|
Pelvic MRI (with and without contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,997.75 |
$2,997.75 |
$2,997.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$861.45 |
$861.45 |
$861.45 |
$652.50
|
|
Pelvic Ultrasound (limited)
|
$383.10 |
$383.10 |
$383.10 |
$435.13
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$11,003.90 |
$11,003.90 |
$11,003.90 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$8,005.14 |
$8,005.14 |
$8,005.14 |
$6,582.76
|
|
Peng benzathine/procaine inj
|
$477.40 |
$477.40 |
$477.40 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,124.96 |
$1,124.96 |
$1,124.96 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$88.57 |
$88.57 |
$88.57 |
$100.50
|
|
Penicillin g procaine inj
|
$180.77 |
$180.77 |
$180.77 |
$147.21
|
|
Penile injection
|
$386.70 |
$386.70 |
$386.70 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$18,349.50 |
$18,349.50 |
$18,349.50 |
$18,473.40
|
|
Penile vascular study
|
$697.20 |
$697.20 |
$697.20 |
$585.20
|
|
Pentobarbital sodium inj
|
$4,655.07 |
$4,655.07 |
$4,655.07 |
$2,047.85
|
|
Perc cryo ablate renal tum
|
$7,870.05 |
$7,870.05 |
$7,870.05 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$13,478.40
|
|
Perc d-e cor revasc chro sin
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$18,808.65
|
|
Perc drug-el cor stent bran
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$11,974.50
|
|
Perc drug-el cor stent sing
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$16,270.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$231.43 |
$231.43 |
$231.43 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$2,976.90 |
$2,976.90 |
$2,976.90 |
$2,276.64
|
|
Peripheral vascular rehab
|
$108.15 |
$108.15 |
$108.15 |
$132.50
|
|
Peri-proc device eval icd
|
$88.50 |
$88.50 |
$88.50 |
$192.40
|
|
Peri-proc device eval pm
|
$88.50 |
$88.50 |
$88.50 |
$163.00
|
|
Perit-vens shunt pat tst
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$861.25
|
|
Permanent tear duct plug
|
$241.08 |
$241.08 |
$241.08 |
$291.00
|
|
Perphenazine 4mg oral
|
$1.84 |
$1.84 |
$1.84 |
$2.58
|
|
Perq clsr tcat l atr apndge
|
$6,469.20 |
$6,469.20 |
$6,469.20 |
$9,575.00
|
|
Perq dev breast 1st strtctc
|
$490.20 |
$490.20 |
$490.20 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$5,100.60 |
$5,100.60 |
$5,100.60 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,904.40 |
$4,904.40 |
$4,904.40 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$5,100.60 |
$5,100.60 |
$5,100.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$507.60 |
$507.60 |
$507.60 |
$625.93
|
|
Perq transcath cls aortic
|
$17,454.45 |
$17,454.45 |
$17,454.45 |
$22,633.26
|
|
Perq transcath cls mitral
|
$16,834.20 |
$16,834.20 |
$16,834.20 |
$24,132.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,923.02 |
$12,923.02 |
$12,923.02 |
$13,666.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$49,800.00 |
$49,800.00 |
$49,800.00 |
$38,426.87
|
|
Ph body fluid
|
$30.75 |
$30.75 |
$30.75 |
$40.04
|
|
Phencyclidine (pcp)
|
$157.80 |
$157.80 |
$157.80 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$160.05 |
$160.05 |
$160.05 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$350.85 |
$350.85 |
$350.85 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,940.25 |
$1,940.25 |
$1,940.25 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$100.62 |
$100.62 |
$100.62 |
$67.89
|
|
Phenylep ketorolac opth soln
|
$934.56 |
$934.56 |
$934.56 |
$934.56
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.00 |
$6.00 |
$6.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$294.90 |
$294.90 |
$294.90 |
$111.27
|
|
Phosphorus
|
$160.50 |
$160.50 |
$160.50 |
$49.60
|
|
Phosphorus 24 hour urine
|
$39.60 |
$39.60 |
$39.60 |
$42.25
|
|
Phys blood bank serv reactj
|
$239.55 |
$239.55 |
$239.55 |
$208.73
