|
Pcv21 vaccine im
|
$418.77 |
$418.77 |
$418.77 |
$410.26
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,217.04 |
$3,217.04 |
$3,217.04 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$6,611.36 |
$6,611.36 |
$6,611.36 |
$4,300.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,370.40 |
$2,370.40 |
$2,370.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,075.20 |
$2,075.20 |
$2,075.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,829.60 |
$1,829.60 |
$1,829.60 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,835.20 |
$3,835.20 |
$3,835.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,472.80 |
$3,472.80 |
$3,472.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$628.80 |
$628.80 |
$628.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$494.40 |
$494.40 |
$494.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$287.20 |
$287.20 |
$287.20 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$318.40 |
$318.40 |
$318.40 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,846.10 |
$5,846.10 |
$5,846.10 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$241.42 |
$241.42 |
$241.42 |
$7,089.13
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$760.00 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$557.56 |
$557.56 |
$557.56 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$77.24 |
$77.24 |
$77.24 |
$97.85
|
|
Pentamidine non-comp unit
|
$88.56 |
$88.56 |
$88.56 |
$294.39
|
|
Peripheral vascular rehab
|
$152.00 |
$152.00 |
$152.00 |
$132.50
|
|
Pertuzumab 30 mg/ml desensitization
|
$5,624.30 |
$5,624.30 |
$5,624.30 |
$14,272.91
|
|
Ph body fluid
|
$14.40 |
$14.40 |
$14.40 |
$42.00
|
|
Phenobarbital therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$61.12 |
$61.12 |
$61.12 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.64 |
$60.64 |
$60.64 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$87.20 |
$87.20 |
$87.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$268.80 |
$268.80 |
$268.80 |
$231.40
|
|
Phosphorus
|
$34.40 |
$34.40 |
$34.40 |
$49.20
|
|
Phosphorus 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$292.00 |
$292.00 |
$292.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$229.60 |
$229.60 |
$229.60 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$260.80 |
$260.80 |
$260.80 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$190.40 |
$190.40 |
$190.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$75.32 |
$75.32 |
$75.32 |
$90.25
|
|
Pinworm exam
|
$28.00 |
$28.00 |
$28.00 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$63.46 |
$63.46 |
$63.46 |
$81.36
|
|
Placental lactogen
|
$132.80 |
$132.80 |
$132.80 |
$163.28
|
|
Platelet aggregation each agent teg
|
$84.00 |
$84.00 |
$84.00 |
$148.98
|
|
Platelet automated
|
$34.40 |
$34.40 |
$34.40 |
$46.00
|
|
Platelets each unit
|
$587.20 |
$587.20 |
$587.20 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$261.60 |
$261.60 |
$261.60 |
$315.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,849.60 |
$1,849.60 |
$1,849.60 |
$1,284.80
|
|
Plethysmography lung volumes/airway resistance
|
$461.60 |
$461.60 |
$461.60 |
$408.05
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$136.80 |
$136.80 |
$136.80 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,468.00 |
$4,468.00 |
$4,468.00 |
$3,790.61
|
|
Potassium 24 hour urine
|
$32.00 |
$32.00 |
$32.00 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$189.08 |
$189.08 |
$189.08 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$31.20 |
$31.20 |
$31.20 |
$47.85
|
|
Pr application of long arm splint
|
$288.80 |
$288.80 |
$288.80 |
$332.75
|
|
Pr application splint static short arm
|
$301.60 |
$301.60 |
$301.60 |
$288.00
|
|
Prealbumin
|
$64.80 |
$64.80 |
$64.80 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.40 |
$3.40 |
$3.40 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$778.40 |
$778.40 |
$778.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$629.60 |
$629.60 |
$629.60 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$496.00 |
$496.00 |
$496.00 |
$459.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$849.60 |
$849.60 |
$849.60 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$697.60 |
$697.60 |
$697.60 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$487.20 |
$487.20 |
$487.20 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$499.20 |
$499.20 |
$499.20 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$619.20 |
$619.20 |
$619.20 |
$592.62
|
|
Procalcitonin
|
$198.40 |
$198.40 |
$198.40 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$68.99 |
$68.99 |
$68.99 |
$38.48
|
|
Progesterone
|
$107.20 |
$107.20 |
$107.20 |
$116.00
|
|
Prolactin
|
$92.80 |
$92.80 |
$92.80 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$68.32 |
$68.32 |
$68.32 |
$73.36
|
|
Protamine 10 mg/ml intravenous solution
|
$62.30 |
$62.30 |
$62.30 |
$56.70
|
|
Protein c activity
|
$129.60 |
$129.60 |
$129.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$59.20 |
$59.20 |
$59.20 |
$84.00
|
|
Protein total 24 hour urine
|
$35.20 |
$35.20 |
$35.20 |
$52.50
|
|
Protein total body fluid
|
$42.40 |
$42.40 |
$42.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$27.20 |
$27.20 |
$27.20 |
$43.00
|
|
Prothrombin complex kcentra
|
$3,228.00 |
$3,228.00 |
$3,228.00 |
$6.98
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$211.20 |
$211.20 |
$211.20 |
$252.00
|
|
Pr removal intrauterine device
|
$455.20 |
$455.20 |
$455.20 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$644.00 |
$644.00 |
$644.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$441.60 |
$441.60 |
$441.60 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$496.00 |
$496.00 |
$496.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$461.60 |
$461.60 |
$461.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$460.00 |
$460.00 |
$460.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$973.60 |
$973.60 |
$973.60 |
$1,761.00
|
|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$140.80 |
$140.80 |
$140.80 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$233.60 |
$233.60 |
$233.60 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$243.20 |
$243.20 |
$243.20 |
$287.95
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$132.00 |
$132.00 |
$132.00 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$81.48
|
|
Pt application of modality traction mechanical
|
$105.60 |
$105.60 |
$105.60 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$144.00 |
$144.00 |
$144.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$100.80 |
$100.80 |
$100.80 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$340.00 |
$340.00 |
$340.00 |
$347.11
|
|
Pulse ox multiple
|
$203.20 |
$203.20 |
$203.20 |
$157.30
|
|
Pulse ox single
|
$85.60 |
$85.60 |
$85.60 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$152.00 |
$152.00 |
$152.00 |
$129.36
|
|
Puncture spinal lumbar diagnostic
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$65.83 |
$65.83 |
$65.83 |
$49.08
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,848.39 |
$3,848.39 |
$3,848.39 |
$4,017.00
|
