|
Pelvic MRI (with contrast)
|
$778.00 |
$2,281.80 |
$8,561.00 |
|
|
Pelvic MRI (without contrast)
|
$579.00 |
$1,586.40 |
$4,409.00 |
|
|
Pelvic Ultrasound (complete)
|
$363.50 |
$610.20 |
$1,862.50 |
|
|
Pelvic Ultrasound (limited)
|
$218.00 |
$430.50 |
$682.80 |
|
|
Pelvis X-ray (1 to 2 views)
|
$121.00 |
$180.60 |
$977.00 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$175.50 |
$431.00 |
$1,521.00 |
|
|
Pelv & thor control gluteal
|
$782.31 |
$782.31 |
$782.31 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$29,958.09 |
$29,958.09 |
$34,289.38 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$20,134.14 |
$20,134.14 |
$23,045.10 |
|
|
Pemivibart infusion
|
$497.50 |
$497.50 |
$497.50 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,176.12 |
$3,176.12 |
$3,629.86 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$413.42 |
$413.42 |
$462.68 |
|
|
Penile injection
|
$230.50 |
$286.00 |
$318.50 |
|
|
Penile rear tip xtnd 0.5cm
|
$16,683.50 |
$18,848.00 |
$74,363.96 |
|
|
Pentamidine 300 mg solution for injection
|
$1,386.86 |
$1,386.86 |
$1,552.08 |
|
|
Pentamidine non-comp unit
|
$1,386.86 |
$1,552.08 |
$1,585.00 |
|
|
Pentobarbital sodium inj
|
$377.00 |
$377.00 |
$1,687.95 |
|
|
Pentostatin 10 mg intravenous solution
|
$12,651.00 |
$12,651.00 |
$16,822.30 |
|
|
Perc cryo ablate renal tum
|
$5,998.50 |
$8,294.00 |
$16,831.50 |
|
|
Perc d-e cor revasc chro sin
|
$19,566.60 |
$19,566.60 |
$19,566.60 |
|
|
Perc d-e cor revasc t cabg b
|
$18,486.00 |
$18,486.00 |
$18,486.00 |
|
|
Perc d-e cor revasc t cabg s
|
$16,020.00 |
$16,020.00 |
$16,020.00 |
|
|
Perc d-e cor stent ather br
|
$18,502.20 |
$18,502.20 |
$18,502.20 |
|
|
Perc d-e cor stent ather s
|
$19,074.60 |
$19,074.60 |
$19,074.60 |
|
|
Perc drug-el cor stent bran
|
$16,701.60 |
$16,701.60 |
$16,701.60 |
|
|
Perc drug-el cor stent sing
|
$13,230.00 |
$13,230.00 |
$13,230.00 |
|
|
Perc rf ablate renal tumor
|
$5,033.50 |
$6,960.00 |
$16,831.50 |
|
|
Percut ablate liver rf
|
$5,342.00 |
$7,252.50 |
$10,606.80 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,426.16 |
$1,477.89 |
$2,254.00 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,471.50 |
$2,471.50 |
$2,471.50 |
|
|
Pericardiocentesis wwo imaging
|
$1,242.00 |
$1,553.40 |
$2,471.50 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,449.00 |
$3,557.50 |
$4,392.50 |
|
|
Peri-implt capslc brst compl
|
$31,094.80 |
$31,094.80 |
$63,295.38 |
|
|
Peripheral vascular rehab
|
$34.50 |
$48.50 |
$171.50 |
|
|
Peri-proc device eval icd
|
$26.00 |
$32.50 |
$13,599.00 |
|
|
Peri-proc device eval pm
|
$26.00 |
$32.50 |
$35.00 |
|
|
Peritoneal cath sub q resv per
|
$3,541.50 |
$4,896.50 |
$4,896.50 |
|
|
Peritoneogram rs&i
|
$345.00 |
$650.00 |
$2,147.00 |
|
|
Perit-vens shunt pat tst
|
$347.00 |
$613.00 |
$805.00 |
|
|
Permanent tear duct plug
|
$721.05 |
$721.05 |
$721.05 |
|
|
Peroneal straps pair pre ots
|
$96.62 |
$96.62 |
$96.62 |
|
|
Perphenazine 4mg oral
|
$68.00 |
$68.00 |
$68.00 |
|
|
Perq art m-thrombect &/nfs
|
$5,105.00 |
$7,967.00 |
$48,716.00 |
|
|
Perq clsr tcat l atr apndge
|
$6,441.60 |
$10,309.00 |
$12,727.00 |
|
|
Perq dev breast 1st mr guide
|
$676.50 |
$919.00 |
$2,352.50 |
|
|
Perq dev breast 1st strtctc
|
$506.00 |
$835.50 |
$7,277.50 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$46,137.84 |
$46,137.84 |
$46,137.84 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$38,601.46 |
$38,601.46 |
$38,601.46 |
|
|
Perq p-art revsc 1 abnor bi
|
$8,135.50 |
$10,044.00 |
$10,044.00 |
|
|
