|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$62.00 |
$62.00 |
$62.00 |
$28.90
|
|
Parathormone (pth) intact
|
$223.20 |
$223.20 |
$223.20 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$1,574.40
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,783.36 |
$6,783.36 |
$6,783.36 |
$11,216.31
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$6,736.15 |
$6,736.15 |
$6,736.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,108.55 |
$2,108.55 |
$2,108.55 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$3,093.60 |
$3,093.60 |
$3,093.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,607.20 |
$2,607.20 |
$2,607.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,928.80 |
$1,928.80 |
$1,928.80 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,222.40 |
$4,222.40 |
$4,222.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,685.60 |
$3,685.60 |
$3,685.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,924.00 |
$2,924.00 |
$2,924.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$741.60 |
$741.60 |
$741.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$564.80 |
$564.80 |
$564.80 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$216.00 |
$216.00 |
$216.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$263.20 |
$263.20 |
$263.20 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,710.04 |
$5,710.04 |
$5,710.04 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,156.08 |
$4,156.08 |
$4,156.08 |
$7,089.13
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$760.00 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$406.10 |
$406.10 |
$406.10 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$209.80 |
$209.80 |
$209.80 |
$97.85
|
|
Pentamidine non-comp unit
|
$141.63 |
$141.63 |
$141.63 |
$294.39
|
|
Peripheral vascular rehab
|
$196.80 |
$196.80 |
$196.80 |
$132.50
|
|
Pertuzumab 30 mg/ml desensitization
|
$6,520.78 |
$6,520.78 |
$6,520.78 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$7,007.20 |
$7,007.20 |
$7,007.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,656.00 |
$6,656.00 |
$6,656.00 |
$4,850.00
|
|
Pet image w/ct lmtd
|
$6,043.20 |
$6,043.20 |
$6,043.20 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$882.40 |
$882.40 |
$882.40 |
$39,920.50
|
|
Ph body fluid
|
$16.00 |
$16.00 |
$16.00 |
$42.00
|
|
Phenobarbital therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$62.56 |
$62.56 |
$62.56 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.60 |
$60.60 |
$60.60 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$88.00 |
$88.00 |
$88.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$248.00 |
$248.00 |
$248.00 |
$231.40
|
|
Phosphorus
|
$27.20 |
$27.20 |
$27.20 |
$49.20
|
|
Phosphorus 24 hour urine
|
$20.80 |
$20.80 |
$20.80 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$229.60 |
$229.60 |
$229.60 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$219.20 |
$219.20 |
$219.20 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$224.80 |
$224.80 |
$224.80 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$164.00 |
$164.00 |
$164.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.04 |
$79.04 |
$79.04 |
$90.25
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$63.52 |
$63.52 |
$63.52 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$1,485.90
|
|
Platelet automated
|
$25.60 |
$25.60 |
$25.60 |
$46.00
|
|
Platelets each unit
|
$599.20 |
$599.20 |
$599.20 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$264.80 |
$264.80 |
$264.80 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,384.80 |
$1,384.80 |
$1,384.80 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,284.80
|
|
Plethysmography lung volumes/airway resistance
|
$380.80 |
$380.80 |
$380.80 |
$408.05
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$151.20 |
$151.20 |
$151.20 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,808.00 |
$4,808.00 |
$4,808.00 |
$3,790.61
|
|
Potassium 24 hour urine
|
$25.60 |
$25.60 |
$25.60 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$245.04 |
$245.04 |
$245.04 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$26.40 |
$26.40 |
$26.40 |
$47.85
|
|
Pralidoxime 1 gram solution for injection
|
$188.84 |
$188.84 |
$188.84 |
$292.00
|
|
Pr application of long arm splint
|
$270.40 |
$270.40 |
$270.40 |
$332.75
|
|
Pr application splint static short arm
|
$237.60 |
$237.60 |
$237.60 |
$288.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$38.40 |
$38.40 |
$38.40 |
$48.00
|
|
Prealbumin
|
$44.00 |
$44.00 |
$44.00 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$5.27 |
$5.27 |
$5.27 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$852.80 |
$852.80 |
$852.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$721.60 |
$721.60 |
$721.60 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$550.40 |
$550.40 |
$550.40 |
$459.00
|
|
Pressure max expiratory/inspiratory
|
$358.40 |
$358.40 |
$358.40 |
$243.69
|
|
Pr incision & drainage abscess simple/single
|
$414.40 |
$414.40 |
$414.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$484.00 |
$484.00 |
$484.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$246.40 |
$246.40 |
$246.40 |
$592.62
|
|
Procalcitonin
|
$196.80 |
$196.80 |
$196.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$66.80 |
$66.80 |
$66.80 |
$38.48
|
|
Progesterone
|
$110.40 |
$110.40 |
$110.40 |
$116.00
|
|
Prolactin
|
$104.80 |
$104.80 |
$104.80 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$66.32 |
$66.32 |
$66.32 |
$73.36
|
|
Protamine 10 mg/ml intravenous solution
|
$62.97 |
$62.97 |
$62.97 |
$56.70
|
|
Protein c activity
|
$176.80 |
$176.80 |
$176.80 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$57.60 |
$57.60 |
$57.60 |
$84.00
|
|
Protein total 24 hour urine
|
$32.00 |
$32.00 |
$32.00 |
$52.50
|
|
Protein total body fluid
|
$25.60 |
$25.60 |
$25.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$20.80 |
$20.80 |
$20.80 |
$43.00
|
|
Prothrombin complex kcentra
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$6.98
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$188.80 |
$188.80 |
$188.80 |
$252.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$526.40 |
$526.40 |
$526.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$321.60 |
$321.60 |
$321.60 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$339.20 |
$339.20 |
$339.20 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$308.80 |
$308.80 |
$308.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$326.40 |
$326.40 |
$326.40 |
$396.00
|
|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
|
Psychoeducation 45 min +
|
$112.00 |
$112.00 |
$112.00 |
$201.45
|
|
Psychotherapy group therapy
|
$216.80 |
$216.80 |
$216.80 |
$225.39
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.40 |
$62.40 |
$62.40 |
$81.48
|
|
Pt application of modality traction mechanical
|
$68.00 |
$68.00 |
$68.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$144.00 |
$144.00 |
$144.00 |
$118.20
|
|
Pt wheelchair management each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$368.00 |
$368.00 |
$368.00 |
$347.11
|
|
Pulse ox multiple
|
$175.20 |
$175.20 |
$175.20 |
$157.30
|
|
Pulse ox single
|
$89.60 |
$89.60 |
$89.60 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$156.00 |
$156.00 |
$156.00 |
$129.36
|
|
Puncture spinal lumbar diagnostic
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$68.99 |
$68.99 |
$68.99 |
$49.08
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$817.68 |
$817.68 |
$817.68 |
$4,017.00
|