|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$11,231.46 |
$11,231.46 |
$11,231.46 |
$6,202.54
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,029.66 |
$1,029.66 |
$1,029.66 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$43.98 |
$43.98 |
$43.98 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$35,333.20 |
$35,333.20 |
$35,333.20 |
$18,349.50
|
|
Pentamidine 300 mg solution for injection
|
$680.94 |
$680.94 |
$680.94 |
$453.61
|
|
Pentamidine non-comp unit
|
$680.94 |
$680.94 |
$680.94 |
$279.76
|
|
Perc cryo ablate renal tum
|
$16,397.40 |
$16,397.40 |
$16,397.40 |
$11,458.04
|
|
Perc rf ablate renal tumor
|
$14,963.40 |
$14,963.40 |
$14,963.40 |
$6,949.48
|
|
Percut ablate liver rf
|
$10,862.40 |
$10,862.40 |
$10,862.40 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$3,364.20 |
$3,364.20 |
$3,364.20 |
$2,341.50
|
|
Peri-implt capslc brst compl
|
$31,250.30 |
$31,250.30 |
$31,250.30 |
$3,959.84
|
|
Peritoneal cath sub q resv per
|
$14,677.80 |
$14,677.80 |
$14,677.80 |
$6,075.30
|
|
Peritoneogram rs&i
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$689.15
|
|
Permanent tear duct plug
|
$342.60 |
$342.60 |
$342.60 |
$262.41
|
|
Peroneal straps pair pre ots
|
$45.91 |
$45.91 |
$45.91 |
$40.44
|
|
Perq dev breast 1st mr guide
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$709.20 |
$709.20 |
$709.20 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$9,992.40 |
$9,992.40 |
$9,992.40 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$9,992.40 |
$9,992.40 |
$9,992.40 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$9,992.40 |
$9,992.40 |
$9,992.40 |
$7,085.70
|
|
Pertussis ag if
|
$135.00 |
$135.00 |
$135.00 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,947.34 |
$18,947.34 |
$18,947.34 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$286.15 |
$286.15 |
$286.15 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$4,711.20
|
|
Pet CT whole body initial
|
$3,082.20 |
$3,082.20 |
$3,082.20 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,207.60 |
$3,207.60 |
$3,207.60 |
$3,789.00
|
|
Pet image w/ct lmtd
|
$2,762.40 |
$2,762.40 |
$2,762.40 |
$4,366.50
|
|
Pfc sigma fem post aug sz3 8mm
|
$127,595.71 |
$127,595.71 |
$127,595.71 |
$34,920.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$55.20 |
$55.20 |
$55.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$82.20 |
$82.20 |
$82.20 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$28.20 |
$28.20 |
$28.20 |
$31.20
|
|
Ph body fluid
|
$58.20 |
$58.20 |
$58.20 |
$40.04
|
|
Phencyclidine (pcp)
|
$83.40 |
$83.40 |
$83.40 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$139.56 |
$139.56 |
$139.56 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$133.80 |
$133.80 |
$133.80 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,999.08 |
$1,999.08 |
$1,999.08 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$81.60 |
$81.60 |
$81.60 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$226.20 |
$226.20 |
$226.20 |
$112.50
|
|
Phleb veins 1 extrm 10-20 stab
|
$10,142.40 |
$10,142.40 |
$10,142.40 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$10,142.40 |
$10,142.40 |
$10,142.40 |
$4,453.46
|
|
Phosphorus
|
$52.20 |
$52.20 |
$52.20 |
$49.60
|
|
Phosphorus 24 hour urine
|
$73.80 |
$73.80 |
$73.80 |
$41.58
|
|
Phys blood bank serv reactj
|
$135.60 |
$135.60 |
$135.60 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$50.46 |
$50.46 |
$50.46 |
$85.79
|
|
Pik3ca gene trgt seq alys
|
$463.20 |
$463.20 |
$463.20 |
$453.18
|
|
Pillow shldr abduc inflat univ
|
$1,949.74 |
$1,949.74 |
$1,949.74 |
$446.60
|
|
Pin caspar distraction 12mm
|
$27,407.90 |
$27,407.90 |
$27,407.90 |
$11,672.88
|
|
Pinworm exam
|
$58.80 |
$58.80 |
$58.80 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$14.28 |
$14.28 |
$14.28 |
$83.57
|
|
Place cath intracranial art
