|
Pelvis X-ray (complete, 4 or more views)
|
$215.40 |
$215.40 |
$215.40 |
$355.50
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$205.60 |
$205.60 |
$205.60 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$105.00 |
$105.00 |
$105.00 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$43.80 |
$43.80 |
$43.80 |
$97.85
|
|
Pentamidine non-comp unit
|
$267.20 |
$267.20 |
$267.20 |
$294.39
|
|
Perc d-e cor revasc t cabg b
|
$10,473.60 |
$10,473.60 |
$10,473.60 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$11,088.60 |
$11,088.60 |
$11,088.60 |
$16,047.20
|
|
Perc drug-el cor stent bran
|
$10,261.20 |
$10,261.20 |
$10,261.20 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$11,088.60 |
$11,088.60 |
$11,088.60 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$427.20 |
$427.20 |
$427.20 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$2,418.99
|
|
Peripheral vascular rehab
|
$334.20 |
$334.20 |
$334.20 |
$132.50
|
|
Peri-proc device eval icd
|
$135.00 |
$135.00 |
$135.00 |
$192.40
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$369.60 |
$369.60 |
$369.60 |
$625.93
|
|
Pfc sigma fem post aug sz3 8mm
|
$61,618.20 |
$61,618.20 |
$61,618.20 |
$40,252.07
|
|
Ph body fluid
|
$27.00 |
$27.00 |
$27.00 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$75.40 |
$75.40 |
$75.40 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$56.40 |
$56.40 |
$56.40 |
$104.80
|
|
Phentolaine mesylate inj
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.02 |
$0.02 |
$0.02 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$313.20 |
$313.20 |
$313.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$43.20 |
$43.20 |
$43.20 |
$111.20
|
|
Phlebotomy therapeutic
|
$141.60 |
$141.60 |
$141.60 |
$231.87
|
|
Phosphorus
|
$21.00 |
$21.00 |
$21.00 |
$48.96
|
|
Phosphorus 24 hour urine
|
$40.20 |
$40.20 |
$40.20 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$168.60 |
$168.60 |
$168.60 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$168.60 |
$168.60 |
$168.60 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$168.60 |
$168.60 |
$168.60 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$96.00 |
$96.00 |
$96.00 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$14.60 |
$14.60 |
$14.60 |
$89.82
|
|
Pinworm exam
|
$39.00 |
$39.00 |
$39.00 |
$39.00
|
|
Pinworm examinations
|
$48.00 |
$48.00 |
$48.00 |
$5.70
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$81.36
|
|
Place gastrostomy tube perc
|
$7,630.20 |
$7,630.20 |
$7,630.20 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$575.40 |
$575.40 |
$575.40 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,365.80 |
$2,365.80 |
$2,365.80 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$109.80 |
$109.80 |
$109.80 |
$571.45
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,618.80 |
$4,618.80 |
$4,618.80 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$4,618.80 |
$4,618.80 |
$4,618.80 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$4,618.80 |
$4,618.80 |
$4,618.80 |
$6,325.00
|
|
Platelet aggregation each agent teg
|
$72.00 |
$72.00 |
$72.00 |
$148.98
|
|
Platelet automated
|
$12.00 |
$12.00 |
$12.00 |
$45.76
|
|
Platelets each unit
|
$97.20 |
$97.20 |
$97.20 |
$169.29
|
|
Platelets irradiated ea unit
|
$151.80 |
$151.80 |
$151.80 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$87.60 |
$87.60 |
$87.60 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$201.00 |
$201.00 |
$201.00 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$4,543.20 |
$4,543.20 |
$4,543.20 |
$1,162.85
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$4,543.20 |
$4,543.20 |
$4,543.20 |
$1,288.20
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$1,007.82
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$5,087.15
|
|
Plcmt dlyd xtn pros 1st vsl
|
$6,481.20 |
$6,481.20 |
$6,481.20 |
$3,793.50
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$727.80 |
$727.80 |
$727.80 |
$411.51
|
|
Pm device progr eval dual
|
$243.00 |
$243.00 |
$243.00 |
$148.65
|
|
Pm device progr eval multi
|
$286.80 |
$286.80 |
$286.80 |
$139.10
|
|
Pmp22 gene dup/delet
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$786.60 |
$786.60 |
$786.60 |
$123.75
|
|
Pn soln nos 10 grams lipids
|
$11.00 |
$11.00 |
$11.00 |
$96.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$82.80 |
$82.80 |
$82.80 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$368.80 |
$368.80 |
$368.80 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,108.60 |
$3,108.60 |
$3,108.60 |
$3,785.10
|
|
Positioner proc acufex leg acs
|
$42.00 |
$42.00 |
$42.00 |
$79.80
|
|
Potassium 24 hour urine
|
$40.20 |
$40.20 |
$40.20 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$52.00 |
$52.00 |
$52.00 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$16.20 |
$16.20 |
$16.20 |
$47.85
|
|
Pq dr cath chg w cont s&i
|
$240.00 |
$240.00 |
$240.00 |
$721.71
|
|
Pr application of long arm splint
|
$259.20 |
$259.20 |
$259.20 |
$334.08
|
|
Pr application splint static short arm
|
$231.60 |
$231.60 |
$231.60 |
$288.51
|
|
Pr biopsy skin punch single lesion
|
$394.80 |
$394.80 |
$394.80 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$30.00 |
$30.00 |
$30.00 |
$48.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$5,262.80
|
|
Prealbumin
|
$66.60 |
$66.60 |
$66.60 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$24.60 |
$24.60 |
$24.60 |
$13.80
|
|
Prednisone 1 mg tablet
|
$1.20 |
$1.20 |
$1.20 |
$2.88
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$104.40 |
$104.40 |
$104.40 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$242.40 |
$242.40 |
$242.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$242.40 |
$242.40 |
$242.40 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$242.40 |
$242.40 |
$242.40 |
$459.00
|
|
Pressure max expiratory/inspiratory
|
$254.40 |
$254.40 |
$254.40 |
$243.75
|
|
Pressure velocity wire add ves
|
$429.60 |
$429.60 |
$429.60 |
$1,618.20
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$131.40 |
$131.40 |
$131.40 |
$162.00
|
|
Pretreat rbc absorption reference
|
$131.40 |
$131.40 |
$131.40 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$54.60 |
$54.60 |
$54.60 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$181.80 |
$181.80 |
$181.80 |
$170.00
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,693.40 |
$2,693.40 |
$2,693.40 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$685.80 |
$685.80 |
$685.80 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$85.20 |
$85.20 |
$85.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$213.60 |
$213.60 |
$213.60 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$201.60 |
$201.60 |
$201.60 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$258.00 |
$258.00 |
$258.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$294.00 |
$294.00 |
$294.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$332.40 |
$332.40 |
$332.40 |
$206.05
|
|
Pr incision & drainage abscess complicated/multiple
|
$500.40 |
$500.40 |
$500.40 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$496.20 |
$496.20 |
$496.20 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$808.20 |
$808.20 |
$808.20 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$500.40 |
$500.40 |
$500.40 |
$605.28
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$72.60 |
$72.60 |
$72.60 |
$255.00
|
