|
Pelvic CT scan (with and without contrast)
|
$1,704.95 |
$1,704.95 |
$2,163.20 |
|
|
Pelvic CT scan (with contrast)
|
$1,552.20 |
$1,552.20 |
$1,658.80 |
|
|
Pelvic CT scan (without contrast)
|
$1,369.55 |
$1,369.55 |
$1,454.05 |
|
|
Pelvic MRI (with and without contrast)
|
$1,702.35 |
$1,702.35 |
$2,400.45 |
|
|
Pelvic MRI (with contrast)
|
$1,505.40 |
$1,505.40 |
$2,114.45 |
|
|
Pelvic MRI (without contrast)
|
$1,184.95 |
$1,184.95 |
$1,732.25 |
|
|
Pelvic Ultrasound (complete)
|
$403.00 |
$507.65 |
$600.60 |
|
|
Pelvic Ultrasound (limited)
|
$274.95 |
$346.45 |
$421.20 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$13,965.90 |
$13,965.90 |
$13,965.90 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$347.75 |
$347.75 |
$347.75 |
|
|
Peng benzathine/procaine inj
|
$375.32 |
$375.32 |
$734.82 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$613.48 |
$626.67 |
$626.67 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$38.45 |
$39.21 |
$39.28 |
|
|
Penile injection
|
$215.80 |
$215.80 |
$215.80 |
|
|
Pentamidine 300 mg solution for injection
|
$301.65 |
$301.65 |
$301.65 |
|
|
Pentobarbital sodium inj
|
$254.15 |
$254.15 |
$254.15 |
|
|
Perc cryo ablate renal tum
|
$12,923.66 |
$12,923.66 |
$12,923.66 |
|
|
Perc d-e cor revasc chro add
|
$8,185.45 |
$8,185.45 |
$8,185.45 |
|
|
Perc d-e cor revasc chro sin
|
$12,348.05 |
$12,348.05 |
$12,348.05 |
|
|
Perc d-e cor revasc t cabg b
|
$6,289.40 |
$6,289.40 |
$6,289.40 |
|
|
Perc d-e cor revasc t cabg s
|
$7,868.90 |
$7,868.90 |
$7,868.90 |
|
|
Perc d-e cor stent ather br
|
$8,808.15 |
$8,808.15 |
$8,808.15 |
|
|
Perc d-e cor stent ather s
|
$10,372.05 |
$10,372.05 |
$10,372.05 |
|
|
Perc drug-el cor stent sing
|
$8,836.75 |
$8,836.75 |
$8,836.75 |
|
|
Percut ablate liver rf
|
$10,450.50 |
$10,450.50 |
$10,450.50 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,133.45 |
$1,133.45 |
$1,157.83 |
|
|
Pericardiocentesis wwo imaging
|
$51,768.81 |
$51,768.81 |
$51,768.81 |
|
|
Peripheral vascular rehab
|
$100.75 |
$100.75 |
$100.75 |
|
|
Peri-proc device eval icd
|
$219.70 |
$219.70 |
$219.70 |
|
|
Peri-proc device eval pm
|
$224.25 |
$224.25 |
$224.25 |
|
|
Peritoneogram rs&i
|
$189.80 |
$189.80 |
$189.80 |
|
|
Perit-vens shunt pat tst
|
$662.35 |
$662.35 |
$662.35 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$19,357.86 |
$19,357.86 |
$19,357.86 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$306.15 |
$306.15 |
$306.15 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$15,007.91 |
$15,007.91 |
$15,678.27 |
|
|
Pertuzu, trastuzu, 10 mg
|
$22,062.17 |
$22,062.17 |
$22,062.17 |
|
|
Pet CT skull-mid thgh initial
|
$4,304.30 |
$4,304.30 |
$4,304.30 |
|
|
Pet CT whole body initial
|
$5,006.95 |
$5,006.95 |
$5,006.95 |
|
|
Pet fdg brain metoblic eval sb
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
|
|
Pet image ltd area
|
$3,518.45 |
$3,518.45 |
$3,518.45 |
|
|
Pet image w/ct lmtd
|
$3,623.10 |
$3,623.10 |
$3,623.10 |
|
|
Ph body fluid
|
$35.75 |
$35.75 |
$48.75 |
|
|
Phencyclidine (pcp)
|
$71.50 |
$74.75 |
$74.75 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$29.90 |
$39.15 |
$105.91 |
|
|
Phenobarbital therapeutic drug level
|
$89.70 |
$106.60 |
$137.15 |
|
|
Phentolaine mesylate inj
|
$1,268.85 |
$1,296.13 |
$1,296.13 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$25.39 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Phenytoin total therapeutic drug level
|
$98.80 |
$98.80 |
$141.70 |
|
|
Phlebotomy therapeutic
|
$134.55 |
$134.55 |
$167.05 |
|
|
Phosphorus
|
$37.05 |
