|
Pelvic MRI (with contrast)
|
$3,568.80 |
$3,568.80 |
$3,568.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,658.00 |
$2,658.00 |
$2,658.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,611.00 |
$1,611.00 |
$1,611.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$759.60 |
$759.60 |
$759.60 |
$430.00
|
|
Pelv & thor control gluteal
|
$648.68 |
$648.68 |
$648.68 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$35,011.26 |
$35,011.26 |
$35,011.26 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$23,530.26 |
$23,530.26 |
$23,530.26 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$4,355.81 |
$4,355.81 |
$4,355.81 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$480.82 |
$480.82 |
$480.82 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$61,661.60 |
$61,661.60 |
$61,661.60 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$1,577.11 |
$1,577.11 |
$1,577.11 |
$453.61
|
|
Perc cryo ablate renal tum
|
$17,777.40 |
$17,777.40 |
$17,777.40 |
$11,458.04
|
|
Perc rf ablate renal tumor
|
$4,783.80 |
$4,783.80 |
$4,783.80 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,142.00 |
$2,142.00 |
$2,142.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,773.47 |
$1,773.47 |
$1,773.47 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$2,756.40 |
$2,756.40 |
$2,756.40 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$31,443.82 |
$31,443.82 |
$31,443.82 |
$3,986.00
|
|
Peripheral vascular rehab
|
$144.00 |
$144.00 |
$144.00 |
$132.50
|
|
Permanent tear duct plug
|
$597.89 |
$597.89 |
$597.89 |
$291.00
|
|
Peroneal straps pair pre ots
|
$80.12 |
$80.12 |
$80.12 |
$36.90
|
|
Perq clsr tcat l atr apndge
|
$26,827.80 |
$26,827.80 |
$26,827.80 |
$9,509.53
|
|
Perq dev breast 1st strtctc
|
$4,027.20 |
$4,027.20 |
$4,027.20 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$3,720.60 |
$3,720.60 |
$3,720.60 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$8,743.20 |
$8,743.20 |
$8,743.20 |
$6,904.15
|
|
Pertuzumab 30 mg/ml desensitization
|
$39,695.27 |
$39,695.27 |
$39,695.27 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$80,994.23 |
$80,994.23 |
$80,994.23 |
$27,833.07
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$499.36 |
$499.36 |
$499.36 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$7,013.40 |
$7,013.40 |
$7,013.40 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$163,183.61 |
$163,183.61 |
$163,183.61 |
$38,834.22
|
|
Ph body fluid
|
$39.60 |
$39.60 |
$39.60 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$323.19 |
$323.19 |
$323.19 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$282.60 |
$282.60 |
$282.60 |
$104.50
|
|
Phentolaine mesylate inj
|
$4,630.12 |
$4,630.12 |
$4,630.12 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$621.34 |
$621.34 |
$621.34 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$208.80 |
$208.80 |
$208.80 |
$110.88
|
|
Phleb veins 1 extrm 10-20 stab
|
$12,227.36 |
$12,227.36 |
$12,227.36 |
$4,599.65
|
|
Phosphorus
|
$96.60 |
$96.60 |
$96.60 |
$48.80
|
|
Phosphorus 24 hour urine
|
$34.20 |
$34.20 |
$34.20 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$115.69 |
$115.69 |
$115.69 |
$87.50
|
|
Pillow shldr abduc inflat univ
|
$3,402.59 |
$3,402.59 |
$3,402.59 |
$614.36
|
|
Pin caspar distraction 12mm
|
$47,830.80 |
$47,830.80 |
$47,830.80 |
$11,925.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$56.70 |
$56.70 |
$56.70 |
$83.03
|
|
Place gastrostomy tube perc
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,538.20 |
$3,538.20 |
$3,538.20 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,852.40 |
$2,852.40 |
$2,852.40 |
$795.00
|
|
Placement nephrostomy catheter (both sides)
|
$5,811.00 |
$5,811.00 |
$5,811.00 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$829.20 |
$829.20 |
$829.20 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$51,737.54 |
$51,737.54 |
$51,737.54 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$6,725.40 |
