|
Pembrolizumab 25 mg/ml intravenous solution
|
$33,016.75 |
$33,016.75 |
$33,016.75 |
$16,273.24
|
|
Peng benzathine/procaine inj
|
$342.71 |
$342.71 |
$342.71 |
$243.38
|
|
Pentamidine non-comp unit
|
$2,953.82 |
$2,953.82 |
$2,953.82 |
$310.00
|
|
Pentobarbital sodium inj
|
$141.21 |
$141.21 |
$141.21 |
$152.91
|
|
Pentostatin 10 mg intravenous solution
|
$23,962.75 |
$23,962.75 |
$23,962.75 |
$5,020.05
|
|
Perphenazine 4mg oral
|
$25.94 |
$25.94 |
$25.94 |
$14.04
|
|
Pertuzumab 30 mg/ml desensitization
|
$38,755.17 |
$38,755.17 |
$38,755.17 |
$18,443.20
|
|
Pet image full body
|
$5,353.01 |
$5,353.01 |
$5,353.01 |
$4,567.11
|
|
Pet image ltd area
|
$4,719.08 |
$4,719.08 |
$4,719.08 |
$2,519.20
|
|
Pet image skull-thigh
|
$5,353.01 |
$5,353.01 |
$5,353.01 |
$4,024.80
|
|
Phencyclidine (pcp)
|
$1,469.92 |
$1,469.92 |
$1,469.92 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$1,259.64 |
$1,259.64 |
$1,259.64 |
$104.25
|
|
Phentolaine mesylate inj
|
$426.78 |
$426.78 |
$426.78 |
$961.38
|
|
Phenytoin total therapeutic drug level
|
$1,348.15 |
$1,348.15 |
$1,348.15 |
$110.00
|
|
Phosphorus 24 hour urine
|
$1,039.38 |
$1,039.38 |
$1,039.38 |
$42.81
|
|
Pinworm exam
|
$630.58 |
$630.58 |
$630.58 |
$39.75
|
|
Placental lactogen
|
$704.97 |
$704.97 |
$704.97 |
$143.67
|
|
Plasma cryoprecipitate reduced each unit
|
$1,701.36 |
$1,701.36 |
$1,701.36 |
$157.95
|
|
Platelet automated
|
$449.34 |
$449.34 |
$449.34 |
$43.50
|
|
Platelet pheresis each unit
|
$8,286.79 |
$8,286.79 |
$8,286.79 |
$879.83
|
|
Platelet pheresis irr ea
|
$9,049.85 |
$9,049.85 |
$9,049.85 |
$966.55
|
|
Platelets each unit
|
$892.65 |
$892.65 |
$892.65 |
$169.29
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$9,049.85 |
$9,049.85 |
$9,049.85 |
$1,221.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$4,253.88 |
$4,253.88 |
$4,253.88 |
$896.88
|
|
Platelet survival
|
$1,325.77 |
$1,325.77 |
$1,325.77 |
$475.51
|
|
Pm device progr eval dual
|
$215.59 |
$215.59 |
$215.59 |
$149.15
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$22,501.90 |
$22,501.90 |
$22,501.90 |
$4,293.60
|
|
Potassium 24 hour urine
|
$1,206.03 |
$1,206.03 |
$1,206.03 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$520.40 |
$520.40 |
$520.40 |
$44.22
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$5.00 |
$5.00 |
$5.00 |
$4.67
|
|
Pq biliary strict dil s&i
|
$10,816.49 |
$10,816.49 |
$10,816.49 |
$984.40
|
|
Pralidoxime 1 gram solution for injection
|
$848.18 |
$848.18 |
$848.18 |
$366.31
|
|
Prealbumin
|
$2,045.34 |
$2,045.34 |
$2,045.34 |
$87.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$1,369.54 |
$1,369.54 |
$1,369.54 |
$139.80
|
|
Pretreat rbc density gradient separation reference
|
$1,052.16 |
$1,052.16 |
$1,052.16 |
$189.67
|
|
Pretreat rbc w chem/drugs reference
|
$1,100.29 |
$1,100.29 |
$1,100.29 |
$106.00
|
|
Prgrmg dev eval impltbl sys
|
$342.93 |
$342.93 |
$342.93 |
$148.00
|
|
Prgrmg dev eval pm/ldls pm
|
$215.59 |
$215.59 |
$215.59 |
$140.80
|
|
Prgrmg eval implantable dfb
|
$215.59 |
$215.59 |
$215.59 |
$151.45
|
|
Prgrmg eval implantable dfb
|
$215.59 |
$215.59 |
$215.59 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$215.59 |
$215.59 |
$215.59 |
$205.14
|
|
Procalcitonin
|
$481.29 |
$481.29 |
$481.29 |
$142.47
|
|
Progesterone
|
$2,960.09 |
$2,960.09 |
$2,960.09 |
$100.93
|
|
Prolactin
|
$2,342.55 |
$2,342.55 |
$2,342.55 |
$127.26
|
|
Promethazine 25 mg tablet
|
$21.36 |
$21.36 |
$21.36 |
$7.39
|
|
Promethazine hcl injection
|
$243.78 |
$243.78 |
$243.78 |
$29.21
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$251.52 |
$251.52 |
$251.52 |
$39.59
|
|
Prostate biopsy, any mthd
|
$4,375.27 |
$4,375.27 |
$4,375.27 |
$597.78
|
|
Prost sock sgl ply blw knee ea
|
$69.00 |
$69.00 |
$69.00 |
$46.77
|
|
Protein c activity
|
$1,878.69 |
$1,878.69 |