$37.05 |
$65.65 |
|
|
Phosphorus 24 hour urine
|
$40.95 |
$42.25 |
$44.85 |
|
|
Phys blood bank serv reactj
|
$78.65 |
$78.65 |
$115.70 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$39.62 |
$74.75 |
$76.36 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$616.20 |
$616.20 |
$616.20 |
|
|
Pinworm exam
|
$24.70 |
$24.70 |
$34.45 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$10.81 |
$37.06 |
$46.93 |
|
|
Place device/marker, non pro
|
$890.50 |
$890.50 |
$890.50 |
|
|
Place gastrostomy tube perc
|
$7,185.20 |
$7,185.20 |
$7,185.20 |
|
|
Placement nephrostomy catheter (both sides)
|
$6,642.69 |
$6,642.69 |
$6,642.69 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$497.90 |
$497.90 |
$497.90 |
|
|
Placement of seton
|
$4,634.17 |
$4,634.17 |
$6,762.85 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,123.82 |
$16,123.82 |
$16,123.82 |
|
|
Place non-slctv cath thoracic arta
|
$13,523.25 |
$13,523.25 |
$13,523.25 |
|
|
Place right device/marker pros
|
$9,693.01 |
$9,693.01 |
$9,693.01 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,634.09 |
$7,634.09 |
$7,634.09 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$13,523.25 |
$13,523.25 |
$13,523.25 |
|
|
Place slctv cath subclavian art
|
$21,220.20 |
$21,220.20 |
$21,220.20 |
|
|
Place slctv cath vertebral art uni
|
$17,495.32 |
$17,495.32 |
$17,495.32 |
|
|
Plasma cryoprecipitate reduced each unit
|
$133.90 |
$133.90 |
$157.95 |
|
|
Platelet aggregation each agent teg
|
$140.40 |
$152.10 |
$179.40 |
|
|
Platelet automated
|
$16.25 |
$59.80 |
$59.80 |
|
|
Platelet pheresis each unit
|
$943.15 |
$943.15 |
$1,114.75 |
|
|
Platelet pheresis irr ea
|
$861.25 |
$891.15 |
$966.55 |
|
|
Platelets each unit
|
$143.00 |
$187.20 |
$221.00 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,467.05 |
$1,532.70 |
$1,760.85 |
|
|
Platelets irradiated ea unit
|
$215.80 |
$215.80 |
$254.80 |
|
|
Platelets leukocytes reduced each unit
|
$280.15 |
$280.15 |
$330.20 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$334.10 |
$334.10 |
$394.55 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,127.10 |
$1,127.10 |
$1,175.20 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$880.75 |
$1,256.45 |
$1,484.60 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$929.50 |
$1,278.55 |
$1,509.95 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,088.10 |
$1,088.10 |
$1,284.40 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$20,373.31 |
$20,373.31 |
$20,373.31 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,960.87 |
$6,960.87 |
$6,960.87 |
|
|
Plethysmography lung volumes/airway resistance
|
$377.00 |
$377.00 |
$494.00 |
|
|
Plmt nephroureteral catheter
|
$19,357.86 |
$19,357.86 |
$19,357.86 |
|
|
#pnh-flow cytometry interp
|
$85.80 |
$85.80 |
$88.40 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$140.40 |
$140.40 |
$145.60 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$44,887.91 |
$44,887.91 |
$44,887.91 |
|
|
Polysom <6 yrs cpap/bilvl
|
$3,136.90 |
$3,221.40 |
$3,699.15 |
|
|
Polysom any age 1-3> param
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,967.25 |
$3,412.50 |
$3,903.25 |
|
|
Potassium 24 hour urine
|
$40.30 |
$40.30 |
$56.55 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$37.50 |
$37.50 |
$72.56 |
|
|
Potassium serum/plasma/whole blood
|
$40.95 |
$44.20 |
$52.00 |
|
|
Pq biliary strict dil s&i
|
$800.80 |
$800.80 |
$800.80 |
|
|
Pq dr cath chg w cont s&i
|
$596.70 |
$596.70 |
$698.10 |
|
|
Pralidoxime 1 gram solution for injection
|
$267.69 |
$267.69 |
$267.69 |
|