|
Parathormone (pth) intact
|
$122.00 |
$216.40 |
$294.45 |
|
|
Parathyrd planar w/spect&ct
|
$750.75 |
$750.75 |
$750.75 |
|
|
Parathyroid planar imaging
|
$626.80 |
$626.80 |
$1,665.30 |
|
|
Parathyroid planar img w/tomo spect
|
$713.20 |
$713.20 |
$713.20 |
|
|
Partial removal of eye fluid
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$14,600.93 |
$14,600.93 |
$14,600.93 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$8,929.38 |
$8,929.38 |
$8,929.38 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,498.12 |
$9,498.12 |
$9,498.12 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,749.07 |
$4,749.07 |
$4,749.07 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$5,687.51 |
$5,687.51 |
$5,687.51 |
|
|
Pelvic CT scan (with and without contrast)
|
$1,107.20 |
$1,338.80 |
$1,853.15 |
|
|
Pelvic CT scan (with contrast)
|
$1,230.80 |
$1,253.20 |
$2,117.70 |
|
|
Pelvic CT scan (without contrast)
|
$1,058.00 |
$1,145.60 |
$1,675.70 |
|
|
Pelvic MRI (with and without contrast)
|
$1,624.80 |
$2,458.30 |
$2,475.20 |
|
|
Pelvic MRI (with contrast)
|
$1,338.00 |
$1,338.00 |
$1,844.05 |
|
|
Pelvic MRI (without contrast)
|
$1,033.20 |
$1,694.40 |
$1,945.45 |
|
|
Pelvic Ultrasound (complete)
|
$498.55 |
$564.40 |
$807.60 |
|
|
Pelvic Ultrasound (limited)
|
$330.85 |
$396.00 |
$444.00 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,975.90 |
$10,975.90 |
$10,975.90 |
|
|
Peng benzathine/procaine inj
|
$1,027.18 |
$1,027.18 |
$1,027.18 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$857.55 |
$857.55 |
$857.55 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.75 |
$53.75 |
$53.75 |
|
|
Perc d-e cor revasc t cabg s
|
$6,416.15 |
$6,416.15 |
$6,416.15 |
|
|
Perc drug-el cor stent bran
|
$14,735.50 |
$14,735.50 |
$14,735.50 |
|
|
Perc drug-el cor stent sing
|
$7,963.80 |
$7,963.80 |
$7,963.80 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,584.39 |
$1,584.39 |
$1,584.39 |
|
|
Pericardiocentesis wwo imaging
|
$784.80 |
$784.80 |
$784.80 |
|
|
Perineoplasty rpr per nonob
|
$11,488.93 |
$11,488.93 |
$11,488.93 |
|
|
Peripheral vascular rehab
|
$31.20 |
$31.20 |
$50.05 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$833.53 |
$833.53 |
$833.53 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,321.33 |
$12,321.33 |
$12,321.33 |
|
|
Pet CT skull-mid thgh initial
|
$1,981.60 |
$1,981.60 |
$5,228.60 |
|
|
Pet CT whole body initial
|
$1,981.60 |
$1,981.60 |
$5,436.60 |
|
|
Pet fdg brain metoblic eval sb
|
$1,717.20 |
$1,717.20 |
$6,302.40 |
|
|
Pet image w/ct lmtd
|
$1,832.80 |
$1,832.80 |
$1,832.80 |
|
|
Ph body fluid
|
$16.40 |
$43.60 |
$66.95 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$58.50 |
$58.50 |
$58.50 |
|
|
Phenobarbital therapeutic drug level
|
$36.40 |
$80.00 |
$97.50 |
|
|
Phentolaine mesylate inj
|
$2,070.13 |
$2,070.13 |
$2,070.13 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$283.07 |
$283.07 |
$283.07 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Phenytoin total therapeutic drug level
|
$68.40 |
$82.80 |
$116.35 |
|
|
Phlebotomy therapeutic
|
$65.20 |
$94.00 |
$94.25 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$2,732.00 |
$2,732.00 |
$2,732.00 |
|
|
Phleb veins 1 extrm >20 stab
|
$3,599.20 |
$3,599.20 |
$3,599.20 |
|
|
Phosphorus
|
$24.80 |
$44.00 |
$55.90 |
|
|
Phosphorus 24 hour urine
|
$22.80 |
$26.80 |
$72.15 |
|
|
Phys blood bank serv reactj
|
$69.20 |
$69.20 |
$81.60 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$62.07 |
$62.07 |
$62.07 |
|
|
Piflu f-18, dia 1 millicurie
|
$889.85 |
$889.85 |
$889.85 |
|
|
Pinworm exam
|
$24.40 |
$24.40 |
$57.85 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$51.80 |
