|
Partial removal foot fascia
|
$3,148.75 |
$3,148.75 |
$3,148.75 |
$3,839.54
|
|
Passy muir valve metal trach
|
$95.54 |
$95.54 |
$95.54 |
$241.20
|
|
Pdgfra gene
|
$783.20 |
$783.20 |
$783.20 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,636.25 |
$1,636.25 |
$1,636.25 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,558.15 |
$1,558.15 |
$1,558.15 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,484.45 |
$1,484.45 |
$1,484.45 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,336.40 |
$2,336.40 |
$2,336.40 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,224.75 |
$2,224.75 |
$2,224.75 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,118.60 |
$2,118.60 |
$2,118.60 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$400.95 |
$400.95 |
$400.95 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$460.90 |
$460.90 |
$460.90 |
$445.00
|
|
Penile injection
|
$189.75 |
$189.75 |
$189.75 |
$418.00
|
|
Penile vascular study
|
$585.20 |
$585.20 |
$585.20 |
$561.00
|
|
Perc cryo ablate renal tum
|
$9,782.85 |
$9,782.85 |
$9,782.85 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$6,628.60 |
$6,628.60 |
$6,628.60 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$7,680.20 |
$7,680.20 |
$7,680.20 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$6,532.35 |
$6,532.35 |
$6,532.35 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$7,313.90 |
$7,313.90 |
$7,313.90 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$10,491.25 |
$10,491.25 |
$10,491.25 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$10,542.40 |
$10,542.40 |
$10,542.40 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$6,757.85 |
$6,757.85 |
$6,757.85 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$7,279.80 |
$7,279.80 |
$7,279.80 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$8,379.25 |
$8,379.25 |
$8,379.25 |
$6,949.48
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,429.45 |
$1,429.45 |
$1,429.45 |
$2,573.60
|
|
Peripheral vascular rehab
|
$238.15 |
$238.15 |
$238.15 |
$128.69
|
|
Peri-proc device eval icd
|
$172.15 |
$172.15 |
$172.15 |
$220.35
|
|
Peri-proc device eval pm
|
$129.80 |
$129.80 |
$129.80 |
$195.80
|
|
Peritoneogram rs&i
|
$932.25 |
$932.25 |
$932.25 |
$648.84
|
|
Perit-vens shunt pat tst
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$3,479.30 |
$3,479.30 |
$3,479.30 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$20,724.55 |
$20,724.55 |
$20,724.55 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$653.40 |
$653.40 |
$653.40 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$653.40 |
$653.40 |
$653.40 |
$1,548.60
|
|
Perq nl/pl lithotrp smpl<2cm
|
$4,258.10 |
$4,258.10 |
$4,258.10 |
$8,748.48
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$664.95 |
$664.95 |
$664.95 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$3,657.50 |
$3,657.50 |
$3,657.50 |
$4,854.75
|
|
Pet CT whole body initial
|
$3,722.95 |
$3,722.95 |
$3,722.95 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$3,657.50 |
$3,657.50 |
$3,657.50 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$3,488.65 |
$3,488.65 |
$3,488.65 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,606.03 |
$1,606.03 |
$1,606.03 |
$34,848.45
|
|
Ph body fluid
|
$50.05 |
$50.05 |
$50.05 |
$39.20
|
|
Phencyclidine (pcp)
|
$158.40 |
$158.40 |
$158.40 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$104.50 |
$104.50 |
$104.50 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$119.90 |
$119.90 |
$119.90 |
$111.27
|
|
Phlebotomy therapeutic
|
$183.70 |
$183.70 |
$183.70 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$1,483.90 |
$1,483.90 |
$1,483.90 |
$4,341.66
|
|
Phosphorus
|
$38.50 |
$38.50 |
$38.50 |
$47.81
|
|
Phosphorus 24 hour urine
|
$48.40 |
$48.40 |
$48.40 |
$42.81
|
|
Phys blood bank serv reactj
|
$121.00 |
$121.00 |
$121.00 |
$219.94
|
|
Piflu f-18, dia 1 millicurie
|
$783.90 |
$783.90 |
$783.90 |
$1,035.81
|
|
