|
Pelvic MRI (with contrast)
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
|
|
Pelvic MRI (without contrast)
|
$1,331.20 |
$1,331.20 |
$1,888.80 |
|
|
Pelvic Ultrasound (complete)
|
$481.60 |
$481.60 |
$561.60 |
|
|
Pelvic Ultrasound (limited)
|
$281.60 |
$281.60 |
$333.60 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,900.99 |
$7,900.99 |
$7,900.99 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,893.27 |
$4,893.27 |
$4,893.27 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$517.78 |
$517.78 |
$517.78 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$92.30 |
$92.30 |
$245.58 |
|
|
Penile injection
|
$137.60 |
$137.60 |
$363.20 |
|
|
Penile rear tip xtnd 0.5cm
|
$12,912.48 |
$12,912.48 |
$12,912.48 |
|
|
Penile vascular study
|
$478.40 |
$478.40 |
$478.40 |
|
|
Penile vascular study
|
$230.40 |
$230.40 |
$311.20 |
|
|
Pentamidine non-comp unit
|
$332.42 |
$332.42 |
$332.42 |
|
|
Perc cryo ablate renal tum
|
$7,269.60 |
$7,269.60 |
$7,269.60 |
|
|
Perc d-e cor revasc chro add
|
$16,044.00 |
$16,044.00 |
$16,044.00 |
|
|
Perc d-e cor revasc chro sin
|
$16,044.00 |
$16,044.00 |
$16,044.00 |
|
|
Perc d-e cor revasc t cabg b
|
$16,044.00 |
$16,044.00 |
$16,044.00 |
|
|
Perc d-e cor revasc t cabg s
|
$16,044.00 |
$16,044.00 |
$16,044.00 |
|
|
Perc d-e cor stent ather br
|
$14,762.40 |
$14,762.40 |
$14,762.40 |
|
|
Perc d-e cor stent ather s
|
$16,044.00 |
$16,044.00 |
$16,044.00 |
|
|
Perc drug-el cor stent bran
|
$16,044.00 |
$16,044.00 |
$16,044.00 |
|
|
Perc drug-el cor stent sing
|
$16,820.00 |
$16,820.00 |
$16,820.00 |
|
|
Perc rf ablate renal tumor
|
$8,682.40 |
$8,682.40 |
$8,682.40 |
|
|
Percut ablate liver rf
|
$11,633.60 |
$11,633.60 |
$11,633.60 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$313.60 |
$313.60 |
$4,572.80 |
|
|
Pericardiocentesis wwo imaging
|
$3,137.60 |
$3,137.60 |
$4,207.20 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$10,917.60 |
$10,917.60 |
$10,917.60 |
|
|
Peripheral vascular rehab
|
$153.60 |
$153.60 |
$153.60 |
|
|
Peri-proc device eval icd
|
$76.80 |
$76.80 |
$87.20 |
|
|
Peri-proc device eval pm
|
$66.40 |
$66.40 |
$92.00 |
|
|
Perphenazine 4mg oral
|
$14.10 |
$14.10 |
$14.10 |
|
|
Perq art m-thrombect &/nfs
|
$14,073.60 |
$14,073.60 |
$14,073.60 |
|
|
Perq clsr tcat l atr apndge
|
$9,286.40 |
$9,286.40 |
$9,286.40 |
|
|
Perq dev breast 1st mr guide
|
$343.20 |
$343.20 |
$343.20 |
|
|
Perq dev breast 1st strtctc
|
$343.20 |
$343.20 |
$343.20 |
|
|
Perq plmt bile duct stent
|
$8,052.00 |
$8,052.00 |
$8,052.00 |
|
|
Perq plmt bile duct stent
|
$10,761.60 |
$10,761.60 |
$10,761.60 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$296.00 |
$296.00 |
$524.80 |
|
|
Perq transcath closure pda
|
$8,593.60 |
$8,593.60 |
$8,593.60 |
|
|
Perq transcath cls aortic
|
$36,353.60 |
$36,353.60 |
$36,353.60 |
|
|
Perq transcath cls mitral
|
$38,113.60 |
$38,113.60 |
$38,113.60 |
|
|
Perq transcath septal reduxn
|
$8,593.60 |
$8,593.60 |
$8,593.60 |
|
|
Perq tx big toe fracture w/manip 28496
|
$664.80 |
$664.80 |
$4,108.00 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$8,958.03 |
$8,958.03 |
$8,958.03 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$63.20 |
$63.20 |
$165.77 |
|
|
Pet CT skull-mid thgh initial
|
$6,060.00 |
$6,060.00 |
$6,060.00 |
|
|
Pet CT whole body initial
|
$6,243.20 |
$6,243.20 |
$6,243.20 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$35,919.52 |
$35,919.52 |
$35,919.52 |
|
|
Pharmacologic management w/psytx
|
$37.60 |
$37.60 |
$37.60 |
|
|
Ph body fluid
|
$90.40 |
$90.40 |
$117.60 |
|
|
Phencyclidine (pcp)
|
$60.80 |
$60.80 |
