|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$26.08 |
$26.08 |
$84.46 |
|
|
Papaverin hcl injection
|
$69.10 |
$116.60 |
$126.94 |
|
|
Parathormone (pth) intact
|
$26.36 |
$206.18 |
$637.00 |
|
|
Parathyrd planar w/spect&ct
|
$998.30 |
$998.30 |
$1,682.00 |
|
|
Parathyroid planar imaging
|
$632.50 |
$1,041.95 |
$2,019.26 |
|
|
Parathyroid planar img w/tomo spect
|
$1,094.00 |
$1,094.00 |
$2,452.00 |
|
|
Paricalcitol
|
$57.63 |
$57.63 |
$57.63 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$172.38 |
$172.38 |
$325.00 |
|
|
Partial removal finger bone
|
$1,485.00 |
$2,134.33 |
$2,134.33 |
|
|
Partial removal of toe
|
$2,134.33 |
$2,134.33 |
$2,134.33 |
|
|
Passy muir valve metal trach
|
$110.23 |
$220.00 |
$220.00 |
|
|
Paste skin barrier .5oz adapt
|
$15.52 |
$15.52 |
$15.52 |
|
|
Pca3/klk3 antigen
|
$238.00 |
$238.00 |
$238.00 |
|
|
Pdgfra gene
|
$517.50 |
$717.23 |
$2,361.00 |
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$11.38 |
$11.38 |
$11.38 |
|
|
Pegaspargase injection
|
$37,227.78 |
$37,227.78 |
$37,227.78 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$8,991.90 |
$8,991.90 |
$23,011.09 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,977.08 |
$3,977.08 |
$8,072.54 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,513.10 |
$3,513.10 |
$16,220.43 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,329.65 |
$3,329.65 |
$8,596.86 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$4,067.80 |
$4,067.80 |
$4,067.80 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$49,707.63 |
$49,707.63 |
$49,707.63 |
|
|
Pegunigalsidase alfa-iwxj
|
$4,354.40 |
$4,354.40 |
$4,354.40 |
|
|
Pelvic CT scan (with and without contrast)
|
$1,927.50 |
$2,101.63 |
$5,301.00 |
|
|
Pelvic CT scan (with contrast)
|
$1,608.98 |
$1,608.98 |
$4,288.00 |
|
|
Pelvic CT scan (without contrast)
|
$1,389.68 |
$1,389.68 |
$2,775.00 |
|
|
Pelvic MRI (with and without contrast)
|
$2,224.50 |
$2,648.58 |
$7,047.00 |
|
|
Pelvic MRI (with contrast)
|
$1,832.00 |
$2,235.95 |
$5,618.00 |
|
|
Pelvic MRI (without contrast)
|
$1,410.50 |
$1,699.03 |
$5,342.00 |
|
|
Pelvic ring fracture uni/bil
|
$4,014.00 |
$4,014.00 |
$4,014.00 |
|
|
Pelvic Ultrasound (complete)
|
$643.80 |
$643.80 |
$1,102.00 |
|
|
Pelvic Ultrasound (limited)
|
$99.35 |
$99.35 |
$1,225.00 |
|
|
Pelvis X-ray (1 to 2 views)
|
$200.95 |
$200.95 |
$440.48 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$246.43 |
$246.43 |
$664.00 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$11,589.18 |
$11,589.18 |
$59,002.42 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,520.10 |
$1,520.10 |
$1,520.10 |
|
|
Pemivibart infusion
|
$603.65 |
$603.65 |
$603.65 |
|
|
Peng benzathine/procaine inj
|
$561.85 |
$561.85 |
$561.85 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,150.25 |
$1,150.25 |
$3,019.39 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$65.48 |
$65.48 |
$65.48 |
|
|
Penicillin g procaine inj
|
$179.43 |
$179.43 |
$179.43 |
|
|
Penile injection
|
$173.13 |
$173.13 |
$1,567.00 |
|
|
Penile vascular study
|
$606.55 |
$606.55 |
$1,049.50 |
|
|
Penile vascular study
|
$583.00 |
$583.00 |
$1,451.00 |
|
|
Pentamidine non-comp unit
|
$385.73 |
$385.73 |
$385.73 |
|
|
Pentobarbital sodium inj
|
$1,509.03 |
$1,509.03 |
$1,509.03 |
|
|
Pentostatin 10 mg intravenous solution
|
$4,655.60 |
$4,655.60 |
$4,655.60 |
|
|
Perc cryo ablate renal tum
|
$7,270.68 |
$7,270.68 |
$39,700.00 |
|
|
Perc d-e cor revasc chro add
|
$11,976.00 |
$18,201.75 |
$18,201.75 |
|
|
Perc d-e cor revasc chro sin
|
