|
Platelet aggregation each agent teg
|
$105.00 |
$105.00 |
$105.00 |
$136.80
|
|
Platelet automated
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,490.40
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$790.00 |
$790.00 |
$790.00 |
$994.98
|
|
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 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$960.00 |
$960.00 |
$960.00 |
$970.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$7,815.00 |
$7,815.00 |
$7,815.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,285.00 |
$4,285.00 |
$4,285.00 |
$5,075.01
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,885.00 |
$5,885.00 |
$5,885.00 |
$5,272.80
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$3,750.00
|
|
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 |
$765.00
|
|
Plcmt xtn pros evasc rpr per vsl
|
$4,715.00 |
$4,715.00 |
$4,715.00 |
$3,681.01
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,210.97
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$665.73
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$870.00 |
$870.00 |
$870.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$367.50 |
$367.50 |
$367.50 |
$399.50
|
|
Plmt access bil tree sm bwl
|
$4,330.00 |
$4,330.00 |
$4,330.00 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,550.00 |
$3,550.00 |
$3,550.00 |
$4,225.00
|
|
Plmt ureteral stent prq
|
$4,715.00 |
$4,715.00 |
$4,715.00 |
$5,110.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$70.00 |
$70.00 |
$70.00 |
$187.04
|
|
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 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$8.05 |
$8.05 |
$8.05 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$35.00 |
$35.00 |
$35.00 |
$46.00
|
|
Pq biliary strict dil s&i
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$720.00 |
$720.00 |
$720.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,975.00 |
$5,975.00 |
$5,975.00 |
$9,898.59
|
|
Pq thr inj ext pse
|
$477.50 |
$477.50 |
$477.50 |
$843.97
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$4,811.54
|
|
Pr application of long arm splint
|
$215.00 |
$215.00 |
$215.00 |
$328.78
|
|
Pr application splint static short arm
|
$200.00 |
$200.00 |
$200.00 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$230.00 |
$230.00 |
$230.00 |
$456.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$227.50 |
$227.50 |
$227.50 |
$350.98
|
|
Prealbumin
|
$100.00 |
$100.00 |
$100.00 |
$93.60
|
|
Prednisone 1 mg tablet
|
$0.30 |
$0.30 |
$0.30 |
$3.00
|
|
Pregabalin - sendout
|
$80.00 |
$80.00 |
$80.00 |
$72.14
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$660.00 |
$660.00 |
$660.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$535.00 |
$535.00 |
$535.00 |
$537.00
|
|
Pretreat rbc absorption reference
|
$150.00 |
$150.00 |
$150.00 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$65.00 |
$65.00 |
$65.00 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$87.50 |
$87.50 |
$87.50 |
$164.99
|
|
Prgrmg dev eval impltbl sys
|
$285.00 |
$285.00 |
$285.00 |
$138.40
|
|
Prgrmg eval implantable dfb
|
$357.50 |
$357.50 |
$357.50 |
$201.50
|
|
Prim art mech thrmbc non-intracranial
|
$5,120.00 |
$5,120.00 |
$5,120.00 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
$3,733.10
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$210.00 |
$210.00 |
$210.00 |
$570.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$187.50 |
$187.50 |
$187.50 |
$252.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$6,704.00
|
|
Procalcitonin
|
$162.50 |
$162.50 |
$162.50 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$49.60 |
$49.60 |
$49.60 |
$36.33
|
|
Progesterone
|
$120.00 |
$120.00 |
$120.00 |
$113.24
|
|
Prolactin
|
$150.00 |
$150.00 |
$150.00 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$50.00 |
$50.00 |
$50.00 |
$57.60
|
|
Propofol infusion 10 mg/ml
|
$2.58 |
$2.58 |
$2.58 |
$73.36
|
|
Prostate biopsy, any mthd
|
$207.50 |
$207.50 |
$207.50 |
$462.66
|
|
Protein c activity
|
$167.50 |
$167.50 |
$167.50 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$95.00 |
$95.00 |
$95.00 |
$84.00
|
|
Protein s total
|
$62.50 |
$62.50 |
$62.50 |
$77.60
|
|
Protein total 24 hour urine
|
$47.50 |
$47.50 |
$47.50 |
$52.47
|
|
Protein total body fluid
|
$57.50 |
$57.50 |
$57.50 |
$52.00
|
|
Protein total serum plasma whole blood
|
$47.50 |
$47.50 |
$47.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$7.71 |
$7.71 |
$7.71 |
$7.55
|
|
Prothrombin time substitution plasma fractions each
|
$37.50 |
$37.50 |
$37.50 |
$40.30
|
|
Prq av fstl crtj uxtr 1 acs
|
$15,740.00 |
$15,740.00 |
$15,740.00 |
$19,892.81
|
|
Prq av fstl crt uxtr sep acs
|
$18,365.00 |
$18,365.00 |
$18,365.00 |
$20,328.00
|
|
Pr removal drug delivery implant
|
$305.00 |
$305.00 |
$305.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$75.00 |
$75.00 |
$75.00 |
$251.40
|
|
Pr removal intrauterine device
|
$162.50 |
$162.50 |
$162.50 |
$367.43
|
|
PSA (Prostate) Test
|
$90.00 |
$90.00 |
$90.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$67.50 |
$67.50 |
$67.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$27.50 |
$27.50 |
$27.50 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$120.00 |
$120.00 |
$120.00 |
$102.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$77.50 |
$77.50 |
$77.50 |
$79.76
|
|
Pt application of modality traction mechanical
|
$92.50 |
$92.50 |
$92.50 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$310.00 |
$310.00 |
$310.00 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$177.50 |
$177.50 |
$177.50 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$240.00 |
$240.00 |
$240.00 |
$249.26
|
|
Pt re-evaluation patient/family
|
$125.00 |
$125.00 |
$125.00 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$105.00 |
$105.00 |
$105.00 |
$115.35
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$87.10
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$10.50 |
$10.50 |
$10.50 |
$79.00
|
|
Pt wheelchair management each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$86.53
|
|
Pulmonary vent imaging
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$878.00
|
|
Pulse ox continuous overnight monitoring
|
$222.50 |
$222.50 |
$222.50 |
$344.00
|
|
Punc of shunt for asp or inj
|
$725.00 |
$725.00 |
$725.00 |
$938.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$80.00 |
$80.00 |
$80.00 |
$126.29
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$305.00 |
$305.00 |
$305.00 |
$496.00
|
|
Puncture spinal lumbar diagnostic
|
$580.00 |
$580.00 |
$580.00 |
$1,082.90
|
|
Puraply 1 sq cm
|
$270.00 |
$270.00 |
$270.00 |
$304.50
|
|
Pyruvate
|
$80.00 |
$80.00 |
$80.00 |
$66.00
|
|
Pyruvate kinase
|
$67.50 |
$67.50 |
$67.50 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$1,538.60
|
