|
Pelvic MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$343.20 |
$343.20 |
$343.20 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$295.20 |
$295.20 |
$295.20 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$85.04 |
$85.04 |
$85.04 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16.16 |
$16.16 |
$16.16 |
$122.56
|
|
Peng benzathine/procaine inj
|
$338.23 |
$338.23 |
$338.23 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$48.74 |
$48.74 |
$48.74 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$260.60 |
$260.60 |
$260.60 |
$53.75
|
|
Penicillin g procaine inj
|
$107.18 |
$107.18 |
$107.18 |
$40.94
|
|
Penile vascular study
|
$810.60 |
$810.60 |
$810.60 |
$527.34
|
|
Pentamidine non-comp unit
|
$279.76 |
$279.76 |
$279.76 |
$279.76
|
|
Pentobarbital sodium inj
|
$4,918.36 |
$4,918.36 |
$4,918.36 |
$64.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$83.70 |
$83.70 |
$83.70 |
$269.36
|
|
Perit-vens shunt pat tst
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$608.46
|
|
Perphenazine 4mg oral
|
$2.47 |
$2.47 |
$2.47 |
$2.47
|
|
Perq dev breast 1st mr guide
|
$4,117.20 |
$4,117.20 |
$4,117.20 |
$2,153.40
|
|
Perq dev breast 1st strtctc
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,471.17
|
|
Pertussis ag if
|
$247.80 |
$247.80 |
$247.80 |
$53.95
|
|
Pertuzumab 30 mg/ml desensitization
|
$10,118.19 |
$10,118.19 |
$10,118.19 |
$15,007.91
|
|
Pet CT skull-mid thgh initial
|
$5,895.00 |
$5,895.00 |
$5,895.00 |
$4,850.00
|
|
Pet CT whole body initial
|
$6,190.20 |
$6,190.20 |
$6,190.20 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$3,504.60 |
$3,504.60 |
$3,504.60 |
$3,274.20
|
|
Pet image w/ct lmtd
|
$5,659.20 |
$5,659.20 |
$5,659.20 |
$4,422.60
|
|
Ph body fluid
|
$99.00 |
$99.00 |
$99.00 |
$35.75
|
|
Phencyclidine (pcp)
|
$186.60 |
$186.60 |
$186.60 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$135.50 |
$135.50 |
$135.50 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$265.20 |
$265.20 |
$265.20 |
$97.50
|
|
Phentolaine mesylate inj
|
$881.36 |
$881.36 |
$881.36 |
$881.36
|
|
Phenylephrine 10 mg/ml injection solution
|
$132.26 |
$132.26 |
$132.26 |
$28.92
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$39.82 |
$39.82 |
$39.82 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$240.60 |
$240.60 |
$240.60 |
$100.75
|
|
Phlebotomy therapeutic
|
$384.00 |
$384.00 |
$384.00 |
$240.24
|
|
Phosphorus
|
$98.40 |
$98.40 |
$98.40 |
$42.37
|
|
Phosphorus 24 hour urine
|
$19.80 |
$19.80 |
$19.80 |
$41.51
|
|
Photochemotherapy puva
|
$118.20 |
$118.20 |
$118.20 |
$118.20
|
|
Phys blood bank serv authrj
|
$161.40 |
$161.40 |
$161.40 |
$97.60
|
|
Phys blood bank serv reactj
|
$321.00 |
$321.00 |
$321.00 |
$219.94
|
|
Phys blood bank serv xmatch
|
$198.60 |
$198.60 |
$198.60 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$133.36 |
$133.36 |
$133.36 |
$75.04
|
|
Pinworm exam
|
$68.40 |
$68.40 |
$68.40 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$104.73 |
$104.73 |
$104.73 |
$51.80
|
|
Place cecostomy tube perc
|
$5,964.60 |
$5,964.60 |
$5,964.60 |
$2,290.00
|
|
Place device/marker, non pro
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$1,514.47
|
|
Place duod/jej tube perc
|
$5,713.80 |
$5,713.80 |
$5,713.80 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$4,968.60 |
$4,968.60 |
$4,968.60 |
$2,286.40
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,485.40 |
$3,485.40 |
$3,485.40 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$3,485.40 |
$3,485.40 |
$3,485.40 |
$1,094.83
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$3,398.40 |
$3,398.40 |
$3,398.40 |
$1,372.15
|
|
