|
Passy muir valve metal trach
|
$259.20 |
$259.20 |
$259.20 |
$275.75
|
|
Pcv21 vaccine im
|
$490.59 |
$490.59 |
$490.59 |
$410.26
|
|
Ped home apnea mntr dl&alys
|
$487.20 |
$487.20 |
$487.20 |
$296.92
|
|
Pegaspargase injection
|
$44,843.32 |
$44,843.32 |
$44,843.32 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$13,745.25 |
$13,745.25 |
$13,745.25 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,644.82 |
$5,644.82 |
$5,644.82 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,673.66 |
$9,673.66 |
$9,673.66 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$1,871.77 |
$1,871.77 |
$1,871.77 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,647.59 |
$3,647.59 |
$3,647.59 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$49,135.11 |
$49,135.11 |
$49,135.11 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,350.40 |
$2,350.40 |
$2,350.40 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,811.20 |
$4,811.20 |
$4,811.20 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$3,602.40 |
$3,602.40 |
$3,602.40 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$996.00 |
$996.00 |
$996.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$508.80 |
$508.80 |
$508.80 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$392.00 |
$392.00 |
$392.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$562.40 |
$562.40 |
$562.40 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$13,414.32 |
$13,414.32 |
$13,414.32 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,407.50 |
$2,407.50 |
$2,407.50 |
$7,089.13
|
|
Pemivibart infusion
|
$790.40 |
$790.40 |
$790.40 |
$533.10
|
|
Peng benzathine/procaine inj
|
$404.40 |
$404.40 |
$404.40 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$379.20 |
$379.20 |
$379.20 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$338.32 |
$338.32 |
$338.32 |
$97.85
|
|
Penicillin g procaine inj
|
$182.85 |
$182.85 |
$182.85 |
$149.20
|
|
Penile injection
|
$403.20 |
$403.20 |
$403.20 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$22,508.80 |
$22,508.80 |
$22,508.80 |
$18,764.94
|
|
Penile vascular study
|
$822.40 |
$822.40 |
$822.40 |
$561.00
|
|
Pentamidine non-comp unit
|
$163.88 |
$163.88 |
$163.88 |
$294.39
|
|
Pentobarbital sodium inj
|
$249.72 |
$249.72 |
$249.72 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$5,152.76 |
$5,152.76 |
$5,152.76 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$12,634.40 |
$12,634.40 |
$12,634.40 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$16,333.60 |
$16,333.60 |
$16,333.60 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$31,221.60 |
$31,221.60 |
$31,221.60 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$16,303.20 |
$16,303.20 |
$16,303.20 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$26,716.00 |
$26,716.00 |
$26,716.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$16,847.20 |
$16,847.20 |
$16,847.20 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$29,534.40 |
$29,534.40 |
$29,534.40 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$16,454.40 |
$16,454.40 |
$16,454.40 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$23,747.20 |
$23,747.20 |
$23,747.20 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$10,048.80 |
$10,048.80 |
$10,048.80 |
$7,243.60
|
|
Percut ablate liver rf
|
$10,048.80 |
$10,048.80 |
$10,048.80 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$560.56 |
$560.56 |
$560.56 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
$2,375.00
|
|
Peripheral vascular rehab
|
$136.80 |
$136.80 |
$136.80 |
$132.50
|
|
Peri-proc device eval icd
|
$223.20 |
$223.20 |
$223.20 |
$192.40
|
|
Peri-proc device eval pm
|
$165.60 |
$165.60 |
$165.60 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$5,248.00 |
$5,248.00 |
$5,248.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$752.49
|
|
Permanent tear duct plug
|
$912.00 |
$912.00 |
$912.00 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$14,144.00 |
$14,144.00 |
$14,144.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$20,190.40 |
$20,190.40 |
$20,190.40 |
$9,309.08
|
|
Perq plmt bile duct stent
|
$9,707.20 |
$9,707.20 |
$9,707.20 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$6,473.60 |
$6,473.60 |
$6,473.60 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$8,377.60 |
$8,377.60 |
$8,377.60 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$505.60 |
$505.60 |
$505.60 |
$625.93
|
|
Perq transcath closure pda
|
$31,640.00 |
$31,640.00 |
$31,640.00 |
$18,408.00
|
|
Perq trluml angp nt/recr coa
|
$11,460.80 |
$11,460.80 |
$11,460.80 |
$7,398.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$13,044.28 |
$13,044.28 |
$13,044.28 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$7,500.00 |
$7,500.00 |
$7,500.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$7,892.00 |
$7,892.00 |
$7,892.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,936.80 |
$6,936.80 |
$6,936.80 |
$4,060.00
|
|
Pet image skull-thigh
|
$6,027.20 |
$6,027.20 |
$6,027.20 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$6,559.20 |
$6,559.20 |
$6,559.20 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$95,520.00 |
$95,520.00 |
$95,520.00 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$51.20 |
$51.20 |
$51.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$76.80 |
$76.80 |
$76.80 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$25.60 |
$25.60 |
$25.60 |
$31.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$348.75 |
$348.75 |
$348.75 |
$114.56
|
|
Phentolaine mesylate inj
|
$1,106.51 |
$1,106.51 |
$1,106.51 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$313.96 |
$313.96 |
$313.96 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$311.80 |
$311.80 |
$311.80 |
$10.80
|
|
Phlebotomy therapeutic
|
$256.00 |
$256.00 |
$256.00 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$6,344.80 |
$6,344.80 |
$6,344.80 |
$4,810.00
|
|
Physical Therapy Evaluation (high complexity)
|
$367.20 |
$367.20 |
$367.20 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$272.00 |
$272.00 |
$272.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$297.60 |
$297.60 |
$297.60 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$241.60 |
$241.60 |
$241.60 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$343.72 |
$343.72 |
$343.72 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$880.00 |
$880.00 |
$880.00 |
$1,038.40
|
|
Pillow shldr abduc inflat univ
|
$293.60 |
$293.60 |
$293.60 |
$537.66
|
|
Pin caspar distraction 12mm
|
$36,726.40 |
$36,726.40 |
$36,726.40 |
$11,759.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$896.00 |
$896.00 |
$896.00 |
$1,130.58
|
|
Pin finger fracture each
|
$4,594.40 |
$4,594.40 |
$4,594.40 |
$4,192.86
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$322.18 |
$322.18 |
$322.18 |
$81.36
|
|
Place cath intracranial art
|
$4,590.40 |
$4,590.40 |
$4,590.40 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$7,365.60 |
$7,365.60 |
$7,365.60 |
$4,202.90
|
|
Place cecostomy tube perc
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$2,580.90
|
|
Place duod/jej tube perc
|
$3,613.60 |
$3,613.60 |
$3,613.60 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$2,618.40 |
$2,618.40 |
$2,618.40 |
$2,289.60
|
|
Placement nephrostomy catheter (both sides)
|
$5,048.80 |
$5,048.80 |
$5,048.80 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$19,546.40 |
$19,546.40 |
$19,546.40 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$7,501.60 |
$7,501.60 |
$7,501.60 |
$5,271.46
|
|
Place right device/marker pros
|
$2,836.80 |
$2,836.80 |
$2,836.80 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$11,571.20 |
$11,571.20 |
$11,571.20 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$8,673.60 |
$8,673.60 |
$8,673.60 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$9,087.20 |
$9,087.20 |
$9,087.20 |
$9,074.00
|