$6,725.40 |
$6,725.40 |
$5,053.33
|
|
Place slctv cath carotid/inom art excrn uni
|
$8,678.40 |
$8,678.40 |
$8,678.40 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$6,654.00 |
$6,654.00 |
$6,654.00 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$6,725.40 |
$6,725.40 |
$6,725.40 |
$6,325.00
|
|
Plas shoe insert w ank joint
|
$490.06 |
$490.06 |
$490.06 |
$245.71
|
|
Plastic mod low ext pad/line
|
$696.67 |
$696.67 |
$696.67 |
$241.54
|
|
Plastic mold recipro hip & c
|
$10,018.58 |
$10,018.58 |
$10,018.58 |
$3,850.61
|
|
Platelet aggregation each agent teg
|
$136.80 |
$136.80 |
$136.80 |
$148.80
|
|
Platelet automated
|
$86.40 |
$86.40 |
$86.40 |
$45.60
|
|
Plating chrome/nickel pr bar
|
$366.37 |
$366.37 |
$366.37 |
$184.93
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,889.00 |
$5,889.00 |
$5,889.00 |
$4,482.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,119.20 |
$5,119.20 |
$5,119.20 |
$5,074.68
|
|
Plc pq device breast ea addl lesion stereo guide
|
$4,918.20 |
$4,918.20 |
$4,918.20 |
$691.20
|
|
Plethysmography lung volumes/airway resistance
|
$405.00 |
$405.00 |
$405.00 |
$405.00
|
|
Plmt biliary drainage cath
|
$5,025.60 |
$5,025.60 |
$5,025.60 |
$4,762.80
|
|
Plmt ureteral stent prq
|
$7,320.60 |
$7,320.60 |
$7,320.60 |
$5,104.20
|
|
Pm device progr eval dual
|
$82.20 |
$82.20 |
$82.20 |
$148.00
|
|
Pm device progr eval multi
|
$84.00 |
$84.00 |
$84.00 |
$139.00
|
|
Pm phone r-strip device eval
|
$94.80 |
$94.80 |
$94.80 |
$139.10
|
|
Pneum full leg splnt pre ots
|
$613.17 |
$613.17 |
$613.17 |
$309.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$327.60 |
$327.60 |
$327.60 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$55,834.23 |
$55,834.23 |
$55,834.23 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,884.80 |
$5,884.80 |
$5,884.80 |
$3,751.48
|
|
Post non-seg/spine instrumentation 22840
|
$94,885.04 |
$94,885.04 |
$94,885.04 |
$1,831.20
|
|
Postop app non-wgt bear dsg
|
$1,184.96 |
$1,184.96 |
$1,184.96 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$2,753.23 |
$2,753.23 |
$2,753.23 |
$1,389.71
|
|
Postop dsg & 1 cast chg ak/d
|
$6,615.10 |
$6,615.10 |
$6,615.10 |
$3,339.01
|
|
Post-operative body jacket
|
$8,414.89 |
$8,414.89 |
$8,414.89 |
$3,773.28
|
|
Post seg spine instrument/3-6 seg 22842
|
$91,942.84 |
$91,942.84 |
$91,942.84 |
$1,837.60
|
|
Potassium 24 hour urine
|
$91.20 |
$91.20 |
$91.20 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$113.40 |
$113.40 |
$113.40 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$41.40 |
$41.40 |
$41.40 |
$46.75
|
|
Pq biliary strict dil s&i
|
$1,906.80 |
$1,906.80 |
$1,906.80 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$35,098.29 |
$35,098.29 |
$35,098.29 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$775.00
|
|
Pralidoxime 1 gram solution for injection
|
$819.32 |
$819.32 |
$819.32 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$3,738.90
|
|
Pr application of long arm splint
|
$477.60 |
$477.60 |
$477.60 |
$329.00
|
|
Pr application splint static short arm
|
$477.60 |
$477.60 |
$477.60 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$452.40 |
$452.40 |
$452.40 |
$458.25
|
|
Pr correction hammertoe
|
$119,363.11 |
$119,363.11 |
$119,363.11 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$58.80 |
$58.80 |
$58.80 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$1,648.20 |
$1,648.20 |
$1,648.20 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$15,998.08 |
$15,998.08 |
$15,998.08 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$537.60 |
$537.60 |
$537.60 |
$351.60
|
|
Prealbumin
|
$151.20 |
$151.20 |
$151.20 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$457.79 |
$457.79 |
$457.79 |
$13.87
|
|
Prednisone 1 mg tablet
|
$6.00 |
$6.00 |
$6.00 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,944.60 |
$1,944.60 |
$1,944.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$890.40 |
$890.40 |
$890.40 |
$539.37
|
