|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,014.40 |
$2,112.00 |
$9,667.20 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$395.40 |
$2,499.60 |
$2,499.60 |
|
|
Peg interferon alfa-2a/180
|
$4,833.00 |
$4,833.00 |
$4,833.00 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$1,128.00 |
$17,178.60 |
$94,586.40 |
|
|
Pegunigalsidase alfa-iwxj
|
$526.20 |
$526.20 |
$548.00 |
|
|
Pelvic CT scan (with and without contrast)
|
$572.00 |
$1,627.20 |
$5,112.00 |
|
|
Pelvic CT scan (with contrast)
|
$475.50 |
$1,424.40 |
$4,599.60 |
|
|
Pelvic CT scan (without contrast)
|
$281.00 |
$939.00 |
$2,937.00 |
|
|
Pelvic exenteration
|
$1,750.76 |
$1,750.76 |
$1,979.12 |
|
|
Pelvic MRI (with and without contrast)
|
$638.00 |
$2,713.80 |
$9,808.20 |
|
|
Pelvic MRI (with contrast)
|
$638.00 |
$2,713.80 |
$8,004.00 |
|
|
Pelvic MRI (without contrast)
|
$455.50 |
$1,699.20 |
$6,214.20 |
|
|
Pelvic ring fracture uni/bil
|
$690.92 |
$690.92 |
$781.04 |
|
|
Pelvic ring fx treat int fix
|
$652.51 |
$652.51 |
$737.62 |
|
|
Pelvic Ultrasound (complete)
|
$279.50 |
$517.60 |
$1,671.00 |
|
|
Pelvic Ultrasound (limited)
|
$186.60 |
$436.80 |
$870.60 |
|
|
Pelvis X-ray (1 to 2 views)
|
$108.00 |
$316.00 |
$686.40 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$115.80 |
$405.00 |
$686.40 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$147.00 |
$850.20 |
$23,590.88 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$57.20 |
$2,425.80 |
$23,822.40 |
|
|
Peng benzathine/procaine inj
|
$7.20 |
$119.40 |
$1,641.00 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$68.40 |
$373.80 |
$2,656.00 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$7.20 |
$85.20 |
$598.20 |
|
|
Penicillin g procaine inj
|
$5.40 |
$5.40 |
$5.40 |
|
|
Penile injection
|
$54.34 |
$490.40 |
$1,095.60 |
|
|
Penile rear tip xtnd 0.5cm
|
$11,503.49 |
$18,010.20 |
$31,936.00 |
|
|
Penile vascular study
|
$38.18 |
$669.60 |
$1,179.60 |
|
|
Penile vascular study
|
$13.57 |
$336.00 |
$526.80 |
|
|
Penile venous occlusion
|
$314.18 |
$314.18 |
$355.16 |
|
|
Penis plastic surgery
|
$466.21 |
$466.21 |
$527.02 |
|
|
Penis study
|
$41.63 |
$41.63 |
$47.06 |
|
|
Pentamidine non-comp unit
|
$99.60 |
$498.40 |
$2,157.60 |
|
|
Pentobarbital sodium inj
|
$8.00 |
$63.60 |
$7,574.40 |
|
|
Pentostatin 10 mg intravenous solution
|
$1,609.20 |
$1,609.20 |
$10,857.00 |
|
|
Perc cryo ablate renal tum
|
$291.64 |
$20,125.80 |
$59,707.20 |
|
|
Perc d-e cor revasc chro add
|
$402.60 |
$402.60 |
$23,282.40 |
|
|
Perc d-e cor revasc chro sin
|
$9,796.50 |
$23,282.40 |
$50,494.64 |
|
|
Perc d-e cor revasc t cabg b
|
$327.50 |
$9,788.40 |
$23,537.40 |
|
|
Perc d-e cor revasc t cabg s
|
$7,355.00 |
$15,411.00 |
$31,889.56 |
|
|
Perc d-e cor stent ather br
|
$480.50 |
$9,788.40 |
$24,949.80 |
|
|
Perc d-e cor stent ather s
|
$10,260.50 |
$23,282.40 |
$50,494.64 |
|
|
Perc drug-el cor stent bran
|
$553.50 |
$9,788.40 |
$24,949.80 |
|
|
Perc drug-el cor stent sing
|
$7,353.50 |
$15,411.00 |
$31,889.56 |
|
|
Perc rf ablate renal tumor
|
$218.04 |
$17,216.40 |
$64,293.00 |
|
|
Percut ablate liver rf
|
$469.89 |
$7,327.20 |
$22,308.00 |
|
|
Percutaneous islet celltrans
|
$367.54 |
$367.54 |
$415.48 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$104.40 |
$606.00 |
$2,845.20 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$133.17 |
$3,568.20 |
$5,460.46 |
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$1,570.67 |
$1,570.67 |
$1,775.54 |
|
|
