|
Patient recorded spirometry
|
$64.80 |
$64.80 |
$64.80 |
|
|
Pca3/klk3 antigen
|
$510.40 |
$510.40 |
$510.40 |
|
|
Pcv21 vaccine im
|
$350.40 |
$530.40 |
$530.40 |
|
|
Pdgfra gene
|
$659.20 |
$659.20 |
$659.20 |
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$27.60 |
$94.19 |
$144.91 |
|
|
Pdt dstr prmlg les phys/qhp
|
$456.00 |
$456.00 |
$456.00 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,216.80 |
$2,216.80 |
$2,216.80 |
|
|
Ped crit care age 2-5 init
|
$1,016.80 |
$1,016.80 |
$1,444.00 |
|
|
Ped crit care age 2-5 subsq
|
$622.40 |
$622.40 |
$871.00 |
|
|
Ped crit care transport
|
$434.40 |
$434.40 |
$525.60 |
|
|
Ped crit care transport addl
|
$217.60 |
$217.60 |
$246.60 |
|
|
Ped critical care initial
|
$1,446.40 |
$1,446.40 |
$2,003.00 |
|
|
Ped critical care subsq
|
$724.00 |
$724.00 |
$1,017.00 |
|
|
Ped home apnea mntr att only
|
$100.00 |
$100.00 |
$100.00 |
|
|
Ped home apnea mntr dl&alys
|
$472.00 |
$472.00 |
$472.00 |
|
|
Pedicle enel/ntroral 15576
|
$1,471.80 |
$1,969.60 |
$1,969.60 |
|
|
Pegaspargase injection
|
$41,039.04 |
$43,120.76 |
$47,536.40 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$861.57 |
$11,379.97 |
$17,709.85 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$529.17 |
$10,830.70 |
$10,830.70 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$360.00 |
$7,407.18 |
$20,144.40 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$579.20 |
$11,866.15 |
$11,866.15 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$351.20 |
$4,801.40 |
$7,407.18 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$339.17 |
$11,497.50 |
$11,497.50 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,974.00 |
$95,364.75 |
$95,364.75 |
|
|
Pelvic CT scan (with and without contrast)
|
$842.90 |
$1,844.70 |
$3,553.55 |
|
|
Pelvic CT scan (with contrast)
|
$758.16 |
$1,745.00 |
$3,436.00 |
|
|
Pelvic CT scan (without contrast)
|
$683.83 |
$1,302.60 |
$3,263.00 |
|
|
Pelvic exenteration
|
$6,904.00 |
$6,904.00 |
$6,904.00 |
|
|
Pelvic MRI (with and without contrast)
|
$1,643.20 |
$3,485.40 |
$7,541.00 |
|
|
Pelvic MRI (with contrast)
|
$963.20 |
$1,620.78 |
$3,918.87 |
|
|
Pelvic MRI (without contrast)
|
$984.10 |
$1,974.05 |
$3,321.63 |
|
|
Pelvic ring fracture uni/bil
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
|
|
Pelvic Ultrasound (complete)
|
$306.26 |
$598.00 |
$2,194.00 |
|
|
Pelvic Ultrasound (limited)
|
$138.29 |
$344.50 |
$2,309.00 |
|
|
Pelvis X-ray (1 to 2 views)
|
$97.19 |
$253.50 |
$47,217.57 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$187.20 |
$261.24 |
$58,170.03 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$61.60 |
$12,385.22 |
$39,131.10 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$80.00 |
$5,906.25 |
$9,059.44 |
|
|
Pemivibart infusion
|
$309.12 |
$630.06 |
$760.00 |
|
|
Peng benzathine/procaine inj
|
$16.80 |
$16.80 |
$544.72 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$22.40 |
$1,351.83 |
$1,928.25 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$1.60 |
$63.00 |
$234.00 |
|
|
Penicillin g procaine inj
|
$46.40 |
$46.40 |
$174.07 |
|
|
Penile injection
|
$182.28 |
$220.80 |
$536.00 |
|
|
Penile rear tip xtnd 0.5cm
|
$4,196.56 |
$13,529.89 |
$40,843.51 |
|
|
Penile vascular study
|
$279.30 |
$284.00 |
$555.75 |
|
|
Penile vascular study
|
$169.60 |
$169.60 |
$169.60 |
|
|
Penile venous occlusion
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
|
|
Penis plastic surgery
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
|
|
Penis study
|
$99.00 |
$256.80 |
$262.85 |
|
|
