|
Phenylephrine 10 mg/ml injection solution
|
$0.07 |
$3.44 |
$46.77 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.45 |
$0.49 |
$45.08 |
|
|
Phenytoin total therapeutic drug level
|
$43.32 |
$97.50 |
$228.56 |
|
|
Phlebotomy therapeutic
|
$121.00 |
$174.90 |
$450.54 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,222.65 |
$3,420.00 |
$6,021.61 |
|
|
Phleb veins 1 extrm >20 stab
|
$427.71 |
$3,960.00 |
$6,073.60 |
|
|
Phosphorus
|
$15.39 |
$38.50 |
$215.00 |
|
|
Phosphorus 24 hour urine
|
$12.10 |
$47.50 |
$69.79 |
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$142.57 |
$142.57 |
$143.20 |
|
|
Photochemotherapy puva
|
$181.79 |
$181.79 |
$189.20 |
|
|
Photodynamic tx addl 15 min
|
$84.00 |
$84.00 |
$84.00 |
|
|
Photodynmc tx 30 min add-on
|
$173.60 |
$173.60 |
$173.60 |
|
|
Photo patch test
|
$24.91 |
$24.91 |
$36.80 |
|
|
Photopheresis
|
$7,130.00 |
$7,130.00 |
$7,130.00 |
|
|
Photosensitivity tests
|
$86.40 |
$86.40 |
$86.40 |
|
|
Phys blood bank serv authrj
|
$82.15 |
$82.15 |
$88.35 |
|
|
Phys blood bank serv reactj
|
$121.00 |
$207.50 |
$278.16 |
|
|
Phys blood bank serv xmatch
|
$45.05 |
$45.05 |
$48.45 |
|
|
Physical Therapy Evaluation (high complexity)
|
$155.10 |
$310.00 |
$531.94 |
|
|
Physical Therapy Evaluation (low complexity)
|
$77.91 |
$177.50 |
$456.05 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$134.20 |
$240.00 |
$492.53 |
|
|
Physical Therapy Re-Evaluation
|
$82.68 |
$125.00 |
$456.05 |
|
|
Physician standby services
|
$362.40 |
$362.40 |
$362.40 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$11.25 |
$66.78 |
$120.48 |
|
|
Pierce earlobes 69090
|
$81.60 |
$81.60 |
$81.60 |
|
|
Piflu f-18, dia 1 millicurie
|
$783.90 |
$890.00 |
$1,572.51 |
|
|
Pik3ca gene trgt seq alys
|
$365.64 |
$365.64 |
$491.31 |
|
|
Pin caspar distraction 12mm
|
$52.03 |
$52.03 |
$10,845.00 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
|
|
Pin finger dislocation
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
|
|
Pin finger fracture each
|
$465.69 |
$465.69 |
$2,393.60 |
|
|
Pin hand dislocation
|
$3,152.80 |
$3,152.80 |
$3,152.80 |
|
|
Pin knuckle dislocation
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
|
|
Pin service 60m per month
|
$302.40 |
$302.40 |
$302.40 |
|
|
Pinworm exam
|
$11.40 |
$45.10 |
$84.70 |
|
|
Pinworm examinations
|
$96.99 |
$96.99 |
$96.99 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$8.03 |
$15.01 |
$480.93 |
|
|
Place cath intracranial art
|
$1,381.05 |
$2,038.30 |
$7,089.28 |
|
|
Place cath xtrnl carotid
|
$1,077.45 |
$3,880.00 |
$14,418.25 |
|
|
Place cecostomy tube perc
|
$845.00 |
$2,321.00 |
$2,768.04 |
|
|
Place device/marker, non pro
|
$1,580.04 |
$1,580.04 |
$1,580.04 |
|
|
Place duod/jej tube perc
|
$1,125.00 |
$1,197.90 |
$6,995.10 |
|
|
Place gastrostomy tube perc
|
$990.00 |
$1,114.30 |
$6,995.10 |
|
|
Placement bile duct support
|
$4,906.40 |
$4,906.40 |
$9,969.30 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$511.44 |
$1,060.00 |
$2,277.94 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$137.94 |
$795.00 |
$1,138.97 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$593.07 |
$1,165.00 |
$2,370.69 |
|
|
Placement nephrostomy catheter (both sides)
|
$1,315.60 |
$4,060.00 |
$8,472.48 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$163.89 |
$555.00 |
$1,775.00 |
|
|
Placement of seton
|
$335.16 |
$335.16 |
$2,595.20 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$4,759.70 |
$13,879.25 |
$28,889.88 |
|
|
Place needles h&n for right
|
$2,005.60 |
$2,005.60 |
$2,005.60 |
|
|
