|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,807.48 |
$3,807.48 |
$3,807.48 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$24.66 |
$24.66 |
$24.66 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$881.72 |
$881.72 |
$881.72 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$0.01 |
$0.01 |
$96.22 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$10,537.22 |
$10,537.22 |
$27,033.43 |
$18,764.94
|
|
Penile vascular study
|
$263.57 |
$263.57 |
$263.57 |
$561.00
|
|
Penile vascular study
|
$225.84 |
$225.84 |
$225.84 |
$574.60
|
|
Pentobarbital sodium inj
|
$6,169.90 |
$6,169.90 |
$6,169.90 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$5,875.10 |
$5,875.10 |
$5,875.10 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$4,773.80 |
$4,773.80 |
$4,773.80 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$6,364.80 |
$6,364.80 |
$6,364.80 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$4,251.80 |
$4,251.80 |
$7,903.32 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$5,669.00 |
$5,669.00 |
$5,669.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$7,903.32 |
$7,903.32 |
$7,903.32 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$6,358.40 |
$6,358.40 |
$6,358.40 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$4,251.80 |
$4,251.80 |
$7,903.32 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$5,669.00 |
$5,669.00 |
$5,669.00 |
$16,258.50
|
|
Percut ablate liver rf
|
$8,225.19 |
$8,225.19 |
$8,225.19 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$473.83 |
$473.83 |
$473.83 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,080.60 |
$1,080.60 |
$1,080.60 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$1,125.70 |
$1,125.70 |
$1,125.70 |
$2,418.99
|
|
Peripheral vascular rehab
|
$85.23 |
$85.23 |
$85.23 |
$132.50
|
|
Perq art m-thrombect &/nfs
|
$1,914.60 |
$1,914.60 |
$1,914.60 |
$7,559.55
|
|
Perq dev breast 1st strtctc
|
$600.32 |
$600.32 |
$600.32 |
$1,456.00
|
|
Perq nl/pl lithotrp smpl<2cm
|
$7,570.47 |
$7,570.47 |
$7,570.47 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$3,390.20 |
$3,390.20 |
$3,390.20 |
$6,904.15
|
|
Perq transcath septal reduxn
|
$7,949.15 |
$7,949.15 |
$7,949.15 |
$8,828.16
|
|
Pertussis ag if
|
$12.10 |
$12.10 |
$12.87 |
$65.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$38,426.87 |
$38,426.87 |
$98,958.20 |
$40,252.07
|
|
Ph body fluid
|
$20.38 |
$20.38 |
$36.99 |
$42.00
|
|
Phencyclidine (pcp)
|
$13.13 |
$13.13 |
$13.13 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$154.91 |
$154.91 |
$154.91 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$11.56 |
$11.56 |
$100.50 |
$104.80
|
|
Phentolaine mesylate inj
|
$410.04 |
$410.04 |
$410.04 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$93.80 |
$93.80 |
$93.80 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$14.48 |
$14.48 |
$14.48 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$10.39 |
$10.39 |
$104.79 |
$111.20
|
|
Phlebotomy therapeutic
|
$173.67 |
$173.67 |
$252.72 |
$231.87
|
|
Phosphorus
|
$23.72 |
$23.72 |
$57.09 |
$48.96
|
|
Phosphorus 24 hour urine
|
$8.58 |
$8.58 |
$14.50 |
$42.25
|
|
Photopheresis
|
$3,101.98 |
$3,101.98 |
$3,101.98 |
$8,010.00
|
|
Phys blood bank serv reactj
|
$130.52 |
$130.52 |
$130.52 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$122.15 |
$122.15 |
$122.15 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$73.48 |
$73.48 |
$73.48 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$97.58 |
$97.58 |
$97.58 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$63.65 |
$63.65 |
$63.65 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$76.12 |
$76.12 |
$76.12 |
$89.82
|
|
Pik3ca gene trgt seq alys
|
$251.62 |
$251.62 |
$251.62 |
$463.20
|
|
Pin caspar distraction 12mm
|
$9,917.45 |
$9,917.45 |
$9,917.45 |
$11,672.88
|
|
Pinworm exam
|
$4.37 |
$4.37 |
$66.20 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$110.69 |
$110.69 |
$110.69 |
$81.36
|
|
Place cath intracranial art
|
$3,104.78 |