$60.80 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$115.03 |
$115.03 |
$136.42 |
|
|
Phenobarbital therapeutic drug level
|
$158.40 |
$158.40 |
$158.40 |
|
|
Phentolaine mesylate inj
|
$1,206.14 |
$1,206.14 |
$1,206.14 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$100.14 |
$100.14 |
$143.89 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$67.13 |
$67.13 |
$71.46 |
|
|
Phenytoin total therapeutic drug level
|
$140.80 |
$140.80 |
$142.40 |
|
|
Phlebotomy therapeutic
|
$154.40 |
$154.40 |
$253.60 |
|
|
Phosphorus
|
$31.20 |
$31.20 |
$35.20 |
|
|
Phosphorus 24 hour urine
|
$32.00 |
$32.00 |
$89.60 |
|
|
Photochemotherapy puva
|
$148.00 |
$148.00 |
$148.00 |
|
|
Photo patch test
|
$8.80 |
$8.80 |
$8.80 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$85.06 |
$85.06 |
$149.45 |
|
|
Pin caspar distraction 12mm
|
$6,673.60 |
$6,673.60 |
$6,673.60 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$801.60 |
$801.60 |
$801.60 |
|
|
Pin finger fracture each
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
|
|
Pinworm exam
|
$32.00 |
$32.00 |
$88.00 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$181.82 |
$181.82 |
$342.73 |
|
|
Place cath intracranial art
|
$2,737.60 |
$2,737.60 |
$2,737.60 |
|
|
Place cath xtrnl carotid
|
$2,737.60 |
$2,737.60 |
$2,737.60 |
|
|
Place duod/jej tube perc
|
$1,444.80 |
$1,444.80 |
$1,513.60 |
|
|
Place gastrostomy tube perc
|
$1,277.60 |
$1,277.60 |
$1,700.80 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$343.20 |
$343.20 |
$1,362.40 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$171.20 |
$171.20 |
$171.20 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$526.40 |
$526.40 |
$1,362.40 |
|
|
Placement nephrostomy catheter (both sides)
|
$4,269.60 |
$4,269.60 |
$4,269.60 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$993.60 |
$993.60 |
$993.60 |
|
|
Placement of seton
|
$170.40 |
$170.40 |
$3,545.60 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$22,438.40 |
$22,438.40 |
$22,438.40 |
|
|
Place non-slctv cath thoracic arta
|
$3,071.20 |
$3,071.20 |
$3,071.20 |
|
|
Place po breast cath for rad
|
$5,816.00 |
$5,816.00 |
$23,308.00 |
|
|
Place right device/marker pros
|
$222.40 |
$222.40 |
$222.40 |
|
|
Place slctv cath carotd art uni
|
$7,390.40 |
$7,390.40 |
$7,390.40 |
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,709.60 |
$5,709.60 |
$5,709.60 |
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,390.40 |
$7,390.40 |
$7,390.40 |
|
|
Place slctv cath subclavian art
|
$5,272.00 |
$5,272.00 |
$5,272.00 |
|
|
Place slctv cath vertebral art uni
|
$5,272.00 |
$5,272.00 |
$5,272.00 |
|
|
Platelet aggregation each agent teg
|
$110.40 |
$110.40 |
$184.80 |
|
|
Platelet automated
|
$49.60 |
$49.60 |
$64.00 |
|
|
Platelet pheresis each unit
|
$825.60 |
$825.60 |
$840.00 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$888.80 |
$888.80 |
$888.80 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$970.40 |
$970.40 |
$970.40 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$780.80 |
$780.80 |
$996.00 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$957.60 |
$957.60 |
$1,120.00 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$320.00 |
$320.00 |
$508.00 |
|
|
Plcmnt biliary drainage cath w/img ext
|
$4,256.80 |
$4,256.80 |
$4,256.80 |
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$4,257.60 |
$4,257.60 |
$4,257.60 |
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,756.80 |
$4,756.80 |
$4,756.80 |
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,289.60 |
$5,289.60 |
$5,289.60 |
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,815.20 |
$1,815.20 |
$1,815.20 |
|