|
Pelvic Ultrasound (complete)
|
$548.80 |
$548.80 |
$902.40 |
|
|
Pelvic Ultrasound (limited)
|
$454.40 |
$474.40 |
$512.80 |
|
|
Pelvis X-ray (1 to 2 views)
|
$193.60 |
$220.00 |
$389.60 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$249.60 |
$400.80 |
$468.00 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,717.04 |
$5,717.04 |
$8,720.99 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,379.44 |
$3,379.44 |
$5,014.24 |
|
|
Pemivibart infusion
|
$783.20 |
$783.20 |
$783.20 |
|
|
Peng benzathine/procaine inj
|
$311.19 |
$311.19 |
$311.19 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$293.60 |
$421.72 |
$879.08 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$69.36 |
$69.36 |
$394.44 |
|
|
Penicillin g procaine inj
|
$47.60 |
$47.60 |
$47.60 |
|
|
Penile injection
|
$464.00 |
$464.00 |
$526.40 |
|
|
Penile rear tip xtnd 0.5cm
|
$24,595.20 |
$24,595.20 |
$24,631.20 |
|
|
Penile vascular study
|
$462.40 |
$462.40 |
$681.60 |
|
|
Pentamidine non-comp unit
|
$132.68 |
$132.68 |
$216.16 |
|
|
Pentobarbital sodium inj
|
$1,801.08 |
$1,801.08 |
$3,135.60 |
|
|
Pentostatin 10 mg intravenous solution
|
$2,248.84 |
$2,248.84 |
$4,464.63 |
|
|
Perc cryo ablate renal tum
|
$11,413.60 |
$11,413.60 |
$11,820.00 |
|
|
Perc d-e cor revasc chro add
|
$11,352.00 |
$11,352.00 |
$12,596.00 |
|
|
Perc d-e cor revasc chro sin
|
$17,990.40 |
$17,990.40 |
$25,545.60 |
|
|
Perc d-e cor revasc t cabg b
|
$11,352.00 |
$11,352.00 |
$13,254.40 |
|
|
Perc d-e cor revasc t cabg s
|
$16,113.60 |
$16,113.60 |
$22,618.40 |
|
|
Perc d-e cor stent ather br
|
$3,020.80 |
$3,020.80 |
$11,957.60 |
|
|
Perc d-e cor stent ather s
|
$26,470.40 |
$26,470.40 |
$28,672.00 |
|
|
Perc drug-el cor stent bran
|
$11,564.80 |
$11,564.80 |
$14,565.60 |
|
|
Perc drug-el cor stent sing
|
$17,790.40 |
$17,790.40 |
$21,514.40 |
|
|
Perc rf ablate renal tumor
|
$9,046.40 |
$9,046.40 |
$9,214.40 |
|
|
Percut ablate liver rf
|
$8,880.80 |
$8,880.80 |
$9,884.80 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$244.80 |
$273.00 |
$480.24 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,324.80 |
$2,324.80 |
$3,152.80 |
|
|
Pericardiocentesis wwo imaging
|
$2,432.00 |
$2,432.00 |
$2,623.20 |
|
|
Peripheral vascular rehab
|
$136.80 |
$136.80 |
$141.60 |
|
|
Peri-proc device eval icd
|
$99.20 |
$99.20 |
$220.80 |
|
|
Peri-proc device eval pm
|
$88.80 |
$88.80 |
$198.40 |
|
|
Peritoneal cath sub q resv per
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Peritoneogram rs&i
|
$466.40 |
$466.40 |
$852.80 |
|
|
Perit-vens shunt pat tst
|
$789.60 |
$789.60 |
$1,048.80 |
|
|
Permanent tear duct plug
|
$360.00 |
$360.00 |
$432.00 |
|
|
Perq art m-thrombect &/nfs
|
$10,435.20 |
$10,435.20 |
$11,601.60 |
|
|
Perq clsr tcat l atr apndge
|
$15,208.00 |
$15,208.00 |
$15,883.20 |
|
|
Perq dev breast 1st mr guide
|
$873.60 |
$873.60 |
$3,105.60 |
|
|
Perq dev breast 1st strtctc
|
$2,087.20 |
$2,087.20 |
$2,096.80 |
|
|
Perq plmt bile duct stent
|
$9,742.40 |
$9,742.40 |
$10,037.60 |
|
|
Perq plmt bile duct stent
|
$8,193.60 |
$8,193.60 |
$8,869.60 |
|
|
Perq plmt bile duct stent
|
$9,742.40 |
$9,742.40 |
$10,216.80 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$745.60 |
$745.60 |
$964.80 |
|
|
Perq transcath closure each
|
$5,352.80 |
$5,352.80 |
$5,352.80 |
|
|
Perq transcath closure pda
|
$22,406.40 |
$22,406.40 |
$28,416.80 |
|
|
Perq transcath cls aortic
|
$25,693.60 |
$25,693.60 |
$25,693.60 |
|
|
Perq transcath cls mitral
|
$24,132.00 |
$24,132.00 |
$24,132.00 |
|
|
Perq transcath septal reduxn
|
