|
Pelvic MRI (with and without contrast)
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$561.60 |
$561.60 |
$561.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$281.60 |
$281.60 |
$281.60 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,900.99 |
$7,900.99 |
$7,900.99 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,893.27 |
$4,893.27 |
$4,893.27 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$517.78 |
$517.78 |
$517.78 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$92.30 |
$92.30 |
$92.30 |
$100.50
|
|
Penile injection
|
$137.60 |
$137.60 |
$137.60 |
$418.00
|
|
Penile vascular study
|
$230.40 |
$230.40 |
$230.40 |
$460.20
|
|
Pericardial drain w/cath pq w/ct guid
|
$313.60 |
$313.60 |
$313.60 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,137.60 |
$3,137.60 |
$3,137.60 |
$2,573.60
|
|
Peri-proc device eval icd
|
$76.80 |
$76.80 |
$76.80 |
$220.35
|
|
Peri-proc device eval pm
|
$66.40 |
$66.40 |
$66.40 |
$195.80
|
|
Perq dev breast 1st mr guide
|
$343.20 |
$343.20 |
$343.20 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$343.20 |
$343.20 |
$343.20 |
$1,548.60
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$524.80 |
$524.80 |
$524.80 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$664.80 |
$664.80 |
$664.80 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$8,958.03 |
$8,958.03 |
$8,958.03 |
$18,443.20
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$63.20 |
$63.20 |
$63.20 |
$113.84
|
|
Pharmacologic management w/psytx
|
$37.60 |
$37.60 |
$37.60 |
$93.00
|
|
Ph body fluid
|
$117.60 |
$117.60 |
$117.60 |
$39.20
|
|
Phencyclidine (pcp)
|
$60.80 |
$60.80 |
$60.80 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$115.03 |
$115.03 |
$115.03 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$158.40 |
$158.40 |
$158.40 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,206.14 |
$1,206.14 |
$1,206.14 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$100.14 |
$100.14 |
$100.14 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$67.13 |
$67.13 |
$67.13 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$142.40 |
$142.40 |
$142.40 |
$111.27
|
|
Phlebotomy therapeutic
|
$253.60 |
$253.60 |
$253.60 |
$249.00
|
|
Phosphorus
|
$35.20 |
$35.20 |
$35.20 |
$47.81
|
|
Phosphorus 24 hour urine
|
$89.60 |
$89.60 |
$89.60 |
$42.81
|
|
Photochemotherapy puva
|
$148.00 |
$148.00 |
$148.00 |
$108.55
|
|
Photo patch test
|
$8.80 |
$8.80 |
$8.80 |
$65.75
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$85.06 |
$85.06 |
$85.06 |
$86.36
|
|
Pinworm exam
|
$88.00 |
$88.00 |
$88.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$181.82 |
$181.82 |
$181.82 |
$95.01
|
|
Place duod/jej tube perc
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$1,277.60 |
$1,277.60 |
$1,277.60 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$343.20 |
$343.20 |
$343.20 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$171.20 |
$171.20 |
$171.20 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$526.40 |
$526.40 |
$526.40 |
$1,372.15
|
|
Placement of seton
|
$170.40 |
$170.40 |
$170.40 |
$3,375.00
|
|
Place po breast cath for rad
|
$5,816.00 |
$5,816.00 |
$5,816.00 |
$11,238.72
|
|
Place right device/marker pros
|
$222.40 |
$222.40 |
$222.40 |
$1,903.23
|
|
Platelet aggregation each agent teg
|
$110.40 |
$110.40 |
$110.40 |
$147.96
|
|
Platelet automated
|
$64.00 |
$64.00 |
$64.00 |
$44.00
|
|
Platelet pheresis each unit
|
$825.60 |
$825.60 |
$825.60 |
$864.00
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$888.80 |
$888.80 |
$888.80 |
$900.48
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$970.40 |
$970.40 |
$970.40 |
$1,175.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$780.80 |
$780.80 |
$780.80 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$957.60 |
$957.60 |
$957.60 |
$1,180.31
|
|
Platelets pheresis pathogen-reduced each unit
|
$508.00 |
$508.00 |
$508.00 |
$879.36
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$878.22
|
|
Plc pq device breast ea addl lesion MRI guide
|
$171.20 |
$171.20 |
$171.20 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$171.20 |
$171.20 |
$171.20 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$171.20 |
$171.20 |
$171.20 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$302.40 |
$302.40 |
$302.40 |
$411.51
|
|
Pm device progr eval dual
|
$120.80 |
$120.80 |
$120.80 |
$148.00
|
|
Pm device progr eval multi
|
$128.00 |
$128.00 |
$128.00 |
$160.55
|
|
Pm phone r-strip device eval
|
$61.60 |
$61.60 |
$61.60 |
$127.20
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$260.00 |
$260.00 |
$260.00 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$890.40 |
$890.40 |
$890.40 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,818.40 |
$1,818.40 |
$1,818.40 |
$4,293.60
|
|
Postpartum Care Only
|
$392.80 |
$392.80 |
$392.80 |
$501.60
|
|
Potassium 24 hour urine
|
$102.40 |
$102.40 |
$102.40 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$189.51 |
$189.51 |
$189.51 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$35.20 |
$35.20 |
$35.20 |
$44.64
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$8,862.40 |
$8,862.40 |
$8,862.40 |
$10,430.78
|
|
Pq thr inj ext pse
|
$461.60 |
$461.60 |
$461.60 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,784.80 |
$2,784.80 |
$2,784.80 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,780.80 |
$2,780.80 |
$2,780.80 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$3,761.65
|
|
Pr application of long arm splint
|
$119.20 |
$119.20 |
$119.20 |
$332.75
|
|
Pr application splint static short arm
|
$96.00 |
$96.00 |
$96.00 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$7.20 |
$7.20 |
$7.20 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$188.00 |
$188.00 |
$188.00 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$22.40 |
$22.40 |
$22.40 |
$48.71
|
|
Prcrd drg 0-5yr or w/anomly
|
$423.20 |
$423.20 |
$423.20 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$358.40 |
$358.40 |
$358.40 |
$2,708.85
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$556.80 |
$556.80 |
$556.80 |
$4,555.88
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$150.40 |
$150.40 |
$150.40 |
$356.40
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$103.20 |
$103.20 |
$103.20 |
$148.00
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$151.20 |
$151.20 |
$151.20 |
$209.60
|
|
Prealbumin
|
$102.40 |
$102.40 |
$102.40 |
$87.20
|
|
Pr ecg 12 lead report only
|
$12.00 |
$12.00 |
$12.00 |
$19.20
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$27.20 |
$27.20 |
$27.20 |
$63.35
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.01 |
$13.01 |
$13.01 |
$16.30
|
|
Prednisone 1 mg tablet
|
$23.60 |
$23.60 |
$23.60 |
$4.57
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$295.20 |
$295.20 |
$295.20 |
$2,363.79
|
|
Pregnancy associated plasma protein-a
|
$63.20 |
$63.20 |
$63.20 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$710.40 |
$710.40 |
$710.40 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$375.20 |
$375.20 |
$375.20 |
$541.45
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$199.20 |
$199.20 |
$199.20 |
$167.25
|
|
Prenatal Care Only (4-6 visits)
|
$841.60 |
$841.60 |
$841.60 |
$934.20
|
|
Prenatal Care Only (7+ visits)
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$1,672.80
|
|
Prep skin to 100cm2 other
|
$583.20 |
$583.20 |
$583.20 |
$1,193.40
|