|
Perq dev breast 1st strtctc
|
$863.69 |
$863.69 |
$863.69 |
|
|
Perq plmt bile duct stent
|
$3,456.18 |
$3,456.18 |
$3,456.18 |
|
|
Perq plmt bile duct stent
|
$5,166.42 |
$5,166.42 |
$5,166.42 |
|
|
Perq plmt bile duct stent
|
$5,309.22 |
$5,309.22 |
$5,309.22 |
|
|
Perq transcath septal reduxn
|
$4,076.94 |
$4,076.94 |
$4,076.94 |
|
|
Pertussis ag if
|
$15.12 |
$15.12 |
$15.12 |
|
|
Pet CT skull-mid thgh initial
|
$2,877.00 |
$2,877.00 |
$2,877.00 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$57,029.28 |
$70,849.09 |
$135,105.08 |
|
|
Ph body fluid
|
$43.68 |
$63.96 |
$69.16 |
|
|
Phencyclidine (pcp)
|
$39.48 |
$43.01 |
$106.40 |
|
|
Phenobarbital therapeutic drug level
|
$24.78 |
$36.28 |
$39.24 |
|
|
Phenytoin total therapeutic drug level
|
$22.68 |
$33.21 |
$35.91 |
|
|
Phlebotomy therapeutic
|
$123.90 |
$145.46 |
$172.96 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,249.54 |
$3,249.54 |
$3,249.54 |
|
|
Phleb veins 1 extrm >20 stab
|
$3,964.80 |
$3,964.80 |
$3,964.80 |
|
|
Phosphorus
|
$6.30 |
$28.91 |
$72.48 |
|
|
Phosphorus 24 hour urine
|
$31.08 |
$45.51 |
$49.21 |
|
|
Physical Therapy Evaluation (high complexity)
|
$147.42 |
$161.65 |
$188.12 |
|
|
Physical Therapy Evaluation (low complexity)
|
$101.22 |
$161.04 |
$187.40 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$121.80 |
$155.48 |
$180.94 |
|
|
Physical Therapy Re-Evaluation
|
$70.14 |
$138.82 |
$161.55 |
|
|
Pik3ca gene trgt seq alys
|
$346.50 |
$497.47 |
$886.05 |
|
|
Pin caspar distraction 12mm
|
$14,718.48 |
$14,718.48 |
$34,868.78 |
|
|
Pinworm exam
|
$5.46 |
$8.18 |
$9.20 |
|
|
Place cath intracranial art
|
$1,790.04 |
$1,790.04 |
$1,790.04 |
|
|
Place cath xtrnl carotid
|
$3,092.88 |
$3,092.88 |
$3,092.88 |
|
|
Place cecostomy tube perc
|
$973.14 |
$973.14 |
$973.14 |
|
|
Place duod/jej tube perc
|
$1,115.94 |
$1,115.94 |
$1,115.94 |
|
|
Place gastrostomy tube perc
|
$1,068.48 |
$1,068.48 |
$1,068.48 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$845.46 |
$845.46 |
$1,262.14 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$314.16 |
$314.16 |
$373.97 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$544.74 |
$878.85 |
$966.08 |
|
|
Placement nephrostomy catheter (both sides)
|
$3,012.24 |
$3,012.24 |
$3,012.24 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$291.06 |
$291.06 |
$291.06 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$6,078.66 |
$6,078.66 |
$6,078.66 |
|
|
Place non-slctv cath thoracic arta
|
$3,784.62 |
$3,784.62 |
$3,784.62 |
|
|
Place slctv cath carotd art uni
|
$9,528.12 |
$9,528.12 |
$9,528.12 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,522.20 |
$7,522.20 |
$7,522.20 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,358.42 |
$8,358.42 |
$8,358.42 |
|
|
Place slctv cath subclavian art
|
$6,629.70 |
$6,629.70 |
$6,629.70 |
|
|
Place slctv cath vertebral art uni
|
$9,361.38 |
$9,361.38 |
$9,361.38 |
|
|
Plasma cryoprecipitate reduced each unit
|
$185.64 |
$185.64 |
$185.64 |
|
|
Platelet aggregation each agent teg
|
$31.50 |
$31.50 |
$31.50 |
|
|
Platelet automated
|
$5.88 |
$8.90 |
$9.62 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$307.02 |
$350.15 |
$463.45 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$376.97 |
$392.28 |
$498.96 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$787.50 |
$839.21 |
$1,110.77 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$7,772.10 |
$7,772.10 |
$7,772.10 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,005.10 |
$3,005.10 |
$3,005.10 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,284.84 |
