|
Oxytocin 10 unit/ml injection solution
|
$67.03 |
$67.03 |
$67.03 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$200.20 |
$200.20 |
$200.20 |
$290.64
|
|
P-32 sod phosphate ther per mci
|
$552.76 |
$552.76 |
$552.76 |
$469.34
|
|
Packing strips, non-impreg
|
$6.24 |
$6.24 |
$6.24 |
$6.24
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$156.86 |
$156.86 |
$156.86 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,586.89 |
$2,586.89 |
$2,586.89 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$672.50
|
|
Palb2 gene known famil vrnt
|
$524.68 |
$524.68 |
$524.68 |
$496.86
|
|
Palifermin injection
|
$5,074.30 |
$5,074.30 |
$5,074.30 |
$5,464.63
|
|
Palingen or promatrx
|
$5,135.00 |
$5,135.00 |
$5,135.00 |
$691.88
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,793.19 |
$5,793.19 |
$5,793.19 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,580.28 |
$5,580.28 |
$5,580.28 |
$5,569.20
|
|
Palonosetron hcl
|
$96.20 |
$96.20 |
$96.20 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$108.12 |
$108.12 |
$108.12 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$11,780.28 |
$11,780.28 |
$11,780.28 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$13.37 |
$13.37 |
$13.37 |
$29.31
|
|
Papaverin hcl injection
|
$46.53 |
$46.53 |
$46.53 |
$77.05
|
|
Parathormone (pth) intact
|
$103.48 |
$103.48 |
$103.48 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$2,085.20 |
$2,085.20 |
$2,085.20 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$7,550.40 |
$7,550.40 |
$7,550.40 |
$5,509.55
|
|
Paricalcitol
|
$47.15 |
$47.15 |
$47.15 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$182.00 |
$182.00 |
$182.00 |
$245.00
|
|
Part exc/post vert comp/sng/thorac 22101
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$6,028.71
|
|
Part hymenectomy/revi hymenal ring 56700
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,762.53
|
|
Partial exc bone humerus
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,914.00
|
|
Partial removal finger bone
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$2,049.27
|
|
Partial removal foot fascia
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,762.00
|
|
Partial removal of eye fluid
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,698.92
|
|
Partial removal of eye fluid
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,698.92
|
|
Partial removal of thyroid
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$6,457.82
|
|
Partial removal of toe
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,674.58
|
|
Partial removal of ulna
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,839.54
|
|
Partial thyroid excision
|
$7,243.60 |
$7,243.60 |
$7,243.60 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$4,921.76
|
|
Part removal of metatarsal
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,795.71
|
|
Part removal of metatarsal
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,839.54
|
|
Passy muir valve metal trach
|
$414.21 |
$414.21 |
$414.21 |
$275.75
|
|
Patient recorded spirometry
|
$456.56 |
$456.56 |
$456.56 |
$456.56
|
|
Patient recorded spirometry
|
$502.84 |
$502.84 |
$502.84 |
$338.52
|
|
Pdt dstr prmlg les phys/qhp
|
$447.20 |
$447.20 |
$447.20 |
$294.77
|
|
Ped home apnea mntr att only
|
$296.92 |
$296.92 |
$296.92 |
$185.15
|
|
Ped home apnea mntr dl&alys
|
$296.92 |
$296.92 |
$296.92 |
$296.92
|
|
Pegaspargase injection
|
$41,185.73 |
$41,185.73 |
$41,185.73 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,415.15 |
$10,415.15 |
$10,415.15 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$6,370.52 |
$6,370.52 |
$6,370.52 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$6,776.12 |
$6,776.12 |
$6,776.12 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,389.36 |
$3,389.36 |
$3,389.36 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$46,043.30 |
$46,043.30 |
$46,043.30 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$7,187.72 |
$7,187.72 |
$7,187.72 |
$2,146.13
|
|
Pelvic control pelvic sling
|
$1,202.24 |
$1,202.24 |
$1,202.24 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$520.00 |
$520.00 |
$520.00 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$9,783.24 |
$9,783.24 |
$9,783.24 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$6,582.76 |
$6,582.76 |
$6,582.76 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$397.04 |
$397.04 |
$397.04 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,229.49 |
$1,229.49 |
$1,229.49 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$97.85 |
$97.85 |
$97.85 |
$101.34
|
|
Penicillin g procaine inj
|
$147.21 |
$147.21 |
$147.21 |
$147.96
|
|
Penile injection
|
$551.20 |
$551.20 |
$551.20 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$9,824.49 |
$9,824.49 |
$9,824.49 |
$18,764.94
|
|
Penile vascular study
|
$539.76 |
$539.76 |
$539.76 |
$576.40
|
|
Penile vascular study
|
$653.64 |
$653.64 |
$653.64 |
$574.60
|
|
Penis plastic surgery
|
$1,596.40 |
$1,596.40 |
$1,596.40 |
$4,081.37
|
|
Penis study
|
$617.24 |
$617.24 |
$617.24 |
$368.50
|
|
Pentamidine non-comp unit
|
$273.36 |
$273.36 |
$273.36 |
$294.39
|
|
Pentobarbital sodium inj
|
$2,047.85 |
$2,047.85 |
$2,047.85 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$4,811.55 |
$4,811.55 |
$4,811.55 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$10,904.40 |
$10,904.40 |
$10,904.40 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$14,268.80 |
$14,268.80 |
$14,268.80 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$16,884.40 |
$16,884.40 |
$16,884.40 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$13,764.40 |
$13,764.40 |
$13,764.40 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$16,047.20 |
$16,047.20 |
$16,047.20 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$14,003.60 |
$14,003.60 |
$14,003.60 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$17,165.20 |
$17,165.20 |
$17,165.20 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$13,764.40 |
$13,764.40 |
$13,764.40 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$11,897.60 |
$11,897.60 |
$11,897.60 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$7,243.60 |
$7,243.60 |
$7,243.60 |
$7,243.60
|
|
Percut ablate liver rf
|
$6,952.40 |
$6,952.40 |
$6,952.40 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$604.11 |
$604.11 |
$604.11 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$3,986.00
|
|
Peri-proc device eval icd
|
$192.40 |
$192.40 |
$192.40 |
$192.40
|
|
Peri-proc device eval pm
|
$244.40 |
$244.40 |
$244.40 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$6,879.60 |
$6,879.60 |
$6,879.60 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$695.89
|
|
Perit-vens shunt pat tst
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$758.37
|
|
Permanent tear duct plug
|
$222.56 |
$222.56 |
$222.56 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$5,335.20 |
$5,335.20 |
$5,335.20 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
$9,509.53
|