|
Pelvic CT scan (with and without contrast)
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,758.90 |
$1,758.90 |
$1,758.90 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,598.35 |
$1,598.35 |
$1,598.35 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,124.85 |
$2,124.85 |
$2,124.85 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,045.55 |
$2,045.55 |
$2,045.55 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$772.85 |
$772.85 |
$772.85 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$516.75 |
$516.75 |
$516.75 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,273.24 |
$16,273.24 |
$16,273.24 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,706.60 |
$10,706.60 |
$10,706.60 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,133.70 |
$1,133.70 |
$1,133.70 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.50 |
$53.50 |
$53.50 |
$100.50
|
|
Penile injection
|
$558.35 |
$558.35 |
$558.35 |
$418.00
|
|
Penile vascular study
|
$956.80 |
$956.80 |
$956.80 |
$561.00
|
|
Penile vascular study
|
$531.70 |
$531.70 |
$531.70 |
$460.20
|
|
Perc cryo ablate renal tum
|
$5,573.10 |
$5,573.10 |
$5,573.10 |
$12,320.22
|
|
Perc rf ablate renal tumor
|
$9,687.60 |
$9,687.60 |
$9,687.60 |
$6,949.48
|
|
Percut ablate liver rf
|
$4,856.15 |
$4,856.15 |
$4,856.15 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$370.40 |
$370.40 |
$370.40 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$6,022.90 |
$6,022.90 |
$6,022.90 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$4,574.70 |
$4,574.70 |
$4,574.70 |
$2,573.60
|
|
Peritoneogram rs&i
|
$1,730.95 |
$1,730.95 |
$1,730.95 |
$648.84
|
|
Perq art m-thrombect &/nfs
|
$21,915.40 |
$21,915.40 |
$21,915.40 |
$7,796.10
|
|
Perq nl/pl lithotrp smpl<2cm
|
$2,460.90 |
$2,460.90 |
$2,460.90 |
$8,748.48
|
|
Perq p-art revsc 1 abnor bi
|
$16,739.45 |
$16,739.45 |
$16,739.45 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$13,949.65 |
$13,949.65 |
$13,949.65 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$14,123.20 |
$14,123.20 |
$14,123.20 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$11,770.20 |
$11,770.20 |
$11,770.20 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$11,159.20 |
$11,159.20 |
$11,159.20 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$12,814.75 |
$12,814.75 |
$12,814.75 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$14,950.65 |
$14,950.65 |
$14,950.65 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$15,302.95 |
$15,302.95 |
$15,302.95 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,443.20 |
$18,443.20 |
$18,443.20 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$37,576.01 |
$37,576.01 |
$37,576.01 |
$41,963.08
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,755.27 |
$1,755.27 |
$1,755.27 |
$34,848.45
|
|
Ph body fluid
|
$100.75 |
$100.75 |
$100.75 |
$39.20
|
|
Phencyclidine (pcp)
|
$127.40 |
$127.40 |
$127.40 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$56.00 |
$56.00 |
$56.00 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$104.00 |
$104.00 |
$104.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,424.44 |
$1,424.44 |
$1,424.44 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$21.42 |
$21.42 |
$21.42 |
$58.49
|
|
Phenytoin total therapeutic drug level
|
$74.10 |
$74.10 |
$74.10 |
$111.27
|
|
Phlebotomy therapeutic
|
$210.60 |
$210.60 |
$210.60 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$9,804.60 |
$9,804.60 |
$9,804.60 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$11,438.70 |
$11,438.70 |
$11,438.70 |
$4,341.66
|
|
Phosphorus
|
$228.15 |
$228.15 |
$228.15 |
$47.81
|
|
Phosphorus 24 hour urine
|
$85.80 |
$85.80 |
$85.80 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$57.46 |
$57.46 |
$57.46 |
$86.36
|
|
Pin finger fracture each
|
$1,418.95 |
$1,418.95 |
$1,418.95 |
$3,910.33
|
|
Pinworm exam
|
$104.65 |
$104.65 |
$104.65 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$30.91 |
