|
Pelvic CT scan (without contrast)
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,448.90 |
$3,448.90 |
$3,448.90 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,135.60 |
$3,135.60 |
$3,135.60 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,850.25 |
$2,850.25 |
$2,850.25 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$725.40 |
$725.40 |
$725.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$484.25 |
$484.25 |
$484.25 |
$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
|
$272.12 |
$272.12 |
$272.12 |
$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
|
$65.72 |
$65.72 |
$65.72 |
$100.50
|
|
Penile injection
|
$364.00 |
$364.00 |
$364.00 |
$418.00
|
|
Penile vascular study
|
$938.60 |
$938.60 |
$938.60 |
$561.00
|
|
Penile vascular study
|
$522.60 |
$522.60 |
$522.60 |
$460.20
|
|
Perc cryo ablate renal tum
|
$6,905.60 |
$6,905.60 |
$6,905.60 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$8,703.50 |
$8,703.50 |
$8,703.50 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$20,861.75 |
$20,861.75 |
$20,861.75 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$5,715.45 |
$5,715.45 |
$5,715.45 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$13,548.60 |
$13,548.60 |
$13,548.60 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$12,199.20 |
$12,199.20 |
$12,199.20 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$15,726.75 |
$15,726.75 |
$15,726.75 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$5,694.00 |
$5,694.00 |
$5,694.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$12,790.70 |
$12,790.70 |
$12,790.70 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$6,319.30 |
$6,319.30 |
$6,319.30 |
$6,949.48
|
|
Percut ablate liver rf
|
$3,307.85 |
$3,307.85 |
$3,307.85 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$489.38 |
$489.38 |
$489.38 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$13,904.80 |
$13,904.80 |
$13,904.80 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$10,561.85 |
$10,561.85 |
$10,561.85 |
$2,573.60
|
|
Peri-proc device eval icd
|
$254.80 |
$254.80 |
$254.80 |
$220.35
|
|
Peri-proc device eval pm
|
$191.75 |
$191.75 |
$191.75 |
$195.80
|
|
Peritoneal cath sub q resv per
|
$3,313.70 |
$3,313.70 |
$3,313.70 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,506.05 |
$1,506.05 |
$1,506.05 |
$648.84
|
|
Perit-vens shunt pat tst
|
$1,100.45 |
$1,100.45 |
$1,100.45 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$15,165.80 |
$15,165.80 |
$15,165.80 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$33,164.30 |
$33,164.30 |
$33,164.30 |
$12,032.67
|
|
Perq nl/pl lithotrp smpl<2cm
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$8,748.48
|
|
Perq p-art revsc 1 abnor bi
|
$22,551.10 |
$22,551.10 |
$22,551.10 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$18,792.80 |
$18,792.80 |
$18,792.80 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$19,027.45 |
$19,027.45 |
$19,027.45 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$15,855.45 |
$15,855.45 |
$15,855.45 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$15,033.20 |
$15,033.20 |
$15,033.20 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$8,848.45 |
$8,848.45 |
$8,848.45 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$9,697.35 |
$9,697.35 |
$9,697.35 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$9,697.35 |
$9,697.35 |
$9,697.35 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$625.93
|
|
Perq transcath septal reduxn
|
$12,779.65 |
$12,779.65 |
$12,779.65 |
$8,828.16
|
|
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
|
|
Pet CT skull-mid thgh initial
|
$5,185.70 |
$5,185.70 |
$5,185.70 |
$4,854.75
|
|
Pet CT whole body initial
|
$6,307.60 |
$6,307.60 |
$6,307.60 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$5,002.40 |
$5,002.40 |
$5,002.40 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$4,663.10 |
$4,663.10 |
$4,663.10 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$2,338.49 |
$2,338.49 |
$2,338.49 |
$34,848.45
|
|
Ph body fluid
|
$58.50 |
$58.50 |
$58.50 |
$39.20
|
|
Phencyclidine (pcp)
|
$99.45 |
$99.45 |
$99.45 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$109.19 |
$109.19 |
$109.19 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$46.15 |
$46.15 |
$46.15 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,310.86 |
$1,310.86 |
$1,310.86 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$21.42 |
$21.42 |
$21.42 |
$58.49
|
|
Phenylep ketorolac opth soln
|
$1,310.86 |
$1,310.86 |
$1,310.86 |
$114.30
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$25.38 |
$25.38 |
$25.38 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$32.50 |
$32.50 |
$32.50 |
$111.27
|
|
Phlebotomy therapeutic
|
$91.00 |
$91.00 |
$91.00 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$6,393.40 |
$6,393.40 |
$6,393.40 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$7,458.10 |
$7,458.10 |
$7,458.10 |
$4,341.66
|
|
Phosphorus
|
$124.15 |
$124.15 |
$124.15 |
$47.81
|
|
Phosphorus 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$65.05 |
$65.05 |
$65.05 |
$86.36
|
|
Piflu f-18, dia 1 millicurie
|
$1,027.47 |
$1,027.47 |
$1,027.47 |
$1,035.81
|
|
Pillow shldr abduc inflat univ
|
$1,554.03 |
$1,554.03 |
$1,554.03 |
$344.57
|
|
Pin finger fracture each
|
$925.60 |
$925.60 |
$925.60 |
$3,910.33
|
|
Pinworm exam
|
$100.10 |
$100.10 |
$100.10 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$156.78 |
$156.78 |
$156.78 |
$95.01
|
|
Place cath intracranial art
|
$793.00 |
$793.00 |
$793.00 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$690.30 |
$690.30 |
$690.30 |
$4,202.65
|
|
Place cecostomy tube perc
|
$3,126.50 |
$3,126.50 |
$3,126.50 |
$2,576.20
|
|
Place duod/jej tube perc
|
$3,211.65 |
$3,211.65 |
$3,211.65 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$3,211.65 |
$3,211.65 |
$3,211.65 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$315.25 |
$315.25 |
$315.25 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,116.70 |
$1,116.70 |
$1,116.70 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,725.20 |
$5,725.20 |
$5,725.20 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$65.65 |
$65.65 |
$65.65 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$27,554.80 |
$27,554.80 |
$27,554.80 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$1,687.40 |
$1,687.40 |
$1,687.40 |
$5,110.00
|
|
Placental lactogen
|
$234.65 |
$234.65 |
$234.65 |
$143.67
|
|
Place slctv cath carotd art uni
|
$8,206.90 |
$8,206.90 |
$8,206.90 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$10,180.30 |
$10,180.30 |
$10,180.30 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$6,321.90 |
$6,321.90 |
$6,321.90 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$2,128.10 |
$2,128.10 |
$2,128.10 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$340.60 |
$340.60 |
$340.60 |
$147.96
|
|
Platelet automated
|
$30.55 |
$30.55 |
$30.55 |
$44.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,925.30 |
$1,925.30 |
$1,925.30 |
$1,235.40
|
|
Platelets leukocytes reduced each unit
|
$2,878.20 |
$2,878.20 |
$2,878.20 |
$273.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$232.70 |
$232.70 |
$232.70 |
$334.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,792.05 |
$1,792.05 |
$1,792.05 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,925.30 |
$1,925.30 |
$1,925.30 |
$1,180.31
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$879.36
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,313.45 |
$6,313.45 |
$6,313.45 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$14,781.65 |
$14,781.65 |
$14,781.65 |
$8,054.72
|
