|
Ped crit care age 2-5 init
|
$1,130.40 |
$1,130.40 |
$1,130.40 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$685.80 |
$685.80 |
$685.80 |
$622.40
|
|
Ped crit care transport
|
$525.60 |
$525.60 |
$525.60 |
$434.40
|
|
Ped crit care transport addl
|
$246.60 |
$246.60 |
$246.60 |
$217.60
|
|
Ped critical care initial
|
$1,653.00 |
$1,653.00 |
$1,653.00 |
$1,446.40
|
|
Ped critical care subsq
|
$811.20 |
$811.20 |
$811.20 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$2,692.80
|
|
Pegaspargase injection
|
$47,536.40 |
$47,536.40 |
$47,536.40 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,379.97 |
$11,379.97 |
$11,379.97 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,407.18 |
$7,407.18 |
$7,407.18 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,407.18 |
$7,407.18 |
$7,407.18 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,576.80 |
$1,576.80 |
$1,576.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$373.80 |
$373.80 |
$373.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$213.60 |
$213.60 |
$213.60 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$172.80 |
$172.80 |
$172.80 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$243.00 |
$243.00 |
$243.00 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,270.83 |
$10,270.83 |
$10,270.83 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,202.36 |
$7,202.36 |
$7,202.36 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,351.83 |
$1,351.83 |
$1,351.83 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$119.73 |
$119.73 |
$119.73 |
$97.85
|
|
Penicillin g procaine inj
|
$149.24 |
$149.24 |
$149.24 |
$149.20
|
|
Perc rf ablate renal tumor
|
$6,211.20 |
$6,211.20 |
$6,211.20 |
$7,243.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$522.12 |
$522.12 |
$522.12 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$570.00 |
$570.00 |
$570.00 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$4,681.20 |
$4,681.20 |
$4,681.20 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$584.40 |
$584.40 |
$584.40 |
$2,375.00
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,898.40 |
$1,898.40 |
$1,898.40 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$4,238.48
|
|
Perineoplasty rpr per nonob
|
$506.40 |
$506.40 |
$506.40 |
$3,720.50
|
|
Peritoneal cath sub q resv per
|
$844.20 |
$844.20 |
$844.20 |
$5,625.74
|
|
Perq dev breast 1st mr guide
|
$3,855.60 |
$3,855.60 |
$3,855.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$3,742.20 |
$3,742.20 |
$3,742.20 |
$1,456.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$162.00 |
$162.00 |
$162.00 |
$625.93
|
|
Perqt bx lung/mediastinum 32405
|
$213.00 |
$213.00 |
$213.00 |
$1,770.60
|
|
Perq tx big toe fracture w/manip 28496
|
$855.00 |
$855.00 |
$855.00 |
$3,981.06
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,121.85 |
$12,121.85 |
$12,121.85 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$24,690.36 |
$24,690.36 |
$24,690.36 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$88.80 |
$88.80 |
$88.80 |
$141.60
|
|
Pessary reusable rub anytype
|
$1.80 |
$1.80 |
$1.80 |
$57.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$23,287.80 |
$23,287.80 |
$23,287.80 |
$39,920.50
|
|
Phalangectomy ea toe 28150
|
$822.00 |
$822.00 |
$822.00 |
$2,674.81
|
|
Pharmacologic management w/psytx
|
$44.40 |
$44.40 |
$44.40 |
$78.96
|
|
Ph body fluid
|
$36.00 |
$36.00 |
$36.00 |
$42.00
|
|
Phencyclidine (pcp)
|
$306.00 |
$306.00 |
$306.00 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$112.72 |
$112.72 |
$112.72 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$128.40 |
$128.40 |
$128.40 |
$105.00
|
