|
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
|
$66.34 |
$66.34 |
$260.60 |
$53.75
|
|
Penicillin g procaine inj
|
$107.18 |
$107.18 |
$107.18 |
$40.94
|
|
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
|
|
Perc cryo ablate renal tum
|
$11,829.60 |
$11,829.60 |
$11,829.60 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$47,221.80 |
$47,221.80 |
$47,221.80 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$47,221.80 |
$47,221.80 |
$47,221.80 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$33,244.20 |
$33,244.20 |
$33,244.20 |
$21,146.91
|
|
Perc drug-el cor stent sing
|
$16,846.20 |
$16,846.20 |
$16,846.20 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$6,178.80 |
$6,178.80 |
$6,178.80 |
$6,949.48
|
|
Percut ablate liver rf
|
$6,178.80 |
$6,178.80 |
$6,178.80 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$83.70 |
$83.70 |
$83.70 |
$269.36
|
|
Pericardiocentesis wwo imaging
|
$3,999.60 |
$3,999.60 |
$3,999.60 |
$2,554.80
|
|
Peritoneogram rs&i
|
$396.00 |
$396.00 |
$396.00 |
$510.85
|
|
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 art m-thrombect &/nfs
|
$20,594.40 |
$20,594.40 |
$20,594.40 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$17,868.00 |
$17,868.00 |
$17,868.00 |
$12,032.67
|
|
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
|
|
Perq plmt bile duct stent
|
$10,713.00 |
$10,713.00 |
$10,713.00 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$8,719.80 |
$8,719.80 |
$8,719.80 |
$6,085.18
|
|
Perq plmt bile duct stent
|
$16,161.60 |
$16,161.60 |
$16,161.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
$636.09
|
|
Perq transcath closure pda
|
$38,928.00 |
$38,928.00 |
$38,928.00 |
$19,624.54
|
|
Perq transcath septal reduxn
|
$16,958.40 |
$16,958.40 |
$16,958.40 |
$6,003.27
|
|
Perq trluml angp nt/recr coa
|
$16,521.00 |
$16,521.00 |
$16,521.00 |
$9,074.63
|
|
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
|
$39.08 |
$39.08 |
$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
|
$39.00 |
$39.00 |
$39.00 |
$41.51
|
|
Photochemotherapy puva
|
$118.20 |
$118.20 |
$118.20 |
$118.20
|
|
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
|
|
Piflu f-18, dia 1 millicurie
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,095.60
|
|
Pik3ca gene trgt seq alys
|
$447.00 |
$447.00 |
$447.00 |
$453.18
|
|
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 cath intracranial art
|
$5,914.20 |
$5,914.20 |
$5,914.20 |
$4,656.83
|
|
Place cath xtrnl carotid
|
$5,546.40 |
$5,546.40 |
$5,546.40 |
$4,202.90
|
|
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
|
|
Placement nephrostomy catheter (both sides)
|
$6,627.60 |
$6,627.60 |
$6,627.60 |
$4,653.60
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$28,789.20 |
$28,789.20 |
$28,789.20 |
$16,799.75
|
|
Place needles pelvic for right
|
$8,070.60 |
$8,070.60 |
$8,070.60 |
$6,629.00
|
|
Place non-slctv cath thoracic arta
|
$7,210.80 |
$7,210.80 |
$7,210.80 |
$5,274.33
|
|
Place po breast cath for rad
|
$6,572.40 |
$6,572.40 |
$6,572.40 |
$10,901.17
|
|
Place slctv cath carotd art uni
|
$31,406.40 |
$31,406.40 |
$31,406.40 |
$10,950.75
|
|
Place slctv cath carotid/inom art excrn uni
|
$22,881.60 |
$22,881.60 |
$22,881.60 |
$6,515.40
|
|
Place slctv cath carotid/inom art intcrn uni
|
$30,932.40 |
$30,932.40 |
$30,932.40 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$24,134.40 |
$24,134.40 |
$24,134.40 |
$7,325.60
|
|
Place slctv cath vertebral art uni
|
$24,604.80 |
$24,604.80 |
$24,604.80 |
$9,490.50
|
|
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
|
|
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 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
|
|
Plcmnt biliary drainage cath w/img ext
|
$8,568.00 |
$8,568.00 |
$8,568.00 |
$4,406.61
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$28,789.20 |
$28,789.20 |
$28,789.20 |
$9,834.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$7,859.40 |
$7,859.40 |
$7,859.40 |
$5,139.60
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$11,854.80 |
$11,854.80 |
$11,854.80 |
$6,328.92
|
|
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
|