|
Pedicle enel/ntroral 15576
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Pegaspargase injection
|
$27,070.53 |
$28,424.06 |
$28,424.06 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$31.14 |
$58.40 |
$58.40 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$96.55 |
$132.04 |
$132.04 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$136.04 |
$136.04 |
$143.38 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$229.11 |
$229.11 |
$305.66 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$103.71 |
$103.71 |
$135.53 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$149.21 |
$149.21 |
$186.19 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$3,482.15 |
$3,638.86 |
$3,638.86 |
|
|
Pegunigalsidase alfa-iwxj
|
$223.55 |
$230.28 |
$230.28 |
|
|
Pelvic CT scan (with and without contrast)
|
$194.55 |
$464.82 |
$1,208.50 |
|
|
Pelvic CT scan (with contrast)
|
$194.55 |
$420.07 |
$1,077.50 |
|
|
Pelvic CT scan (without contrast)
|
$116.22 |
$331.07 |
$820.50 |
|
|
Pelvic MRI (with and without contrast)
|
$390.30 |
$860.96 |
$1,208.22 |
|
|
Pelvic MRI (with contrast)
|
$390.30 |
$738.04 |
$1,182.55 |
|
|
Pelvic MRI (without contrast)
|
$264.17 |
$599.32 |
$761.38 |
|
|
Pelvic ring fracture uni/bil
|
$7,807.24 |
$7,907.11 |
$8,412.89 |
|
|
Pelvic Ultrasound (complete)
|
$116.22 |
$213.60 |
$363.00 |
|
|
Pelvic Ultrasound (limited)
|
$74.70 |
$110.86 |
$130.47 |
|
|
Pelvis X-ray (1 to 2 views)
|
$80.23 |
$117.70 |
$192.40 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$84.23 |
$117.70 |
$181.51 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$58.22 |
$58.56 |
$58.56 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3.73 |
$3.73 |
$4.18 |
|
|
Pemivibart infusion
|
$116.10 |
$196.92 |
$530.54 |
|
|
Peng benzathine/procaine inj
|
$17.37 |
$17.37 |
$19.52 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$24.37 |
$29.30 |
$29.30 |
|
|
Penicillin g procaine inj
|
$40.94 |
$47.19 |
$47.19 |
|
|
Penile injection
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Penile vascular study
|
$116.22 |
$117.81 |
$197.72 |
|
|
Penile vascular study
|
$116.22 |
$117.81 |
$178.02 |
|
|
Penile venous occlusion
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Penis plastic surgery
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Penis study
|
$340.32 |
$3,986.00 |
$6,839.00 |
|
|
Pentostatin 10 mg intravenous solution
|
$2,541.77 |
$2,543.89 |
$2,543.89 |
|
|
Perc cryo ablate renal tum
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Perc d-e cor revasc chro sin
|
$19,624.54 |
$19,875.58 |
$21,146.91 |
|
|
Perc d-e cor revasc t cabg s
|
$12,393.88 |
$12,552.42 |
$13,355.34 |
|
|
Perc d-e cor stent ather s
|
$19,624.54 |
$19,875.58 |
$21,146.91 |
|
|
Perc drug-el cor stent sing
|
$12,393.88 |
$12,552.42 |
$13,355.34 |
|
|
Perc rf ablate renal tumor
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Percut ablate liver rf
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,786.00 |
$5,419.00 |
$6,311.00 |
|
|
Pericardiocentesis wwo imaging
|
$1,697.72 |
$3,986.00 |
$6,839.00 |
|
|
Peri-implt capslc brst compl
|
$3,786.00 |
$4,509.59 |
$6,839.00 |
|
|
Perineoplasty rpr per nonob
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Peripheral vascular rehab
|
$42.72 |
$65.75 |
$69.95 |
|
|
Peri-proc device eval icd
|
$45.54 |
$55.30 |
$62.75 |
|
|
Peri-proc device eval pm
|
$52.69 |
$53.96 |
$80.00 |
|
|
Peritoneal cath sub q resv per
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Peritoneogram rs&i
