|
Pelvic CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$825.00 |
$825.00 |
$825.00 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$535.00 |
$535.00 |
$535.00 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$123.01 |
$123.01 |
$123.01 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$171.52 |
$171.52 |
$171.52 |
$6,202.54
|
|
Percut ablate liver rf
|
$4,650.00 |
$4,650.00 |
$4,650.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$239.78 |
$239.78 |
$239.78 |
$335.79
|
|
Pericardiocentesis wwo imaging
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$2,341.50
|
|
Peripheral vascular rehab
|
$132.50 |
$132.50 |
$132.50 |
$129.60
|
|
Perq dev breast 1st strtctc
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$7,485.00 |
$7,485.00 |
$7,485.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$7,485.00 |
$7,485.00 |
$7,485.00 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$7,485.00 |
$7,485.00 |
$7,485.00 |
$7,085.70
|
|
Pertuzumab 30 mg/ml desensitization
|
$23.64 |
$23.64 |
$23.64 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,711.20
|
|
Pet CT whole body initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$3,789.00
|
|
Pet image w/ct lmtd
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,366.50
|
|
Pet scan brain perf study
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$3,724.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$7,946.42 |
$7,946.42 |
$7,946.42 |
$34,920.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$82.50 |
$82.50 |
$82.50 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$105.00 |
$105.00 |
$105.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$50.00 |
$50.00 |
$50.00 |
$31.20
|
|
Ph body fluid
|
$35.00 |
$35.00 |
$35.00 |
$40.04
|
|
Phencyclidine (pcp)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$112.50 |
$112.50 |
$112.50 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$97.50 |
$97.50 |
$97.50 |
$112.50
|
|
Phlebotomy therapeutic
|
$125.00 |
$125.00 |
$125.00 |
$231.66
|
|
Phosphorus
|
$47.50 |
$47.50 |
$47.50 |
$49.60
|
|
Phosphorus 24 hour urine
|
$47.50 |
$47.50 |
$47.50 |
$41.58
|
|
Phys blood bank serv reactj
|
$207.50 |
$207.50 |
$207.50 |
$207.50
|
|
Piflu f-18, dia 1 millicurie
|
$890.00 |
$890.00 |
$890.00 |
$880.00
|
|
Pinworm exam
|
$52.50 |
$52.50 |
$52.50 |
$40.00
|
|
Place cath xtrnl carotid
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$990.00 |
$990.00 |
$990.00 |
$2,244.82
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$795.00 |
$795.00 |
$795.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$4,094.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$640.00 |
$640.00 |
$640.00 |
$585.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,005.00 |
$16,005.00 |
$16,005.00 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$3,805.00 |
$3,805.00 |
$3,805.00 |
$5,274.33
|
|
Place slctv cath carotd art uni
|
$13,810.00 |
$13,810.00 |
$13,810.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$8,652.66
|
|
Place slctv cath subclavian art
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$6,300.60
|
|
Place slctv cath vertebral art uni
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$9,040.80
|
|
Platelet aggregation each agent teg
|
$105.00 |
$105.00 |
$105.00 |
$136.80
|
|
Platelet automated
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Platelets each unit
|
$120.00 |
$120.00 |
$120.00 |
$169.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$960.00 |
$960.00 |
$960.00 |
$970.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,075.00 |
$4,075.00 |
$4,075.00 |
$5,075.01
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$5,600.00 |
$5,600.00 |
$5,600.00 |
$5,272.80
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$920.00 |
$920.00 |
$920.00 |
$765.00
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$665.73
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$870.00 |
$870.00 |
$870.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$367.50 |
$367.50 |
$367.50 |
$399.50
|
|
Plmt access bil tree sm bwl
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$4,225.00
|
|
Plmt ureteral stent prq
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$5,110.00
|
|
Pm device progr eval dual
|
$307.50 |
$307.50 |
$307.50 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$70.00 |
$70.00 |
$70.00 |
$187.04
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$305.36 |
$305.36 |
$305.36 |
$36,138.66
|
|
Potassium 24 hour urine
|
$55.00 |
$55.00 |
$55.00 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$1.61 |
$1.61 |
$1.61 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$35.00 |
$35.00 |
$35.00 |
$46.00
|
|
Pq biliary strict dil s&i
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$720.00 |
$720.00 |
$720.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,195.00 |
$10,195.00 |
$10,195.00 |
$9,898.59
|
|
Pq thr inj ext pse
|
$477.50 |
$477.50 |
$477.50 |
$843.97
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$4,811.54
|
|
Pr application of long arm splint
|
$215.00 |
$215.00 |
$215.00 |
$328.78
|
|
Pr application splint static short arm
|
$200.00 |
$200.00 |
$200.00 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$230.00 |
$230.00 |
$230.00 |
$456.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$227.50 |
$227.50 |
$227.50 |
$350.98
|
|
Prealbumin
|
$100.00 |
$100.00 |
$100.00 |
$93.60
|
|
Pregabalin - sendout
|
$80.00 |
$80.00 |
$80.00 |
$72.14
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$660.00 |
$660.00 |
$660.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$535.00 |
$535.00 |
$535.00 |
$537.00
|
|
Pretreat rbc absorption reference
|
$150.00 |
$150.00 |
$150.00 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$65.00 |
$65.00 |
$65.00 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$87.50 |
$87.50 |
$87.50 |
$164.99
|
|
Prgrmg dev eval pm/ldls pm
|
$252.50 |
$252.50 |
$252.50 |
$139.10
|
|
Prim art mech thrmbc non-intracranial
|
$5,120.00 |
$5,120.00 |
$5,120.00 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
$3,733.10
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$210.00 |
$210.00 |
$210.00 |
$570.00
|