Place non-slctv cath thoracic arta
|
$1,141.80 |
$4,559.28 |
$17,045.86 |
|
|
Placental lactogen
|
$65.72 |
$140.00 |
$140.00 |
|
|
Place right device/marker pros
|
$380.75 |
$965.00 |
$3,177.35 |
|
|
Place slctv cath carotd art uni
|
$2,144.45 |
$9,562.32 |
$17,599.45 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$2,760.00 |
$6,458.10 |
$12,608.20 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$1,869.45 |
$8,085.55 |
$15,324.10 |
|
|
Place slctv cath subclavian art
|
$1,850.20 |
$6,620.90 |
$13,641.65 |
|
|
Place slctv cath vertebral art uni
|
$4,127.11 |
$7,835.00 |
$17,467.45 |
|
|
Plasma cryoprecipitate reduced each unit
|
$95.00 |
$95.00 |
$152.64 |
|
|
Platelet aggregation each agent teg
|
$51.30 |
$105.00 |
$292.18 |
|
|
Platelet automated
|
$11.97 |
$30.00 |
$91.29 |
|
|
Platelet pheresis each unit
|
$1,591.06 |
$1,591.06 |
$1,591.06 |
|
|
Platelet pheresis irr ea
|
$905.00 |
$905.00 |
$905.00 |
|
|
Platelets each unit
|
$86.92 |
$120.00 |
$339.90 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$436.15 |
$1,125.00 |
$1,809.72 |
|
|
Platelets leukocytes reduced each unit
|
$165.00 |
$215.60 |
$400.40 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$212.30 |
$360.25 |
$1,206.48 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$790.00 |
$790.00 |
$1,227.60 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$754.60 |
$1,075.00 |
$1,551.00 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$260.15 |
$1,035.00 |
$1,696.00 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$360.25 |
$1,075.00 |
$1,378.74 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$960.00 |
$960.00 |
$2,588.64 |
|
|
Platelet survival
|
$585.42 |
$585.42 |
$585.42 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,557.50 |
$5,085.00 |
$8,495.30 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,317.05 |
$7,735.86 |
$12,754.00 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,273.70 |
$3,809.30 |
$8,923.20 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,930.00 |
$5,590.00 |
$17,796.90 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,263.74 |
$3,975.00 |
$17,992.70 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$880.33 |
$1,230.00 |
$3,495.21 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$308.55 |
$920.00 |
$3,495.21 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$2,128.48 |
$4,715.00 |
$10,328.98 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$97.02 |
$287.10 |
$1,180.00 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$137.94 |
$297.33 |
$1,025.00 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$120.12 |
$870.00 |
$1,185.61 |
|
|
Plethysmography lung volumes/airway resistance
|
$120.84 |
$367.50 |
$664.62 |
|
|
Pleurectomy parietal ; separate 32310
|
$4,965.60 |
$4,965.60 |
$4,965.60 |
|
|
Plmt access bil tree sm bwl
|
$2,527.80 |
$5,225.00 |
$7,207.20 |
|
|
Plmt biliary drainage cath
|
$2,557.50 |
$5,085.00 |
$6,328.08 |
|
|
Plmt nephroureteral catheter
|
$1,543.30 |
$4,225.00 |
$9,044.19 |
|
|
Plmt ureteral stent prq
|
$2,110.99 |
$4,133.25 |
$10,185.45 |
|
|
Pm device progr eval dual
|
$57.00 |
$248.05 |
$507.80 |
|
|
Pm device progr eval multi
|
$83.79 |
$261.80 |
$522.44 |
|
|
Pmp22 gene dup/delet
|
$986.40 |
$986.40 |
$986.40 |
|
|
Pmp22 gene full sequence
|
$112.75 |
$2,048.20 |
$2,048.20 |
|
|
Pm phone r-strip device eval
|
$84.70 |
$105.00 |
$546.94 |
|
|
Pms2 gene dup/delet variants
|
$210.23 |
$210.23 |
$210.23 |
|
|
Pms2 gene full seq analysis
|
$696.70 |
$696.70 |
$1,129.60 |
|
|
Pms2 known familial variants
|
$540.00 |
$540.00 |
$540.00 |
|