Plasma cryoprecipitate reduced each unit
|
$288.60 |
$288.60 |
$288.60 |
$160.55
|
|
Plasmaprotein fract,5%,250ml
|
$127.32 |
$127.32 |
$127.32 |
$81.60
|
|
Platelet aggregation each agent teg
|
$397.20 |
$397.20 |
$397.20 |
$145.60
|
|
Platelet automated
|
$118.20 |
$118.20 |
$118.20 |
$33.60
|
|
Platelet pheresis each unit
|
$2,086.20 |
$2,086.20 |
$2,086.20 |
$943.15
|
|
Platelet pheresis irr ea
|
$1,924.20 |
$1,924.20 |
$1,924.20 |
$991.80
|
|
Platelets each unit
|
$300.60 |
$300.60 |
$300.60 |
$187.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$867.60 |
$867.60 |
$867.60 |
$215.80
|
|
Platelets leukocytes reduced each unit
|
$433.20 |
$433.20 |
$433.20 |
$274.95
|
|
Platelets leukocytes reduced irradiated each unit
|
$439.20 |
$439.20 |
$439.20 |
$334.10
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$1,146.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,085.80 |
$3,085.80 |
$3,085.80 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$742.20 |
$742.20 |
$742.20 |
$1,046.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$1,331.53
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$878.22
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,691.40 |
$1,691.40 |
$1,691.40 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$964.04
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$969.00
|
|
Plerixafor injection
|
$7,535.71 |
$7,535.71 |
$7,535.71 |
$36,856.95
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$359.40 |
$359.40 |
$359.40 |
$146.15
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$197.22 |
$197.22 |
$197.22 |
$136.23
|
|
Polysom <6 yrs cpap/bilvl
|
$5,865.00 |
$5,865.00 |
$5,865.00 |
$4,096.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,865.00 |
$5,865.00 |
$5,865.00 |
$4,313.58
|
|
Potassium 24 hour urine
|
$105.60 |
$105.60 |
$105.60 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$64.50 |
$64.50 |
$64.50 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$82.80 |
$82.80 |
$82.80 |
$40.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$9.60 |
$9.60 |
$9.60 |
$3.25
|
|
Pq dr cath chg w cont s&i
|
$532.80 |
$532.80 |
$532.80 |
$633.97
|
|
Pq thr inj ext pse
|
$1,177.80 |
$1,177.80 |
$1,177.80 |
$843.97
|
|
Pralatrexate injection
|
$534.21 |
$534.21 |
$534.21 |
$388.83
|
|
Pralidoxime 1 gram solution for injection
|
$305.77 |
$305.77 |
$305.77 |
$297.18
|
|
Pr application of long arm splint
|
$184.20 |
$184.20 |
$184.20 |
$320.00
|
|
Pr application splint static short arm
|
$181.80 |
$181.80 |
$181.80 |
$277.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$90.60 |
$90.60 |
$90.60 |
$43.44
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$30.00 |
$30.00 |
$30.00 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$356.40 |
$356.40 |
$356.40 |
$350.98
|
|
Prealbumin
|
$300.60 |
$300.60 |
$300.60 |
$80.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$54.62 |
$54.62 |
$54.62 |
$4.87
|
|
Prednisone 1 mg tablet
|
$6.30 |
$6.30 |
$6.30 |
$4.87
|
|
Pregnancy associated plasma protein-a
|
$26.40 |
$26.40 |
$26.40 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$531.00 |
$531.00 |
$531.00 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$478.20 |
$478.20 |
$478.20 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$508.20 |
$508.20 |
$508.20 |
$260.25
|
|
Pretreat rbc absorption reference
|
$319.20 |
$319.20 |
$319.20 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$247.80 |
$247.80 |
$247.80 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$183.60 |
$183.60 |
$183.60 |
$170.31
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$297.00 |
$297.00 |
$297.00 |
$328.28
|
