|
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
|
$74.75 |
$74.75 |
$74.75 |
$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 image ltd area
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$3,809.11
|
|
Pet image skull-thigh
|
$6,541.60 |
$6,541.60 |
$6,541.60 |
$4,589.00
|
|
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
|
|
Phalangectomy ea toe 28150
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$2,508.80
|
|
Ph body fluid
|
$16.25 |
$16.25 |
$16.25 |
$42.00
|
|
Phencyclidine (pcp)
|
$70.20 |
$70.20 |
$70.20 |
$96.39
|
|
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
|
|
Phentolaine mesylate inj
|
$1,146.52 |
$1,146.52 |
$1,146.52 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.48 |
$9.48 |
$9.48 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.62 |
$1.62 |
$1.62 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$111.20
|
|
Phlebotomy therapeutic
|
$577.85 |
$577.85 |
$577.85 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,516.05
|
|
Phosphorus
|
$21.45 |
$21.45 |
$21.45 |
$48.96
|
|
Phosphorus 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$42.25
|
|
Photochemotherapy puva
|
$108.55 |
$108.55 |
$108.55 |
$181.79
|
|
Photopheresis
|
$500.50 |
$500.50 |
$500.50 |
$8,010.00
|
|
Phys blood bank serv reactj
|
$269.10 |
$269.10 |
$269.10 |
$207.50
|
|
Phys blood bank serv xmatch
|
$269.10 |
$269.10 |
$269.10 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$393.25 |
$393.25 |
$393.25 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$393.25 |
$393.25 |
$393.25 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$393.25 |
$393.25 |
$393.25 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$248.95 |
$248.95 |
$248.95 |
$155.00
|
|
Physician standby services
|
$312.00 |
$312.00 |
$312.00 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$115.73 |
$115.73 |
$115.73 |
$89.82
|
|
Pierce earlobes 69090
|
$43.55 |
$43.55 |
$43.55 |
$75.20
|
|
Piflu f-18, dia 1 millicurie
|
$484.25 |
$484.25 |
$484.25 |
$1,038.40
|
|
Pik3ca gene trgt seq alys
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$165.10 |
$165.10 |
$165.10 |
$537.66
|
|
Pin caspar distraction 12mm
|
$15,796.30 |
$15,796.30 |
$15,796.30 |
$11,672.88
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$1,116.00
|
|
Pin finger dislocation
|
$1,297.40 |
$1,297.40 |
$1,297.40 |
$3,839.54
|
|
Pin finger fracture each
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$4,192.86
|
|
Pin hand dislocation
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$3,839.54
|
|
Pin knuckle dislocation
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,821.05
|
|
Pinworm exam
|
$18.85 |
$18.85 |
$18.85 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$343.43 |
$343.43 |
$343.43 |
$81.36
|
|
Place breast cath for rad
|
$447.20 |
$447.20 |
$447.20 |
$3,332.00
|
|
Place cath intracranial art
|
$3,799.90 |
$3,799.90 |
$3,799.90 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$4,202.90 |
$4,202.90 |
$4,202.90 |
$4,202.90
|
|
Place cecostomy tube perc
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,580.90
|
|
Place duod/jej tube perc
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,562.75
|
|
Place gastrostomy tube open 43832
|
$4,508.40 |
$4,508.40 |
$4,508.40 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,308.95
|
|
Placement bile duct support
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$2,732.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$544.70 |
$544.70 |
$544.70 |
$571.45
|
|
Placement of seton
|
$531.70 |
$531.70 |
$531.70 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$26,041.60 |
$26,041.60 |
$26,041.60 |
$13,879.25
|
|
Place needles pelvic for right
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$5,274.33
|
|
Place po breast cath for rad
|
$943.80 |
$943.80 |
$943.80 |
$10,741.80
|
|
Place right device/marker pros
|
$4,091.10 |
$4,091.10 |
$4,091.10 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$9,200.62
|
|
Plasma cryoprecipitate reduced each unit
|
$660.40 |
$660.40 |
$660.40 |
$163.04
|
|
Plastic surgery neck
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$2,793.57
|
|
Platelet aggregation each agent teg
|
$111.80 |
$111.80 |
$111.80 |
$148.98
|
|
Platelet automated
|
$20.15 |
$20.15 |
$20.15 |
$45.76
|
|
Platelet pheresis each unit
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$1,015.50
|
|
Platelet pheresis irr ea
|
$2,635.75 |
$2,635.75 |
$2,635.75 |
$1,108.52
|
|
Platelets each unit
|
$340.60 |
$340.60 |
$340.60 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,487.25 |
$3,487.25 |
$3,487.25 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$609.05 |
$609.05 |
$609.05 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$564.20 |
$564.20 |
$564.20 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$921.05 |
$921.05 |
$921.05 |
$411.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,059.85 |
$2,059.85 |
$2,059.85 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,184.65 |
$2,184.65 |
$2,184.65 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,030.30 |
$3,030.30 |
$3,030.30 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$15,863.90 |
$15,863.90 |
$15,863.90 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$401.05 |
$401.05 |
$401.05 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$332.80 |
$332.80 |
$332.80 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$758.52
|
|
Plerixafor injection
|
$19,437.74 |
$19,437.74 |
$19,437.74 |
$16,079.30
|
