|
Part hymenectomy/revi hymenal ring 56700
|
$12,762.65 |
$12,762.65 |
$12,762.65 |
$3,762.53
|
|
Partial hysterectomy
|
$34,751.23 |
$34,751.23 |
$34,751.23 |
$2,400.00
|
|
Partial removal of lip
|
$25,250.27 |
$25,250.27 |
$25,250.27 |
$3,544.29
|
|
Partial removal of penis
|
$39,514.70 |
$39,514.70 |
$39,514.70 |
$4,081.37
|
|
Partial removal of thyroid
|
$41,775.97 |
$41,775.97 |
$41,775.97 |
$6,457.82
|
|
Partial removal of vaginal wall 57106
|
$19,043.75 |
$19,043.75 |
$19,043.75 |
$3,762.53
|
|
Partial thyroid excision
|
$46,826.35 |
$46,826.35 |
$46,826.35 |
$6,457.82
|
|
Passy muir valve metal trach
|
$102.90 |
$102.90 |
$102.90 |
$275.75
|
|
Pdgfra gene
|
$761.60 |
$761.60 |
$761.60 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$18,659.37 |
$18,659.37 |
$18,659.37 |
$11,216.31
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,269.42 |
$5,269.42 |
$5,269.42 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$3,318.00 |
$3,318.00 |
$3,318.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,907.80 |
$2,907.80 |
$2,907.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,156.70 |
$2,156.70 |
$2,156.70 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,765.60 |
$4,765.60 |
$4,765.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,615.50 |
$3,615.50 |
$3,615.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,509.90 |
$1,509.90 |
$1,509.90 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$862.40 |
$862.40 |
$862.40 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$24,819.90 |
$24,819.90 |
$24,819.90 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16,276.05 |
$16,276.05 |
$16,276.05 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$747.25 |
$747.25 |
$747.25 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$49.52 |
$49.52 |
$49.52 |
$101.34
|
|
Penile injection
|
$417.90 |
$417.90 |
$417.90 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$19,231.02 |
$19,231.02 |
$19,231.02 |
$18,764.94
|
|
Pentobarbital sodium inj
|
$1,980.47 |
$1,980.47 |
$1,980.47 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$32,680.40 |
$32,680.40 |
$32,680.40 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$20,179.60 |
$20,179.60 |
$20,179.60 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$7,501.20 |
$7,501.20 |
$7,501.20 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$19,483.80 |
$19,483.80 |
$19,483.80 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$7,501.20 |
$7,501.20 |
$7,501.20 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$14,179.90 |
$14,179.90 |
$14,179.90 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$17,039.40 |
$17,039.40 |
$17,039.40 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$7,501.20 |
$7,501.20 |
$7,501.20 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$10,000.90 |
$10,000.90 |
$10,000.90 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$30,749.75 |
$30,749.75 |
$30,749.75 |
$7,243.60
|
|
Percut ablate liver rf
|
$22,557.65 |
$22,557.65 |
$22,557.65 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$292.07 |
$292.07 |
$292.07 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,194.80 |
$3,194.80 |
$3,194.80 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$1,800.40 |
$1,800.40 |
$1,800.40 |
$2,251.20
|
|
Peripheral vascular rehab
|
$266.70 |
$266.70 |
$266.70 |
$132.50
|
|
Peri-proc device eval icd
|
$347.90 |
$347.90 |
$347.90 |
$192.40
|
|
Peri-proc device eval pm
|
$331.10 |
$331.10 |
$331.10 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$4,081.00 |
$4,081.00 |
$4,081.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$739.90 |
$739.90 |
$739.90 |
$695.89
|
|
Perq clsr tcat l atr apndge
|
$59,568.97 |
$59,568.97 |
$59,568.97 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$2,797.90 |
$2,797.90 |
$2,797.90 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$56,053.56 |