|
$12,024.60 |
$12,024.60 |
$12,024.60 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$12,024.60 |
$12,024.60 |
$12,024.60 |
$4,202.65
|
|
Place duod/jej tube perc
|
$2,377.80 |
$2,377.80 |
$2,377.80 |
$2,577.56
|
|
Place gastrostomy tube perc
|
$2,264.40 |
$2,264.40 |
$2,264.40 |
$2,244.82
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,213.80 |
$1,213.80 |
$1,213.80 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$645.00 |
$645.00 |
$645.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,500.40 |
$3,500.40 |
$3,500.40 |
$4,094.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$585.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$23,200.80 |
$23,200.80 |
$23,200.80 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$5,018.40 |
$5,018.40 |
$5,018.40 |
$5,274.33
|
|
Placental lactogen
|
$248.40 |
$248.40 |
$248.40 |
$163.28
|
|
Place po breast cath for rad
|
$14,853.60 |
$14,853.60 |
$14,853.60 |
$11,066.55
|
|
Place right device/marker pros
|
$2,586.60 |
$2,586.60 |
$2,586.60 |
$1,905.00
|
|
Place slctv cath carotd art uni
|
$12,024.60 |
$12,024.60 |
$12,024.60 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,018.40 |
$5,018.40 |
$5,018.40 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,018.40 |
$5,018.40 |
$5,018.40 |
$8,652.66
|
|
Place slctv cath subclavian art
|
$12,024.60 |
$12,024.60 |
$12,024.60 |
$6,300.60
|
|
Place slctv cath vertebral art uni
|
$12,024.60 |
$12,024.60 |
$12,024.60 |
$9,040.80
|
|
Plas shoe insert w ank joint
|
$280.81 |
$280.81 |
$280.81 |
$246.72
|
|
Plastic mod low ext pad/line
|
$399.20 |
$399.20 |
$399.20 |
$244.53
|
|
Plastic mold recipro hip & c
|
$5,740.82 |
$5,740.82 |
$5,740.82 |
$5,056.93
|
|
Platelet aggregation each agent teg
|
$118.80 |
$118.80 |
$118.80 |
$136.80
|
|
Platelet automated
|
$48.00 |
$48.00 |
$48.00 |
$45.00
|
|
Platelet pheresis each unit
|
$675.00 |
$675.00 |
$675.00 |
$940.45
|
|
Platelets leukocytes reduced each unit
|
$543.00 |
$543.00 |
$543.00 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$694.80 |
$694.80 |
$694.80 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$675.00 |
$675.00 |
$675.00 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,171.80 |
$1,171.80 |
$1,171.80 |
$970.00
|
|
Plating chrome/nickel pr bar
|
$209.94 |
$209.94 |
$209.94 |
$184.93
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,401.40 |
$6,401.40 |
$6,401.40 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$23,635.80 |
$23,635.80 |
$23,635.80 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,445.00 |
$5,445.00 |
$5,445.00 |
$5,075.01
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$765.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$1,210.97
|
|
Plc pq device breast ea addl lesion stereo guide
|
$580.80 |
$580.80 |
$580.80 |
$665.73
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$645.00 |
$645.00 |
$645.00 |
$754.00
|
|
Plmt access bil tree sm bwl
|
$5,282.40 |
$5,282.40 |
$5,282.40 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$6,401.40 |
$6,401.40 |
$6,401.40 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,566.20 |
$5,566.20 |
$5,566.20 |
$4,225.00
|
|
Pmp22 gene dup/delet
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$1,062.02
|
|
Pneum full leg splnt pre ots
|
$351.36 |
$351.36 |
$351.36 |
$201.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$130.80 |
$130.80 |
$130.80 |
$187.04
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$51,702.54 |
$51,702.54 |
$51,702.54 |
$36,138.66
|
|
Post non-seg/spine instrumentation 22840
|
$45,062.16 |
$45,062.16 |
$45,062.16 |
$1,831.20
|
|
Postop app non-wgt bear dsg
|
$679.00 |
$679.00 |
$679.00 |
$896.02
|
|
Postop app non-wgt bear dsg
|
$1,577.65 |
$1,577.65 |
$1,577.65 |
$1,389.71
|
|
Postop dsg & 1 cast chg ak/d
|
$3,790.57 |
$3,790.57 |
$3,790.57 |
$3,339.01
|