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$31.16 |
$31.16 |
$31.16 |
$85.79
|
|
Pillow shldr abduc inflat univ
|
$365.34 |
$365.34 |
$365.34 |
$537.66
|
|
Pin caspar distraction 12mm
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$11,925.00
|
|
Pinworm exam
|
$45.15 |
$45.15 |
$45.15 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$64.05 |
$64.05 |
$64.05 |
$83.41
|
|
Place cath xtrnl carotid
|
$3,775.95 |
$3,775.95 |
$3,775.95 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$1,865.10 |
$1,865.10 |
$1,865.10 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$972.15 |
$972.15 |
$972.15 |
$1,537.43
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$490.20 |
$490.20 |
$490.20 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$490.20 |
$490.20 |
$490.20 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,150.90 |
$3,150.90 |
$3,150.90 |
$3,949.35
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$11,631.90 |
$11,631.90 |
$11,631.90 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$5,377.65 |
$5,377.65 |
$5,377.65 |
$5,271.46
|
|
Place slctv cath carotid/inom art excrn uni
|
$5,377.65 |
$5,377.65 |
$5,377.65 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,377.65 |
$5,377.65 |
$5,377.65 |
$9,074.00
|
|
Place slctv cath subclavian art
|
$5,377.65 |
$5,377.65 |
$5,377.65 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$8,795.70 |
$8,795.70 |
$8,795.70 |
$9,076.32
|
|
Plasma cryoprecipitate reduced each unit
|
$132.30 |
$132.30 |
$132.30 |
$162.21
|
|
Plasmaprotein fract,5%,250ml
|
$123.83 |
$123.83 |
$123.83 |
$123.83
|
|
Plas shoe insert w ank joint
|
$292.23 |
$292.23 |
$292.23 |
$244.06
|
|
Plastic mod low ext pad/line
|
$244.53 |
$244.53 |
$244.53 |
$244.50
|
|
Platelet aggregation each agent teg
|
$618.45 |
$618.45 |
$618.45 |
$145.60
|
|
Platelet automated
|
$81.45 |
$81.45 |
$81.45 |
$45.49
|
|
Platelets each unit
|
$129.90 |
$129.90 |
$129.90 |
$169.29
|
|
Platelets irradiated ea unit
|
$274.65 |
$274.65 |
$274.65 |
$273.35
|
|
Platelets leukocytes reduced irradiated each unit
|
$474.30 |
$474.30 |
$474.30 |
$418.95
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,367.85 |
$1,367.85 |
$1,367.85 |
$1,146.75
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$1,278.55
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,641.20 |
$5,641.20 |
$5,641.20 |
$4,477.78
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$4,913.40
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$5,419.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$969.15 |
$969.15 |
$969.15 |
$1,259.20
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$474.90 |
$474.90 |
$474.90 |
$762.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,793.50 |
$3,793.50 |
$3,793.50 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$471.30 |
$471.30 |
$471.30 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$490.20 |
$490.20 |
$490.20 |
$691.68
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$490.20 |
$490.20 |
$490.20 |
$758.52
|
|
Plmt biliary drainage cath
|
$5,641.20 |
$5,641.20 |
$5,641.20 |
$4,762.80
|
|
Plmt ureteral stent prq
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$4,991.04
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$337.05 |
$337.05 |
$337.05 |
$186.27
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$34,735.22 |
$34,735.22 |
$34,735.22 |
$34,735.22
|
|
Polysom <6 yrs cpap/bilvl
|
$7,244.10 |
$7,244.10 |
$7,244.10 |
$3,470.00
|
|
Postop app non-wgt bear dsg
|
$1,331.36 |
$1,331.36 |
$1,331.36 |
$903.50
|
|
Postop app non-wgt bear dsg
|
$1,449.53 |
$1,449.53 |
$1,449.53 |
$1,389.71
|
|
Postop dress & 1 cast chg bk
|
$3,057.65 |
$3,057.65 |
$3,057.65 |
$2,711.11
|
|
Post-op hip abduct custom fa
|
$2,226.01 |
$2,226.01 |
$2,226.01 |
$1,760.02
|
|
Potassium 24 hour urine
|
$121.65 |
$121.65 |
$121.65 |
$50.74
|