|
Pegloticase 8 mg/ml intravenous solution
|
$30,013.94 |
$35,016.26 |
$35,016.26 |
|
|
Pelv band/spread bar thigh c
|
$749.11 |
$995.01 |
$995.01 |
|
|
Pelvic band & belt thigh fla
|
$527.58 |
$700.78 |
$700.78 |
|
|
Pelvic control band & belt b
|
$497.22 |
$660.52 |
$660.52 |
|
|
Pelvic control band & belt u
|
$366.41 |
$500.58 |
$500.58 |
|
|
Pelvic control hip heavy dut
|
$395.64 |
$525.50 |
$525.50 |
|
|
Pelvic control pelvic sling
|
$686.67 |
$912.18 |
$912.18 |
|
|
Pelvic CT scan (with and without contrast)
|
$863.71 |
$1,824.98 |
$3,093.60 |
|
|
Pelvic CT scan (with contrast)
|
$647.76 |
$2,002.40 |
$2,607.20 |
|
|
Pelvic CT scan (without contrast)
|
$647.76 |
$1,703.20 |
$1,992.80 |
|
|
Pelvic & hip control thigh c
|
$1,802.86 |
$2,394.73 |
$2,394.73 |
|
|
Pelvic MRI (with and without contrast)
|
$1,276.99 |
$3,416.80 |
$4,391.20 |
|
|
Pelvic MRI (with contrast)
|
$1,003.30 |
$2,329.04 |
$4,099.20 |
|
|
Pelvic MRI (without contrast)
|
$912.00 |
$2,604.80 |
$3,237.60 |
|
|
Pelvic Ultrasound (complete)
|
$379.44 |
$650.40 |
$1,014.40 |
|
|
Pelvic Ultrasound (limited)
|
$379.44 |
$508.65 |
$716.80 |
|
|
Pelvis X-ray (1 to 2 views)
|
$207.79 |
$257.66 |
$399.20 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$138.43 |
$263.20 |
$456.80 |
|
|
Pelv & thor control gluteal
|
$218.96 |
$299.21 |
$299.21 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,240.20 |
$8,552.04 |
$9,303.94 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$238.07 |
$6,177.18 |
$7,206.71 |
|
|
Pemivibart infusion
|
$760.00 |
$790.40 |
$798.40 |
|
|
Peng benzathine/procaine inj
|
$82.63 |
$420.80 |
$488.95 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$214.52 |
$471.48 |
$729.16 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$58.25 |
$104.72 |
$255.81 |
|
|
Penicillin g procaine inj
|
$147.96 |
$147.96 |
$147.96 |
|
|
Penile injection
|
$387.60 |
$387.60 |
$510.40 |
|
|
Penile rear tip xtnd 0.5cm
|
$22,508.72 |
$22,508.72 |
$22,508.72 |
|
|
Penile vascular study
|
$443.95 |
$959.67 |
$959.67 |
|
|
Pentamidine 300 mg solution for injection
|
$190.16 |
$190.16 |
$190.16 |
|
|
Pentamidine non-comp unit
|
$111.81 |
$134.76 |
$164.00 |
|
|
Pentobarbital sodium inj
|
$190.15 |
$190.15 |
$190.15 |
|
|
Pentostatin 10 mg intravenous solution
|
$2,428.08 |
$4,429.02 |
$4,576.35 |
|
|
Perc cryo ablate renal tum
|
$1,603.00 |
$2,852.11 |
$12,917.60 |
|
|
Perc d-e cor revasc chro add
|
$11,447.81 |
$11,447.81 |
$11,447.81 |
|
|
Perc d-e cor revasc chro sin
|
$27,648.00 |
$32,350.80 |
$32,350.80 |
|
|
Perc d-e cor revasc t cabg b
|
$8,181.22 |
$8,181.22 |
$18,468.00 |
|
|
Perc d-e cor revasc t cabg s
|
$20,732.80 |
$23,119.73 |
$23,119.73 |
|
|
Perc d-e cor stent ather br
|
$11,424.67 |
$11,424.67 |
$17,742.40 |
|
|
Perc d-e cor stent ather s
|
$26,204.00 |
$32,285.81 |
$32,285.81 |
|
|
Perc drug-el cor stent bran
|
$8,185.82 |
$8,185.82 |
$16,140.00 |
|
|
Perc drug-el cor stent sing
|
$21,376.00 |
$23,132.78 |
$23,132.78 |
|
|
Perc rf ablate renal tumor
|
$1,018.14 |
$2,833.82 |
$2,833.82 |
|
|
Percut ablate liver rf
|
$2,860.90 |
$2,860.90 |
$2,860.90 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$98.50 |
$185.47 |
$597.95 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$4,470.24 |
$4,470.24 |
$4,470.24 |
|
|
Pericardiocentesis wwo imaging
|
$2,573.60 |
$2,640.80 |
$4,257.17 |
|
|
Peripheral vascular rehab
|
$112.00 |
$161.60 |
$231.78 |
|
|
Peri-proc device eval icd
|
$108.30 |
$108.30 |
$237.07 |
|
|
Peri-proc device eval pm
|
$108.30 |
$108.30 |