$14,810.40 |
$14,810.40 |
$19,856.00 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$5,346.55 |
$5,346.55 |
$5,346.55 |
|
|
Pertuzu, trastuzu, 10 mg
|
$8,951.00 |
$8,951.00 |
$8,951.00 |
|
|
Pet CT skull-mid thgh initial
|
$4,492.00 |
$4,492.00 |
$7,493.60 |
|
|
Pet CT whole body initial
|
$4,492.00 |
$4,492.00 |
$7,863.20 |
|
|
Pet fdg brain metoblic eval sb
|
$4,492.00 |
$4,492.00 |
$6,608.80 |
|
|
Pet image skull-thigh
|
$6,074.40 |
$6,074.40 |
$6,074.40 |
|
|
Pet image w/ct lmtd
|
$7,195.20 |
$7,195.20 |
$7,195.20 |
|
|
Pet scan brain perf study
|
$3,445.60 |
$3,445.60 |
$3,445.60 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$52,536.00 |
$52,536.00 |
$57,312.00 |
|
|
Ph body fluid
|
$34.40 |
$34.40 |
$34.40 |
|
|
Phencyclidine (pcp)
|
$96.00 |
$96.00 |
$96.00 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$94.13 |
$94.13 |
$177.77 |
|
|
Phenobarbital therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
|
|
Phentolaine mesylate inj
|
$792.44 |
$792.44 |
$1,065.43 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$30.04 |
$70.37 |
$153.12 |
|
|
Phenylep ketorolac opth soln
|
$471.87 |
$592.00 |
$1,618.20 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$16.80 |
$16.80 |
$26.90 |
|
|
Phenytoin total therapeutic drug level
|
$82.40 |
$82.40 |
$82.40 |
|
|
Phlebotomy therapeutic
|
$264.00 |
$264.00 |
$271.20 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$6,238.40 |
$6,238.40 |
$8,209.60 |
|
|
Phleb veins 1 extrm >20 stab
|
$7,216.80 |
$7,216.80 |
$8,209.60 |
|
|
Phosphorus
|
$32.80 |
$32.80 |
$32.80 |
|
|
Phosphorus 24 hour urine
|
$33.60 |
$33.60 |
$33.60 |
|
|
Photopheresis
|
$11,030.40 |
$11,030.40 |
$11,030.40 |
|
|
Physical Therapy Evaluation (high complexity)
|
$295.20 |
$308.80 |
$312.00 |
|
|
Physical Therapy Evaluation (low complexity)
|
$252.80 |
$252.80 |
$262.40 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$272.00 |
$280.00 |
$294.40 |
|
|
Physical Therapy Re-Evaluation
|
$173.60 |
$181.60 |
$185.60 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$74.16 |
$91.54 |
$134.64 |
|
|
Piflu f-18, dia 1 millicurie
|
$872.00 |
$872.00 |
$880.00 |
|
|
Pillow shldr abduc inflat univ
|
$367.08 |
$367.08 |
$440.50 |
|
|
Pin caspar distraction 12mm
|
$35,129.60 |
$35,129.60 |
$38,323.20 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$716.80 |
$716.80 |
$957.60 |
|
|
Pin finger fracture each
|
$3,984.80 |
$3,984.80 |
$5,111.20 |
|
|
Pinworm exam
|
$29.60 |
$29.60 |
$29.60 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$29.38 |
$32.95 |
$205.80 |
|
|
Place cath intracranial art
|
$5,536.00 |
$5,536.00 |
$7,125.60 |
|
|
Place cath xtrnl carotid
|
$7,012.00 |
$7,012.00 |
$7,339.20 |
|
|
Place duod/jej tube perc
|
$2,640.00 |
$2,640.00 |
$2,763.20 |
|
|
Place gastrostomy tube perc
|
$2,286.40 |
$2,286.40 |
$2,581.60 |
|
|
Placement bile duct support
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,111.20 |
$1,111.20 |
$1,772.80 |
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,345.60 |
$1,345.60 |
$1,345.60 |
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,985.60 |
$1,985.60 |
$2,095.20 |
|
|
Placement nephrostomy catheter (both sides)
|
$4,944.00 |
$4,944.00 |
$4,953.60 |
|
|
Placement occlusive device venous/arterial access site post procedure
|
$788.00 |
$788.00 |
$945.60 |
|
|
Placement of seton
|
$3,315.20 |
$3,315.20 |
$3,315.20 |
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,978.40 |
$16,978.40 |
$17,932.80 |
|
|
Place non-slctv cath thoracic arta
|
$8,304.80 |
$8,304.80 |
$10,517.60 |
|
