|
Path clin consltj sf 5-20
|
$97.14 |
$97.14 |
$97.14 |
$97.14
|
|
Patient recorded spirometry
|
$122.40 |
$122.40 |
$122.40 |
$456.56
|
|
Patient recorded spirometry
|
$64.80 |
$64.80 |
$64.80 |
$338.52
|
|
Pca3/klk3 antigen
|
$510.40 |
$510.40 |
$510.40 |
$510.40
|
|
Pcv21 vaccine im
|
$350.40 |
$350.40 |
$350.40 |
$415.01
|
|
Pdgfra gene
|
$659.20 |
$659.20 |
$659.20 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$94.19 |
$94.19 |
$94.19 |
$44.97
|
|
Pdt dstr prmlg les phys/qhp
|
$456.00 |
$456.00 |
$456.00 |
$294.77
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,216.80 |
$2,216.80 |
$2,216.80 |
$2,837.09
|
|
Ped crit care age 2-5 init
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$622.40 |
$622.40 |
$622.40 |
$622.40
|
|
Ped crit care transport
|
$434.40 |
$434.40 |
$434.40 |
$434.40
|
|
Ped crit care transport addl
|
$217.60 |
$217.60 |
$217.60 |
$217.60
|
|
Ped critical care initial
|
$1,446.40 |
$1,446.40 |
$1,446.40 |
$1,446.40
|
|
Ped critical care subsq
|
$724.00 |
$724.00 |
$724.00 |
$724.00
|
|
Ped home apnea mntr att only
|
$100.00 |
$100.00 |
$100.00 |
$185.15
|
|
Ped home apnea mntr dl&alys
|
$472.00 |
$472.00 |
$472.00 |
$296.92
|
|
Pedicle enel/ntroral 15576
|
$1,969.60 |
$1,969.60 |
$1,969.60 |
$2,508.24
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$861.57 |
$861.57 |
$17,709.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$529.17 |
$529.17 |
$10,830.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$562.51 |
$562.51 |
$20,144.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,866.15 |
$11,866.15 |
$11,866.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$351.20 |
$351.20 |
$5,037.30 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$339.17 |
$339.17 |
$11,497.50 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$95,364.75 |
$95,364.75 |
$95,364.75 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,782.28 |
$1,782.28 |
$1,831.05 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,657.50 |
$1,657.50 |
$1,745.00 |
$1,610.00
|
|
Pelvic CT scan (without contrast)
|
$951.16 |
$951.16 |
$1,524.90 |
$1,335.34
|
|
Pelvic exenteration
|
$6,904.00 |
$6,904.00 |
$6,904.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$2,511.56 |
$2,511.56 |
$3,649.75 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$963.20 |
$963.20 |
$963.20 |
$2,224.75
|
|
Pelvic MRI (without contrast)
|
$1,595.87 |
$1,595.87 |
$2,894.45 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$742.30 |
$742.30 |
$779.30 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$207.34 |
$207.34 |
$344.50 |
$435.09
|
|
Pelvis X-ray (1 to 2 views)
|
$209.15 |
$209.15 |
$2,374.45 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$220.06 |
$220.06 |
$251.55 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$91.05 |
$91.05 |
$18,047.05 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$80.00 |
$80.00 |
$5,906.25 |
$7,089.13
|
|
Pemivibart infusion
|
$638.99 |
$638.99 |
$638.99 |
$533.10
|
|
Peng benzathine/procaine inj
|
$16.80 |
$16.80 |
$16.80 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$52.34 |
$52.34 |
$1,928.25 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$10.04 |
$10.04 |
$234.00 |
$97.85
|
|
Penicillin g procaine inj
|
$46.40 |
$46.40 |
$46.40 |
$149.20
|
|
Penile injection
|
$220.80 |
$220.80 |
$220.80 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$13,529.89 |
$13,529.89 |
$13,529.89 |
$18,764.94
|
|
Penile vascular study
|
$284.00 |
$284.00 |
$284.00 |
$561.00
|
|
Penile vascular study
|
$169.60 |
$169.60 |
$169.60 |
$574.60
|
|
Penile venous occlusion
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$4,081.37
|
|
Penis plastic surgery
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
$4,081.37
|
|
Penis study
|
