|
Oxytocin 10 unit/ml injection solution
|
$505.68 |
$505.68 |
$505.68 |
$46.75
|
|
P-32 sod phosphate ther per mci
|
$1,642.00 |
$1,642.00 |
$1,642.00 |
$436.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$22,195.60 |
$22,195.60 |
$22,195.60 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$19,929.84 |
$19,929.84 |
$19,929.84 |
$5,078.52
|
|
Palonosetron hcl
|
$411.60 |
$411.60 |
$411.60 |
$409.64
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$6,704.88 |
$6,704.88 |
$6,704.88 |
$148.35
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$214.48 |
$214.48 |
$214.48 |
$38.06
|
|
Parathyroid planar imaging
|
$11,212.00 |
$11,212.00 |
$11,212.00 |
$1,159.15
|
|
Parathyroid planar img w/tomo spect
|
$13,319.50 |
$13,319.50 |
$13,319.50 |
$1,406.42
|
|
Paricalcitol
|
$5,036.64 |
$5,036.64 |
$5,036.64 |
$47.38
|
|
Passy muir valve metal trach
|
$784.00 |
$784.00 |
$784.00 |
$236.63
|
|
Pdgfra gene
|
$4,835.85 |
$4,835.85 |
$4,835.85 |
$659.20
|
|
Pegaspargase injection
|
$107,651.04 |
$107,651.04 |
$107,651.04 |
$29,285.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$20,488.72 |
$20,488.72 |
$20,488.72 |
$12,717.60
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$10,395.28 |
$10,395.28 |
$10,395.28 |
$8,401.26
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$33,281.92 |
$33,281.92 |
$33,281.92 |
$5,961.60
|
|
Pelvic MRI (with and without contrast)
|
$24,411.75 |
$24,411.75 |
$24,411.75 |
$2,748.85
|
|
Pelvic MRI (with contrast)
|
$20,070.60 |
$20,070.60 |
$20,070.60 |
$2,096.25
|
|
Pelvic MRI (without contrast)
|
$19,532.70 |
$19,532.70 |
$19,532.70 |
$1,879.15
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,363.28 |
$6,363.28 |
$6,363.28 |
$16,273.24
|
|
Pentamidine non-comp unit
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$299.48
|
|
Pentostatin 10 mg intravenous solution
|
$27,716.08 |
$27,716.08 |
$27,716.08 |
$6,112.62
|
|
Peritoneogram rs&i
|
$9,961.60 |
$9,961.60 |
$9,961.60 |
$648.84
|
|
Perit-vens shunt pat tst
|
$3,735.00 |
$3,735.00 |
$3,735.00 |
$694.48
|
|
Phencyclidine (pcp)
|
$1,192.96 |
$1,192.96 |
$1,192.96 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$1,028.58 |
$1,028.58 |
$1,028.58 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,133.20 |
$3,133.20 |
$3,133.20 |
$973.85
|
|
Phenylephrine 10 mg/ml injection solution
|
$505.68 |
$505.68 |
$505.68 |
$56.70
|
|
Phenytoin total therapeutic drug level
|
$1,417.01 |
$1,417.01 |
$1,417.01 |
$111.27
|
|
Phlebotomy therapeutic
|
$1,328.50 |
$1,328.50 |
$1,328.50 |
$249.00
|
|
Phosphorus 24 hour urine
|
$845.76 |
$845.76 |
$845.76 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$523.04 |
$523.04 |
$523.04 |
$89.29
|
|
Pinworm exam
|
$530.57 |
$530.57 |
$530.57 |
$39.75
|
|
Placental lactogen
|
$608.14 |
$608.14 |
$608.14 |
$143.67
|
|
Plasma cryoprecipitate reduced each unit
|
$524.70 |
$524.70 |
$524.70 |
$156.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$7,143.40 |
$7,143.40 |
$7,143.40 |
$1,066.52
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$7,143.40 |
$7,143.40 |
$7,143.40 |
$1,214.14
|
|
Platelets pheresis pathogen-reduced each unit
|
$6,881.05 |
$6,881.05 |
$6,881.05 |
$890.95
|
|
Platelet survival
|
$7,126.00 |
$7,126.00 |
$7,126.00 |
$475.51
|
|
Plethysmography lung volumes/airway resistance
|
$4,389.00 |
$4,389.00 |
$4,389.00 |
$408.00
|
|
Pm device progr eval dual
|
$425.15 |
