|
Pelvic MRI (without contrast)
|
$2,682.75 |
$2,682.75 |
$2,682.75 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$736.50 |
$736.50 |
$736.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$590.25 |
$590.25 |
$590.25 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$184.50 |
$184.50 |
$184.50 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$351.75 |
$351.75 |
$351.75 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$21,806.82 |
$21,806.82 |
$21,806.82 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$13,859.24 |
$13,859.24 |
$13,859.24 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,592.13 |
$2,592.13 |
$2,592.13 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$203.37 |
$203.37 |
$203.37 |
$97.85
|
|
Penile injection
|
$345.00 |
$345.00 |
$345.00 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$26,765.44 |
$26,765.44 |
$26,765.44 |
$18,764.94
|
|
Penile vascular study
|
$948.75 |
$948.75 |
$948.75 |
$561.00
|
|
Penile vascular study
|
$435.00 |
$435.00 |
$435.00 |
$574.60
|
|
Pentamidine 300 mg solution for injection
|
$572.10 |
$572.10 |
$572.10 |
$572.10
|
|
Pentamidine non-comp unit
|
$396.65 |
$396.65 |
$396.65 |
$294.39
|
|
Pentobarbital sodium inj
|
$3,170.80 |
$3,170.80 |
$3,170.80 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$8,715.64 |
$8,715.64 |
$8,715.64 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$8,862.75 |
$8,862.75 |
$8,862.75 |
$11,523.76
|
|
Perc d-e cor revasc t cabg b
|
$23,011.50 |
$23,011.50 |
$23,011.50 |
$11,976.00
|
|
Perc d-e cor stent ather br
|
$16,909.50 |
$16,909.50 |
$16,909.50 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$23,085.00 |
$23,085.00 |
$23,085.00 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$11,075.25 |
$11,075.25 |
$11,075.25 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$11,380.50 |
$11,380.50 |
$11,380.50 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$5,871.75 |
$5,871.75 |
$5,871.75 |
$7,243.60
|
|
Percut ablate liver rf
|
$9,437.25 |
$9,437.25 |
$9,437.25 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$321.71 |
$321.71 |
$321.71 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,676.75 |
$2,676.75 |
$2,676.75 |
$2,440.31
|
|
Peripheral vascular rehab
|
$139.50 |
$139.50 |
$139.50 |
$132.50
|
|
Peri-proc device eval icd
|
$378.00 |
$378.00 |
$378.00 |
$192.40
|
|
Peri-proc device eval pm
|
$202.50 |
$202.50 |
$202.50 |
$156.00
|
|
Permanent tear duct plug
|
$217.51 |
$217.51 |
$217.51 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$9,473.25 |
$9,473.25 |
$9,473.25 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$7,520.25 |
$7,520.25 |
$7,520.25 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$4,495.50 |
$4,495.50 |
$4,495.50 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$2,148.75 |
$2,148.75 |
$2,148.75 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$44,278.50 |
$44,278.50 |
$44,278.50 |
$22,559.00
|
|
Perq p-art revsc 1 nm nt bi
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$13,844.25 |
$13,844.25 |
$13,844.25 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$12,221.25 |
$12,221.25 |
$12,221.25 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$9,694.50 |
$9,694.50 |
$9,694.50 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$12,561.75 |
$12,561.75 |
$12,561.75 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$591.75 |
$591.75 |
$591.75 |
$625.93
|
|
Perq transcath closure each
|
$10,098.75 |
$10,098.75 |
$10,098.75 |
$9,204.00
|
|
Perq transcath septal reduxn
|
$8,844.00 |
$8,844.00 |
$8,844.00 |
$8,999.20
|
|
Pertuzumab 30 mg/ml desensitization
|
$25,218.78 |
$25,218.78 |
$25,218.78 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$51,456.39 |
$51,456.39 |
$51,456.39 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$2,581.50 |
$2,581.50 |
$2,581.50 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,999.25 |
$2,999.25 |
$2,999.25 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,126.75 |
$3,126.75 |
$3,126.75 |
$4,060.00
|
|
Pet image ltd area
|
$2,478.75 |
$2,478.75 |
$2,478.75 |
$3,809.11
|
|
Pet image w/ct lmtd
|
$2,528.25 |
$2,528.25 |
$2,528.25 |
$4,349.76
|
|
Pet scan brain perf study
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,024,537.50 |
$1,024,537.50 |
$1,024,537.50 |
$39,920.50
|
|
Ph body fluid
|
$85.50 |
$85.50 |
$85.50 |
$42.00
|
|
Phencyclidine (pcp)
|
$402.75 |
$402.75 |
$402.75 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$203.37 |
$203.37 |
$203.37 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$58.80 |
$58.80 |
$58.80 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.71 |
$7.71 |
$7.71 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$324.00 |
$324.00 |
$324.00 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,068.25 |
$3,068.25 |
$3,068.25 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$4,621.21
|
|
Phosphorus
|
$45.00 |
$45.00 |
$45.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$97.50 |
$97.50 |
$97.50 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$273.00 |
$273.00 |
$273.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$276.00 |
$276.00 |
$276.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$276.00 |
$276.00 |
$276.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$186.00 |
$186.00 |
$186.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$158.14 |
$158.14 |
$158.14 |
$90.25
|
|
Pin caspar distraction 12mm
|
$53,100.00 |
$53,100.00 |
$53,100.00 |
$11,759.36
|
|
Pinworm exam
|
$24.75 |
$24.75 |
$24.75 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$407.95 |
$407.95 |
$407.95 |
$81.36
|
|
Place cath intracranial art
|
$6,437.25 |
$6,437.25 |
$6,437.25 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$5,439.00 |
$5,439.00 |
$5,439.00 |
$4,202.90
|
|
Place duod/jej tube perc
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$1,547.25 |
$1,547.25 |
$1,547.25 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,562.25 |
$1,562.25 |
$1,562.25 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,417.50 |
$1,417.50 |
$1,417.50 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,433.50 |
$3,433.50 |
$3,433.50 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$9,402.75 |
$9,402.75 |
$9,402.75 |
$13,879.25
|
|
Place ndl musc/tis for right
|
$3,220.50 |
$3,220.50 |
$3,220.50 |
$3,591.33
|
|
Place slctv cath carotd art uni
|
$8,814.75 |
$8,814.75 |
$8,814.75 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,230.50 |
$5,230.50 |
$5,230.50 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,200.50 |
$8,200.50 |
$8,200.50 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$4,298.25 |
$4,298.25 |
$4,298.25 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$7,640.25 |
$7,640.25 |
$7,640.25 |
$9,090.00
|
|
Platelet aggregation each agent teg
|
$171.00 |
$171.00 |
$171.00 |
$148.98
|
|
Platelet automated
|
$25.50 |
$25.50 |
$25.50 |
$46.00
|
|
Platelet pheresis each unit
|
$842.25 |
$842.25 |
$842.25 |
$1,012.80
|
|
Platelet pheresis irr ea
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$1,108.52
|
|
Platelets each unit
|
$1,555.50 |
$1,555.50 |
$1,555.50 |
$169.29
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,642.50 |
$1,642.50 |
$1,642.50 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,487.00 |
$2,487.00 |
$2,487.00 |
$1,005.65
|