$56,053.56 |
$56,053.56 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$49,938.67 |
$49,938.67 |
$49,938.67 |
$9,442.38
|
|
Perq p-art revsc 1 abnor uni
|
$42,242.20 |
$42,242.20 |
$42,242.20 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt uni
|
$26,104.40 |
$26,104.40 |
$26,104.40 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$10,885.00 |
$10,885.00 |
$10,885.00 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$11,519.20 |
$11,519.20 |
$11,519.20 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$625.93
|
|
Perq transcath closure each
|
$12,824.70 |
$12,824.70 |
$12,824.70 |
$9,204.00
|
|
Perq transcath closure pda
|
$33,441.80 |
$33,441.80 |
$33,441.80 |
$18,408.00
|
|
Perq transcath cls mitral
|
$19,471.90 |
$19,471.90 |
$19,471.90 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$8,999.20 |
$8,999.20 |
$8,999.20 |
$8,605.90
|
|
Pertuzumab 30 mg/ml desensitization
|
$28,140.35 |
$28,140.35 |
$28,140.35 |
$13,666.00
|
|
Pet CT skull-mid thgh initial
|
$6,563.90 |
$6,563.90 |
$6,563.90 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,563.90 |
$6,563.90 |
$6,563.90 |
$4,850.00
|
|
Pet image ltd area
|
$5,712.00 |
$5,712.00 |
$5,712.00 |
$3,677.40
|
|
Pet image skull-thigh
|
$5,630.10 |
$5,630.10 |
$5,630.10 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$6,235.60 |
$6,235.60 |
$6,235.60 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$19,101.35 |
$19,101.35 |
$19,101.35 |
$38,834.22
|
|
Ph body fluid
|
$42.00 |
$42.00 |
$42.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$111.30 |
$111.30 |
$111.30 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$120.05 |
$120.05 |
$120.05 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$194.60 |
$194.60 |
$194.60 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,347.67 |
$1,347.67 |
$1,347.67 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$127.40 |
$127.40 |
$127.40 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$8.75 |
$8.75 |
$8.75 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$204.40 |
$204.40 |
$204.40 |
$110.88
|
|
Phlebotomy therapeutic
|
$316.40 |
$316.40 |
$316.40 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$21,733.33 |
$21,733.33 |
$21,733.33 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$26,966.46 |
$26,966.46 |
$26,966.46 |
$4,453.46
|
|
Phosphorus
|
$70.00 |
$70.00 |
$70.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$57.40 |
$57.40 |
$57.40 |
$41.51
|
|
Photodynmc tx 30 min add-on
|
$4,060.70 |
$4,060.70 |
$4,060.70 |
$582.40
|
|
Photopheresis
|
$12,718.30 |
$12,718.30 |
$12,718.30 |
$7,967.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$104.47 |
$104.47 |
$104.47 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$1,430.10 |
$1,430.10 |
$1,430.10 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$513.10 |
$513.10 |
$513.10 |
$463.20
|
|
Pin caspar distraction 12mm
|
$8,967.35 |
$8,967.35 |
$8,967.35 |
$11,925.00
|
|
Pin finger fracture each
|
$5,811.40 |
$5,811.40 |
$5,811.40 |
$4,115.40
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$55.47 |
$55.47 |
$55.47 |
$83.03
|
|
Place cath intracranial art
|
$1,185.80 |
$1,185.80 |
$1,185.80 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$75,644.71 |
$75,644.71 |
$75,644.71 |
$4,202.90
|
|
Place cecostomy tube perc
|
$2,580.90 |
$2,580.90 |
$2,580.90 |
$2,580.90
|
|
Place device/marker, non pro
|
$3,236.10 |
$3,236.10 |
$3,236.10 |
$1,969.20
|
|
Place gastrostomy tube perc
|
$18,390.95 |
$18,390.95 |
$18,390.95 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,552.60 |
$1,552.60 |
$1,552.60 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$6,631.19 |
$6,631.19 |
$6,631.19 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,294.30 |
$1,294.30 |
$1,294.30 |
$571.45
|
|
Placement of seton
|
$15,221.42 |
$15,221.42 |
$15,221.42 |
$3,845.10
|