|
Parathyrd planar w/spect&ct
|
$1,774.40 |
$2,072.80 |
$2,536.00 |
|
|
Parathyroid planar imaging
|
$1,483.20 |
$1,483.20 |
$2,087.20 |
|
|
Parathyroid planar img w/tomo spect
|
$1,688.00 |
$2,033.60 |
$2,280.80 |
|
|
Paricalcitol
|
$322.83 |
$322.83 |
$322.83 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$256.00 |
$256.00 |
$267.20 |
|
|
Partial removal finger bone
|
$3,252.00 |
$3,252.00 |
$3,252.00 |
|
|
Partial removal finger bone
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
|
|
Partial removal of hand bone
|
$4,470.40 |
$4,470.40 |
$4,470.40 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7.20 |
$7.20 |
$94.40 |
|
|
Passy muir valve metal trach
|
$259.20 |
$345.09 |
$431.20 |
|
|
Pcv21 vaccine im
|
$418.77 |
$418.77 |
$490.59 |
|
|
Ped home apnea mntr dl&alys
|
$487.20 |
$487.20 |
$487.20 |
|
|
Pegaspargase injection
|
$44,843.32 |
$44,843.32 |
$44,843.32 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,933.38 |
$7,933.38 |
$13,745.25 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,217.04 |
$3,217.04 |
$5,644.82 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,294.00 |
$5,519.24 |
$9,673.66 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$1,871.77 |
$6,616.16 |
$6,616.16 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,133.36 |
$2,133.36 |
$3,647.59 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$49,135.11 |
$49,135.11 |
$49,135.11 |
|
|
Pelvic CT scan (with and without contrast)
|
$2,004.00 |
$2,626.40 |
$2,809.60 |
|
|
Pelvic CT scan (with contrast)
|
$1,929.60 |
$2,273.60 |
$2,428.80 |
|
|
Pelvic CT scan (without contrast)
|
$1,815.20 |
$1,926.40 |
$2,350.40 |
|
|
Pelvic MRI (with and without contrast)
|
$3,835.20 |
$4,042.40 |
$4,811.20 |
|
|
Pelvic MRI (with contrast)
|
$3,472.80 |
$3,920.80 |
$4,011.20 |
|
|
Pelvic MRI (without contrast)
|
$2,768.80 |
$3,053.60 |
$3,602.40 |
|
|
Pelvic Ultrasound (complete)
|
$628.80 |
$820.80 |
$996.00 |
|
|
Pelvic Ultrasound (limited)
|
$494.40 |
$638.40 |
$712.00 |
|
|
Pelvis X-ray (1 to 2 views)
|
$275.20 |
$337.60 |
$392.00 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$318.40 |
$410.40 |
$562.40 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,846.10 |
$5,965.04 |
$13,414.32 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$241.42 |
$2,407.50 |
$3,927.07 |
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$790.40 |
|
|
Peng benzathine/procaine inj
|
$84.34 |
$94.58 |
$404.40 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$89.96 |
$471.48 |
$903.20 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$64.66 |
$77.24 |
$338.32 |
|
|
Penicillin g procaine inj
|
$182.85 |
$182.85 |
$182.85 |
|
|
Penile injection
|
$372.00 |
$372.00 |
$403.20 |
|
|
Penile rear tip xtnd 0.5cm
|
$22,508.80 |
$22,508.80 |
$22,508.80 |
|
|
Penile vascular study
|
$786.40 |
$786.40 |
$822.40 |
|
|
Pentamidine non-comp unit
|
$88.56 |
$106.89 |
$163.88 |
|
|
Pentobarbital sodium inj
|
$249.72 |
$249.72 |
$249.72 |
|
|
Pentostatin 10 mg intravenous solution
|
$5,152.76 |
$5,152.76 |
$5,152.76 |
|
|
Perc cryo ablate renal tum
|
$12,634.40 |
$12,634.40 |
$12,634.40 |
|
|
Perc d-e cor revasc chro add
|
$3,631.20 |
$3,631.20 |
$16,333.60 |
|
|
Perc d-e cor revasc chro sin
|
$27,512.80 |
$27,512.80 |
$31,221.60 |
|
|
Perc d-e cor revasc t cabg b
|
$1,813.60 |
$1,813.60 |
$16,303.20 |
|
|
Perc d-e cor revasc t cabg s
|
$22,684.80 |
$22,684.80 |
$26,716.00 |
|
|
Perc d-e cor stent ather br
|
$16,847.20 |
$16,847.20 |
$16,847.20 |
|
|
Perc d-e cor stent ather s
|
$22,252.80 |
$22,252.80 |
$29,534.40 |
|
|
Perc drug-el cor stent bran
|