Perq p-art revsc 1 abnor uni
|
$13,165.00 |
$16,253.00 |
$16,253.00 |
|
|
Perq p-art revsc 1 nm nt bi
|
$8,135.50 |
$10,044.00 |
$10,044.00 |
|
|
Perq p-art revsc 1 nm nt uni
|
$8,135.50 |
$10,044.00 |
$10,044.00 |
|
|
Perq p-art revsc each addl
|
$5,695.00 |
$7,031.00 |
$7,031.00 |
|
|
Perq plmt bile duct stent
|
$2,222.50 |
$6,821.00 |
$9,775.00 |
|
|
Perq plmt bile duct stent
|
$5,250.00 |
$7,127.50 |
$19,318.56 |
|
|
Perq plmt bile duct stent
|
$5,250.00 |
$7,127.50 |
$9,412.00 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$183.00 |
$364.50 |
$887.50 |
|
|
Perq transcath closure each
|
$7,335.00 |
$7,335.00 |
$7,335.00 |
|
|
Perq transcath closure pda
|
$16,265.00 |
$18,338.00 |
$20,080.00 |
|
|
Perq transcath cls aortic
|
$18,451.00 |
$22,779.00 |
$22,779.00 |
|
|
Perq transcath cls mitral
|
$18,451.00 |
$22,779.00 |
$22,779.00 |
|
|
Perq transcath septal reduxn
|
$5,121.00 |
$6,322.00 |
$18,338.00 |
|
|
Perq tx big toe fracture w/manip 28496
|
$7,889.70 |
$7,889.70 |
$7,889.70 |
|
|
Pertussis ag if
|
$383.00 |
$383.00 |
$383.00 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$33,856.00 |
$33,856.00 |
$38,876.81 |
|
|
Pertuzu, trastuzu, 10 mg
|
$69,304.35 |
$69,304.35 |
$79,324.25 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$602.23 |
$602.23 |
$602.23 |
|
|
Pet CT skull-mid thgh initial
|
$960.50 |
$1,289.00 |
$6,982.00 |
|
|
Pet CT whole body initial
|
$981.50 |
$1,289.00 |
$6,982.00 |
|
|
Pet fdg brain metoblic eval sb
|
$3,340.00 |
$4,386.00 |
$5,753.50 |
|
|
Pet image full body
|
$1,239.00 |
$1,627.00 |
$8,348.00 |
|
|
Pet image ltd area
|
$1,128.00 |
$1,481.50 |
$8,348.00 |
|
|
Pet image skull-thigh
|
$1,239.00 |
$1,627.00 |
$8,348.00 |
|
|
Pet image w/ct lmtd
|
$846.50 |
$1,111.50 |
$6,982.00 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$5,077.21 |
$59,369.50 |
$196,799.63 |
|
|
Ph body fluid
|
$41.50 |
$57.00 |
$121.50 |
|
|
Phencyclidine (pcp)
|
$70.80 |
$165.00 |
$200.00 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$178.67 |
$199.95 |
$297.00 |
|
|
Phenobarbital therapeutic drug level
|
$147.50 |
$191.00 |
$277.50 |
|
|
Phentolaine mesylate inj
|
$2,276.00 |
$2,659.93 |
$4,556.63 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$45.00 |
$45.00 |
$271.44 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$45.00 |
$45.00 |
$45.00 |
|
|
Phenytoin total therapeutic drug level
|
$67.50 |
$152.50 |
$458.00 |
|
|
Phlebotomy therapeutic
|
$88.00 |
$219.50 |
$1,744.50 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,603.00 |
$4,966.50 |
$4,982.50 |
|
|
Phleb veins 1 extrm >20 stab
|
$2,882.00 |
$3,984.50 |
$4,966.50 |
|
|
Phosphorus
|
$24.00 |
$61.50 |
$271.00 |
|
|
Phosphorus 24 hour urine
|
$3.60 |
$33.00 |
$221.00 |
|
|
Photchmtx tar&uvb/ptrltm&uvb
|
$127.50 |
$176.00 |
$176.00 |
|
|
Photochemotherapy puva
|
$127.50 |
$176.00 |
$176.00 |
|
|
Photodynmc tx 30 min add-on
|
$2,545.00 |
$4,223.50 |
$4,223.50 |
|
|
Photo patch test
|
$78.00 |
$96.00 |
$96.00 |
|
|
Photopheresis
|
$3,350.00 |
$4,548.00 |
$10,814.00 |
|
|
Photosensitivity tests
|
$78.00 |
$96.00 |
$96.00 |
|
|
Phys blood bank serv reactj
|
$241.80 |
$241.80 |
$241.80 |
|
|
Physical Therapy Evaluation (high complexity)
|
$85.50 |
$294.00 |
$503.50 |
|
|
Physical Therapy Evaluation (low complexity)
|
$52.00 |
$219.60 |
$438.00 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$57.50 |
$302.00 |
$471.50 |
|
|
Physical Therapy Re-Evaluation
|
$47.00 |
$120.50 |
$289.00 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$71.08 |
$79.55 |
$265.85 |
|