|
Pdgfra gene
|
$344.00 |
$344.00 |
$597.00 |
|
|
Pdt dstr prmlg les phys/qhp
|
$179.00 |
$231.00 |
$272.00 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$4,289.67 |
$4,289.67 |
$4,289.67 |
|
|
Pedicle enel/ntroral 15576
|
$1,514.40 |
$2,918.33 |
$4,007.08 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,348.39 |
$9,522.59 |
$19,804.20 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,607.57 |
$3,607.57 |
$3,607.57 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,633.75 |
$7,265.37 |
$13,920.00 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,605.50 |
$3,847.50 |
$16,902.60 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,052.00 |
$2,052.00 |
$2,052.00 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$30,634.44 |
$40,845.92 |
$68,089.80 |
|
|
Pelvic CT scan (with and without contrast)
|
$630.00 |
$1,394.00 |
$2,918.40 |
|
|
Pelvic CT scan (with contrast)
|
$112.00 |
$969.50 |
$2,554.20 |
|
|
Pelvic CT scan (without contrast)
|
$296.00 |
$835.50 |
$1,841.40 |
|
|
Pelvic MRI (with and without contrast)
|
$1,130.00 |
$1,859.00 |
$3,243.60 |
|
|
Pelvic MRI (with contrast)
|
$579.50 |
$1,886.00 |
$3,243.60 |
|
|
Pelvic MRI (without contrast)
|
$868.50 |
$1,252.50 |
$3,060.60 |
|
|
Pelvic Ultrasound (complete)
|
$109.50 |
$440.50 |
$778.80 |
|
|
Pelvic Ultrasound (limited)
|
$166.00 |
$307.00 |
$475.50 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,735.00 |
$34,692.48 |
$46,256.64 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$199.35 |
$553.30 |
$14,045.40 |
|
|
Peng benzathine/procaine inj
|
$28.00 |
$42.00 |
$504.00 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$42.50 |
$768.00 |
$1,536.00 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$2.63 |
$8.28 |
$169.80 |
|
|
Penile injection
|
$77.00 |
$288.50 |
$4,203.33 |
|
|
Penile rear tip xtnd 0.5cm
|
$7,390.50 |
$9,772.50 |
$11,040.50 |
|
|
Penis plastic surgery
|
$1,846.38 |
$1,846.38 |
$10,425.50 |
|
|
Penis study
|
$256.00 |
$256.00 |
$429.50 |
|
|
Pentamidine 300 mg solution for injection
|
$321.87 |
$321.87 |
$321.87 |
|
|
Pentamidine non-comp unit
|
$344.93 |
$344.93 |
$344.93 |
|
|
Perc cryo ablate renal tum
|
$10,196.00 |
$10,522.00 |
$13,180.50 |
|
|
Perc d-e cor revasc chro add
|
$2,895.00 |
$10,440.50 |
$23,045.50 |
|
|
Perc d-e cor revasc chro sin
|
$8,951.50 |
$9,546.00 |
$79,514.00 |
|
|
Perc d-e cor revasc t cabg b
|
$2,895.00 |
$10,420.00 |
$24,648.50 |
|
|
Perc d-e cor revasc t cabg s
|
$10,689.50 |
$19,288.50 |
$26,333.50 |
|
|
Perc d-e cor stent ather br
|
$2,895.00 |
$10,332.00 |
$10,420.00 |
|
|
Perc d-e cor stent ather s
|
$9,515.00 |
$9,848.00 |
$42,603.00 |
|
|
Perc drug-el cor stent bran
|
$2,895.00 |
$10,332.00 |
$18,577.20 |
|
|
Perc drug-el cor stent sing
|
$7,110.50 |
$18,898.00 |
$26,914.00 |
|
|
Perc rf ablate renal tumor
|
$14,293.00 |
$14,293.00 |
$15,025.50 |
|
|
Percut ablate liver rf
|
$5,699.50 |
$5,699.50 |
$6,185.00 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$170.25 |
$255.38 |
$948.00 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,148.00 |
$2,148.00 |
$3,914.00 |
|
|
Pericardiocentesis wwo imaging
|
$246.00 |
$2,234.50 |
$4,690.00 |
|
|
Pericardiotomy/clot/for bod remove 33020
|
$882.00 |
$923.00 |
$1,476.80 |
|
|
Peri-implt capslc brst compl
|
$734.50 |
$748.50 |
$21,990.50 |
|
|
Perineoplasty rpr per nonob
|
$276.00 |
$3,720.50 |
$8,870.00 |
|
|
Peripheral vascular rehab
|
$70.50 |
$89.00 |
$148.00 |
|
|
Peri-proc device eval icd
|
$22.00 |
$38.40 |
$124.00 |
|
|
Peri-proc device eval pm
|
$70.00 |
$98.50 |
$223.00 |
|
|
Peritoneal cath sub q resv per
