|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$66.15 |
$79.04 |
$92.30 |
|
|
Piflu f-18, dia 1 millicurie
|
$880.00 |
$1,063.83 |
$1,063.83 |
|
|
Pik3ca gene trgt seq alys
|
$2,050.40 |
$2,050.40 |
$2,050.40 |
|
|
Pillow shldr abduc inflat univ
|
$391.56 |
$1,307.76 |
$1,525.72 |
|
|
Pin caspar distraction 12mm
|
$36,726.40 |
$36,726.40 |
$36,726.40 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
|
|
Pin finger fracture each
|
$5,220.00 |
$5,220.00 |
$5,220.00 |
|
|
Pinworm exam
|
$20.00 |
$35.95 |
$82.40 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$27.42 |
$113.52 |
$475.98 |
|
|
Place cath intracranial art
|
$5,564.78 |
$5,564.78 |
$5,883.20 |
|
|
Place cath xtrnl carotid
|
$3,760.08 |
$3,760.08 |
$7,394.40 |
|
|
Place cecostomy tube perc
|
$5,336.64 |
$5,336.64 |
$5,336.64 |
|
|
Place device/marker, non pro
|
$1,330.56 |
$1,330.56 |
$1,330.56 |
|
|
Place duod/jej tube perc
|
$372.79 |
$372.79 |
$2,072.80 |
|
|
Place gastrostomy tube perc
|
$2,236.42 |
$2,951.20 |
$3,038.40 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$476.00 |
$635.26 |
$1,908.00 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$409.60 |
$476.62 |
$1,200.00 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$365.60 |
$748.10 |
$1,904.80 |
|
|
Placement nephrostomy catheter (both sides)
|
$1,753.47 |
$1,753.47 |
$5,042.40 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,049.60 |
$1,931.27 |
$1,931.27 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,050.19 |
$16,050.19 |
$19,525.60 |
|
|
Place non-slctv cath thoracic arta
|
$5,462.11 |
$5,462.11 |
$7,992.00 |
|
|
Place right device/marker pros
|
$3,166.40 |
$3,166.40 |
$3,562.40 |
|
|
Place slctv cath carotd art uni
|
$9,823.92 |
$9,823.92 |
$13,678.40 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$7,401.98 |
$7,401.98 |
$7,596.80 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,901.47 |
$7,901.47 |
$11,293.60 |
|
|
Place slctv cath subclavian art
|
$7,325.60 |
$7,910.06 |
$7,910.06 |
|
|
Place slctv cath vertebral art uni
|
$9,591.20 |
$13,659.84 |
$13,659.84 |
|
|
Plasma cryoprecipitate reduced each unit
|
$278.60 |
$362.15 |
$362.15 |
|
|
Plasma volume multiple
|
$1,140.77 |
$1,140.77 |
$1,140.77 |
|
|
Plas shoe insert w ank joint
|
$209.83 |
$286.66 |
$286.66 |
|
|
Plastic mod low ext pad/line
|
$206.25 |
$281.79 |
$281.79 |
|
|
Plastic mold recipro hip & c
|
$3,382.06 |
$4,492.38 |
$4,492.38 |
|
|
Plast socket jts/thgh lacer
|
$5,901.17 |
$7,645.57 |
$7,645.57 |
|
|
Platelet aggregation each agent teg
|
$108.00 |
$186.20 |
$203.76 |
|
|
Platelet automated
|
$25.60 |
$46.99 |
$60.80 |
|
|
Platelet pheresis each unit
|
$940.00 |
$940.00 |
$1,306.40 |
|
|
Platelet pheresis irr ea
|
$704.00 |
$704.00 |
$1,463.20 |
|
|
Platelets each unit
|
$219.20 |
$593.60 |
$599.20 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$2,237.60 |
$2,700.21 |
$3,205.22 |
|
|
Platelets leukocytes reduced each unit
|
$156.52 |
$156.52 |
$407.20 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$303.20 |
$303.20 |
$303.20 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$2,719.73 |
$3,342.25 |
$3,342.25 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,139.20 |
$2,608.22 |
$3,205.22 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,396.00 |
$2,754.10 |
$3,384.47 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,835.02 |
$3,483.93 |
$3,483.93 |
|
|
Plating chrome/nickel pr bar
|
$123.70 |
$168.95 |
$168.95 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,210.04 |
$2,210.04 |
$6,949.60 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$14,215.20 |
$19,462.46 |
$19,462.46 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,578.40 |