Pin caspar distraction 12mm
|
$52.03 |
$52.03 |
$52.03 |
$9,784.88
|
|
Pinworm exam
|
$45.10 |
$45.10 |
$45.10 |
$39.75
|
|
Place cath xtrnl carotid
|
$4,252.60 |
$4,252.60 |
$4,252.60 |
$4,202.65
|
|
Place duod/jej tube perc
|
$1,197.90 |
$1,197.90 |
$1,197.90 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$1,114.30 |
$1,114.30 |
$1,114.30 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$653.40 |
$653.40 |
$653.40 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$272.25 |
$272.25 |
$272.25 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$653.40 |
$653.40 |
$653.40 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$3,081.10 |
$3,081.10 |
$3,081.10 |
$4,450.11
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$13,879.25 |
$13,879.25 |
$13,879.25 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$3,956.70 |
$3,956.70 |
$3,956.70 |
$5,110.00
|
|
Place right device/marker pros
|
$380.75 |
$380.75 |
$380.75 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$8,045.95 |
$8,045.95 |
$8,045.95 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$6,458.10 |
$6,458.10 |
$6,458.10 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,085.55 |
$8,085.55 |
$8,085.55 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$6,620.90 |
$6,620.90 |
$6,620.90 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$8,202.70 |
$8,202.70 |
$8,202.70 |
$9,472.00
|
|
Platelet automated
|
$36.30 |
$36.30 |
$36.30 |
$44.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$568.15 |
$568.15 |
$568.15 |
$1,235.40
|
|
Platelets leukocytes reduced each unit
|
$215.60 |
$215.60 |
$215.60 |
$273.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$360.25 |
$360.25 |
$360.25 |
$334.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$705.10 |
$705.10 |
$705.10 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$360.25 |
$360.25 |
$360.25 |
$1,180.31
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,340.15 |
$3,340.15 |
$3,340.15 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$5,305.30 |
$5,305.30 |
$5,305.30 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,441.90 |
$3,441.90 |
$3,441.90 |
$5,333.44
|
|
Plcmt dlyd xtn pros 1st vsl
|
$7,957.95 |
$7,957.95 |
$7,957.95 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,035.65 |
$1,035.65 |
$1,035.65 |
$1,292.45
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,946.80 |
$3,946.80 |
$3,946.80 |
$3,969.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$287.10 |
$287.10 |
$287.10 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$288.20 |
$288.20 |
$288.20 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$287.10 |
$287.10 |
$287.10 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$535.70 |
$535.70 |
$535.70 |
$411.51
|
|
Plmt biliary drainage cath
|
$3,601.40 |
$3,601.40 |
$3,601.40 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$1,543.30 |
$1,543.30 |
$1,543.30 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$3,441.90 |
$3,441.90 |
$3,441.90 |
$5,419.00
|
|
Pm device progr eval dual
|
$131.45 |
$131.45 |
$131.45 |
$148.00
|
|
Pm device progr eval multi
|
$108.35 |
$108.35 |
$108.35 |
$160.55
|
|
Pmp22 gene full sequence
|
$2,048.20 |
$2,048.20 |
$2,048.20 |
$846.54
|
|
Pm phone r-strip device eval
|
$84.70 |
$84.70 |
$84.70 |
$127.20
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$196.90 |
$196.90 |
$196.90 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$4,205.30 |
$4,205.30 |
$4,205.30 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,205.30 |
$4,205.30 |
$4,205.30 |
$4,293.60
|
|
Potassium 24 hour urine
|
$40.70 |
$40.70 |
$40.70 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$47.85 |
$47.85 |
$47.85 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$400.40 |
$400.40 |
$400.40 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$7,137.90 |
$7,137.90 |
$7,137.90 |
$10,430.78
|
|
Pq thr inj ext pse
|
$1,497.10 |
$1,497.10 |
$1,497.10 |
$872.61
|