$4,284.84 |
$4,284.84 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$747.60 |
$747.60 |
$747.60 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$695.10 |
$695.10 |
$1,235.32 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$347.76 |
$347.76 |
$347.76 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$467.46 |
$467.46 |
$467.46 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$280.56 |
$440.78 |
$484.53 |
|
|
Plethysmography lung volumes/airway resistance
|
$196.56 |
$196.56 |
$229.36 |
|
|
Plmt access bil tree sm bwl
|
$3,373.02 |
$3,373.02 |
$3,373.02 |
|
|
Plmt biliary drainage cath
|
$2,040.78 |
$2,040.78 |
$2,040.78 |
|
|
Plmt nephroureteral catheter
|
$3,005.10 |
$3,005.10 |
$3,005.10 |
|
|
Plmt ureteral stent prq
|
$3,361.26 |
$3,361.26 |
$3,361.26 |
|
|
Pmp22 gene dup/delet
|
$1,636.44 |
$1,636.44 |
$1,636.44 |
|
|
Pms2 gene full seq analysis
|
$1,459.57 |
$1,459.57 |
$1,459.57 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$33.18 |
$48.58 |
$52.54 |
|
|
Polysom <6 yrs cpap/bilvl
|
$2,756.46 |
$2,756.46 |
$2,756.46 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,689.68 |
$4,138.31 |
$4,373.45 |
|
|
Potassium 24 hour urine
|
$29.40 |
$43.05 |
$46.55 |
|
|
Potassium serum/plasma/whole blood
|
$34.44 |
$50.43 |
$54.53 |
|
|
Pq biliary strict dil s&i
|
$621.18 |
$621.18 |
$621.18 |
|
|
Pq dr cath chg w cont s&i
|
$218.40 |
$218.40 |
$218.40 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,459.16 |
$5,459.16 |
$5,459.16 |
|
|
Pq thr inj ext pse
|
$565.32 |
$565.32 |
$565.32 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,471.26 |
$1,471.26 |
$1,762.32 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,065.16 |
$3,065.16 |
$3,255.84 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,881.20 |
$3,065.44 |
$3,694.95 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$741.29 |
$828.42 |
$847.78 |
|
|
Pr application of long arm splint
|
$70.75 |
$79.07 |
$80.92 |
|
|
Pr application splint static short arm
|
$65.93 |
$73.68 |
$75.40 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$18.90 |
$18.90 |
$18.90 |
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,761.92 |
$2,761.92 |
$2,761.92 |
|
|
Prcrd drg 6+yr without anomly
|
$2,364.18 |
$2,364.18 |
$2,364.18 |
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$75.39 |
$110.86 |
$120.69 |
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$110.31 |
$162.19 |
$176.58 |
|
|
Prealbumin
|
$22.68 |
$33.21 |
$35.91 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$22.97 |
$22.97 |
$22.97 |
|
|
Prednisone 1 mg tablet
|
$1.33 |
$1.33 |
$1.33 |
|
|
Pregabalin - sendout
|
$39.90 |
$39.90 |
$39.90 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$323.82 |
$881.36 |
$949.81 |
|
|
Pregnancy Ultrasound (first trimester)
|
$281.40 |
$747.44 |
$805.49 |
|
|
Pregnancy Ultrasound (limited)
|
$161.70 |
$446.96 |
$481.67 |
|
|
Prep skin to 100cm2 other
|
$505.68 |
$505.68 |
$505.68 |
|
|
Prep skin to 100cm2 trk/ext
|
$717.36 |
$717.36 |
$717.36 |
|
|
Prep skn trk/ext adl 100cm2
|
$85.26 |
$85.26 |
$85.26 |
|
|
Pressure velocity wire add ves
|
$905.10 |
$905.10 |
$905.10 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$143.64 |
$143.64 |
$406.95 |
|
|
Pretreat rbc absorption reference
|
$116.34 |
$116.34 |
$192.79 |
|
|
Pretreat rbc density gradient separation reference
|
$143.64 |
$143.64 |
$143.64 |
|
|
Pretreat rbc w chem/drugs reference
|
$63.00 |
$100.05 |
$115.20 |
|
|
Pretreat rbc w enzyme reference
|
$143.64 |
$143.64 |
$229.45 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$296.39 |
$296.39 |
$296.39 |
|
