|
Pelvic CT scan (with contrast)
|
$796.00 |
$796.00 |
$796.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$587.50 |
$587.50 |
$587.50 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$1,421.00 |
$1,421.00 |
$1,421.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$932.00 |
$932.00 |
$932.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$835.00 |
$835.00 |
$835.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$682.50 |
$682.50 |
$682.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$476.50 |
$476.50 |
$476.50 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$280.50 |
$280.50 |
$280.50 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$337.00 |
$337.00 |
$337.00 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$81.78 |
$81.78 |
$81.78 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$104.10 |
$104.10 |
$104.10 |
$7,089.13
|
|
Pemivibart infusion
|
$709.00 |
$709.00 |
$709.00 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$37.81 |
$37.81 |
$37.81 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$4.49 |
$4.49 |
$4.49 |
$97.85
|
|
Penile injection
|
$327.50 |
$327.50 |
$327.50 |
$418.86
|
|
Penile vascular study
|
$912.50 |
$912.50 |
$912.50 |
$561.00
|
|
Penile vascular study
|
$660.00 |
$660.00 |
$660.00 |
$574.60
|
|
Pentamidine 300 mg solution for injection
|
$53.16 |
$53.16 |
$53.16 |
$572.10
|
|
Pentamidine non-comp unit
|
$53.34 |
$53.34 |
$53.34 |
$294.39
|
|
Pentobarbital sodium inj
|
$83.54 |
$83.54 |
$83.54 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$15,838.00 |
$15,838.00 |
$15,838.00 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$17,013.50 |
$17,013.50 |
$17,013.50 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$17,162.50 |
$17,162.50 |
$17,162.50 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$17,013.50 |
$17,013.50 |
$17,013.50 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$17,162.50 |
$17,162.50 |
$17,162.50 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$17,013.50 |
$17,013.50 |
$17,013.50 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$17,162.50 |
$17,162.50 |
$17,162.50 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$17,013.50 |
$17,013.50 |
$17,013.50 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$21,200.50 |
$21,200.50 |
$21,200.50 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$17,686.00 |
$17,686.00 |
$17,686.00 |
$7,243.60
|
|
Percut ablate liver rf
|
$4,014.00 |
$4,014.00 |
$4,014.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$55.38 |
$55.38 |
$55.38 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$786.50 |
$786.50 |
$786.50 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$4,861.50 |
$4,861.50 |
$4,861.50 |
$2,418.99
|
|
Peripheral vascular rehab
|
$93.50 |
$93.50 |
$93.50 |
$132.50
|
|
Peri-proc device eval icd
|
$82.50 |
$82.50 |
$82.50 |
$192.40
|
|
Peri-proc device eval pm
|
$73.50 |
$73.50 |
$73.50 |
$155.00
|
|
Peritoneal cath sub q resv per
|
$6,288.50 |
$6,288.50 |
$6,288.50 |
$5,625.74
|
|
Peritoneogram rs&i
|
$314.50 |
$314.50 |
$314.50 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$752.49
|
|
Permanent tear duct plug
|
$262.41 |
$262.41 |
$262.41 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$4,282.00 |
$4,282.00 |
$4,282.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$18,493.50 |
$18,493.50 |
$18,493.50 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$820.00 |
$820.00 |
$820.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$814.00 |
$814.00 |
$814.00 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$33,517.00 |
$33,517.00 |
$33,517.00 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$23,535.00 |
$23,535.00 |
$23,535.00 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$21,287.50 |
$21,287.50 |
$21,287.50 |
$18,035.00
|
|
Perq p-art revsc 1 abnor uni
|
$34,447.50 |
$34,447.50 |
$34,447.50 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$21,287.50 |
