|
Paring/cutting benign hyperkeratotic lesion single
|
$142.80 |
$142.80 |
$142.80 |
$245.00
|
|
Partial removal finger bone
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$2,049.27
|
|
Partial removal foot fascia
|
$10,668.00 |
$10,668.00 |
$10,668.00 |
$3,762.00
|
|
Partial removal of ulna
|
$7,900.74 |
$7,900.74 |
$7,900.74 |
$3,839.54
|
|
Partial removal of ulna
|
$17,244.00 |
$17,244.00 |
$17,244.00 |
$3,594.44
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$13,355.76 |
$13,355.76 |
$13,355.76 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,224.25 |
$1,224.25 |
$1,224.25 |
$275.75
|
|
Patten bottom
|
$1,111.58 |
$1,111.58 |
$1,111.58 |
$672.73
|
|
Pca3/klk3 antigen
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
$510.40
|
|
Pdgfra gene
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$121.45 |
$121.45 |
$121.45 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,254.00 |
$19,254.00 |
$19,254.00 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$12,525.00 |
$12,525.00 |
$12,525.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,262.56 |
$6,262.56 |
$6,262.56 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$7,500.06 |
$7,500.06 |
$7,500.06 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$1,301.48 |
$1,301.48 |
$1,301.48 |
$802.87
|
|
Pelvic control band & belt b
|
$1,091.40 |
$1,091.40 |
$1,091.40 |
$566.16
|
|
Pelvic control band & belt u
|
$891.51 |
$891.51 |
$891.51 |
$500.58
|
|
Pelvic control hip heavy dut
|
$962.62 |
$962.62 |
$962.62 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,348.88 |
$1,348.88 |
$1,348.88 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$2,230.20 |
$2,230.20 |
$2,230.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,123.80 |
$1,123.80 |
$1,123.80 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$2,919.18 |
$2,919.18 |
$2,919.18 |
$2,512.27
|
|
Pelvic Ultrasound (complete)
|
$693.60 |
$693.60 |
$693.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$453.00 |
$453.00 |
$453.00 |
$430.00
|
|
Pelv & thor control gluteal
|
$632.17 |
$632.17 |
$632.17 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,660.66 |
$18,660.66 |
$18,660.66 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,412.88 |
$1,412.88 |
$1,412.88 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$729.36 |
$729.36 |
$729.36 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,107.12 |
$1,107.12 |
$1,107.12 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$112.50 |
$112.50 |
$112.50 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$36,165.08 |
$36,165.08 |
$36,165.08 |
$18,764.94
|
|
Pentamidine non-comp unit
|
$541.92 |
$541.92 |
$541.92 |
$294.39
|
|
Perc d-e cor revasc chro add
|
$28,270.20 |
$28,270.20 |
$28,270.20 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$28,270.20 |
$28,270.20 |
$28,270.20 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$28,270.20 |
$28,270.20 |
$28,270.20 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$28,270.20 |
$28,270.20 |
$28,270.20 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$35,920.20 |
$35,920.20 |
$35,920.20 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$35,920.20 |
$35,920.20 |
$35,920.20 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$28,270.20 |
$28,270.20 |
$28,270.20 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$28,270.20 |
$28,270.20 |
$28,270.20 |
$16,258.50
|
|
Pericardiocentesis wwo imaging
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,866.00 |
$1,866.00 |
$1,866.00 |
$1,797.00
|
|
Peritoneal cath sub q resv per
|
$6,856.80 |
$6,856.80 |
$6,856.80 |
$5,625.74
|
|
Permanent tear duct plug
|
$582.67 |
$582.67 |
$582.67 |
$291.00
|
|
Peroneal straps pair pre ots
|
$90.76 |
$90.76 |
$90.76 |
$36.90
|
|
Perq dev breast 1st mr guide
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$1,456.00
|
|
Pertussis ag if
|
$78.00 |
$78.00 |
$78.00 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$21,157.20 |
$21,157.20 |
$21,157.20 |
$13,666.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$524.89 |
$524.89 |
$524.89 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$5,725.80 |
$5,725.80 |
$5,725.80 |
$4,707.00
|
|
Pet CT whole body initial
|
$8,179.80 |
$8,179.80 |
$8,179.80 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,705.00 |
$6,705.00 |
$6,705.00 |
$4,060.00
|
|
Pet image full body
|
$8,179.80 |
$8,179.80 |
$8,179.80 |
$5,070.50
|
|
Pet image skull-thigh
|
$8,179.80 |
$8,179.80 |
$8,179.80 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$8,179.80 |
$8,179.80 |
$8,179.80 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$130,599.80 |
$130,599.80 |
$130,599.80 |
$38,834.22
|
|
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 |
$33.30
|
|
Ph body fluid
|
$18.00 |
$18.00 |
$18.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$103.80 |
$103.80 |
$103.80 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$82.50 |
$82.50 |
$82.50 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$97.20 |
$97.20 |
$97.20 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$93.00 |
$93.00 |
$93.00 |
$110.88
|
|
Phleb veins 1 extrm 10-20 stab
|
$6,027.60 |
$6,027.60 |
$6,027.60 |
$4,599.65
|
|
Phosphorus
|
$39.00 |
$39.00 |
$39.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$105.00 |
$105.00 |
$105.00 |
$41.51
|
|
Phys blood bank serv reactj
|
$111.60 |
$111.60 |
$111.60 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$36.78 |
$36.78 |
$36.78 |
$87.50
|
|
Pik3ca gene trgt seq alys
|
$320.40 |
$320.40 |
$320.40 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$1,995.65 |
$1,995.65 |
$1,995.65 |
$614.36
|
|
Pin caspar distraction 12mm
|
$28,053.19 |
$28,053.19 |
$28,053.19 |
$11,925.00
|
|
Pin finger fracture each
|
$12,878.77 |
$12,878.77 |
$12,878.77 |
$4,115.40
|
|
Pinworm exam
|
$55.20 |
$55.20 |
$55.20 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$52.32 |
$52.32 |
$52.32 |
$83.03
|
|
Place cath intracranial art
|
$9,000.60 |
$9,000.60 |
$9,000.60 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$2,444.40 |
$2,444.40 |
$2,444.40 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$877.80 |
$877.80 |
$877.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,211.40 |
$1,211.40 |
$1,211.40 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$14,021.40 |
$14,021.40 |
$14,021.40 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$5,053.33
|
|
Placental lactogen
|
$316.20 |
$316.20 |
$316.20 |
$163.28
|
|
Place slctv cath carotd art uni
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$14,978.40 |
$14,978.40 |
$14,978.40 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$229.20 |
$229.20 |
$229.20 |
$157.95
|
|
Plas shoe insert w ank joint
|
$515.11 |
$515.11 |
$515.11 |
$245.71
|
|
Plastic mod low ext pad/line
|
$678.94 |
$678.94 |
$678.94 |
$241.54
|
|
Plastic mold recipro hip & c
|
$5,875.99 |
$5,875.99 |
$5,875.99 |
$3,850.61
|
