|
Pelvic CT scan (without contrast)
|
$2,598.80 |
$2,598.80 |
$2,598.80 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,117.54 |
$4,117.54 |
$4,117.54 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,202.65 |
$3,202.65 |
$3,202.65 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$861.92 |
$861.92 |
$861.92 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$942.66 |
$942.66 |
$942.66 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$613.74 |
$613.74 |
$613.74 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$12,548.69 |
$12,548.69 |
$12,548.69 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$2,359.27 |
$2,359.27 |
$2,359.27 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,274.76 |
$2,274.76 |
$2,274.76 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$226.60 |
$226.60 |
$226.60 |
$101.34
|
|
Penicillin g procaine inj
|
$441.20 |
$441.20 |
$441.20 |
$147.96
|
|
Penile rear tip xtnd 0.5cm
|
$78,746.42 |
$78,746.42 |
$78,746.42 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$5.42 |
$5.42 |
$5.42 |
$453.61
|
|
Pentamidine non-comp unit
|
$1,654.39 |
$1,654.39 |
$1,654.39 |
$294.39
|
|
Pentobarbital sodium inj
|
$8,748.26 |
$8,748.26 |
$8,748.26 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$26,232.65 |
$26,232.65 |
$26,232.65 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$32,512.26 |
$32,512.26 |
$32,512.26 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$48,021.53 |
$48,021.53 |
$48,021.53 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$59,027.42 |
$59,027.42 |
$59,027.42 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$48,021.53 |
$48,021.53 |
$48,021.53 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$89,496.45 |
$89,496.45 |
$89,496.45 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$48,021.53 |
$48,021.53 |
$48,021.53 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$59,027.42 |
$59,027.42 |
$59,027.42 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$48,021.53 |
$48,021.53 |
$48,021.53 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$59,027.42 |
$59,027.42 |
$59,027.42 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$27,491.82 |
$27,491.82 |
$27,491.82 |
$7,243.60
|
|
Percut ablate liver rf
|
$14,116.46 |
$14,116.46 |
$14,116.46 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,457.36 |
$1,457.36 |
$1,457.36 |
$321.71
|
|
Peripheral vascular rehab
|
$61.58 |
$61.58 |
$61.58 |
$132.50
|
|
Peri-proc device eval icd
|
$172.71 |
$172.71 |
$172.71 |
$192.40
|
|
Peri-proc device eval pm
|
$362.37 |
$362.37 |
$362.37 |
$159.90
|
|
Peritoneogram rs&i
|
$984.76 |
$984.76 |
$984.76 |
$695.89
|
|
Perit-vens shunt pat tst
|
$1,221.36 |
$1,221.36 |
$1,221.36 |
$758.37
|
|
Permanent tear duct plug
|
$2,231.62 |
$2,231.62 |
$2,231.62 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$45,837.67 |
$45,837.67 |
$45,837.67 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$30,097.12 |
$30,097.12 |
$30,097.12 |
$9,509.53
|
|
Perq transcath closure each
|
$8,203.13 |
$8,203.13 |
$8,203.13 |
$9,204.00
|
|
Perq transcath closure pda
|
$78,067.56 |
$78,067.56 |
$78,067.56 |
$18,408.00
|
|
Perq transcath cls aortic
|
$70,555.55 |
$70,555.55 |
$70,555.55 |
$22,633.26
|
|
Perq transcath cls mitral
|
$70,555.55 |
$70,555.55 |
$70,555.55 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$89,496.45 |
$89,496.45 |
$89,496.45 |
$8,605.90
|
|
Pertussis ag if
|
$144.53 |
$144.53 |
$144.53 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$169.18 |
$169.18 |
$169.18 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$820.58 |
$820.58 |
$820.58 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$8,087.69 |
$8,087.69 |
$8,087.69 |
$4,707.00
|
|
Pet CT whole body initial
|
$8,087.69 |
$8,087.69 |
$8,087.69 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,824.41 |
$5,824.41 |
$5,824.41 |
$4,060.00
|
|
Pet image full body
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
