|
Passy muir valve metal trach
|
$216.45 |
$216.45 |
$216.45 |
$275.75
|
|
Pathogen reduced plasma sing
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$344.50
|
|
Patient recorded spirometry
|
$930.80 |
$930.80 |
$930.80 |
$338.52
|
|
Pdgfra gene
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$717.23
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$2,837.09
|
|
Ped critical care initial
|
$4,570.15 |
$4,570.15 |
$4,570.15 |
$1,446.40
|
|
Ped critical care subsq
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$2,436.20 |
$2,436.20 |
$2,436.20 |
$2,508.24
|
|
Pegaspargase injection
|
$17,150.98 |
$17,150.98 |
$17,150.98 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$25,030.16 |
$25,030.16 |
$25,030.16 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$15,307.50 |
$15,307.50 |
$15,307.50 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,282.50 |
$16,282.50 |
$16,282.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$71,938.60 |
$71,938.60 |
$71,938.60 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$1,057.04 |
$1,057.04 |
$1,057.04 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,333.20
|
|
Pelvic exenteration
|
$12,766.00 |
$12,766.00 |
$12,766.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$1,916.50
|
|
Pelvic ring fracture uni/bil
|
$4,498.65 |
$4,498.65 |
$4,498.65 |
$4,599.00
|
|
Pelvic ring fx treat int fix
|
$4,189.90 |
$4,189.90 |
$4,189.90 |
$7,413.38
|
|
Pelvic Ultrasound (complete)
|
$674.70 |
$674.70 |
$674.70 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$607.10 |
$607.10 |
$607.10 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$525.85 |
$525.85 |
$525.85 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$548.60 |
$548.60 |
$548.60 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,692.22 |
$4,692.22 |
$4,692.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,522.83 |
$2,522.83 |
$2,522.83 |
$7,089.13
|
|
Pemivibart infusion
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$533.10
|
|
Peng benzathine/procaine inj
|
$284.45 |
$284.45 |
$284.45 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$548.46 |
$548.46 |
$548.46 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.97 |
$30.97 |
$30.97 |
$97.85
|
|
Penicillin g procaine inj
|
$112.32 |
$112.32 |
$112.32 |
$149.20
|
|
Penile injection
|
$727.35 |
$727.35 |
$727.35 |
$418.86
|
|
Penile vascular study
|
$722.15 |
$722.15 |
$722.15 |
$561.00
|
|
Penis plastic surgery
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$4,081.37
|
|
Pentamidine 300 mg solution for injection
|
$390.53 |
$390.53 |
$390.53 |
$572.10
|
|
Pentobarbital sodium inj
|
$141.57 |
$141.57 |
$141.57 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$9,530.25 |
$9,530.25 |
$9,530.25 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$16,673.15 |
$16,673.15 |
$16,673.15 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$21,482.50 |
$21,482.50 |
$21,482.50 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$33,315.10 |
$33,315.10 |
$33,315.10 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$12,091.30 |
$12,091.30 |
$12,091.30 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$27,682.20 |
$27,682.20 |
$27,682.20 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$9,475.05 |
$9,475.05 |
$9,475.05 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$29,053.05 |
$29,053.05 |
$29,053.05 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$12,091.30 |
$12,091.30 |
$12,091.30 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$27,071.85 |
$27,071.85 |
$27,071.85 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$7,243.60
|
|
Percut ablate liver rf
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$438.75 |
$438.75 |
$438.75 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,454.10 |
$3,454.10 |
$3,454.10 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$3,720.60 |
$3,720.60 |
$3,720.60 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$2,854.15 |
$2,854.15 |
$2,854.15 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$3,720.50
|
|
Peripheral vascular rehab
|
$222.30 |
$222.30 |
$222.30 |
$132.50
|
|
Peri-proc device eval icd
|
$349.05 |
$349.05 |
$349.05 |
$192.40
|
|
Peri-proc device eval pm
|
$282.10 |
$282.10 |
$282.10 |
$155.00
|
|
Peritoneogram rs&i
|
$2,458.95 |
$2,458.95 |
$2,458.95 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$752.49
|
|
Perq art m-thrombect &/nfs
|
$7,796.10 |
$7,796.10 |
$7,796.10 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$8,489.00 |
$8,489.00 |
$8,489.00 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$5,980.00 |
$5,980.00 |
$5,980.00 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$3,549.00 |
$3,549.00 |
$3,549.00 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$18,035.00
|
|
Perq p-art revsc 1 abnor uni
|
$67,113.15 |
$67,113.15 |
$67,113.15 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$1,437.80 |
$1,437.80 |
$1,437.80 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$727.35 |
$727.35 |
$727.35 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$1,679.60 |
$1,679.60 |
$1,679.60 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$3,839.54
|
|
Perq trluml angp nt/recr coa
|
$2,810.60 |
$2,810.60 |
$2,810.60 |
$6,658.00
|
|
Perq tx big toe fracture w/manip 28496
|
$644.80 |
$644.80 |
$644.80 |
$3,981.06
|
|
Pertussis ag if
|
$53.95 |
$53.95 |
$53.95 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$1,519.99 |
$1,519.99 |
$1,519.99 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$2,894.63 |
$2,894.63 |
$2,894.63 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$90.35 |
$90.35 |
$90.35 |
$141.60
|
|
Pessary reusable rub anytype
|
$70.85 |
$70.85 |
$70.85 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$7,176.00 |
$7,176.00 |
$7,176.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$7,191.60 |
$7,191.60 |
$7,191.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,541.60 |
$6,541.60 |
$6,541.60 |
$4,060.00
|
|
Pet image ltd area
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$3,809.11
|
|
Pet image w/ct lmtd
|
$6,541.60 |
$6,541.60 |
$6,541.60 |
$4,349.76
|
|
Pet not otherwise specified
|
$5,765.50 |
$5,765.50 |
$5,765.50 |
$1,070.40
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$135.20 |
$135.20 |
$135.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$203.45 |
$203.45 |
$203.45 |
$91.30
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$66.30 |
$66.30 |
$66.30 |
$31.20
|
|
Ph body fluid
|
$16.25 |
$16.25 |
$16.25 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$107.64 |
$107.64 |
$107.64 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$68.90 |
$68.90 |
$68.90 |
$104.80
|
