|
Part removal of metatarsal
|
$29,079.12 |
$29,079.12 |
$29,079.12 |
$3,795.71
|
|
Part removal of metatarsal 28112
|
$32,431.59 |
$32,431.59 |
$32,431.59 |
$3,839.54
|
|
Passy muir valve metal trach
|
$1,212.40 |
$1,212.40 |
$1,212.40 |
$275.75
|
|
Patten bottom
|
$871.37 |
$871.37 |
$871.37 |
$672.73
|
|
Pca3/klk3 antigen
|
$1,849.20 |
$1,849.20 |
$1,849.20 |
$510.40
|
|
Pdgfra gene
|
$1,849.20 |
$1,849.20 |
$1,849.20 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$62.27 |
$62.27 |
$62.27 |
$49.45
|
|
Ped home apnea mntr att only
|
$174.60 |
$174.60 |
$174.60 |
$185.15
|
|
Ped home apnea mntr dl&alys
|
$174.60 |
$174.60 |
$174.60 |
$296.92
|
|
Pegaspargase injection
|
$80,445.48 |
$80,445.48 |
$80,445.48 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$102,816.24 |
$102,816.24 |
$102,816.24 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$34,618.56 |
$34,618.56 |
$34,618.56 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$66,883.50 |
$66,883.50 |
$66,883.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$33,567.06 |
$33,567.06 |
$33,567.06 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$40,050.06 |
$40,050.06 |
$40,050.06 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$1,288.88 |
$1,288.88 |
$1,288.88 |
$802.87
|
|
Pelvic control band & belt b
|
$855.55 |
$855.55 |
$855.55 |
$566.16
|
|
Pelvic control band & belt u
|
$630.40 |
$630.40 |
$630.40 |
$500.58
|
|
Pelvic control hip heavy dut
|
$680.68 |
$680.68 |
$680.68 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,181.56 |
$1,181.56 |
$1,181.56 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$2,658.60 |
$2,658.60 |
$2,658.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$5,466.00 |
$5,466.00 |
$5,466.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$4,551.60 |
$4,551.60 |
$4,551.60 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$2,890.92 |
$2,890.92 |
$2,890.92 |
$2,512.27
|
|
Pelvic Ultrasound (complete)
|
$1,746.60 |
$1,746.60 |
$1,746.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,385.40 |
$1,385.40 |
$1,385.40 |
$430.00
|
|
Pelv & thor control gluteal
|
$376.77 |
$376.77 |
$376.77 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$51,253.62 |
$51,253.62 |
$51,253.62 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$34,446.36 |
$34,446.36 |
$34,446.36 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$3,909.42 |
$3,909.42 |
$3,909.42 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$12,160.02 |
$12,160.02 |
$12,160.02 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$400.50 |
$400.50 |
$400.50 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$35,814.96 |
$35,814.96 |
$35,814.96 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$1,852.50 |
$1,852.50 |
$1,852.50 |
$453.61
|
|
Pentamidine non-comp unit
|
$3,034.08 |
$3,034.08 |
$3,034.08 |
$294.39
|
|
Pentobarbital sodium inj
|
$2,014.68 |
$2,014.68 |
$2,014.68 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$8,834.40 |
$8,834.40 |
$8,834.40 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$20,424.00 |
$20,424.00 |
$20,424.00 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$19,451.40 |
$19,451.40 |
$19,451.40 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$17,504.40 |
$17,504.40 |
$17,504.40 |
$7,243.60
|
|
Percut ablate liver rf
|
$12,010.20 |
$12,010.20 |
$12,010.20 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$4,285.92 |
$4,285.92 |
$4,285.92 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,525.20 |
$1,525.20 |
$1,525.20 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$64,958.94 |
$64,958.94 |
$64,958.94 |
$3,986.00
|
|
Peri-proc device eval icd
|
$195.60 |
$195.60 |
$195.60 |
$192.40
|
|
Peri-proc device eval pm
|
$145.20 |
$145.20 |
$145.20 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$16,351.80 |
$16,351.80 |
$16,351.80 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$695.89
|
|
Perit-vens shunt pat tst
|
$702.60 |
$702.60 |
$702.60 |
$758.37
|
|
Permanent tear duct plug
|
$347.27 |
$347.27 |
$347.27 |
$291.00
|
|
Peroneal straps pair pre ots
|
$46.54 |
$46.54 |
$46.54 |
$36.90
|
|
Perq art m-thrombect &/nfs
|
$5,457.60 |
$5,457.60 |
$5,457.60 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$20,950.20 |
$20,950.20 |
$20,950.20 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$4,099.20 |
$4,099.20 |
$4,099.20 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$3,031.80 |
$3,031.80 |
$3,031.80 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$66,520.52 |
$66,520.52 |
$66,520.52 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$69,346.65 |
$69,346.65 |
$69,346.65 |
$9,442.38
|
|
Perq p-art revsc 1 abnor uni
|
$29,862.60 |
$29,862.60 |
$29,862.60 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt uni
|
$17,862.00 |
$17,862.00 |
$17,862.00 |
$17,321.20
|
|
Perq plmt bile duct stent
|
$9,050.40 |
$9,050.40 |
$9,050.40 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$23,734.46 |
$23,734.46 |
$23,734.46 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$9,050.40 |
$9,050.40 |
$9,050.40 |
$6,904.15
|
|
Perq transcath closure each
|
$13,889.40 |
$13,889.40 |
$13,889.40 |
$9,204.00
|
|
Perq transcath cls aortic
|
$27,778.20 |
$27,778.20 |
$27,778.20 |
$22,633.26
|
|
Perq transcath cls mitral
|
$27,778.20 |
$27,778.20 |
$27,778.20 |
$23,617.60
|
|
Perq trluml angp nt/recr coa
|
$13,249.20 |
$13,249.20 |
$13,249.20 |
$7,398.00
|
|
Pertussis ag if
|
$196.20 |
$196.20 |
$196.20 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$58,110.60 |
$58,110.60 |
$58,110.60 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$118,568.88 |
$118,568.88 |
$118,568.88 |
$27,833.07
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$290.05 |
$290.05 |
$290.05 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$10,557.00 |
$10,557.00 |
$10,557.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
$4,060.00
|
|
Pet image full body
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
$5,070.50
|
|
Pet image skull-thigh
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
$4,305.60
|
|
Pet scan brain perf study
|
$7,999.20 |
$7,999.20 |
$7,999.20 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$129,335.47 |
$129,335.47 |
$129,335.47 |
$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
|
$96.60 |
$96.60 |
$96.60 |
$41.28
|
|
Phencyclidine (pcp)
|
$126.60 |
$126.60 |
$126.60 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$621.78 |
$621.78 |
$621.78 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$175.80 |
$175.80 |
$175.80 |
$104.50
|
|
Phentolaine mesylate inj
|
$8,907.48 |
$8,907.48 |
$8,907.48 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$222.00 |
$222.00 |
$222.00 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$36.24 |
$36.24 |
$36.24 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$202.20 |
$202.20 |
$202.20 |
$110.88
|
|
Phleb veins 1 extrm 10-20 stab
|
$38,929.50 |
$38,929.50 |
$38,929.50 |
$4,599.65
|
|
Phosphorus
|
$107.40 |
$107.40 |
$107.40 |
$48.80
|
|
Phosphorus 24 hour urine
|
$124.80 |
$124.80 |
$124.80 |
$41.51
|
