|
Pelvic MRI (with and without contrast)
|
$3,071.90 |
$3,071.90 |
$3,071.90 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,557.70 |
$2,557.70 |
$2,557.70 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,217.55 |
$2,217.55 |
$2,217.55 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$668.10 |
$668.10 |
$668.10 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$437.25 |
$437.25 |
$437.25 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$903.00 |
$903.00 |
$903.00 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$14,082.58 |
$14,082.58 |
$14,082.58 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$9,653.88 |
$9,653.88 |
$9,653.88 |
$7,089.13
|
|
Pemivibart infusion
|
$681.75 |
$681.75 |
$681.75 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,641.54 |
$1,641.54 |
$1,641.54 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$496.58 |
$496.58 |
$496.58 |
$97.85
|
|
Penile injection
|
$572.30 |
$572.30 |
$572.30 |
$424.60
|
|
Penile vascular study
|
$1,580.50 |
$1,580.50 |
$1,580.50 |
$561.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$467.86 |
$467.86 |
$467.86 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$1,280.85 |
$1,280.85 |
$1,280.85 |
$2,375.00
|
|
Peripheral vascular rehab
|
$120.05 |
$120.05 |
$120.05 |
$132.50
|
|
Perq nl/pl lithotrp smpl<2cm
|
$10,794.10 |
$10,794.10 |
$10,794.10 |
$9,442.38
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$720.75 |
$720.75 |
$720.75 |
$625.93
|
|
Perq skel fix ulnar styld fx
|
$5,652.55 |
$5,652.55 |
$5,652.55 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$32,571.94 |
$32,571.94 |
$32,571.94 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$33,229.90 |
$33,229.90 |
$33,229.90 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$96.00 |
$96.00 |
$96.00 |
$141.60
|
|
Pessary reusable rub anytype
|
$79.00 |
$79.00 |
$79.00 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$4,398.30 |
$4,398.30 |
$4,398.30 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,398.30 |
$4,398.30 |
$4,398.30 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,543.25 |
$4,543.25 |
$4,543.25 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,398.30 |
$4,398.30 |
$4,398.30 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$10,375.42 |
$10,375.42 |
$10,375.42 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$95.40 |
$95.40 |
$95.40 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$152.10 |
$152.10 |
$152.10 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$53.75 |
$53.75 |
$53.75 |
$31.20
|
|
Ph body fluid
|
$19.70 |
$19.70 |
$19.70 |
$42.00
|
|
Phencyclidine (pcp)
|
$73.50 |
$73.50 |
$73.50 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$667.55 |
$667.55 |
$667.55 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$32.10 |
$32.10 |
$32.10 |
$105.00
|
|
Phentolaine mesylate inj
|
$2,072.97 |
$2,072.97 |
$2,072.97 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$57.09 |
$57.09 |
$57.09 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$16.13 |
$16.13 |
$16.13 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$261.20 |
$261.20 |
$261.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$314.70 |
$314.70 |
$314.70 |
$231.40
|
|
Phosphorus
|
$159.00 |
$159.00 |
$159.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$213.15 |
$213.15 |
$213.15 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$396.80 |
$396.80 |
$396.80 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$325.25 |
$325.25 |
$325.25 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$361.70 |
$361.70 |
$361.70 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$345.55 |
$345.55 |
$345.55 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$417.43 |
$417.43 |
$417.43 |
$90.25
|
|
Pin finger fracture each
|
$5,535.10 |
$5,535.10 |
$5,535.10 |
$4,192.86
|
|
Pinworm exam
|
$79.80 |
$79.80 |
$79.80 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$634.39 |
$634.39 |
$634.39 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,152.25 |
$2,152.25 |
$2,152.25 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,152.25 |
$2,152.25 |
$2,152.25 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,867.95 |
$1,867.95 |
$1,867.95 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$5,658.75 |
$5,658.75 |
$5,658.75 |
$3,933.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$30,622.00 |
$30,622.00 |
$30,622.00 |
$13,879.25
|
|
Platelet aggregation each agent teg
|
$12.25 |
$12.25 |
$12.25 |
$148.98
|
|
Platelet automated
|
$79.55 |
$79.55 |
$79.55 |
$46.00
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,660.25 |
$2,660.25 |
$2,660.25 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,429.50 |
$2,429.50 |
$2,429.50 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,584.70 |
$2,584.70 |
$2,584.70 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,627.40 |
$1,627.40 |
$1,627.40 |
$1,005.65
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$7,385.25 |
$7,385.25 |
$7,385.25 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$7,385.25 |
$7,385.25 |
$7,385.25 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,911.75 |
$1,911.75 |
$1,911.75 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,304.15 |
$1,304.15 |
$1,304.15 |
$759.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,587.90 |
$1,587.90 |
$1,587.90 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$636.30 |
$636.30 |
$636.30 |
$408.05
|
|
Plmt nephroureteral catheter
|
$4,959.15 |
$4,959.15 |
$4,959.15 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$7,385.25 |
$7,385.25 |
$7,385.25 |
$5,128.50
|
|
Pm device progr eval dual
|
$161.95 |
$161.95 |
$161.95 |
$149.15
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$219.40 |
$219.40 |
$219.40 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$44,440.33 |
$44,440.33 |
$44,440.33 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,972.40 |
$5,972.40 |
$5,972.40 |
$3,790.61
|
|
Potassium 24 hour urine
|
$100.60 |
$100.60 |
$100.60 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$76.58 |
$76.58 |
$76.58 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$99.25 |
$99.25 |
$99.25 |
$47.85
|
|
Pq biliary strict dil s&i
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$1,131.05 |
$1,131.05 |
$1,131.05 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$15,472.40 |
$15,472.40 |
$15,472.40 |
$10,173.15
|
|
Pq thr inj ext pse
|
$1,609.25 |
$1,609.25 |
$1,609.25 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$8,820.40 |
$8,820.40 |
$8,820.40 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$8,820.40 |
$8,820.40 |
$8,820.40 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$8,820.40 |
$8,820.40 |
$8,820.40 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$846.18 |
$846.18 |
$846.18 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,761.65 |
$3,761.65 |
$3,761.65 |
$3,738.90
|
|
Pr application of long arm splint
|
$249.70 |
$249.70 |
$249.70 |
$332.75
|
|
Pr application splint static short arm
|
$249.70 |
$249.70 |
$249.70 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$378.65 |
$378.65 |
$378.65 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$77.95 |
$77.95 |
$77.95 |
$48.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$5,212.80 |
$5,212.80 |
$5,212.80 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$363.10 |
$363.10 |
$363.10 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$363.10 |
$363.10 |
$363.10 |
$182.65
|
|
Prealbumin
|
$171.25 |
$171.25 |
$171.25 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$8.00 |
$8.00 |
$8.00 |
$13.87
|
|
Prednisone 1 mg tablet
|
$2.20 |
$2.20 |
$2.20 |
$2.88
|
|
Pregnancy associated plasma protein-a
|
$62.85 |
$62.85 |
$62.85 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$607.35 |
$607.35 |
$607.35 |
$459.00
|