$15,276.00 |
$15,276.00 |
$16,454.40 |
|
|
Perc drug-el cor stent sing
|
$22,108.00 |
$22,108.00 |
$23,747.20 |
|
|
Perc rf ablate renal tumor
|
$10,048.80 |
$10,048.80 |
$10,348.80 |
|
|
Percut ablate liver rf
|
$10,048.80 |
$10,048.80 |
$10,348.80 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$560.56 |
$560.56 |
$560.56 |
|
|
Pericardiocentesis wwo imaging
|
$2,258.40 |
$2,258.40 |
$2,934.40 |
|
|
Peripheral vascular rehab
|
$120.00 |
$136.80 |
$158.40 |
|
|
Peri-proc device eval icd
|
$223.20 |
$223.20 |
$223.20 |
|
|
Peri-proc device eval pm
|
$165.60 |
$165.60 |
$165.60 |
|
|
Peritoneal cath sub q resv per
|
$4,400.00 |
$4,400.00 |
$5,248.00 |
|
|
Peritoneogram rs&i
|
$1,015.20 |
$1,015.20 |
$1,080.00 |
|
|
Perit-vens shunt pat tst
|
$1,164.80 |
$1,168.80 |
$1,248.80 |
|
|
Permanent tear duct plug
|
$912.00 |
$912.00 |
$912.00 |
|
|
Perq art m-thrombect &/nfs
|
$14,144.00 |
$14,144.00 |
$14,144.00 |
|
|
Perq clsr tcat l atr apndge
|
$20,190.40 |
$20,190.40 |
$20,190.40 |
|
|
Perq plmt bile duct stent
|
$9,707.20 |
$9,707.20 |
$9,707.20 |
|
|
Perq plmt bile duct stent
|
$6,473.60 |
$6,473.60 |
$6,473.60 |
|
|
Perq plmt bile duct stent
|
$8,377.60 |
$8,377.60 |
$8,377.60 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$505.60 |
$505.60 |
$505.60 |
|
|
Perq transcath closure pda
|
$31,640.00 |
$31,640.00 |
$31,640.00 |
|
|
Perq trluml angp nt/recr coa
|
$11,460.80 |
$11,460.80 |
$11,460.80 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$5,624.30 |
$6,517.99 |
$13,044.28 |
|
|
Pet CT skull-mid thgh initial
|
$7,214.40 |
$7,214.40 |
$7,500.00 |
|
|
Pet CT whole body initial
|
$6,761.60 |
$6,761.60 |
$7,892.00 |
|
|
Pet fdg brain metoblic eval sb
|
$5,980.00 |
$5,980.00 |
$6,936.80 |
|
|
Pet image skull-thigh
|
$6,027.20 |
$6,027.20 |
$6,027.20 |
|
|
Pet image w/ct lmtd
|
$6,559.20 |
$6,559.20 |
$6,762.40 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$819.20 |
$2,724.00 |
$95,520.00 |
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$51.20 |
$51.20 |
$51.20 |
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$76.80 |
$76.80 |
$76.80 |
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$25.60 |
$25.60 |
$25.60 |
|
|
Ph body fluid
|
$14.40 |
$46.40 |
$61.60 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$67.59 |
$76.04 |
$348.75 |
|
|
Phenobarbital therapeutic drug level
|
$71.20 |
$74.40 |
$92.00 |
|
|
Phentolaine mesylate inj
|
$636.34 |
$722.55 |
$1,106.51 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$60.92 |
$63.23 |
$313.96 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.60 |
$60.63 |
$311.80 |
|
|
Phenytoin total therapeutic drug level
|
$76.80 |
$109.60 |
$124.80 |
|
|
Phlebotomy therapeutic
|
$249.60 |
$258.40 |
$268.80 |
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,199.20 |
$5,199.20 |
$6,344.80 |
|
|
Phosphorus
|
$34.40 |
$54.40 |
$84.80 |
|
|
Phosphorus 24 hour urine
|
$20.00 |
$36.00 |
$62.40 |
|
|
Physical Therapy Evaluation (high complexity)
|
$292.00 |
$342.40 |
$367.20 |
|
|
Physical Therapy Evaluation (low complexity)
|
$199.20 |
$256.80 |
$272.00 |
|
|
Physical Therapy Evaluation (moderate complexity)
|
$243.20 |
$280.00 |
$297.60 |
|
|
Physical Therapy Re-Evaluation
|
$145.60 |
$190.40 |
$241.60 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$75.32 |
$79.30 |
$343.72 |
|
|
Piflu f-18, dia 1 millicurie
|
$880.00 |
$880.00 |
$880.00 |
|
|
Pillow shldr abduc inflat univ
|
$293.60 |
$293.60 |
$293.60 |
|
|
Pin caspar distraction 12mm
|
$36,726.40 |
$36,726.40 |
$36,726.40 |
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$896.00 |
$896.00 |
$1,200.80 |
|