|
$257.38 |
$599.23 |
$645.71 |
|
|
Perit-vens shunt pat tst
|
$320.22 |
$444.77 |
$473.22 |
|
|
Perq art m-thrombect &/nfs
|
$4,881.00 |
$5,419.00 |
$6,311.00 |
|
|
Perq dev breast 1st mr guide
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Perq dev breast 1st strtctc
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$3,786.00 |
$6,311.00 |
$10,890.00 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$3,786.00 |
$6,311.00 |
$10,890.00 |
|
|
Perq p-art revsc 1 abnor bi
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Perq p-art revsc 1 abnor uni
|
$3,786.00 |
$6,311.00 |
$21,146.91 |
|
|
Perq p-art revsc 1 nm nt bi
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Perq p-art revsc 1 nm nt uni
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Perq plmt bile duct stent
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Perq plmt bile duct stent
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Perq plmt bile duct stent
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Perq skel fix rad/uln dislc
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Perq skel fix ulnar styld fx
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Perq transcath closure each
|
$2,233.43 |
$2,969.52 |
$3,040.80 |
|
|
Perq transcath closure pda
|
$4,627.01 |
$19,624.54 |
$21,146.91 |
|
|
Perq transcath cls aortic
|
$8,116.87 |
$19,875.58 |
$21,146.91 |
|
|
Perq transcath cls mitral
|
$7,142.91 |
$19,875.58 |
$21,146.91 |
|
|
Perq transcath septal reduxn
|
$749.74 |
$764.53 |
$918.52 |
|
|
Perq tx big toe fracture w/manip 28496
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Perq tx malar fracture
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Perq tx mndblr fx xtrnl fixj
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Perq tx nasoethmoid fx
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Pertussis ag if
|
$11.98 |
$13.18 |
$13.18 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$16.12 |
$16.89 |
$16.89 |
|
|
Pertuzu, trastuzu, 10 mg
|
$63.39 |
$63.39 |
$64.58 |
|
|
Pet CT skull-mid thgh initial
|
$1,594.06 |
$1,614.45 |
$1,717.72 |
|
|
Pet CT whole body initial
|
$1,594.06 |
$1,614.45 |
$1,717.72 |
|
|
Pet fdg brain metoblic eval sb
|
$564.37 |
$1,063.46 |
$1,717.72 |
|
|
Pet image full body
|
$1,594.06 |
$1,614.45 |
$1,717.72 |
|
|
Pet image ltd area
|
$1,426.73 |
$1,444.98 |
$1,537.41 |
|
|
Pet image skull-thigh
|
$1,594.06 |
$1,614.45 |
$1,717.72 |
|
|
Pet image w/ct lmtd
|
$1,582.25 |
$1,614.45 |
$1,717.72 |
|
|
Pet not otherwise specified
|
$439.15 |
$444.77 |
$473.22 |
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$30.24 |
$30.24 |
$30.24 |
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$43.07 |
$43.07 |
$43.07 |
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$15.47 |
$15.47 |
$15.47 |
|
|
Phalangectomy ea toe 28150
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Ph body fluid
|
$3.58 |
$3.94 |
$28.50 |
|
|
Phencyclidine (pcp)
|
$14.96 |
$22.02 |
$25.19 |
|
|
Phenobarbital therapeutic drug level
|
$15.30 |
$16.83 |
$75.50 |
|
|
Phentolaine mesylate inj
|
$367.12 |
$436.51 |
$436.51 |
|
|
Phenylep ketorolac opth soln
|
$106.47 |
$107.83 |
$114.73 |
|
|
Phenytoin total therapeutic drug level
|
$13.25 |
$14.58 |
$79.50 |
|
|
Phlebotomy therapeutic
|
$68.62 |
$142.80 |
$191.33 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Phleb veins 1 extrm >20 stab
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Phosphorus
|
$4.74 |
$5.21 |
$32.00 |
|