|
Pelvic MRI (without contrast)
|
$2,221.50 |
$2,221.50 |
$2,221.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$919.50 |
$919.50 |
$919.50 |
$645.00
|
|
Pelvic Ultrasound (limited)
|
$567.00 |
$567.00 |
$567.00 |
$435.13
|
|
Pelvis X-ray (1 to 2 views)
|
$300.00 |
$300.00 |
$300.00 |
$281.40
|
|
Pelvis X-ray (complete, 4 or more views)
|
$355.50 |
$355.50 |
$355.50 |
$349.57
|
|
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 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$203.37 |
$203.37 |
$203.37 |
$97.85
|
|
Penile injection
|
$306.75 |
$306.75 |
$306.75 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$26,765.44 |
$26,765.44 |
$26,765.44 |
$18,764.94
|
|
Penile vascular study
|
$1,240.50 |
$1,240.50 |
$1,240.50 |
$561.00
|
|
Penile vascular study
|
$792.00 |
$792.00 |
$792.00 |
$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
|
$6,669.00 |
$6,669.00 |
$6,669.00 |
$11,533.76
|
|
Perc d-e cor revasc chro sin
|
$32,979.75 |
$32,979.75 |
$32,979.75 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$27,913.50 |
$27,913.50 |
$27,913.50 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$32,979.75 |
$32,979.75 |
$32,979.75 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$27,915.00 |
$27,915.00 |
$27,915.00 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$32,979.75 |
$32,979.75 |
$32,979.75 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$16,054.50 |
$16,054.50 |
$16,054.50 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$16,258.50 |
$16,258.50 |
$16,258.50 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$5,724.00 |
$5,724.00 |
$5,724.00 |
$7,243.60
|
|
Percut ablate liver rf
|
$6,566.25 |
$6,566.25 |
$6,566.25 |
$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
|
$3,796.50 |
$3,796.50 |
$3,796.50 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$2,472.75 |
$2,472.75 |
$2,472.75 |
$2,418.99
|
|
Peripheral vascular rehab
|
$184.50 |
$184.50 |
$184.50 |
$132.50
|
|
Peri-proc device eval icd
|
$609.75 |
$609.75 |
$609.75 |
$184.60
|
|
Peri-proc device eval pm
|
$327.75 |
$327.75 |
$327.75 |
$151.92
|
|
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 |
$8,767.54
|
|
Perq dev breast 1st mr guide
|
$4,497.00 |
$4,497.00 |
$4,497.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$3,114.75 |
$3,114.75 |
$3,114.75 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$18,599.75
|
|
Perq p-art revsc 1 abnor uni
|
$44,278.50 |
$44,278.50 |
$44,278.50 |
$22,626.00
|
|
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
|
$4,355.25 |
$4,355.25 |
$4,355.25 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,355.25 |
$4,355.25 |
$4,355.25 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$4,355.25 |
$4,355.25 |
$4,355.25 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,159.50 |
$1,159.50 |
$1,159.50 |
$625.93
|
|
Perq transcath closure each
|
$12,118.50 |
$12,118.50 |
$12,118.50 |
$9,204.00
|
|
Perq transcath septal reduxn
|
$15,793.50 |
$15,793.50 |
$15,793.50 |
$8,828.16
|
|
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
|
$4,854.75 |
$4,854.75 |
$4,854.75 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,915.50 |
$4,915.50 |
$4,915.50 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,834.50 |
$4,834.50 |
$4,834.50 |
$4,060.00
|
|
Pet image ltd area
|
$4,590.75 |
$4,590.75 |
$4,590.75 |
$3,809.11
|
|
Pet image w/ct lmtd
|
$4,680.75 |
$4,680.75 |
$4,680.75 |
$4,366.50
|
|
Pet scan brain perf study
|
$4,525.50 |
$4,525.50 |
$4,525.50 |
$3,724.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,024,537.50 |
$1,024,537.50 |
$1,024,537.50 |
$40,252.07
|
|
Ph body fluid
|
$104.25 |
$104.25 |
$104.25 |
$41.60
|
|
Phencyclidine (pcp)
|
$498.00 |
$498.00 |
$498.00 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$203.37 |
$203.37 |
$203.37 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$153.00 |
$153.00 |
$153.00 |
$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 |
$61.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.71 |
$7.71 |
$7.71 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$308.25 |
$308.25 |
$308.25 |
$235.11
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,682.50 |
$3,682.50 |
$3,682.50 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$3,629.25 |
$3,629.25 |
$3,629.25 |
$4,516.05
|
|
Phosphorus
|
$57.75 |
$57.75 |
$57.75 |
$48.60
|
|
Phosphorus 24 hour urine
|
$108.75 |
$108.75 |
$108.75 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$297.00 |
$297.00 |
$297.00 |
$292.80
|
|
Physical Therapy Evaluation (low complexity)
|
$264.00 |
$264.00 |
$264.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$264.00 |
$264.00 |
$264.00 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$177.00 |
$177.00 |
$177.00 |
$155.40
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$158.14 |
$158.14 |
$158.14 |
$89.78
|
|
Pin caspar distraction 12mm
|
$53,100.00 |
$53,100.00 |
$53,100.00 |
$11,672.88
|
|
Pinworm exam
|
$40.50 |
$40.50 |
$40.50 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$407.95 |
$407.95 |
$407.95 |
$81.36
|
|
Place cath intracranial art
|
$7,997.25 |
$7,997.25 |
$7,997.25 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$6,755.25 |
$6,755.25 |
$6,755.25 |
$4,202.90
|
|
Place duod/jej tube perc
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$2,575.96
|
|
Place gastrostomy tube perc
|
$2,093.25 |
$2,093.25 |
$2,093.25 |
$2,316.30
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,732.25 |
$2,732.25 |
$2,732.25 |
$1,498.00
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,658.00 |
$2,658.00 |
$2,658.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,838.00 |
$2,838.00 |
$2,838.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$3,949.98
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,262.25 |
$1,262.25 |
$1,262.25 |
$581.20
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$12,427.50 |
$12,427.50 |
$12,427.50 |
$13,964.50
|
|
Place ndl musc/tis for right
|
$3,220.50 |
$3,220.50 |
$3,220.50 |
$3,545.97
|
|
Place non-slctv cath thoracic arta
|
$4,710.75 |
$4,710.75 |
$4,710.75 |
$5,274.33
|
|
Place slctv cath carotd art uni
|
$10,950.75 |
$10,950.75 |
$10,950.75 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$6,498.00 |
$6,498.00 |
$6,498.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$10,186.50 |
$10,186.50 |
$10,186.50 |
$8,924.40
|
|
Place slctv cath subclavian art
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$6,327.66
|
|
Place slctv cath vertebral art uni
|
$9,490.50 |
$9,490.50 |
$9,490.50 |
$9,320.00
|
|
Platelet aggregation each agent teg
|
$223.50 |
$223.50 |
$223.50 |
$148.98
|
|
Platelet automated
|
$43.50 |
$43.50 |
$43.50 |
$45.63
|
|
Platelet pheresis each unit
|
$1,015.50 |
$1,015.50 |
$1,015.50 |
$1,015.50
|
|
Platelet pheresis irr ea
|
$2,500.50 |
$2,500.50 |
$2,500.50 |
$1,108.52
|