|
Phentolaine mesylate inj
|
$755.97 |
$755.97 |
$755.97 |
$1,028.40
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$16.01 |
$16.01 |
$16.01 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$148.80 |
$148.80 |
$148.80 |
$111.27
|
|
Phlebotomy therapeutic
|
$159.60 |
$159.60 |
$159.60 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$1,531.80 |
$1,531.80 |
$1,531.80 |
$4,621.21
|
|
Phone e/m phys/qhp 11-20 min
|
$82.20 |
$82.20 |
$82.20 |
$174.75
|
|
Phone e/m phys/qhp 21-30 min
|
$116.40 |
$116.40 |
$116.40 |
$187.00
|
|
Phone e/m phys/qhp 5-10 min
|
$50.40 |
$50.40 |
$50.40 |
$93.75
|
|
Phosphorus
|
$37.80 |
$37.80 |
$37.80 |
$49.20
|
|
Phosphorus 24 hour urine
|
$32.40 |
$32.40 |
$32.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$272.40 |
$272.40 |
$272.40 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$233.40 |
$233.40 |
$233.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$245.40 |
$245.40 |
$245.40 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$240.60 |
$240.60 |
$240.60 |
$154.80
|
|
Physician standby services
|
$146.40 |
$146.40 |
$146.40 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$99.15 |
$99.15 |
$99.15 |
$90.25
|
|
Pierce earlobes 69090
|
$49.20 |
$49.20 |
$49.20 |
$75.20
|
|
Pin caspar distraction 12mm
|
$11,925.00 |
$11,925.00 |
$11,925.00 |
$11,759.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$1,130.58
|
|
Pin finger fracture each
|
$600.60 |
$600.60 |
$600.60 |
$4,192.86
|
|
Pinworm exam
|
$33.60 |
$33.60 |
$33.60 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$78.80 |
$78.80 |
$78.80 |
$81.36
|
|
Place duod/jej tube perc
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$2,562.75
|
|
Place gastrostomy tube open 43832
|
$1,987.20 |
$1,987.20 |
$1,987.20 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$2,054.40 |
$2,054.40 |
$2,054.40 |
$2,289.60
|
|
Placement occlusive device venous/arterial access site post procedure
|
$319.20 |
$319.20 |
$319.20 |
$572.00
|
|
Placement of seton
|
$514.20 |
$514.20 |
$514.20 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$744.00 |
$744.00 |
$744.00 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$5,271.46
|
|
Place slctv cath carotd art uni
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,219.80 |
$1,219.80 |
$1,219.80 |
$6,498.00
|
|
Place slctv cath subclavian art
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$9,090.00
|
|
Platelet aggregation each agent teg
|
$79.20 |
$79.20 |
$79.20 |
$148.98
|
|
Platelet automated
|
$28.80 |
$28.80 |
$28.80 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,573.80 |
$1,573.80 |
$1,573.80 |
$1,532.70
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$347.40 |
$347.40 |
$347.40 |
$6,927.20
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,210.20 |
$1,210.20 |
$1,210.20 |
$3,793.50
|
|
Plcmt xtn pros evasc rpr per vsl
|
$693.00 |
$693.00 |
$693.00 |
$3,473.00
|
|
Plethysmography lung volumes/airway resistance
|
$324.60 |
$324.60 |
$324.60 |
$408.05
|
|
Pleurectomy parietal ; separate 32310
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$2,222.40
|
|
Pneum full leg splnt pre ots
|
$34.20 |
$34.20 |
$34.20 |
$309.50
|
|
Pneumothrx tx-intraplrl inj ai
|
$263.40 |
$263.40 |
$263.40 |
$811.82
|
|
#pnh-flow cytometry interp
|
$61.80 |
$61.80 |
$61.80 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$133.80 |
$133.80 |
$133.80 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$33,005.93 |
$33,005.93 |
$33,005.93 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,262.80 |
$3,262.80 |
$3,262.80 |
$3,790.61
|
|
Portable 02 contents, gas
|
$27.00 |
$27.00 |
$27.00 |
$27.00
|