$11,976.00 |
$34,436.70 |
$34,436.70 |
|
|
Perc d-e cor revasc t cabg b
|
$7,720.78 |
$7,720.78 |
$11,976.00 |
|
|
Perc d-e cor revasc t cabg s
|
$11,976.00 |
$18,201.75 |
$18,201.75 |
|
|
Perc d-e cor stent ather br
|
$13,771.00 |
$17,662.10 |
$17,662.10 |
|
|
Perc d-e cor stent ather s
|
$15,633.00 |
$34,436.70 |
$34,436.70 |
|
|
Perc drug-el cor stent bran
|
$7,720.78 |
$7,720.78 |
$11,976.00 |
|
|
Perc drug-el cor stent sing
|
$17,964.50 |
$18,201.75 |
$18,201.75 |
|
|
Perc rf ablate renal tumor
|
$4,719.50 |
$5,057.05 |
$5,057.05 |
|
|
Percut ablate liver rf
|
$5,057.05 |
$5,057.05 |
$5,101.50 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$250.00 |
$250.00 |
$508.07 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,816.25 |
$2,816.25 |
$2,816.25 |
|
|
Pericardiocentesis wwo imaging
|
$1,559.55 |
$1,559.55 |
$1,776.00 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$983.00 |
$983.00 |
$983.00 |
|
|
Peripheral vascular rehab
|
$81.50 |
$163.98 |
$182.65 |
|
|
Peri-proc device eval icd
|
$163.00 |
$291.25 |
$291.25 |
|
|
Peri-proc device eval pm
|
$86.00 |
$228.03 |
$228.03 |
|
|
Peritoneogram rs&i
|
$362.48 |
$362.48 |
$362.48 |
|
|
Perit-vens shunt pat tst
|
$696.50 |
$696.50 |
$696.50 |
|
|
Permanent tear duct plug
|
$291.00 |
$291.00 |
$291.00 |
|
|
Perq art m-thrombect &/nfs
|
$9,135.18 |
$9,135.18 |
$31,101.00 |
|
|
Perq clsr tcat l atr apndge
|
$5,651.50 |
$22,379.00 |
$22,379.00 |
|
|
Perq dev breast 1st mr guide
|
$4,418.50 |
$4,418.50 |
$4,418.50 |
|
|
Perq dev breast 1st strtctc
|
$525.50 |
$1,795.43 |
$1,795.43 |
|
|
Perq p-art revsc 1 abnor bi
|
$30,378.63 |
$30,378.63 |
$30,378.63 |
|
|
Perq p-art revsc 1 abnor uni
|
$20,544.05 |
$20,544.05 |
$20,544.05 |
|
|
Perq p-art revsc 1 nm nt bi
|
$30,378.63 |
$30,378.63 |
$30,378.63 |
|
|
Perq p-art revsc 1 nm nt uni
|
$20,544.05 |
$20,544.05 |
$20,544.05 |
|
|
Perq p-art revsc each addl
|
$9,834.60 |
$9,834.60 |
$9,834.60 |
|
|
Perq plmt bile duct stent
|
$5,051.50 |
$5,051.50 |
$5,498.00 |
|
|
Perq plmt bile duct stent
|
$3,865.55 |
$3,865.55 |
$6,810.50 |
|
|
Perq plmt bile duct stent
|
$6,783.55 |
$6,783.55 |
$6,810.50 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$598.40 |
$598.40 |
$699.50 |
|
|
Perq transcath closure each
|
$21,714.03 |
$21,714.03 |
$21,714.03 |
|
|
Perq transcath closure pda
|
$13,576.35 |
$13,576.35 |
$14,936.00 |
|
|
Perq transcath cls aortic
|
$43,427.90 |
$43,427.90 |
$43,427.90 |
|
|
Perq transcath cls mitral
|
$29,749.00 |
$43,427.90 |
$43,427.90 |
|
|
Perq transcath septal reduxn
|
$12,121.78 |
$12,121.78 |
$15,185.00 |
|
|
Perq trluml angp nt/recr coa
|
$9,074.63 |
$9,074.63 |
$9,074.63 |
|
|
Perq tx malar fracture
|
$6,226.40 |
$6,226.40 |
$6,226.40 |
|
|
Pertussis ag if
|
$56.50 |
$56.50 |
$56.50 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$13,666.00 |
$13,666.00 |
$34,130.05 |
|
|
Pertuzu, trastuzu, 10 mg
|
$27,858.08 |
$27,858.08 |
$59,250.93 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$40.00 |
$62.50 |
$62.50 |
|
|
Pet CT skull-mid thgh initial
|
$3,975.50 |
$3,975.50 |
$9,919.00 |
|
|
Pet CT whole body initial
|
$4,174.25 |
$4,174.25 |
$10,911.00 |
|
|
Pet fdg brain metoblic eval sb
|
$2,500.00 |
$2,945.18 |
$2,945.18 |
|
|
Pet image full body
|
$5,425.50 |
$5,425.50 |
$10,667.00 |
|
|
Pet image ltd area
|
$5,425.50 |
$5,425.50 |
$5,425.50 |
|
|
Pet image skull-thigh
|
$5,425.50 |
$5,425.50 |
$5,425.50 |
|
|
Pet image w/ct lmtd
|
$3,960.15 |
$3,960.15 |
$4,409.00 |
|
|
Pet not otherwise specified
|
$576.30 |
$576.30 |
$576.30 |
|