|
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-apgf 6 mg/0.6 ml subcutaneous syringe
|
$529.17 |
$529.17 |
$529.17 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$360.00 |
$360.00 |
$360.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$351.20 |
$351.20 |
$351.20 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$2,297.75 |
$2,297.75 |
$2,297.75 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$2,297.75 |
$2,297.75 |
$2,297.75 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,374.84 |
$1,374.84 |
$1,374.84 |
$1,313.40
|
|
Pelvic exenteration
|
$6,904.00 |
$6,904.00 |
$6,904.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$4,443.84 |
$4,443.84 |
$4,443.84 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$963.20 |
$963.20 |
$963.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,103.16 |
$3,103.16 |
$3,103.16 |
$1,901.90
|
|
Pelvic ring fracture uni/bil
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$752.12 |
$752.12 |
$752.12 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$365.73 |
$365.73 |
$365.73 |
$435.09
|
|
Pelvis X-ray (1 to 2 views)
|
$272.44 |
$272.44 |
$272.44 |
$280.80
|
|
Pelvis X-ray (complete, 4 or more views)
|
$272.44 |
$272.44 |
$272.44 |
$348.19
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$61.60 |
$61.60 |
$61.60 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$148.24 |
$148.24 |
$148.24 |
$7,089.13
|
|
Pemivibart infusion
|
$592.49 |
$592.49 |
$592.49 |
$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
|
$135.72 |
$135.72 |
$135.72 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$14.11 |
$14.11 |
$14.11 |
$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 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 non-comp unit
|
$141.60 |
$141.60 |
$141.60 |
$294.39
|
|
Pentazocine injection
|
$128.80 |
$128.80 |
$128.80 |
$128.80
|
|
Perc cryo ablate renal tum
|
$21,107.20 |
$21,107.20 |
$21,107.20 |
$11,533.76
|
|
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
|
$246.47 |
$246.47 |
$246.47 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,613.00 |
$3,613.00 |
$3,613.00 |
$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
|
$3,291.34 |
$3,291.34 |
$3,291.34 |
$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
|
$210.24 |
$210.24 |
$210.24 |
$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
|
|
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
|
|
Pertussis ag if
|
$38.58 |
$38.58 |
$38.58 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$17.60 |
$17.60 |
$17.60 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$141.60 |
$141.60 |
$141.60 |
$141.60
|
|
Pessary reusable rub anytype
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$4,243.60 |
$4,243.60 |
$4,243.60 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,243.60 |
$4,243.60 |
$4,243.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,752.80 |
$2,752.80 |
$2,752.80 |
$4,060.00
|
|
Pet image full body
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$5,148.14
|
|
Pet image ltd area
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$3,809.11
|
|
Pet image skull-thigh
|
$2,776.00 |
$2,776.00 |
$2,776.00 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$4,626.25 |
$4,626.25 |
$4,626.25 |
$4,366.50
|
|
Pfc sigma fem post aug sz3 8mm
|
$5,570.33 |
$5,570.33 |
$5,570.33 |
$40,252.07
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$60.80 |
$60.80 |
$60.80 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$89.60 |
$89.60 |
$89.60 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$31.20 |
$31.20 |
$31.20 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$2,508.80
|
|
Pharmacologic management w/psytx
|
$59.20 |
$59.20 |
$59.20 |
$78.96
|
|
Ph body fluid
|
$33.57 |
$33.57 |
$33.57 |
$41.60
|
|
Phencyclidine (pcp)
|
$43.20 |
$43.20 |
$43.20 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$92.60 |
$92.60 |
$92.60 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$105.00
|
|
Phentolaine mesylate inj
|
$461.60 |
$461.60 |
$461.60 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.16 |
$0.16 |
$0.16 |
$61.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.80 |
$0.80 |
$0.80 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$110.88
|
|
Phlebotomy therapeutic
|
$225.68 |
$225.68 |
$225.68 |
$232.25
|
|
Phleb veins 1 extrm 10-20 stab
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$4,810.00
|
