|
Part removal of metatarsal 28112
|
$2,662.10 |
$2,662.10 |
$2,662.10 |
$3,591.33
|
|
Passy muir valve metal trach
|
$188.44 |
$188.44 |
$188.44 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$2,436.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,842.40 |
$4,842.40 |
$4,842.40 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$1,122.80 |
$1,122.80 |
$1,122.80 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,019.90 |
$1,019.90 |
$1,019.90 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$815.85 |
$815.85 |
$815.85 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,940.35 |
$2,940.35 |
$2,940.35 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,242.45 |
$2,242.45 |
$2,242.45 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,948.10 |
$1,948.10 |
$1,948.10 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$985.60 |
$985.60 |
$985.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$193.90 |
$193.90 |
$193.90 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,474.80 |
$10,474.80 |
$10,474.80 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,708.71 |
$2,708.71 |
$2,708.71 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$498.54 |
$498.54 |
$498.54 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$765.51 |
$765.51 |
$765.51 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$182.71 |
$182.71 |
$182.71 |
$90.35
|
|
Penile injection
|
$156.80 |
$156.80 |
$156.80 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$14,758.57 |
$14,758.57 |
$14,758.57 |
$19,815.11
|
|
Penile vascular study
|
$742.35 |
$742.35 |
$742.35 |
$561.00
|
|
Pentobarbital sodium inj
|
$458.86 |
$458.86 |
$458.86 |
$185.00
|
|
Perc d-e cor revasc chro add
|
$4,211.20 |
$4,211.20 |
$4,211.20 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$6,596.80 |
$6,596.80 |
$6,596.80 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$4,211.20 |
$4,211.20 |
$4,211.20 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$6,596.80 |
$6,596.80 |
$6,596.80 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$4,012.40 |
$4,012.40 |
$4,012.40 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$6,283.20 |
$6,283.20 |
$6,283.20 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$4,600.40 |
$4,600.40 |
$4,600.40 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$7,203.70 |
$7,203.70 |
$7,203.70 |
$16,846.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$111.83 |
$111.83 |
$111.83 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$2,544.85 |
$2,544.85 |
$2,544.85 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,013.60
|
|
Peri-proc device eval icd
|
$90.30 |
$90.30 |
$90.30 |
$220.35
|
|
Peri-proc device eval pm
|
$90.30 |
$90.30 |
$90.30 |
$195.80
|
|
Perit-vens shunt pat tst
|
$473.20 |
$473.20 |
$473.20 |
$695.40
|
|
Perq dev breast 1st mr guide
|
$3,854.20 |
$3,854.20 |
$3,854.20 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$1,901.90 |
$1,901.90 |
$1,901.90 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$3,325.35 |
$3,325.35 |
$3,325.35 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$6,364.40 |
$6,364.40 |
$6,364.40 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$6,364.40 |
$6,364.40 |
$6,364.40 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$186.90 |
$186.90 |
$186.90 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,839.54
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$85.17 |
$85.17 |
$85.17 |
$113.84
|
|
Pet CT skull-mid thgh initial
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$4,854.75
|
|
Pet CT whole body initial
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$5,017.50
|
|
Pet image w/ct lmtd
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$38,318.04 |
$38,318.04 |
$38,318.04 |
$33,990.40
|
|
Ph body fluid
|
$103.25 |
$103.25 |
$103.25 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$92.87 |
$92.87 |
$92.87 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$393.75 |
$393.75 |
$393.75 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,673.01 |
$1,673.01 |
$1,673.01 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$33.66 |
$33.66 |
$33.66 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$32.89 |
$32.89 |
$32.89 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$379.75 |
$379.75 |
$379.75 |
$111.27
|
|
Phlebotomy therapeutic
|
$555.45 |
$555.45 |
$555.45 |
$249.00
|
|
Phosphorus
|
$59.50 |
$59.50 |
$59.50 |
$47.81
|
|
Phosphorus 24 hour urine
|
$122.85 |
$122.85 |
$122.85 |
$42.81
|
|
Phys blood bank serv reactj
|
$880.95 |
$880.95 |
$880.95 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$85.79 |
$85.79 |
$85.79 |
$92.07
|
|
Pin caspar distraction 12mm
|
$7,163.45 |
$7,163.45 |
$7,163.45 |
$10,255.29
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$448.70 |
$448.70 |
$448.70 |
$1,016.25
|
|
Pin finger fracture each
|
$2,718.45 |
$2,718.45 |
$2,718.45 |
$3,910.33
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$309.94 |
$309.94 |
$309.94 |
$101.60
|
|
Place cath intracranial art
|
$648.90 |
$648.90 |
$648.90 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$4,202.65
|
|
Place duod/jej tube perc
|
$3,929.45 |
$3,929.45 |
$3,929.45 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$2,252.95 |
$2,252.95 |
$2,252.95 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,309.35 |
$1,309.35 |
$1,309.35 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$655.90 |
$655.90 |
$655.90 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$3,978.80 |
$3,978.80 |
$3,978.80 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,052.60 |
$5,052.60 |
$5,052.60 |
$4,450.11
|
|
Placement of seton
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$3,375.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$5,186.30 |
$5,186.30 |
$5,186.30 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$3,587.50 |
$3,587.50 |
$3,587.50 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$10,690.75 |
$10,690.75 |
$10,690.75 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,845.70 |
$5,845.70 |
$5,845.70 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,110.90 |
$8,110.90 |
$8,110.90 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$4,054.40 |
$4,054.40 |
$4,054.40 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$4,914.70 |
$4,914.70 |
$4,914.70 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$85.05 |
$85.05 |
$85.05 |
$173.47
|
|
Platelet aggregation each agent teg
|
$269.15 |
$269.15 |
$269.15 |
$147.96
|
|
Platelet automated
|
$108.85 |
$108.85 |
$108.85 |
$44.00
|
|
Platelet pheresis each unit
|
$328.30 |
$328.30 |
$328.30 |
$1,035.45
|
|
Platelets pheresis leukocytes reduced each unit
|
$328.30 |
$328.30 |
$328.30 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$328.30 |
$328.30 |
$328.30 |
$1,363.70
|
|
Platelets pheresis pathogen-reduced each unit
|
$715.40 |
$715.40 |
$715.40 |
$992.49
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,212.65 |
$3,212.65 |
$3,212.65 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$1,865.85 |
$1,865.85 |
$1,865.85 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,309.25 |
$3,309.25 |
$3,309.25 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,309.25 |
$3,309.25 |
$3,309.25 |
$6,048.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$2,411.50 |
$2,411.50 |
$2,411.50 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$946.40 |
$946.40 |
$946.40 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$526.05 |
$526.05 |
$526.05 |
$878.22
|
|
Plcmt xtn pros evasc rpr per vsl
|
$1,603.70 |
$1,603.70 |
$1,603.70 |
$3,969.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,928.15 |
$1,928.15 |
$1,928.15 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$951.65 |
$951.65 |
$951.65 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$218.75 |
$218.75 |
$218.75 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$6,149.50 |
$6,149.50 |
$6,149.50 |
$4,661.80
|