Pericardiocentesis wwo imaging
|
$1,366.20 |
$2,473.20 |
$4,545.31 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$529.00 |
$4,482.18 |
$8,025.60 |
|
|
Peri-implt capslc brst compl
|
$462.30 |
$462.30 |
$522.60 |
|
|
Perineoplasty rpr per nonob
|
$175.26 |
$198.12 |
$3,720.50 |
|
|
Peripheral vascular rehab
|
$129.60 |
$316.20 |
$409.20 |
|
|
Peri-proc device eval icd
|
$13.80 |
$134.40 |
$436.80 |
|
|
Peri-proc device eval pm
|
$9.20 |
$106.50 |
$243.60 |
|
|
Peritoneal cath sub q resv per
|
$267.26 |
$302.12 |
$4,462.20 |
|
|
Peritoneogram rs&i
|
$15.86 |
$463.20 |
$2,206.05 |
|
|
Perit-vens shunt pat tst
|
$26.91 |
$1,228.80 |
$1,228.80 |
|
|
Perphenazine 4mg oral
|
$0.60 |
$0.60 |
$1.53 |
|
|
Perq art m-thrombect &/nfs
|
$545.79 |
$15,073.80 |
$26,160.00 |
|
|
Perq clsr tcat l atr apndge
|
$492.20 |
$5,606.40 |
$5,606.40 |
|
|
Perq dev breast 1st mr guide
|
$80.04 |
$2,153.40 |
$3,762.00 |
|
|
Perq dev breast 1st strtctc
|
$63.25 |
$924.60 |
$2,752.80 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$724.04 |
$724.04 |
$818.48 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$449.88 |
$449.88 |
$508.56 |
|
|
Perq p-art revsc 1 abnor bi
|
$31,889.56 |
$31,889.56 |
$33,182.38 |
|
|
Perq p-art revsc 1 abnor uni
|
$50,494.64 |
$50,494.64 |
$52,541.72 |
|
|
Perq p-art revsc 1 nm nt bi
|
$31,889.56 |
$31,889.56 |
$33,182.38 |
|
|
Perq p-art revsc 1 nm nt uni
|
$31,889.56 |
$31,889.56 |
$33,182.38 |
|
|
Perq p-art revsc each addl
|
$23,917.54 |
$23,917.54 |
$24,887.17 |
|
|
Perq plmt bile duct stent
|
$7,821.60 |
$14,191.20 |
$24,852.00 |
|
|
Perq plmt bile duct stent
|
$13,188.60 |
$16,405.80 |
$24,852.00 |
|
|
Perq plmt bile duct stent
|
$7,327.20 |
$8,767.80 |
$24,852.00 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$369.60 |
$1,214.40 |
$2,815.20 |
|
|
Perq skel fix rad/uln dislc
|
$352.59 |
$398.58 |
$3,519.00 |
|
|
Perq skel fix ulnar styld fx
|
$322.92 |
$322.92 |
$365.04 |
|
|
Perqt bx lung/mediastinum 32405
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
|
|
Perq transcath closure each
|
$244.72 |
$4,354.20 |
$37,870.98 |
|
|
Perq transcath closure pda
|
$417.22 |
$417.22 |
$471.64 |
|
|
Perq transcath cls aortic
|
$561.89 |
$46,970.40 |
$50,494.64 |
|
|
Perq transcath cls mitral
|
$677.81 |
$46,970.40 |
$50,494.64 |
|
|
Perq transcath septal reduxn
|
$390.00 |
$5,606.40 |
$5,606.40 |
|
|
Perq trluml angp nt/recr coa
|
$366.39 |
$414.18 |
$2,250.00 |
|
|
Perq tx big toe fracture w/manip 28496
|
$180.09 |
$203.58 |
$4,493.40 |
|
|
Perq tx malar fracture
|
$212.75 |
$212.75 |
$240.50 |
|
|
Perq tx mndblr fx xtrnl fixj
|
$283.36 |
$3,046.20 |
$5,595.00 |
|
|
Perq tx nasoethmoid fx
|
$488.06 |
$488.06 |
$551.72 |
|
|
Pertussis ag if
|
$8.28 |
$9.36 |
$56.40 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$22.20 |
$279.60 |
$22,539.60 |
|
|
Pertuzu, trastuzu, 10 mg
|
$285.60 |
$523.20 |
$34,651.80 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$18.40 |
$135.00 |
$903.20 |
|
|
Pessary reusable rub anytype
|
$112.80 |
$122.40 |
$304.20 |
|
|
Pet CT skull-mid thgh initial
|
$82.68 |
$6,880.00 |
$12,570.60 |
|
|
Pet CT whole body initial
|
$83.20 |
$6,880.00 |
$15,426.60 |
|
|
Pet fdg brain metoblic eval sb
|
$49.92 |
$5,639.40 |
$13,366.80 |
|
|
Pet image full body
|
$66.30 |
$5,868.17 |
$20,659.20 |
|
|
Pet image ltd area
|
$45.77 |
$4,972.20 |
$12,324.00 |
|
|
Pet image skull-thigh
|
$57.50 |
$7,178.00 |
$16,496.40 |
|
|
Pet image w/ct lmtd
|
$73.84 |
$5,639.40 |
$9,591.60 |
|
