610.00 |
$11,610.00 |
$11,610.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$12,975.00 |
$12,975.00 |
$12,975.00 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$95.00 |
$95.00 |
$95.00 |
$157.95
|
|
Platelet aggregation each agent teg
|
$105.00 |
$105.00 |
$105.00 |
$148.80
|
|
Platelet automated
|
$30.00 |
$30.00 |
$30.00 |
$45.60
|
|
Platelet pheresis irr ea
|
$905.00 |
$905.00 |
$905.00 |
$1,082.25
|
|
Platelets each unit
|
$120.00 |
$120.00 |
$120.00 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,504.10
|
|
Platelets leukocytes reduced each unit
|
$165.00 |
$165.00 |
$165.00 |
$302.25
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$790.00 |
$790.00 |
$790.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$960.00 |
$960.00 |
$960.00 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$7,900.00 |
$7,900.00 |
$7,900.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,705.00 |
$4,705.00 |
$4,705.00 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,465.00 |
$6,465.00 |
$6,465.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$920.00 |
$920.00 |
$920.00 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$4,715.00 |
$4,715.00 |
$4,715.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$870.00 |
$870.00 |
$870.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$367.50 |
$367.50 |
$367.50 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$5,800.00 |
$5,800.00 |
$5,800.00 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$5,165.00 |
$5,165.00 |
$5,165.00 |
$5,104.20
|
|
Pm device progr eval dual
|
$307.50 |
$307.50 |
$307.50 |
$148.00
|
|
Pm device progr eval multi
|
$307.50 |
$307.50 |
$307.50 |
$139.00
|
|
Pm phone r-strip device eval
|
$105.00 |
$105.00 |
$105.00 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$70.00 |
$70.00 |
$70.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,751.48
|
|
Potassium 24 hour urine
|
$55.00 |
$55.00 |
$55.00 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$8.50 |
$8.50 |
$8.50 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$35.00 |
$35.00 |
$35.00 |
$46.75
|
|
Pq biliary strict dil s&i
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$720.00 |
$720.00 |
$720.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$7,570.00 |
$7,570.00 |
$7,570.00 |
$9,977.57
|
|
Pq thr inj ext pse
|
$477.50 |
$477.50 |
$477.50 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$2,925.65
|