$1,878.69 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,955.46 |
$1,955.46 |
$1,955.46 |
$84.00
|
|
Protein s total
|
$2,617.96 |
$2,617.96 |
$2,617.96 |
$78.77
|
|
Protein total 24 hour urine
|
$1,094.46 |
$1,094.46 |
$1,094.46 |
$52.50
|
|
Protein total serum plasma whole blood
|
$862.49 |
$862.49 |
$862.49 |
$42.63
|
|
Prothrombin time substitution plasma fractions each
|
$537.80 |
$537.80 |
$537.80 |
$39.60
|
|
PSA (Prostate) Test
|
$1,448.11 |
$1,448.11 |
$1,448.11 |
$107.50
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$294.46 |
$294.46 |
$294.46 |
$65.97
|
|
Punc of shunt for asp or inj
|
$7,835.68 |
$7,835.68 |
$7,835.68 |
$974.00
|
|
Puraply 1 sq cm
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$1,027.00
|
|
Pyridoxine hcl 100 mg
|
$182.36 |
$182.36 |
$182.36 |
$43.24
|
|
Pyruvate
|
$1,493.06 |
$1,493.06 |
$1,493.06 |
$65.00
|
|
Pyruvate kinase
|
$972.69 |
$972.69 |
$972.69 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,699.78 |
$1,699.78 |
$1,699.78 |
$1,507.40
|
|
Quant diff pulm perf w/imaging
|
$1,325.77 |
$1,325.77 |
$1,325.77 |
$1,210.55
|
|
Quest t3 uptake
|
$1,117.59 |
$1,117.59 |
$1,117.59 |
$57.12
|
|
Quinupristin/dalfopristin
|
$8,125.36 |
$8,125.36 |
$8,125.36 |
$647.41
|
|
Rabies ig heat-treated human im/subq 90376
|
$2,296.41 |
$2,296.41 |
$2,296.41 |
$1,059.01
|
|
Rapid Strep Test
|
$907.50 |
$907.50 |
$907.50 |
$74.10
|
|
Rbc count only automated
|
$22.89 |
$22.89 |
$22.89 |
$19.50
|
|
Rbc deglycerolized each unit
|
$3,734.79 |
$3,734.79 |
$3,734.79 |
$724.23
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,958.16 |
$2,958.16 |
$2,958.16 |
$516.95
|
|
Red cell mass single
|
$1,325.77 |
$1,325.77 |
$1,325.77 |
$475.51
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,920.17 |
$1,920.17 |
$1,920.17 |
$644.62
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,984.42 |
$2,984.42 |
$2,984.42 |
$1,864.71
|
|
Remove cva lumen obstruct
|
$1,628.93 |
$1,628.93 |
$1,628.93 |
$490.80
|
|
Renal function panel
|
$2,122.22 |
$2,122.22 |
$2,122.22 |
$112.00
|
|
Renal venogram bil s&i
|
$21,776.46 |
$21,776.46 |
$21,776.46 |
$3,486.86
|
|
#resp virpnl dfa-adenovirus
|
$343.77 |
$343.77 |
$343.77 |
$44.80
|
|
#resp virpnl dfa-parainfluenza
|
$687.20 |
$687.20 |
$687.20 |
$35.20
|
|
Resp virus 6-11 targets
|
$5,353.80 |
$5,353.80 |
$5,353.80 |
$363.38
|
|
Reteplase injection
|
$33,985.65 |
$33,985.65 |
$33,985.65 |
$3,155.69
|
|
Reticulocyte automated
|
$1,326.33 |
$1,326.33 |
$1,326.33 |
$54.60
|
|
Rheumatoid factor qualitative
|
$1,061.13 |
$1,061.13 |
$1,061.13 |
$54.60
|
|
Rheumatoid factor quantitative
|
$1,182.89 |
$1,182.89 |
$1,182.89 |
$58.50
|
|
Rho d immune globulin 50 mcg
|
$743.96 |
$743.96 |
$743.96 |
$186.03
|
|
Rho(d) immune globulin h, sd
|
$4,266.34 |
$4,266.34 |
$4,266.34 |
$1,682.82
|
|
Right ventric recording
|
$40,830.70 |
$40,830.70 |
$40,830.70 |
$1,980.36
|
|
Ring barrier skin cx 1 9/16 adapt
|
$8.00 |
$8.00 |
$8.00 |
$10.02
|
|
Ring ostmy barr adapt 48mm
|
$5.00 |
$5.00 |
$5.00 |
$5.97
|
|
Rsv assay w/optic
|
$2,309.15 |
$2,309.15 |
$2,309.15 |
$73.60
|
|
Russell viper venom diluted
|
$1,703.24 |
$1,703.24 |
$1,703.24 |
$72.54
|
|
Salmonella antibody
|
$269.68 |
$269.68 |
$269.68 |
$37.58
|
|
Sargramostim injection
|
$3,062.49 |
$3,062.49 |
$3,062.49 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$68.97 |
$68.97 |
$68.97 |
$60.20
|
|
Sarscov & inf vir a&b ag ia
|
$124.30 |
$124.30 |
$124.30 |
$91.14
|
|
Screening HIV antigen/antibody combination assay
|
$173.89 |
$173.89 |
$173.89 |
$26.49
|
|
Screening prostate cancer PSA
|
$1,196.78 |
$1,196.78 |
$1,196.78 |
$80.84
|
|
Serpina1 gene
|
$3,455.68 |
$3,455.68 |
$3,455.68 |
$193.52
|
|
Set radiation therapy field
|
$1,535.75 |
$1,535.75 |
$1,535.75 |
$1,636.36
|
|
Shrinker prosth above knee
|
$743.00 |
$743.00 |
$743.00 |
$157.49
|