$256.80 |
$256.80 |
$256.80 |
$368.50
|
|
Pentamidine 300 mg solution for injection
|
$792.75 |
$792.75 |
$792.75 |
$572.10
|
|
Pentamidine non-comp unit
|
$141.60 |
$141.60 |
$141.60 |
$294.39
|
|
Pentazocine injection
|
$128.80 |
$128.80 |
$128.80 |
$128.80
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$21,107.20 |
$21,107.20 |
$21,107.20 |
$11,533.76
|
|
Perc d-e cor revasc chro add
|
$17,589.09 |
$17,589.09 |
$17,589.09 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$16,239.64 |
$16,239.64 |
$16,485.30 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$6,163.30 |
$6,163.30 |
$17,589.09 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$14,784.25 |
$14,784.25 |
$17,589.09 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$8,215.35 |
$8,215.35 |
$16,239.64 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$16,239.64 |
$16,239.64 |
$16,564.60 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$7,694.70 |
$7,694.70 |
$16,239.64 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$17,589.09 |
$17,589.09 |
$41,237.68 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$15,611.20 |
$15,611.20 |
$15,611.20 |
$7,243.60
|
|
Percut ablate liver rf
|
$10,753.60 |
$10,753.60 |
$10,753.60 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$123.20 |
$123.20 |
$123.20 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,871.00 |
$3,871.00 |
$3,871.00 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$6,040.80 |
$6,040.80 |
$6,040.80 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$2,486.90 |
$2,486.90 |
$3,439.98 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$2,013.60 |
$2,013.60 |
$2,013.60 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$3,896.00 |
$3,896.00 |
$3,896.00 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$667.20 |
$667.20 |
$667.20 |
$3,720.50
|
|
Peripheral vascular rehab
|
$154.59 |
$154.59 |
$624.00 |
$132.50
|
|
Peri-proc device eval icd
|
$109.60 |
$109.60 |
$109.60 |
$184.60
|
|
Peri-proc device eval pm
|
$91.20 |
$91.20 |
$91.20 |
$151.92
|
|
Peritoneal cath sub q resv per
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$5,625.74
|
|
Peritoneogram rs&i
|
$813.60 |
$813.60 |
$813.60 |
$698.50
|
|
Perit-vens shunt pat tst
|
$547.20 |
$547.20 |
$547.20 |
$787.20
|
|
Perphenazine 4mg oral
|
$1.00 |
$1.00 |
$1.00 |
$2.58
|
|
Perq art m-thrombect &/nfs
|
$4,081.60 |
$4,081.60 |
$4,081.60 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$1,937.60 |
$1,937.60 |
$1,937.60 |
$9,010.66
|
|
Perq dev breast 1st mr guide
|
$3,793.60 |
$3,793.60 |
$3,793.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$6,456.00 |
$6,456.00 |
$6,456.00 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$10,412.00 |
$10,412.00 |
$10,412.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$11,495.20 |
$11,495.20 |
$11,495.20 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$11,729.60 |
$11,729.60 |
$11,729.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$823.20 |
$823.20 |
$823.20 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$2,398.40 |
$2,398.40 |
$2,398.40 |
$3,839.54
|
|
Perq transcath closure each
|
$893.60 |
$893.60 |
$893.60 |
$9,204.00
|
|
Perq transcath cls aortic
|
$2,031.20 |
$2,031.20 |
$2,031.20 |
$22,779.00
|
|
Perq transcath cls mitral
|
$2,449.60 |
$2,449.60 |
$2,449.60 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$8,828.16
|
|
Perq tx big toe fracture w/manip 28496
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$3,981.06
|
|
Perq tx malar fracture
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
$4,627.00
|
|
Perq tx mndblr fx xtrnl fixj
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$6,547.81
|
|
Perq tx nasoethmoid fx
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$4,558.89
|