$237.07 |
|
|
Peritoneal cath sub q resv per
|
$1,957.73 |
$1,957.73 |
$7,292.80 |
|
|
Peritoneogram rs&i
|
$647.18 |
$647.18 |
$647.18 |
|
|
Perit-vens shunt pat tst
|
$1,190.40 |
$1,354.08 |
$1,354.08 |
|
|
Permanent tear duct plug
|
$384.00 |
$384.00 |
$384.00 |
|
|
Peroneal straps pair pre ots
|
$27.05 |
$36.90 |
$36.90 |
|
|
Perp bk ptb thermopls direct
|
$2,502.75 |
$3,324.50 |
$3,324.50 |
|
|
Perphenazine 4mg oral
|
$4.55 |
$6.14 |
$6.60 |
|
|
Perq art m-thrombect &/nfs
|
$19,857.21 |
$19,857.21 |
$26,260.51 |
|
|
Perq clsr tcat l atr apndge
|
$14,621.62 |
$16,515.74 |
$16,515.74 |
|
|
Perq dev breast 1st mr guide
|
$1,587.65 |
$1,894.59 |
$2,316.61 |
|
|
Perq dev breast 1st strtctc
|
$995.74 |
$1,018.66 |
$1,859.20 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$6,699.02 |
$6,699.02 |
$6,699.02 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$6,699.02 |
$6,699.02 |
$6,699.02 |
|
|
Perq p-art revsc 1 abnor uni
|
$32,285.81 |
$32,285.81 |
$32,285.81 |
|
|
Perq plmt bile duct stent
|
$3,842.59 |
$3,842.59 |
$3,842.59 |
|
|
Perq plmt bile duct stent
|
$2,641.35 |
$2,641.35 |
$4,121.14 |
|
|
Perq transcath closure each
|
$4,199.47 |
$4,199.47 |
$4,199.47 |
|
|
Perq transcath closure pda
|
$12,793.87 |
$12,793.87 |
$12,793.87 |
|
|
Perq transcath cls aortic
|
$9,530.78 |
$9,530.78 |
$9,530.78 |
|
|
Perq transcath cls mitral
|
$9,530.78 |
$9,530.78 |
$9,530.78 |
|
|
Perq transcath septal reduxn
|
$12,793.87 |
$12,793.87 |
$12,793.87 |
|
|
Perq trluml angp nt/recr coa
|
$13,973.57 |
$13,973.57 |
$13,973.57 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$4,899.30 |
$9,169.29 |
$10,697.50 |
|
|
Pertuzu, trastuzu, 10 mg
|
$17,027.47 |
$19,865.38 |
$19,865.38 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$374.11 |
$436.46 |
$436.46 |
|
|
Pet CT skull-mid thgh initial
|
$2,554.78 |
$2,813.33 |
$7,007.20 |
|
|
Pet CT whole body initial
|
$2,554.78 |
$2,813.33 |
$6,875.20 |
|
|
Pet fdg brain metoblic eval sb
|
$2,554.78 |
$2,554.78 |
$5,952.80 |
|
|
Pet image w/ct lmtd
|
$2,554.78 |
$2,554.78 |
$6,043.20 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$882.40 |
$10,719.20 |
$54,924.00 |
|
|
Ph body fluid
|
$9.60 |
$38.81 |
$46.37 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$32.32 |
$87.96 |
$112.10 |
|
|
Phenobarbital therapeutic drug level
|
$33.41 |
$38.98 |
$139.20 |
|
|
Phentolaine mesylate inj
|
$401.12 |
$787.20 |
$913.18 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$32.18 |
$62.56 |
$100.31 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$24.81 |
$27.72 |
$60.85 |
|
|
Phenytoin total therapeutic drug level
|
$31.10 |
$36.29 |
$186.40 |
|
|
Phlebotomy therapeutic
|
$140.28 |
$249.60 |
$274.51 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$4,284.48 |
$4,284.48 |
$6,159.20 |
|
|
Phleb veins 1 extrm >20 stab
|
$4,350.10 |
$4,350.10 |
$7,580.80 |
|
|
Phosphorus
|
$23.52 |
$25.73 |
$72.00 |
|
|
Phosphorus 24 hour urine
|
$15.20 |
$30.91 |
$62.40 |
|
|
Photodynamic tx addl 15 min
|
$219.12 |
$219.12 |
$219.12 |
|
|
Photodynmc tx 30 min add-on
|
$438.38 |
$438.38 |
$438.38 |
|
|
Phys blood bank serv authrj
|
$237.60 |
$237.60 |
$237.60 |
|
|
Phys blood bank serv reactj
|
$337.01 |
$337.01 |
$402.98 |
|
|
Physical Therapy Evaluation (high complexity)
|
$192.92 |
$240.35 |
$352.80 |
|
|
Physical Therapy Evaluation (low complexity)
|
$192.92 |
$240.35 |
$268.80 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$192.92 |
$240.35 |
$308.00 |
|
|
Physical Therapy Re-Evaluation
|
$117.77 |
$146.61 |
$244.00 |
|