$21,287.50 |
$21,287.50 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$21,287.50 |
$21,287.50 |
$21,287.50 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$10,644.00 |
$10,644.00 |
$10,644.00 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$11,224.00 |
$11,224.00 |
$11,224.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,325.00 |
$8,325.00 |
$8,325.00 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$8,325.00 |
$8,325.00 |
$8,325.00 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$482.50 |
$482.50 |
$482.50 |
$625.93
|
|
Perq transcath closure each
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$9,204.00
|
|
Perq transcath closure pda
|
$18,277.50 |
$18,277.50 |
$18,277.50 |
$18,408.00
|
|
Perq transcath cls aortic
|
$35,645.00 |
$35,645.00 |
$35,645.00 |
$22,633.26
|
|
Perq transcath cls mitral
|
$35,645.00 |
$35,645.00 |
$35,645.00 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$2,214.50 |
$2,214.50 |
$2,214.50 |
$8,828.16
|
|
Perq trluml angp nt/recr coa
|
$1,509.00 |
$1,509.00 |
$1,509.00 |
$6,658.00
|
|
Pertussis ag if
|
$126.00 |
$126.00 |
$126.00 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$22.48 |
$22.48 |
$22.48 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$106.67 |
$106.67 |
$106.67 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$105.00 |
$105.00 |
$105.00 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$5,133.00 |
$5,133.00 |
$5,133.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,356.50 |
$5,356.50 |
$5,356.50 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,379.00 |
$4,379.00 |
$4,379.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,911.00 |
$4,911.00 |
$4,911.00 |
$4,349.76
|
|
Pet scan brain perf study
|
$4,297.00 |
$4,297.00 |
$4,297.00 |
$3,724.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$24,127.00 |
$24,127.00 |
$24,127.00 |
$40,252.07
|
|
Pharmacologic management w/psytx
|
$170.50 |
$170.50 |
$170.50 |
$78.96
|
|
Ph body fluid
|
$37.00 |
$37.00 |
$37.00 |
$42.00
|
|
Phencyclidine (pcp)
|
$159.50 |
$159.50 |
$159.50 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$40.27 |
$40.27 |
$40.27 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$98.50 |
$98.50 |
$98.50 |
$104.80
|
|
Phentolaine mesylate inj
|
$591.75 |
$591.75 |
$591.75 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$2.54 |
$2.54 |
$2.54 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$141.50 |
$141.50 |
$141.50 |
$111.20
|
|
Phlebotomy therapeutic
|
$249.00 |
$249.00 |
$249.00 |
$231.87
|
|
Phleb veins 1 extrm 10-20 stab
|
$7,847.00 |
$7,847.00 |
$7,847.00 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$8,192.00 |
$8,192.00 |
$8,192.00 |
$4,516.05
|
|
Phosphorus
|
$47.00 |
$47.00 |
$47.00 |
$48.96
|
|
Phosphorus 24 hour urine
|
$46.00 |
$46.00 |
$46.00 |
$42.25
|
|
Photopheresis
|
$7,921.50 |
$7,921.50 |
$7,921.50 |
$8,010.00
|
|
Phys blood bank serv authrj
|
$168.50 |
$168.50 |
$168.50 |
$97.60
|
|
Phys blood bank serv reactj
|
$168.50 |
$168.50 |
$168.50 |
$207.50
|
|
Phys blood bank serv xmatch
|
$167.50 |
$167.50 |
$167.50 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$246.00 |
$246.00 |
$246.00 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$212.00 |
$212.00 |
$212.00 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$212.50 |
$212.50 |
$212.50 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$183.00 |
$183.00 |
$183.00 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$25.72 |
$25.72 |
$25.72 |
$89.82
|
|
Pik3ca gene trgt seq alys
|
$652.00 |
$652.00 |
$652.00 |
$463.20
|
|
Pinworm exam
|
$82.00 |
$82.00 |
$82.00 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$25.68 |
$25.68 |
$25.68 |
$81.36
|
|
Place cath intracranial art
|
$921.00 |
$921.00 |
$921.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$1,301.00 |
$1,301.00 |
$1,301.00 |
$4,202.90
|
|
Place cecostomy tube perc
|
$2,290.00 |
$2,290.00 |
$2,290.00 |
$2,580.90
|
