|
Pelvic CT scan (with contrast)
|
$1,329.25 |
$1,329.25 |
$1,329.25 |
$1,610.00
|
|
Pelvic CT scan (without contrast)
|
$880.10 |
$880.10 |
$880.10 |
$1,335.34
|
|
Pelvic exenteration
|
$12,766.00 |
$12,766.00 |
$12,766.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,496.65 |
$2,496.65 |
$2,496.65 |
$2,224.75
|
|
Pelvic MRI (without contrast)
|
$1,772.55 |
$1,772.55 |
$1,772.55 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$794.30 |
$794.30 |
$794.30 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$726.70 |
$726.70 |
$726.70 |
$435.09
|
|
Pelvis X-ray (1 to 2 views)
|
$645.45 |
$645.45 |
$645.45 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$668.20 |
$668.20 |
$668.20 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,692.22 |
$4,692.22 |
$4,692.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,522.83 |
$2,522.83 |
$2,522.83 |
$7,089.13
|
|
Pemivibart infusion
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$533.10
|
|
Peng benzathine/procaine inj
|
$284.45 |
$284.45 |
$284.45 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$548.46 |
$548.46 |
$548.46 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.97 |
$30.97 |
$30.97 |
$97.85
|
|
Penicillin g procaine inj
|
$112.32 |
$112.32 |
$112.32 |
$149.20
|
|
Penile injection
|
$909.35 |
$909.35 |
$909.35 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$8,981.70 |
$8,981.70 |
$8,981.70 |
$18,764.94
|
|
Penile vascular study
|
$821.60 |
$821.60 |
$821.60 |
$561.00
|
|
Penile vascular study
|
$611.00 |
$611.00 |
$611.00 |
$574.60
|
|
Penis plastic surgery
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$4,081.37
|
|
Penis study
|
$340.60 |
$340.60 |
$340.60 |
$368.50
|
|
Pentamidine 300 mg solution for injection
|
$390.53 |
$390.53 |
$390.53 |
$572.10
|
|
Pentamidine non-comp unit
|
$189.15 |
$189.15 |
$189.15 |
$294.39
|
|
Pentobarbital sodium inj
|
$141.57 |
$141.57 |
$141.57 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$9,530.25 |
$9,530.25 |
$9,530.25 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$20,841.60 |
$20,841.60 |
$20,841.60 |
$11,533.76
|
|
Perc d-e cor revasc chro add
|
$26,853.45 |
$26,853.45 |
$26,853.45 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$41,644.20 |
$41,644.20 |
$41,644.20 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$15,114.45 |
$15,114.45 |
$15,114.45 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$34,602.75 |
$34,602.75 |
$34,602.75 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$11,843.65 |
$11,843.65 |
$11,843.65 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$36,316.15 |
$36,316.15 |
$36,316.15 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$15,114.45 |
$15,114.45 |
$15,114.45 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$33,839.65 |
$33,839.65 |
$33,839.65 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$7,243.60
|
|
Percut ablate liver rf
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$6,904.15
|
|
Percutaneous islet celltrans
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$1,729.73
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$438.75 |
$438.75 |
$438.75 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$4,317.95 |
$4,317.95 |
$4,317.95 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$11,700.00 |
$11,700.00 |
$11,700.00 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$5,050.50 |
$5,050.50 |
$5,050.50 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$2,854.15 |
$2,854.15 |
$2,854.15 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$3,720.50
|
|
Peripheral vascular rehab
|
$68.25 |
$68.25 |
$68.25 |
$132.50
|
|
Peri-proc device eval icd
|
$404.30 |
$404.30 |
$404.30 |
$184.60
|
|
Peri-proc device eval pm
|
$331.50 |
$331.50 |
$331.50 |
$151.92
|
|
Peritoneal cath sub q resv per
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$5,625.74
|
|
Peritoneogram rs&i
|
$3,073.85 |
$3,073.85 |
$3,073.85 |
$698.50
|
|
Perit-vens shunt pat tst
|
$2,481.70 |
$2,481.70 |
$2,481.70 |
$787.20
|
|
Permanent tear duct plug
|
$44.20 |
$44.20 |
$44.20 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$9,745.45 |
$9,745.45 |
$9,745.45 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$10,611.25 |
$10,611.25 |
$10,611.25 |
$9,010.66
|
|
Perq dev breast 1st mr guide
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$5,980.00 |
$5,980.00 |
$5,980.00 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$3,549.00 |
$3,549.00 |
$3,549.00 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$18,599.75
|
|
Perq p-art revsc 1 abnor uni
|
$83,891.60 |
$83,891.60 |
$83,891.60 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$1,437.80 |
$1,437.80 |
$1,437.80 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$909.35 |
$909.35 |
$909.35 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$1,679.60 |
$1,679.60 |
$1,679.60 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$3,839.54
|
|
Perqt bx lung/mediastinum 32405
|
$1,158.30 |
$1,158.30 |
$1,158.30 |
$1,770.60
|
|
Perq transcath closure each
|
$2,741.70 |
$2,741.70 |
$2,741.70 |
$9,204.00
|
|
Perq transcath closure pda
|
$41,668.90 |
$41,668.90 |
$41,668.90 |
$18,408.00
|
|
Perq transcath cls aortic
|
$53,061.45 |
$53,061.45 |
$53,061.45 |
$22,779.00
|
|
Perq transcath cls mitral
|
$49,873.85 |
$49,873.85 |
$49,873.85 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$4,729.40 |
$4,729.40 |
$4,729.40 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$5,466.50 |
$5,466.50 |
$5,466.50 |
$6,658.00
|
|
Perq tx big toe fracture w/manip 28496
|
$644.80 |
$644.80 |
$644.80 |
$3,981.06
|
|
Perq tx nasoethmoid fx
|
$2,987.40 |
$2,987.40 |
$2,987.40 |
$4,558.89
|
|
Pertussis ag if
|
$11.05 |
$11.05 |
$11.05 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$1,519.99 |
$1,519.99 |
$1,519.99 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$2,894.63 |
$2,894.63 |
$2,894.63 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$95.55 |
$95.55 |
$95.55 |
$141.60
|
|
Pessary reusable rub anytype
|
$95.55 |
$95.55 |
$95.55 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$8,811.40 |
$8,811.40 |
$8,811.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$8,827.00 |
$8,827.00 |
$8,827.00 |
$4,854.75
|
|
Pet fdg brain metoblic eval sb
|
$8,567.00 |
$8,567.00 |
$8,567.00 |
$4,060.00
|
|
Pet image full body
|
$8,697.00 |
$8,697.00 |
$8,697.00 |
$5,148.14
|
|
Pet image ltd area
|
$7,719.40 |
$7,719.40 |
$7,719.40 |
$3,809.11
|
|
Pet image skull-thigh
|
$8,678.80 |
$8,678.80 |
$8,678.80 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$8,749.00 |
$8,749.00 |
$8,749.00 |
$4,366.50
|
|
Pet not otherwise specified
|
$417.95 |
$417.95 |
$417.95 |
$1,070.40
|
|
Pfc sigma fem post aug sz3 8mm
|
$6,155.50 |
$6,155.50 |
$6,155.50 |
$40,252.07
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$130.00 |
$130.00 |
$130.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$195.00 |
$195.00 |
$195.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$65.00 |
$65.00 |
$65.00 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$2,508.80
|
|
Pharmacologic management w/psytx
|
$124.80 |
$124.80 |
$124.80 |
$78.96
|
|
Ph body fluid
|
$32.50 |
$32.50 |
$32.50 |
$41.60
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$107.64 |
$107.64 |
$107.64 |
$112.72
|
