|
Pentamidine non-comp unit
|
$134.55 |
$134.55 |
$134.55 |
$294.39
|
|
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 |
$11,533.76
|
|
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
|
$356.12 |
$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
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$11,700.00 |
$11,700.00 |
$11,700.00 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$4,040.40 |
$4,040.40 |
$4,040.40 |
$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
|
$220.35 |
$220.35 |
$349.05 |
$184.60
|
|
Peri-proc device eval pm
|
$196.30 |
$196.30 |
$282.10 |
$151.92
|
|
Peritoneal cath sub q resv per
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$5,625.74
|
|
Peritoneogram rs&i
|
$2,583.75 |
$2,583.75 |
$2,583.75 |
$698.50
|
|
Perit-vens shunt pat tst
|
$2,031.25 |
$2,031.25 |
$2,031.25 |
$787.20
|
|
Permanent tear duct plug
|
$9.10 |
$9.10 |
$9.10 |
$291.00
|
|
Perphenazine 4mg oral
|
$1.30 |
$1.30 |
$1.30 |
$2.58
|
|
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 |
$8,767.54
|
|
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 |
$27,649.05 |
$27,649.05 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$18,599.75
|
|
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 transcath closure each
|
$2,193.10 |
$2,193.10 |
$2,193.10 |
$9,204.00
|
|
Perq transcath closure pda
|
$33,335.25 |
$33,335.25 |
$33,335.25 |
$18,408.00
|
|
Perq transcath cls aortic
|
$42,448.90 |
$42,448.90 |
$42,448.90 |
$22,779.00
|
|
Perq transcath cls mitral
|
$39,898.95 |
$39,898.95 |
$39,898.95 |
$23,883.21
|
|
Perq transcath septal reduxn
|
$3,783.65 |
$3,783.65 |
$3,783.65 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$4,373.20 |
$4,373.20 |
$4,373.20 |
$6,658.00
|
|
Perq tx big toe fracture w/manip 28496
|
$644.80 |
$644.80 |
$644.80 |
$3,981.06
|
|
Perq tx malar fracture
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$4,627.00
|
|
Perq tx nasoethmoid fx
|
$2,987.40 |
$2,987.40 |
$2,987.40 |
$4,558.89
|
|
Pertussis ag if
|
$53.95 |
$53.95 |
$53.95 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$30.30 |
$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 |
$74.75 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$6,541.60 |
$6,541.60 |
$7,176.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,541.60 |
$6,541.60 |
$7,191.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,931.60 |
$6,931.60 |
$6,931.60 |
$4,060.00
|
|
Pet image full body
|
$7,061.60 |
$7,061.60 |
$7,061.60 |
$5,148.14
|
|
Pet image ltd area
|
$5,855.20 |
$5,855.20 |
$6,255.60 |
$3,809.11
|
|
Pet image skull-thigh
|
$6,541.60 |
$6,541.60 |
$7,043.40 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$6,541.60 |
$6,541.60 |
$7,113.60 |
$4,366.50
|
|
Pet not otherwise specified
|
$5,765.50 |
$5,765.50 |
$5,765.50 |
$1,070.40
|
|
Pfc sigma fem post aug sz3 8mm
|
$562.58 |
$562.58 |
$562.58 |
$40,252.07
|
|
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 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$66.30 |
$66.30 |
$66.30 |
$31.20
|
|
Phalangectomy ea toe 28150
|
$1,099.80 |
$9,701.25 |
$9,701.25 |
$2,508.80
|
|
Pharmacologic management w/psytx
|
$124.80 |
$124.80 |
$124.80 |
$78.96
|
|
Ph body fluid
|
$16.25 |
$16.25 |
$16.25 |
$41.60
|
|
Phencyclidine (pcp)
|
$70.20 |
$70.20 |
$70.20 |
$90.00
|
|
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 |
$105.00
|
|
Phentolaine mesylate inj
|
$108.81 |
$1,146.52 |
$1,146.52 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.48 |
$9.48 |
$9.48 |
$61.89
|
|
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 |
$110.88
|
|
Phlebotomy therapeutic
|
$577.85 |
$577.85 |
$577.85 |
$235.11
|
|
Phleb veins 1 extrm 10-20 stab
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$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 |
$48.60
|
|
Phosphorus 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$42.25
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$115.70 |
$115.70 |
$115.70 |
$176.00
|
|
Photochemotherapy puva
|
$115.70 |
$115.70 |
$115.70 |
$181.79
|
|
Photodynamic tx addl 15 min
|
$143.00 |
$143.00 |
$143.00 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$286.00 |
$286.00 |
$286.00 |
$582.40
|
|
Photo patch test
|
$115.70 |
$115.70 |
$115.70 |
$71.50
|
|
Photopheresis
|
$17,511.00 |
$17,511.00 |
$17,511.00 |
$7,967.00
|
|
Photosensitivity tests
|
$251.55 |
$251.55 |
$251.55 |
$142.80
|
|
Phys blood bank serv authrj
|
$269.10 |
$269.10 |
$269.10 |
$97.60
|
|
Phys blood bank serv reactj
|
$768.30 |
$768.30 |
$768.30 |
$207.50
|
|
Phys blood bank serv xmatch
|
$269.10 |
$269.10 |
$269.10 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$393.25 |
$393.25 |
$400.40 |
$292.80
|
|
Physical Therapy Evaluation (low complexity)
|
$393.25 |
$393.25 |
$400.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$393.25 |
$393.25 |
$400.40 |
$257.34
|
