|
Ped term dev, hook, vol open
|
$1,142.43 |
$1,142.43 |
$1,142.43 |
$800.24
|
|
Pegaspargase injection
|
$39,225.20 |
$39,225.20 |
$39,225.20 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$169.52 |
$169.52 |
$169.52 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$183.61 |
$183.61 |
$183.61 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$223.54 |
$223.54 |
$223.54 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$203.19 |
$203.19 |
$203.19 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$136.44 |
$136.44 |
$136.44 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$175.57 |
$175.57 |
$175.57 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,200.96 |
$5,200.96 |
$5,200.96 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$311.81 |
$311.81 |
$311.81 |
$2,146.13
|
|
Pelv band/spread bar thigh c
|
$802.87 |
$802.87 |
$802.87 |
$802.87
|
|
Pelvic band & belt thigh fla
|
$565.43 |
$565.43 |
$565.43 |
$504.00
|
|
Pelvic control band & belt b
|
$532.91 |
$532.91 |
$532.91 |
$566.16
|
|
Pelvic control band & belt u
|
$392.68 |
$392.68 |
$392.68 |
$500.58
|
|
Pelvic control hip heavy dut
|
$424.01 |
$424.01 |
$424.01 |
$543.52
|
|
Pelvic control pelvic sling
|
$735.98 |
$735.98 |
$735.98 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$241.18 |
$241.18 |
$241.18 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$241.18 |
$241.18 |
$241.18 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$143.75 |
$143.75 |
$143.75 |
$1,313.40
|
|
Pelvic exenteration
|
$3,659.26 |
$3,659.26 |
$3,659.26 |
$6,904.00
|
|
Pelvic & hip control thigh c
|
$1,932.15 |
$1,932.15 |
$1,932.15 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$479.72 |
$479.72 |
$479.72 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$479.72 |
$479.72 |
$479.72 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$328.08 |
$328.08 |
$328.08 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$4,599.00
|
|
Pelvic ring fx treat int fix
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Pelvic Ultrasound (complete)
|
$143.75 |
$143.75 |
$143.75 |
$645.00
|
|
Pelvic Ultrasound (limited)
|
$143.75 |
$143.75 |
$143.75 |
$435.13
|
|
Pelvis X-ray (1 to 2 views)
|
$143.75 |
$143.75 |
$143.75 |
$281.40
|
|
Pelvis X-ray (complete, 4 or more views)
|
$143.75 |
$143.75 |
$143.75 |
$349.57
|
|
Pelv & thor control gluteal
|
$234.68 |
$234.68 |
$234.68 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$82.42 |
$82.42 |
$82.42 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4.96 |
$4.96 |
$4.96 |
$7,089.13
|
|
Pemivibart infusion
|
$606.32 |
$606.32 |
$606.32 |
$533.10
|
|
Peng benzathine/procaine inj
|
$26.94 |
$26.94 |
$26.94 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$44.11 |
$44.11 |
$44.11 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$1.08 |
$1.08 |
$1.08 |
$97.85
|
|
Penile injection
|
$343.55 |
$343.55 |
$343.55 |
$418.86
|
|
Penile vascular study
|
$143.75 |
$143.75 |
$143.75 |
$561.00
|
|
Penile vascular study
|
$143.75 |
$143.75 |
$143.75 |
$574.60
|
|
Penile venous occlusion
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Penis plastic surgery
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Penis study
|
$296.91 |
$296.91 |
$296.91 |
$368.50
|
|
Pentamidine 300 mg solution for injection
|
$0.32 |
$0.32 |
$0.32 |
$572.10
|
|
Pentobarbital sodium inj
|
$50.04 |
$50.04 |
$50.04 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,501.19 |
$3,501.19 |
$3,501.19 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,533.76
|
|
Perc d-e cor revasc chro sin
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$18,435.36
|
|
Perc d-e cor revasc t cabg s
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$18,545.83
|
|
Perc drug-el cor stent sing
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$7,243.60
|
|
Percut ablate liver rf
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Percutaneous islet celltrans
|
$418.65 |
$418.65 |
$418.65 |
$1,729.73
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$55.49 |
$55.49 |
$55.49 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$262.55 |
$262.55 |
$262.55 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$3,510.83 |
$3,510.83 |
$3,510.83 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,179.33 |
$1,179.33 |
$1,179.33 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,720.50
|
|
Peripheral vascular rehab
|
$81.12 |
$81.12 |
$81.12 |
$132.50
|
|
Peri-proc device eval icd
|
$40.37 |
$40.37 |
$40.37 |
$184.60
|
|
Peri-proc device eval pm
|
$40.37 |
$40.37 |
$40.37 |
$151.92
|
|
Peritoneal cath sub q resv per
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,625.74
|
|
Peritoneogram rs&i
|
$751.34 |
$751.34 |
$751.34 |
$698.50
|
|
Perit-vens shunt pat tst
|
$549.70 |
$549.70 |
$549.70 |
$787.20
|
|
Peroneal straps pair pre ots
|
$28.97 |
$28.97 |
$28.97 |
$36.90
|
|
Perp bk ptb thermopls direct
|
$2,682.33 |
$2,682.33 |
$2,682.33 |
$2,156.00
|
|
Perq art m-thrombect &/nfs
|
$1,173.41 |
$1,173.41 |
$1,173.41 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$917.99 |
$917.99 |
$917.99 |
$8,767.54
|
|
Perq dev breast 1st mr guide
|
$973.71 |
$973.71 |
$973.71 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$973.71 |
$973.71 |
$973.71 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$18,599.75
|
|
Perq p-art revsc 1 abnor uni
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$394.39 |
$394.39 |
$394.39 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$343.55 |
$343.55 |
$343.55 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Perq transcath closure each
|
$465.98 |
$465.98 |
$465.98 |
$9,204.00
|
|
Perq transcath closure pda
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$18,408.00
|
|
Perq transcath cls aortic
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$22,779.00
|
|
Perq transcath cls mitral
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$23,883.21
|
|
Perq transcath septal reduxn
|
$981.55 |
$981.55 |
$981.55 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$768.84 |
$768.84 |
$768.84 |
$6,658.00
|
|
Perq tx big toe fracture w/manip 28496
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,981.06
|
|
Perq tx malar fracture
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,627.00
|
|
Perq tx mndblr fx xtrnl fixj
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Perq tx nasoethmoid fx
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,558.89
|
|
Pertussis ag if
|
$16.53 |
$16.53 |
$16.53 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$23.48 |
$23.48 |
$23.48 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$84.12 |
$84.12 |
$84.12 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$100.15 |
$100.15 |
$100.15 |
$141.60
|