|
Path clin consltj sf 5-20
|
$44.94 |
$44.94 |
$44.94 |
$97.14
|
|
Pdgfra gene
|
$415.38 |
$415.38 |
$415.38 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$577.92 |
$577.92 |
$577.92 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$481.74 |
$481.74 |
$481.74 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$385.14 |
$385.14 |
$385.14 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$994.14 |
$994.14 |
$994.14 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$795.06 |
$795.06 |
$795.06 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$281.40 |
$281.40 |
$281.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$225.12 |
$225.12 |
$225.12 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$78.96 |
$78.96 |
$78.96 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$94.50 |
$94.50 |
$94.50 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$19,317.48 |
$19,317.48 |
$19,317.48 |
$18,764.94
|
|
Penile vascular study
|
$456.12 |
$456.12 |
$456.12 |
$561.00
|
|
Perc cryo ablate renal tum
|
$8,980.02 |
$8,980.02 |
$8,980.02 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$6,638.10 |
$6,638.10 |
$6,638.10 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$8,850.66 |
$8,850.66 |
$8,850.66 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$4,548.18 |
$4,548.18 |
$4,548.18 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$6,063.96 |
$6,063.96 |
$6,063.96 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$6,630.96 |
$6,630.96 |
$6,630.96 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$8,841.00 |
$8,841.00 |
$8,841.00 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$5,912.76 |
$5,912.76 |
$5,912.76 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$7,882.98 |
$7,882.98 |
$7,882.98 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$5,184.48 |
$5,184.48 |
$5,184.48 |
$7,243.60
|
|
Percut ablate liver rf
|
$4,465.44 |
$4,465.44 |
$4,465.44 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$1,333.92 |
$1,333.92 |
$1,333.92 |
$2,375.00
|
|
Peri-proc device eval icd
|
$68.88 |
$68.88 |
$68.88 |
$192.40
|
|
Peri-proc device eval pm
|
$68.88 |
$68.88 |
$68.88 |
$156.00
|
|
Peritoneogram rs&i
|
$345.66 |
$345.66 |
$345.66 |
$698.50
|
|
Perq art m-thrombect &/nfs
|
$2,750.58 |
$2,750.58 |
$2,750.58 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$2,940.42 |
$2,940.42 |
$2,940.42 |
$9,309.08
|
|
Perq plmt bile duct stent
|
$3,456.18 |
$3,456.18 |
$3,456.18 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$5,166.42 |
$5,166.42 |
$5,166.42 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$5,309.22 |
$5,309.22 |
$5,309.22 |
$7,020.00
|
|
Perq transcath septal reduxn
|
$4,076.94 |
$4,076.94 |
$4,076.94 |
$8,999.20
|
|
Pertussis ag if
|
$15.12 |
$15.12 |
$15.12 |
$66.23
|
|
Pet CT skull-mid thgh initial
|
$2,877.00 |
$2,877.00 |
$2,877.00 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$57,029.28 |
$57,029.28 |
$57,029.28 |
$39,920.50
|
|
Ph body fluid
|
$43.68 |
$43.68 |
$43.68 |
$42.00
|
|
Phencyclidine (pcp)
|
$39.48 |
$39.48 |
$39.48 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$24.78 |
$24.78 |
$24.78 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$22.68 |
$22.68 |
$22.68 |
$111.27
|
|
Phlebotomy therapeutic
|
$123.90 |
$123.90 |
$123.90 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,249.54 |
$3,249.54 |
$3,249.54 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$3,964.80 |
$3,964.80 |
$3,964.80 |
$4,621.21
|
|
Phosphorus
|
$6.30 |
$6.30 |
$6.30 |
$49.20
|
|
Phosphorus 24 hour urine
|
$31.08 |
$31.08 |
$31.08 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$147.42 |
$147.42 |
$147.42 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$101.22 |
$101.22 |
$101.22 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$121.80 |
$121.80 |
$121.80 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$70.14 |
$70.14 |
$70.14 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$346.50 |
$346.50 |
$346.50 |
$463.20
|
|
Pin caspar distraction 12mm
|
$14,718.48 |
$14,718.48 |
$14,718.48 |
$11,759.36
|
|
Pinworm exam
|
$5.46 |
$5.46 |
$5.46 |
$39.62
|
|
Place cath intracranial art
|
$1,790.04 |
$1,790.04 |
$1,790.04 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$3,092.88 |
$3,092.88 |
$3,092.88 |
$4,202.90
|
|
Place cecostomy tube perc
|
$973.14 |
$973.14 |
$973.14 |
$2,580.90
|
|
Place duod/jej tube perc
|
$1,115.94 |
$1,115.94 |
$1,115.94 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$1,068.48 |
$1,068.48 |
$1,068.48 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$845.46 |
$845.46 |
$845.46 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$314.16 |
$314.16 |
$314.16 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$544.74 |
$544.74 |
$544.74 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,012.24 |
$3,012.24 |
$3,012.24 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$291.06 |
$291.06 |
$291.06 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$6,078.66 |
$6,078.66 |
$6,078.66 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$3,784.62 |
$3,784.62 |
$3,784.62 |
$5,271.46
|
|
Place slctv cath carotd art uni
|
$9,528.12 |
$9,528.12 |
$9,528.12 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,522.20 |
$7,522.20 |
$7,522.20 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,358.42 |
$8,358.42 |
$8,358.42 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$6,629.70 |
$6,629.70 |
$6,629.70 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$9,361.38 |
$9,361.38 |
$9,361.38 |
$9,090.00
|
|
Plasma cryoprecipitate reduced each unit
|
$185.64 |
$185.64 |
$185.64 |
$163.04
|
|
Platelet aggregation each agent teg
|
$31.50 |
$31.50 |
$31.50 |
$148.98
|
|
Platelet automated
|
$5.88 |
$5.88 |
$5.88 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$307.02 |
$307.02 |
$307.02 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$392.28 |
$392.28 |
$392.28 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$787.50 |
$787.50 |
$787.50 |
$1,005.65
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$4,642.20
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$7,772.10 |
$7,772.10 |
$7,772.10 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,005.10 |
$3,005.10 |
$3,005.10 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,284.84 |
$4,284.84 |
$4,284.84 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$747.60 |
$747.60 |
$747.60 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$695.10 |
$695.10 |
$695.10 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$347.76 |
$347.76 |
$347.76 |
$759.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$280.56 |
$280.56 |
$280.56 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$196.56 |
$196.56 |
$196.56 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$3,373.02 |
$3,373.02 |
$3,373.02 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$2,040.78 |
$2,040.78 |
$2,040.78 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,005.10 |
$3,005.10 |
$3,005.10 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$3,361.26 |
$3,361.26 |
$3,361.26 |
$5,128.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$33.18 |
$33.18 |
$33.18 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$2,756.46 |
$2,756.46 |
$2,756.46 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,689.68 |
$2,689.68 |
$2,689.68 |
$3,790.61
|
|
Potassium 24 hour urine
|
$29.40 |
$29.40 |
$29.40 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$34.44 |
$34.44 |
$34.44 |
$47.85
|
|
Pq biliary strict dil s&i
|
$621.18 |
$621.18 |
$621.18 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$218.40 |
$218.40 |
$218.40 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,459.16 |
$5,459.16 |
$5,459.16 |
$10,173.15
|
|
Pq thr inj ext pse
|
$565.32 |
$565.32 |
$565.32 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,471.26 |
$1,471.26 |
$1,471.26 |
$2,957.56
|
