|
Parathyroid planar imaging
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,694.55 |
$1,694.55 |
$1,694.55 |
$1,374.75
|
|
Paricalcitol
|
$141.70 |
$141.70 |
$141.70 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$726.05 |
$726.05 |
$726.05 |
$245.67
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$5,892.90 |
$5,892.90 |
$5,892.90 |
$4,914.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$10,941.45 |
$10,941.45 |
$10,941.45 |
$4,921.76
|
|
Passy muir valve metal trach
|
$808.60 |
$808.60 |
$808.60 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$7.80 |
$7.80 |
$7.80 |
$5.73
|
|
Pathogen reduced plasma pool
|
$98.80 |
$98.80 |
$98.80 |
$66.40
|
|
Pathogen reduced plasma sing
|
$98.80 |
$98.80 |
$98.80 |
$324.07
|
|
Pdgfra gene
|
$840.45 |
$840.45 |
$840.45 |
$717.23
|
|
Pegaspargase injection
|
$109,681.00 |
$109,681.00 |
$109,681.00 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$1,517.75 |
$1,517.75 |
$1,517.75 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$2,705.95 |
$2,705.95 |
$2,705.95 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,036.10 |
$1,036.10 |
$1,036.10 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,659.45 |
$1,659.45 |
$1,659.45 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$14,160.25 |
$14,160.25 |
$14,160.25 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$3,939.00 |
$3,939.00 |
$3,939.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$3,602.30 |
$3,602.30 |
$3,602.30 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$3,246.10 |
$3,246.10 |
$3,246.10 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,604.25 |
$3,604.25 |
$3,604.25 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,424.20 |
$3,424.20 |
$3,424.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,249.35 |
$3,249.35 |
$3,249.35 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,264.25 |
$1,264.25 |
$1,264.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$650.65 |
$650.65 |
$650.65 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$839.15 |
$839.15 |
$839.15 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$238.55 |
$238.55 |
$238.55 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$81.25 |
$81.25 |
$81.25 |
$7,089.13
|
|
Pemivibart infusion
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$533.10
|
|
Peng benzathine/procaine inj
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$958.10 |
$958.10 |
$958.10 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$118.95 |
$118.95 |
$118.95 |
$97.85
|
|
Penile injection
|
$580.45 |
$580.45 |
$580.45 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$35,766.25 |
$35,766.25 |
$35,766.25 |
$18,764.94
|
|
Penile vascular study
|
$590.85 |
$590.85 |
$590.85 |
$561.00
|
|
Penile vascular study
|
$574.60 |
$574.60 |
$574.60 |
$574.60
|
|
Penis study
|
$308.10 |
$308.10 |
$308.10 |
$368.50
|
|
Pentobarbital sodium inj
|
$507.00 |
$507.00 |
$507.00 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$13,567.45 |
$13,567.45 |
$13,567.45 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$34,878.35 |
$34,878.35 |
$34,878.35 |
$11,523.76
|
|
Perc rf ablate renal tumor
|
$31,633.55 |
$31,633.55 |
$31,633.55 |
$7,243.60
|
|
Percut ablate liver rf
|
$15,816.45 |
$15,816.45 |
$15,816.45 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$251.55 |
$251.55 |
$251.55 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$6,507.80 |
$6,507.80 |
$6,507.80 |
$2,375.00
|
|
Peripheral vascular rehab
|
$100.75 |
$100.75 |
$100.75 |
$132.50
|
|
Peri-proc device eval icd
|
$287.30 |
$287.30 |
$287.30 |
$192.40
|
|
Peri-proc device eval pm
|
$251.55 |
$251.55 |
$251.55 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$4,353.05 |
$4,353.05 |
$4,353.05 |
$5,625.74
|
|
Peritoneogram rs&i
|
$876.20 |
$876.20 |
$876.20 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,760.20 |
$1,760.20 |
$1,760.20 |
$752.49
|
|
Permanent tear duct plug
|
$807.95 |
$807.95 |
$807.95 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$18,773.95 |
$18,773.95 |
$18,773.95 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$28,775.50 |
$28,775.50 |
$28,775.50 |
$9,309.08
|
|
Perq nl/pl lithotrp cplx>2cm
|
$52,499.20 |
$52,499.20 |
$52,499.20 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$16,340.35 |
$16,340.35 |
$16,340.35 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$79,037.40 |
$79,037.40 |
$79,037.40 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$52,691.60 |
$52,691.60 |
$52,691.60 |
$22,559.00
|
|
Perq p-art revsc 1 nm nt bi
|
$48,842.95 |
$48,842.95 |
$48,842.95 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$32,561.75 |
$32,561.75 |
$32,561.75 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$16,281.20 |
$16,281.20 |
$16,281.20 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$5,005.65 |
$5,005.65 |
$5,005.65 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,359.00 |
$8,359.00 |
$8,359.00 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$8,438.95 |
$8,438.95 |
$8,438.95 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$830.70 |
$830.70 |
$830.70 |
$625.93
|
|
Perq transcath closure each
|
$6,439.55 |
$6,439.55 |
$6,439.55 |
$9,204.00
|
|
Perq transcath closure pda
|
$27,676.35 |
$27,676.35 |
$27,676.35 |
$18,408.00
|
|
Perq transcath cls aortic
|
$31,652.40 |
$31,652.40 |
$31,652.40 |
$22,633.26
|
|
Perq transcath cls mitral
|
$28,505.75 |
$28,505.75 |
$28,505.75 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$25,455.95 |
$25,455.95 |
$25,455.95 |
$8,999.20
|
|
Perq trluml angp nt/recr coa
|
$10,413.00 |
$10,413.00 |
$10,413.00 |
$7,398.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$73.45 |
$73.45 |
$73.45 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$342.55 |
$342.55 |
$342.55 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$5,567.25 |
$5,567.25 |
$5,567.25 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$163,493.85 |
$163,493.85 |
$163,493.85 |
$39,920.50
|
|
Ph body fluid
|
$176.80 |
$176.80 |
$176.80 |
$42.00
|
|
Phencyclidine (pcp)
|
$7.15 |
$7.15 |
$7.15 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$468.65 |
$468.65 |
$468.65 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$497.90 |
$497.90 |
$497.90 |
$105.00
|
|
Phentolaine mesylate inj
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$49.40 |
$49.40 |
$49.40 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$20.80 |
$20.80 |
$20.80 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$148.20 |
$148.20 |
$148.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$611.65 |
$611.65 |
$611.65 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$17,806.75 |
$17,806.75 |
$17,806.75 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$17,806.75 |
$17,806.75 |
$17,806.75 |
$4,621.21
|
|
Phosphorus
|
$54.60 |
$54.60 |
$54.60 |
$49.20
|
|
Phosphorus 24 hour urine
|
$195.65 |
$195.65 |
$195.65 |
$42.25
|
|
Photodynamic tx addl 15 min
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$2,637.05 |
$2,637.05 |
$2,637.05 |
$582.40
|
|
Physical Therapy Evaluation (high complexity)
|
$586.95 |
$586.95 |
$586.95 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$261.30 |
$261.30 |
$261.30 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$391.30 |
$391.30 |
$391.30 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$299.00 |
$299.00 |
$299.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$382.20 |
$382.20 |
$382.20 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$1,155.05 |
$1,155.05 |
$1,155.05 |
$1,038.40
|
|
Pik3ca gene trgt seq alys
|
$664.95 |
$664.95 |
$664.95 |
$463.20
|
