|
Paring/cutting benign hyperkeratotic lesion single
|
$570.00 |
$570.00 |
$570.00 |
$245.67
|
|
Partial removal finger bone
|
$5,296.20 |
$5,296.20 |
$5,296.20 |
$2,134.33
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,746.60 |
$4,746.60 |
$4,746.60 |
$4,921.76
|
|
Passy muir valve metal trach
|
$367.20 |
$367.20 |
$367.20 |
$275.75
|
|
Path clin consltj mod 21-40
|
$454.20 |
$454.20 |
$454.20 |
$202.78
|
|
Path clin consltj sf 5-20
|
$189.60 |
$189.60 |
$189.60 |
$97.14
|
|
Pcv21 vaccine im
|
$252.80 |
$252.80 |
$252.80 |
$410.26
|
|
Pegaspargase injection
|
$11,001.60 |
$11,001.60 |
$11,001.60 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,005.00 |
$10,005.00 |
$10,005.00 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$645.60 |
$645.60 |
$645.60 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,918.40 |
$5,918.40 |
$5,918.40 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,838.00 |
$2,838.00 |
$2,838.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,838.00 |
$2,838.00 |
$2,838.00 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$2,415.00 |
$2,415.00 |
$2,415.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,205.20 |
$3,205.20 |
$3,205.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$719.40 |
$719.40 |
$719.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$462.00 |
$462.00 |
$462.00 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$334.80 |
$334.80 |
$334.80 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$385.80 |
$385.80 |
$385.80 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$220.80 |
$220.80 |
$220.80 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$22.80 |
$22.80 |
$22.80 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$274.80 |
$274.80 |
$274.80 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$294.00 |
$294.00 |
$294.00 |
$97.85
|
|
Penile injection
|
$877.20 |
$877.20 |
$877.20 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$28,558.20 |
$28,558.20 |
$28,558.20 |
$18,764.94
|
|
Pentamidine non-comp unit
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$294.39
|
|
Pentobarbital sodium inj
|
$5,367.60 |
$5,367.60 |
$5,367.60 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$5,255.40 |
$5,255.40 |
$5,255.40 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$47,940.00 |
$47,940.00 |
$47,940.00 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$12,313.20 |
$12,313.20 |
$12,313.20 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$22,600.20 |
$22,600.20 |
$22,600.20 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$11,941.20 |
$11,941.20 |
$11,941.20 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$22,600.20 |
$22,600.20 |
$22,600.20 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$11,301.00 |
$11,301.00 |
$11,301.00 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$22,600.20 |
$22,600.20 |
$22,600.20 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$11,301.00 |
$11,301.00 |
$11,301.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$22,600.20 |
$22,600.20 |
$22,600.20 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$55,701.60 |
$55,701.60 |
$55,701.60 |
$7,243.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$557.40 |
$557.40 |
$557.40 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,992.40 |
$3,992.40 |
$3,992.40 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$2,653.80 |
$2,653.80 |
$2,653.80 |
$2,418.99
|
|
Peripheral vascular rehab
|
$316.20 |
$316.20 |
$316.20 |
$132.50
|
|
Peri-proc device eval icd
|
$436.80 |
$436.80 |
$436.80 |
$192.40
|
|
Peri-proc device eval pm
|
$201.60 |
$201.60 |
$201.60 |
$155.00
|
|
Perq art m-thrombect &/nfs
|
$10,990.20 |
$10,990.20 |
$10,990.20 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$4,123.80 |
$4,123.80 |
$4,123.80 |
$9,286.40
|
|
Perq plmt bile duct stent
|
$8,767.80 |
$8,767.80 |
$8,767.80 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,767.80 |
$8,767.80 |
$8,767.80 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,802.80 |
$12,802.80 |
$12,802.80 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$325.80 |
$325.80 |
$325.80 |
$27,858.08
|
|
Pfc sigma fem post aug sz3 8mm
|
$34,521.00 |
$34,521.00 |
$34,521.00 |
$40,252.07
|
|
Ph body fluid
|
$19.80 |
$19.80 |
$19.80 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$114.60 |
$114.60 |
$114.60 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$282.00 |
$282.00 |
$282.00 |
$104.80
|
|
Phentolaine mesylate inj
|
$540.00 |
$540.00 |
$540.00 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.09 |
$0.09 |
$0.09 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$745.20 |
$745.20 |
$745.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$268.20 |
$268.20 |
$268.20 |
$111.20
|
|
Phlebotomy therapeutic
|
$192.00 |
$192.00 |
$192.00 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$4,930.20 |
$4,930.20 |
$4,930.20 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$6,000.60 |
$6,000.60 |
$6,000.60 |
$4,516.05
|
|
Phosphorus
|
$98.40 |
$98.40 |
$98.40 |
$48.96
|
|
Phosphorus 24 hour urine
|
$104.40 |
$104.40 |
$104.40 |
$42.25
|
|
Phys blood bank serv reactj
|
$346.20 |
$346.20 |
$346.20 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$304.80 |
$304.80 |
$304.80 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$304.80 |
$304.80 |
$304.80 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$304.80 |
$304.80 |
$304.80 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$121.20 |
$121.20 |
$121.20 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$40.20 |
$40.20 |
$40.20 |
$89.82
|
|
Pin finger fracture each
|
$4,104.60 |
$4,104.60 |
$4,104.60 |
$4,192.86
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$187.80 |
$187.80 |
$187.80 |
$81.36
|
|
Place cath xtrnl carotid
|
$9,103.20 |
$9,103.20 |
$9,103.20 |
$4,202.90
|
|
Place duod/jej tube perc
|
$5,066.40 |
$5,066.40 |
$5,066.40 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$4,038.60 |
$4,038.60 |
$4,038.60 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,438.20 |
$1,438.20 |
$1,438.20 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,906.80 |
$1,906.80 |
$1,906.80 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,329.80 |
$2,329.80 |
$2,329.80 |
$3,946.56
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$15,319.20 |
$15,319.20 |
$15,319.20 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$12,459.00 |
$12,459.00 |
$12,459.00 |
$5,274.33
|
|
Place slctv cath carotd art uni
|
$14,652.00 |
$14,652.00 |
$14,652.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$12,945.60 |
$12,945.60 |
$12,945.60 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$13,871.40 |
$13,871.40 |
$13,871.40 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$11,102.40 |
$11,102.40 |
$11,102.40 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$11,886.60 |
$11,886.60 |
$11,886.60 |
$9,200.62
|
|
Platelet aggregation each agent teg
|
$357.00 |
$357.00 |
$357.00 |
$148.98
|
|
Platelet automated
|
$97.20 |
$97.20 |
$97.20 |
$45.76
|
|
Platelet pheresis each unit
|
$2,317.80 |
$2,317.80 |
$2,317.80 |
$1,015.50
|
|
Platelets irradiated ea unit
|
$225.60 |
$225.60 |
$225.60 |
$259.70
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,521.20 |
$2,521.20 |
$2,521.20 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,151.80 |
$3,151.80 |
$3,151.80 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,937.40 |
$1,937.40 |
$1,937.40 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,472.00 |
$5,472.00 |
$5,472.00 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,139.60 |
$5,139.60 |
$5,139.60 |
$5,087.15
|