$51.80 |
$51.80 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$200.00 |
$200.00 |
$200.00 |
|
|
Placement nephrostomy catheter (both sides)
|
$1,006.40 |
$1,006.40 |
$1,006.40 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,760.85 |
$1,760.85 |
$1,760.85 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$28,688.44 |
$28,688.44 |
$28,688.44 |
|
|
Place non-slctv cath thoracic arta
|
$16,532.83 |
$16,532.83 |
$16,532.83 |
|
|
Place right device/marker pros
|
$18,768.78 |
$18,768.78 |
$18,768.78 |
|
|
Place slctv cath subclavian art
|
$20,449.77 |
$20,449.77 |
$20,449.77 |
|
|
Platelet automated
|
$29.60 |
$33.60 |
$53.30 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,131.65 |
$1,131.65 |
$1,131.65 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,712.75 |
$1,712.75 |
$1,712.75 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$374.80 |
$374.80 |
$374.80 |
|
|
Plethysmography lung volumes/airway resistance
|
$224.90 |
$224.90 |
$327.60 |
|
|
Pmp22 gene dup/delet
|
$579.60 |
$579.60 |
$579.60 |
|
|
Pms2 gene dup/delet variants
|
$136.00 |
$136.00 |
$136.00 |
|
|
Pms2 gene full seq analysis
|
$446.80 |
$446.80 |
$446.80 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$104.80 |
$105.60 |
$256.75 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$7,564.39 |
$7,564.39 |
$7,564.39 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,277.20 |
$1,277.20 |
$2,216.50 |
|
|
Potassium 24 hour urine
|
$18.00 |
$22.80 |
$65.65 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$29.57 |
$29.57 |
$29.57 |
|
|
Potassium serum/plasma/whole blood
|
$22.40 |
$44.20 |
$50.80 |
|
|
Pq dr cath chg w cont s&i
|
$371.20 |
$371.20 |
$371.20 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$14,750.00 |
$14,750.00 |
$14,750.00 |
|
|
Pq thr inj ext pse
|
$473.20 |
$473.20 |
$473.20 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,176.40 |
$3,176.40 |
$3,176.40 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,109.20 |
$5,109.20 |
$5,109.20 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,386.00 |
$6,386.00 |
$6,386.00 |
|
|
Pralidoxime 1 gram solution for injection
|
$366.31 |
$366.31 |
$366.31 |
|
|
Pr application of long arm splint
|
$114.40 |
$114.40 |
$114.40 |
|
|
Pr application splint static short arm
|
$32.00 |
$159.60 |
$209.95 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$59.80 |
$59.80 |
$59.80 |
|
|
Prcrd drg 6+yr without anomly
|
$1,379.60 |
$1,379.60 |
$1,379.60 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$10,623.25 |
$10,623.25 |
$10,623.25 |
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$196.80 |
$202.15 |
$287.60 |
|
|
Prealbumin
|
$63.20 |
$93.20 |
$105.95 |
|
|
Pr ecg 12 lead report only
|
$8.40 |
$8.40 |
$22.10 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$22.23 |
$22.23 |
$22.23 |
|
|
Prednisone 1 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
|
|
Pregabalin - sendout
|
$98.80 |
$98.80 |
$98.80 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$12,529.40 |
$12,529.40 |
$12,529.40 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$504.00 |
$555.20 |
$588.25 |
|
|
Pregnancy Ultrasound (first trimester)
|
$462.40 |
$542.75 |
$594.80 |
|
|
Pressure max expiratory/inspiratory
|
$313.30 |
$313.30 |
$723.60 |
|
|
Pressure velocity wire add ves
|
$452.40 |
$452.40 |
$2,478.00 |
|
|
Pretreat rbc absorption reference
|
$76.00 |
$76.00 |
$78.00 |
|
|
Pretreat rbc w chem/drugs reference
|
$41.20 |
$41.20 |
$41.20 |
|
|
Pretreat rbc w enzyme reference
|
$98.40 |
$98.40 |
$118.00 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$176.80 |
$176.80 |
$176.80 |
|