Pentamidine 300 mg solution for injection
|
$229.95 |
$792.75 |
$792.75 |
|
|
Pentamidine non-comp unit
|
$90.37 |
$141.60 |
$175.60 |
|
|
Pentazocine injection
|
$128.80 |
$128.80 |
$128.80 |
|
|
Pentobarbital sodium inj
|
$3,085.50 |
$4,043.88 |
$4,693.50 |
|
|
Pentostatin 10 mg intravenous solution
|
$4,883.32 |
$14,509.25 |
$14,509.25 |
|
|
Perc cryo ablate renal tum
|
$4,576.32 |
$21,107.20 |
$21,107.20 |
|
|
Perc d-e cor revasc chro add
|
$10,505.88 |
$18,116.76 |
$19,612.62 |
|
|
Perc d-e cor revasc chro sin
|
$8,455.20 |
$16,485.30 |
$22,922.90 |
|
|
Perc d-e cor revasc t cabg b
|
$6,163.30 |
$17,589.09 |
$21,318.70 |
|
|
Perc d-e cor revasc t cabg s
|
$11,544.96 |
$17,414.93 |
$19,561.01 |
|
|
Perc d-e cor stent ather br
|
$8,215.35 |
$16,726.84 |
$19,612.62 |
|
|
Perc d-e cor stent ather s
|
$3,286.40 |
$16,564.60 |
$60,802.63 |
|
|
Perc drug-el cor stent bran
|
$4,557.15 |
$15,763.59 |
$18,435.36 |
|
|
Perc drug-el cor stent sing
|
$11,544.96 |
$19,356.76 |
$77,377.81 |
|
|
Perc rf ablate renal tumor
|
$2,749.44 |
$15,611.20 |
$15,611.20 |
|
|
Percut ablate liver rf
|
$2,819.46 |
$10,753.60 |
$10,753.60 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$123.20 |
$256.79 |
$522.12 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$543.00 |
$570.00 |
$4,010.81 |
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$4,458.00 |
$6,040.80 |
$6,040.80 |
|
|
Pericardiocentesis wwo imaging
|
$330.72 |
$2,486.90 |
$3,622.64 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,807.80 |
$2,013.60 |
$2,013.60 |
|
|
Peri-implt capslc brst compl
|
$1,443.00 |
$3,896.00 |
$40,902.16 |
|
|
Perineoplasty rpr per nonob
|
$482.40 |
$667.20 |
$667.20 |
|
|
Peripheral vascular rehab
|
$33.60 |
$154.59 |
$624.00 |
|
|
Peri-proc device eval icd
|
$27.72 |
$109.60 |
$234.00 |
|
|
Peri-proc device eval pm
|
$27.72 |
$91.20 |
$356.80 |
|
|
Peritoneal cath sub q resv per
|
$804.00 |
$1,072.80 |
$7,985.28 |
|
|
Peritoneogram rs&i
|
$647.22 |
$813.60 |
$1,080.95 |
|
|
Perit-vens shunt pat tst
|
$427.70 |
$547.20 |
$695.40 |
|
|
Perphenazine 4mg oral
|
$1.00 |
$1.00 |
$2.48 |
|
|
Perq art m-thrombect &/nfs
|
$3,772.60 |
$4,081.60 |
$6,747.30 |
|
|
Perq clsr tcat l atr apndge
|
$1,937.60 |
$4,521.30 |
$49,197.80 |
|
|
Perq dev breast 1st mr guide
|
$1,614.72 |
$3,793.60 |
$4,032.00 |
|
|
Perq dev breast 1st strtctc
|
$894.24 |
$1,471.17 |
$5,577.76 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$6,456.00 |
$6,456.00 |
$68,142.29 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$4,390.40 |
$4,390.40 |
$64,131.14 |
|
|
Perq p-art revsc 1 abnor bi
|
$22,483.66 |
$22,483.66 |
$22,672.44 |
|
|
Perq p-art revsc 1 abnor uni
|
$36,382.85 |
$36,382.85 |
$36,688.36 |
|
|
Perq p-art revsc 1 nm nt bi
|
$22,483.66 |
$22,483.66 |
$22,672.44 |
|
|
Perq p-art revsc 1 nm nt uni
|
$22,483.66 |
$22,483.66 |
$22,672.44 |
|
|
Perq p-art revsc each addl
|
$22,483.66 |
$22,483.66 |
$22,672.44 |
|
|
Perq plmt bile duct stent
|
$3,819.06 |
$10,412.00 |
$10,412.00 |
|
|
Perq plmt bile duct stent
|
$3,819.06 |
$11,495.20 |
$11,495.20 |
|
|
Perq plmt bile duct stent
|
$3,819.06 |
$11,729.60 |
$11,729.60 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$154.20 |
$823.20 |
$922.04 |
|
|
Perq skel fix rad/uln dislc
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
|
|
Perq skel fix ulnar styld fx
|
$1,706.00 |
$2,398.40 |
$3,977.88 |
|
|
Perqt bx lung/mediastinum 32405
|
$202.80 |
$213.00 |
$213.00 |
|
|
Perq transcath closure each
|
$893.60 |
$893.60 |
$6,902.32 |
|
|
Perq transcath closure pda
|
$5,830.44 |
$5,830.44 |
$5,830.44 |
|
