|
Pelvic MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$101.55 |
$101.55 |
$101.55 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,803.20 |
$5,803.20 |
$5,803.20 |
$12,385.22
|
|
Peng benzathine/procaine inj
|
$221.10 |
$221.10 |
$221.10 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$184.92 |
$184.92 |
$184.92 |
$826.47
|
|
Penile injection
|
$1,412.85 |
$1,412.85 |
$1,412.85 |
$418.00
|
|
Perc cryo ablate renal tum
|
$1,502.85 |
$1,502.85 |
$1,502.85 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$4,235.40 |
$4,235.40 |
$4,235.40 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$4,307.40 |
$4,307.40 |
$4,307.40 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$4,235.40 |
$4,235.40 |
$4,235.40 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$4,243.35 |
$4,243.35 |
$4,243.35 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$1,772.70 |
$1,772.70 |
$1,772.70 |
$7,243.60
|
|
Percut ablate liver rf
|
$1,791.15 |
$1,791.15 |
$1,791.15 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$774.15 |
$774.15 |
$774.15 |
$2,251.20
|
|
Peripheral vascular rehab
|
$513.90 |
$513.90 |
$513.90 |
$132.50
|
|
Perit-vens shunt pat tst
|
$452.25 |
$452.25 |
$452.25 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$2,382.30 |
$2,382.30 |
$2,382.30 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$2,262.75 |
$2,262.75 |
$2,262.75 |
$9,509.53
|
|
Perq dev breast 1st strtctc
|
$280.35 |
$280.35 |
$280.35 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$1,975.50 |
$1,975.50 |
$1,975.50 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,173.20 |
$2,173.20 |
$2,173.20 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,173.20 |
$2,173.20 |
$2,173.20 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,167.75 |
$1,167.75 |
$1,167.75 |
$625.93
|
|
Perq transcath septal reduxn
|
$2,874.45 |
$2,874.45 |
$2,874.45 |
$8,605.90
|
|
Pet CT skull-mid thgh initial
|
$1,537.20 |
$1,537.20 |
$1,537.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,614.00 |
$1,614.00 |
$1,614.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$1,529.85 |
$1,529.85 |
$1,529.85 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$1,405.50 |
$1,405.50 |
$1,405.50 |
$4,305.60
|
|
Ph body fluid
|
$5.25 |
$5.25 |
$5.25 |
$41.28
|
|
Phencyclidine (pcp)
|
$13.35 |
$13.35 |
$13.35 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$64.44 |
$64.44 |
$64.44 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$19.95 |
$19.95 |
$19.95 |
$104.50
|
|
Phentolaine mesylate inj
|
$706.65 |
$706.65 |
$706.65 |
$1,028.40
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$4.88 |
$4.88 |
$4.88 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$23.10 |
$23.10 |
$23.10 |
$110.88
|
|
Phlebotomy therapeutic
|
$65.10 |
$65.10 |
$65.10 |
$231.66
|
|
Phosphorus
|
$7.95 |
$7.95 |
$7.95 |
$48.80
|
|
Phosphorus 24 hour urine
|
$9.15 |
$9.15 |
$9.15 |
$41.51
|
|
Phys blood bank serv reactj
|
$72.60 |
$72.60 |
$72.60 |
$207.50
|
|
Phys blood bank serv xmatch
|
$72.60 |
$72.60 |
$72.60 |
$97.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$103.34 |
$103.34 |
$103.34 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$174.80 |
$174.80 |
$174.80 |
$1,035.81
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$234.30 |
$234.30 |
$234.30 |
$1,116.00
|
|
Pinworm exam
|
$7.20 |
$7.20 |
$7.20 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$121.97 |
$121.97 |
$121.97 |
$83.03
|
|
Place cath intracranial art
|
$323.10 |
$323.10 |
$323.10 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$4,156.80 |
$4,156.80 |
$4,156.80 |
$4,202.90
|
|
Place duod/jej tube perc
|
$771.30 |
$771.30 |
$771.30 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$598.05 |
$598.05 |
$598.05 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$241.50 |
$241.50 |
$241.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$54.90 |
$54.90 |
$54.90 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$280.35 |
$280.35 |
$280.35 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,372.35 |
$1,372.35 |
$1,372.35 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$69.30 |
$69.30 |
$69.30 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$4,660.20 |
$4,660.20 |
$4,660.20 |
$13,964.50
|
|
Place needles pelvic for right
|
$1,412.85 |
$1,412.85 |
$1,412.85 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$2,654.85 |
$2,654.85 |
$2,654.85 |
$5,053.33
|
|
Place right device/marker pros
|
$683.55 |
$683.55 |
$683.55 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$3,463.65 |
$3,463.65 |
$3,463.65 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$2,037.45 |
$2,037.45 |
$2,037.45 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$4,156.80 |
$4,156.80 |
$4,156.80 |
$8,971.00
|
|
Plasma volume multiple
|
$582.45 |
$582.45 |
$582.45 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$37.50 |
$37.50 |
$37.50 |
$148.80
|
|
Platelet automated
|
$7.65 |
$7.65 |
$7.65 |
$45.60
|
|
Platelet pheresis each unit
|
$108.15 |
$108.15 |
$108.15 |
$961.70
|
|
Platelet pheresis irr ea
|
$181.95 |
$181.95 |
$181.95 |
$1,082.25
|
|
Platelets each unit
|
$108.15 |
$108.15 |
$108.15 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$272.10 |
$272.10 |
$272.10 |
$1,504.10
|
|
Platelets irradiated ea unit
|
$53.85 |
$53.85 |
$53.85 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$108.15 |
$108.15 |
$108.15 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$411.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$134.55 |
$134.55 |
$134.55 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$146.25 |
$146.25 |
$146.25 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$185.55 |
$185.55 |
$185.55 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$591.15 |
$591.15 |
$591.15 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,252.50 |
$1,252.50 |
$1,252.50 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$6,318.45 |
$6,318.45 |
$6,318.45 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,216.65 |
$1,216.65 |
$1,216.65 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$315.30 |
$315.30 |
$315.30 |
$1,230.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$93.90 |
$93.90 |
$93.90 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$92.40 |
$92.40 |
$92.40 |
$405.00
|
|
Plmt biliary drainage cath
|
$1,823.55 |
$1,823.55 |
$1,823.55 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,296.05 |
$2,296.05 |
$2,296.05 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$5,104.20
|
|
Pmp22 gene dup/delet
|
$96.75 |
$96.75 |
$96.75 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$96.75 |
$96.75 |
$96.75 |
$986.40
|
|
Pms2 gene dup/delet variants
|
$174.15 |
$174.15 |
$174.15 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$33.90 |
$33.90 |
$33.90 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$972.45 |
$972.45 |
$972.45 |
$3,494.55
|