$3,104.78 |
$3,104.78 |
$3,775.95
|
|
Place duod/jej tube perc
|
$1,370.59 |
$1,370.59 |
$1,370.59 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$1,149.60 |
$1,149.60 |
$1,149.60 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$572.18 |
$572.18 |
$572.18 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$276.04 |
$276.04 |
$276.04 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$539.76 |
$539.76 |
$539.76 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,528.76 |
$2,528.76 |
$2,528.76 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$319.76 |
$319.76 |
$452.39 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$9,885.45 |
$9,885.45 |
$9,885.45 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$2,545.90 |
$2,545.90 |
$2,545.90 |
$5,274.33
|
|
Placental lactogen
|
$156.52 |
$156.52 |
$156.52 |
$163.28
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,363.40 |
$3,363.40 |
$3,363.40 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$6,000.56 |
$6,000.56 |
$6,767.00 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$2,697.42 |
$2,697.42 |
$2,697.42 |
$6,325.00
|
|
Plasma cryoprecipitate reduced each unit
|
$83.98 |
$83.98 |
$83.98 |
$163.04
|
|
Platelet aggregation each agent teg
|
$62.88 |
$62.88 |
$70.76 |
$148.98
|
|
Platelet automated
|
$3.88 |
$3.88 |
$63.25 |
$45.76
|
|
Platelet pheresis each unit
|
$117.66 |
$117.66 |
$117.66 |
$1,015.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$138.89 |
$138.89 |
$603.81 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$15.01 |
$15.01 |
$177.46 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$356.25 |
$356.25 |
$724.41 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,074.60 |
$2,074.60 |
$3,186.52 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,257.57 |
$3,257.57 |
$3,794.62 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,794.62 |
$3,794.62 |
$4,555.55 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,113.09 |
$3,113.09 |
$3,113.09 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$641.32 |
$641.32 |
$776.40 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$326.98 |
$326.98 |
$326.98 |
$759.55
|
|
Plc pq device breast ea addl lesion stereo guide
|
$300.16 |
$300.16 |
$300.16 |
$685.00
|
|
Plethysmography lung volumes/airway resistance
|
$24.65 |
$24.65 |
$151.16 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$2,254.55 |
$2,254.55 |
$2,254.55 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$2,567.99 |
$2,567.99 |
$2,567.99 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,355.72 |
$2,355.72 |
$3,000.95 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$3,794.62 |
$3,794.62 |
$4,252.03 |
$5,151.51
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$63.11 |
$63.11 |
$178.76 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,461.68 |
$1,461.68 |
$1,461.68 |
$3,785.10
|
|
Potassium 24 hour urine
|
$13.72 |
$13.72 |
$60.84 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$93.80 |
$93.80 |
$93.80 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$23.52 |
$23.52 |
$44.22 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,135.52 |
$1,135.52 |
$1,135.52 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$262.88 |
$262.88 |
$329.38 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$3,607.55 |
$3,607.55 |
$9,716.08 |
$10,195.00
|
|
Pq thr inj ext pse
|
$297.75 |
$297.75 |
$520.90 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,830.70 |
$4,830.70 |
$4,830.70 |
$4,664.99
|
|
Pr application of long arm splint
|
$70.76 |
$70.76 |
$70.76 |
$334.08
|
|
Pr application splint static short arm
|
$47.44 |
$47.44 |
$102.12 |
$288.51
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$36.18 |
$36.18 |
$36.18 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$1,328.19 |
$1,328.19 |
$1,328.19 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$1,170.35 |
$1,170.35 |
$1,170.35 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,834.01 |
$3,834.01 |
$3,834.01 |
$5,262.80
|