$5,070.50
|
|
Pet image ltd area
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
$3,677.40
|
|
Pet image skull-thigh
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
$4,305.60
|
|
Pet scan brain perf study
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$182,882.43 |
$182,882.43 |
$182,882.43 |
$38,834.22
|
|
Ph body fluid
|
$45.44 |
$45.44 |
$45.44 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$472.50 |
$472.50 |
$472.50 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$143.36 |
$143.36 |
$143.36 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,459.97 |
$3,459.97 |
$3,459.97 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$428.69 |
$428.69 |
$428.69 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$40.38 |
$40.38 |
$40.38 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$226.04 |
$226.04 |
$226.04 |
$110.88
|
|
Phlebotomy therapeutic
|
$418.07 |
$418.07 |
$418.07 |
$231.66
|
|
Phosphorus
|
$58.32 |
$58.32 |
$58.32 |
$48.80
|
|
Phosphorus 24 hour urine
|
$65.24 |
$65.24 |
$65.24 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$229.20 |
$229.20 |
$229.20 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$4,368.08 |
$4,368.08 |
$4,368.08 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$1,065.09 |
$1,065.09 |
$1,065.09 |
$463.20
|
|
Pinworm exam
|
$45.44 |
$45.44 |
$45.44 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$1,145.96 |
$1,145.96 |
$1,145.96 |
$83.03
|
|
Place cath xtrnl carotid
|
$12,438.75 |
$12,438.75 |
$12,438.75 |
$4,202.90
|
|
Place endorectal app
|
$2,387.22 |
$2,387.22 |
$2,387.22 |
$1,260.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$571.45 |
$571.45 |
$571.45 |
$571.45
|
|
Place needles h&n for right
|
$26,573.79 |
$26,573.79 |
$26,573.79 |
$7,000.36
|
|
Place non-slctv cath thoracic arta
|
$11,838.50 |
$11,838.50 |
$11,838.50 |
$5,053.33
|
|
Placental lactogen
|
$508.07 |
$508.07 |
$508.07 |
$163.28
|
|
Place slctv cath carotd art uni
|
$36,802.70 |
$36,802.70 |
$36,802.70 |
$10,014.40
|
|
Place slctv cath carotid/inom art intcrn uni
|
$16,177.22 |
$16,177.22 |
$16,177.22 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$15,879.82 |
$15,879.82 |
$15,879.82 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$80,597.90 |
$80,597.90 |
$80,597.90 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$356.28 |
$356.28 |
$356.28 |
$157.95
|
|
Platelet aggregation each agent teg
|
$294.80 |
$294.80 |
$294.80 |
$148.80
|
|
Platelet automated
|
$54.81 |
$54.81 |
$54.81 |
$45.60
|
|
Platelet pheresis each unit
|
$2,792.27 |
$2,792.27 |
$2,792.27 |
$961.70
|
|
Platelet pheresis irr ea
|
$4,069.70 |
$4,069.70 |
$4,069.70 |
$1,082.25
|
|
Platelets each unit
|
$399.92 |
$399.92 |
$399.92 |
$169.29
|
|
Platelets irradiated ea unit
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$399.92 |
$399.92 |
$399.92 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$675.25 |
$675.25 |
$675.25 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$4,531.40 |
$4,531.40 |
$4,531.40 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$4,960.41 |
$4,960.41 |
$4,960.41 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$4,086.68 |
$4,086.68 |
$4,086.68 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$4,531.40 |
$4,531.40 |
$4,531.40 |
$1,278.55
|
|
Plethysmography lung volumes/airway resistance
|
$491.21 |
$491.21 |
$491.21 |
$405.00
|
|
Plug insert indwelling 16f
|
$650.09 |
$650.09 |
$650.09 |
$149.90
|
|
Pm device progr eval dual
|
$161.07 |
$161.07 |
$161.07 |
$148.00
|
|
Pm device progr eval multi
|
$133.80 |
$133.80 |
$133.80 |
$139.00
|
|
Pmp22 gene dup/delet
|
$2,106.97 |
$2,106.97 |
$2,106.97 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$1,497.49 |
$1,497.49 |
$1,497.49 |
$986.40
|
|
Pms2 gene dup/delet variants
|
$899.59 |
$899.59 |
$899.59 |
$407.20
|
|
Pms2 gene full seq analysis
|
$2,841.08 |
$2,841.08 |
$2,841.08 |
$1,002.60
|