$3,413.37 |
$5,535.20 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,589.75 |
$5,589.75 |
$8,400.77 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,606.53 |
$3,606.53 |
$15,268.80 |
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$982.58 |
$985.97 |
$1,783.20 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$739.34 |
$751.30 |
$1,033.60 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$1,343.42 |
$1,447.43 |
$9,068.00 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,192.66 |
$1,421.06 |
$1,737.51 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$746.82 |
$763.78 |
$908.80 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$310.46 |
$561.23 |
$1,192.80 |
|
|
Plerixafor injection
|
$13,959.55 |
$13,959.55 |
$13,959.55 |
|
|
Plethysmography lung volumes/airway resistance
|
$160.80 |
$241.92 |
$556.80 |
|
|
Plmt access bil tree sm bwl
|
$418.40 |
$2,194.32 |
$2,194.32 |
|
|
Plmt biliary drainage cath
|
$2,929.30 |
$2,929.30 |
$7,213.60 |
|
|
Plmt nephroureteral catheter
|
$2,248.90 |
$2,248.90 |
$5,645.60 |
|
|
Plmt ureteral stent prq
|
$4,412.35 |
$4,412.35 |
$6,631.25 |
|
|
Pm device progr eval dual
|
$108.30 |
$148.00 |
$436.41 |
|
|
Pm device progr eval multi
|
$108.30 |
$108.30 |
$237.07 |
|
|
Pm phone r-strip device eval
|
$108.30 |
$108.30 |
$237.26 |
|
|
Pneum full leg splnt pre ots
|
$372.40 |
$508.82 |
$508.82 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$80.86 |
$92.93 |
$320.80 |
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$20,233.78 |
$27,405.39 |
$29,442.59 |
|
|
Polycentric hinge pair
|
$359.63 |
$491.34 |
$491.34 |
|
|
Polysom <6 yrs cpap/bilvl
|
$3,729.43 |
$3,729.43 |
$3,790.47 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,793.46 |
$3,465.11 |
$4,949.60 |
|
|
Porfimer sodium injection
|
$29,389.92 |
$29,389.92 |
$29,389.92 |
|
|
Positioner proc acufex leg acs
|
$43.73 |
$51.02 |
$51.02 |
|
|
Postop applicat rigid dsg on
|
$816.31 |
$1,084.38 |
$1,084.38 |
|
|
Postop app non-wgt bear dsg
|
$749.84 |
$996.07 |
$996.07 |
|
|
Postop app non-wgt bear dsg
|
$983.47 |
$1,306.37 |
$1,306.37 |
|
|
Postop dress & 1 cast chg bk
|
$2,529.63 |
$3,360.11 |
$3,360.11 |
|
|
Postop dsg & 1 cast chg ak/d
|
$3,194.80 |
$4,243.74 |
$4,243.74 |
|
|
Postop dsg ak ea add cast ch
|
$867.22 |
$1,151.92 |
$1,151.92 |
|
|
Postop dsg bk ea add cast ch
|
$698.82 |
$928.26 |
$928.26 |
|
|
Postop dsg cast chg elb dis/
|
$2,673.16 |
$3,550.79 |
$3,550.79 |
|
|
Postop dsg cast chg wrst/elb
|
$2,245.43 |
$2,982.67 |
$2,982.67 |
|
|
Postop ea cast chg & realign
|
$741.27 |
$984.65 |
$984.65 |
|
|
Post-operative body jacket
|
$2,840.66 |
$3,773.28 |
$3,773.28 |
|
|
Post-op hip abduct custom fa
|
$1,760.02 |
$2,337.83 |
$2,337.83 |
|
|
Post op service lvrs min 6
|
$499.20 |
$499.20 |
$499.20 |
|
|
Potassium 24 hour urine
|
$23.20 |
$32.26 |
$72.80 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$49.28 |
$76.40 |
$245.04 |
|
|
Potassium serum/plasma/whole blood
|
$23.13 |
$76.00 |
$88.51 |
|
|
Pq biliary strict dil s&i
|
$863.81 |
$863.81 |
$863.81 |
|
|
Pq dr cath chg w cont s&i
|
$278.66 |
$343.56 |
$1,003.20 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,028.42 |
$6,028.42 |
$13,618.40 |
|
|
Pq thr inj ext pse
|
$379.79 |
$379.79 |
$589.60 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,510.53 |
$3,510.53 |
$3,510.53 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,680.77 |
$4,680.77 |
$4,900.00 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,680.77 |
$4,680.77 |
$5,060.00 |
|
|
Pralatrexate injection
|
$16,473.61 |
$23,253.97 |
$23,253.97 |
|
|
Pralidoxime 1 gram solution for injection
|
$133.72 |
$185.73 |
$190.79 |
|