$30.91 |
$30.91 |
$95.01
|
|
Place cecostomy tube perc
|
$4,795.05 |
$4,795.05 |
$4,795.05 |
$2,576.20
|
|
Place duod/jej tube perc
|
$4,925.70 |
$4,925.70 |
$4,925.70 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$4,925.70 |
$4,925.70 |
$4,925.70 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$955.50 |
$955.50 |
$955.50 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$232.05 |
$232.05 |
$232.05 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$955.50 |
$955.50 |
$955.50 |
$1,372.15
|
|
Placement occlusive device venous/arterial access site post procedure
|
$101.40 |
$101.40 |
$101.40 |
$650.65
|
|
Placental lactogen
|
$408.20 |
$408.20 |
$408.20 |
$143.67
|
|
Platelet aggregation each agent teg
|
$396.50 |
$396.50 |
$396.50 |
$147.96
|
|
Platelet automated
|
$49.40 |
$49.40 |
$49.40 |
$44.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$2,364.05 |
$2,364.05 |
$2,364.05 |
$1,235.40
|
|
Platelets leukocytes reduced each unit
|
$3,534.05 |
$3,534.05 |
$3,534.05 |
$273.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$235.95 |
$235.95 |
$235.95 |
$334.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,200.25 |
$2,200.25 |
$2,200.25 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,363.40 |
$2,363.40 |
$2,363.40 |
$1,180.31
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,978.60 |
$1,978.60 |
$1,978.60 |
$879.36
|
|
Plcmnt biliary drainage cath w/img ext
|
$9,681.75 |
$9,681.75 |
$9,681.75 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$6,402.50 |
$6,402.50 |
$6,402.50 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$10,801.70 |
$10,801.70 |
$10,801.70 |
$5,333.44
|
|
Plcmt dlyd xtn pros 1st vsl
|
$6,201.00 |
$6,201.00 |
$6,201.00 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$829.40 |
$829.40 |
$829.40 |
$1,292.45
|
|
Plcmt xtn pros evasc rpr per vsl
|
$5,406.70 |
$5,406.70 |
$5,406.70 |
$3,969.00
|
|
Plc pq device breast ea addl lesion stereo guide
|
$228.15 |
$228.15 |
$228.15 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$228.15 |
$228.15 |
$228.15 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$135.85 |
$135.85 |
$135.85 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$6,201.65 |
$6,201.65 |
$6,201.65 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$12,086.10 |
$12,086.10 |
$12,086.10 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$9,051.90 |
$9,051.90 |
$9,051.90 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$10,801.70 |
$10,801.70 |
$10,801.70 |
$5,419.00
|
|
Pmp22 gene dup/delet
|
$1,265.55 |
$1,265.55 |
$1,265.55 |
$1,029.75
|
|
Pmp22 gene known fam variant
|
$766.35 |
$766.35 |
$766.35 |
$51.26
|
|
Pms2 gene dup/delet variants
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$407.20
|
|
Pms2 gene full seq analysis
|
$2,183.35 |
$2,183.35 |
$2,183.35 |
$860.68
|
|
Pms2 known familial variants
|
$1,088.75 |
$1,088.75 |
$1,088.75 |
$397.20
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$107.90 |
$107.90 |
$107.90 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$4,293.60
|
|
Positional nystagmus test
|
$232.70 |
$232.70 |
$232.70 |
$109.44
|
|
Potassium 24 hour urine
|
$64.35 |
$64.35 |
$64.35 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$57.26 |
$57.26 |
$57.26 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$9.75 |
$9.75 |
$9.75 |
$44.64
|
|
Pq biliary strict dil s&i
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$947.70 |
$947.70 |
$947.70 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$7,697.30 |
$7,697.30 |
$7,697.30 |
$10,430.78
|
|
Pq thr inj ext pse
|
$3,142.10 |
$3,142.10 |
$3,142.10 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,646.20 |
$4,646.20 |
$4,646.20 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$6,905.60 |
$6,905.60 |
$6,905.60 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,894.55 |
$6,894.55 |
$6,894.55 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$1,589.22 |
$1,589.22 |
$1,589.22 |
$374.55
|