|
$442.50 |
$458.00 |
$732.80 |
|
|
Peritoneogram rs&i
|
$285.50 |
$765.00 |
$1,114.50 |
|
|
Perit-vens shunt pat tst
|
$692.50 |
$692.50 |
$944.00 |
|
|
Perphenazine 4mg oral
|
$0.69 |
$0.69 |
$0.69 |
|
|
Perq art m-thrombect &/nfs
|
$7,370.50 |
$7,370.50 |
$10,000.00 |
|
|
Perq clsr tcat l atr apndge
|
$9,871.50 |
$9,871.50 |
$14,358.50 |
|
|
Perq dev breast 1st mr guide
|
$1,187.50 |
$1,187.50 |
$1,187.50 |
|
|
Perq dev breast 1st strtctc
|
$822.00 |
$822.00 |
$3,288.50 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$15,530.50 |
$27,652.50 |
$39,148.00 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$10,919.50 |
$11,105.67 |
$33,555.00 |
|
|
Perq p-art revsc 1 abnor bi
|
$9,130.00 |
$9,130.00 |
$9,130.00 |
|
|
Perq p-art revsc 1 abnor uni
|
$28,410.50 |
$28,410.50 |
$28,410.50 |
|
|
Perq p-art revsc 1 nm nt bi
|
$9,130.00 |
$9,130.00 |
$9,130.00 |
|
|
Perq p-art revsc 1 nm nt uni
|
$8,850.00 |
$8,850.00 |
$8,850.00 |
|
|
Perq p-art revsc each addl
|
$13,440.00 |
$13,440.00 |
$13,440.00 |
|
|
Perq plmt bile duct stent
|
$7,721.00 |
$7,721.00 |
$7,721.00 |
|
|
Perq plmt bile duct stent
|
$7,721.00 |
$7,721.00 |
$7,721.00 |
|
|
Perq plmt bile duct stent
|
$1,045.00 |
$1,045.00 |
$7,721.00 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$92.50 |
$95.50 |
$758.50 |
|
|
Perq skel fix ulnar styld fx
|
$518.00 |
$524.00 |
$5,800.00 |
|
|
Perq transcath closure each
|
$24,108.00 |
$24,108.00 |
$24,108.00 |
|
|
Perq transcath closure pda
|
$20,781.50 |
$20,781.50 |
$20,781.50 |
|
|
Perq transcath cls aortic
|
$9,903.00 |
$9,903.00 |
$11,763.50 |
|
|
Perq transcath cls mitral
|
$20,781.50 |
$20,781.50 |
$20,781.50 |
|
|
Perq transcath septal reduxn
|
$5,187.50 |
$5,187.50 |
$9,883.50 |
|
|
Perq trluml angp nt/recr coa
|
$3,488.50 |
$4,065.50 |
$4,777.00 |
|
|
Perq tx big toe fracture w/manip 28496
|
$285.50 |
$285.50 |
$484.00 |
|
|
Perq tx malar fracture
|
$6,615.50 |
$6,615.50 |
$6,615.50 |
|
|
Pertussis ag if
|
$28.00 |
$74.50 |
$76.50 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$13,053.57 |
$15,664.29 |
$26,107.15 |
|
|
Pertuzu, trastuzu, 10 mg
|
$13,915.98 |
$20,874.81 |
$26,634.51 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$48.50 |
$78.00 |
$1,063.41 |
|
|
Pessary reusable rub anytype
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
|
|
Pet CT skull-mid thgh initial
|
$1,467.50 |
$3,332.50 |
$5,751.00 |
|
|
Pet CT whole body initial
|
$1,467.50 |
$3,487.00 |
$5,751.00 |
|
|
Pet fdg brain metoblic eval sb
|
$1,541.50 |
$3,466.00 |
$5,517.50 |
|
|
Pet image full body
|
$1,490.50 |
$2,772.50 |
$3,785.50 |
|
|
Pet image ltd area
|
$1,199.50 |
$2,448.50 |
$2,832.50 |
|
|
Pet image skull-thigh
|
$2,772.50 |
$3,332.50 |
$3,980.50 |
|
|
Pet image w/ct lmtd
|
$2,923.00 |
$3,981.00 |
$4,471.20 |
|
|
Pet scan brain perf study
|
$3,571.50 |
$3,571.50 |
$3,571.50 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,164.50 |
$4,948.75 |
$15,681.96 |
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$23.00 |
$23.00 |
$36.80 |
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$33.00 |
$33.00 |
$52.80 |
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$12.00 |
$12.00 |
$19.20 |
|
|
Pharmacologic management w/psytx
|
$68.00 |
$68.00 |
$68.00 |
|
|
Ph body fluid
|
$13.00 |
$25.00 |
$155.40 |
|
|
Phencyclidine (pcp)
|
$64.00 |
$77.00 |
$193.00 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$24.80 |
$109.05 |
$562.34 |
|
|
Phenobarbital therapeutic drug level
|
$25.60 |
$68.50 |
$207.50 |
|
|
Phentolaine mesylate inj
|
$648.24 |
$648.24 |
$1,215.45 |
|