$425.15 |
$425.15 |
$148.65
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$103,974.08 |
$103,974.08 |
$103,974.08 |
$42,965.72
|
|
Polysom <6 yrs cpap/bilvl
|
$28,263.95 |
$28,263.95 |
$28,263.95 |
$3,928.40
|
|
Potassium 24 hour urine
|
$982.47 |
$982.47 |
$982.47 |
$50.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$21.00 |
$21.00 |
$21.00 |
$4.67
|
|
Pouch ostmy nb pouchkin ctf
|
$20.00 |
$20.00 |
$20.00 |
$0.59
|
|
Pq biliary strict dil s&i
|
$14,221.35 |
$14,221.35 |
$14,221.35 |
$999.17
|
|
Pralidoxime 1 gram solution for injection
|
$1,370.88 |
$1,370.88 |
$1,370.88 |
$374.55
|
|
Pr application splint static short arm
|
$2,185.70 |
$2,185.70 |
$2,185.70 |
$300.00
|
|
Prealbumin
|
$1,658.97 |
$1,658.97 |
$1,658.97 |
$87.10
|
|
Pretreat rbc absorption reference
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$137.80
|
|
Pretreat rbc w chem/drugs reference
|
$773.85 |
$773.85 |
$773.85 |
$106.00
|
|
Prgrmg dev eval pm/ldls pm
|
$425.15 |
$425.15 |
$425.15 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$722.70 |
$722.70 |
$722.70 |
$144.30
|
|
Prgrmg eval implantable dfb
|
$722.70 |
$722.70 |
$722.70 |
$173.25
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$863.52 |
$863.52 |
$863.52 |
$633.52
|
|
Procalcitonin
|
$2,893.70 |
$2,893.70 |
$2,893.70 |
$142.50
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$467.04 |
$467.04 |
$467.04 |
$46.61
|
|
Prochlorperazine maleate 5 mg tablet
|
$58.24 |
$58.24 |
$58.24 |
$4.25
|
|
Progesterone
|
$2,395.68 |
$2,395.68 |
$2,395.68 |
$104.40
|
|
Prolactin
|
$1,898.75 |
$1,898.75 |
$1,898.75 |
$127.40
|
|
Promethazine hcl injection
|
$505.68 |
$505.68 |
$505.68 |
$33.17
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$908.88 |
$908.88 |
$908.88 |
$39.59
|
|
Prost sock sgl ply blw knee ea
|
$169.00 |
$169.00 |
$169.00 |
$46.77
|
|
Protein c activity
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,585.19 |
$1,585.19 |
$1,585.19 |
$85.80
|
|
Protein s total
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$78.87
|
|
Protein total 24 hour urine
|
$530.57 |
$530.57 |
$530.57 |
$52.50
|
|
Prothrombin time substitution plasma fractions each
|
$432.92 |
$432.92 |
$432.92 |
$38.40
|
|
PSA (Prostate) Test
|
$1,176.68 |
$1,176.68 |
$1,176.68 |
$108.27
|
|
Pt application of modality traction mechanical
|
$717.75 |
$717.75 |
$717.75 |
$88.80
|
|
Pulmonary vent imaging
|
$6,341.50 |
$6,341.50 |
$6,341.50 |
$841.26
|
|
Pulse ox continuous overnight monitoring
|
$862.95 |
$862.95 |
$862.95 |
$365.60
|
|
Puncture arterial withdrawal blood for diagnosis
|
$1,002.10 |
$1,002.10 |
$1,002.10 |
$127.50
|
|
Pyridoxine hcl 100 mg
|
$505.68 |
$505.68 |
$505.68 |
$43.24
|
|
Pyruvate
|
$1,214.12 |
$1,214.12 |
$1,214.12 |
$65.00
|
|
Pyruvate kinase
|
$804.53 |
$804.53 |
$804.53 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$15,303.50 |
$15,303.50 |
$15,303.50 |
$1,522.89
|
|
Quant diff pulm perf w/imaging
|
$8,802.50 |
$8,802.50 |
$8,802.50 |
$1,209.44
|
|
Quest t3 uptake
|
$910.86 |
$910.86 |
$910.86 |
$56.10
|
|
Quinupristin/dalfopristin
|
$6,670.72 |
$6,670.72 |
$6,670.72 |
$647.41
|
|
Radiation physics consult
|
$5,445.55 |
$5,445.55 |
$5,445.55 |
$587.65
|
|
Radiation therapy dose plan
|
$4,162.40 |
$4,162.40 |
$4,162.40 |
$530.53
|
|
Radiation treatment aid(s)
|
$5,001.15 |
$5,001.15 |
$5,001.15 |
$544.83
|
|
Radiation treatment aid(s)
|
$8,517.30 |
$8,517.30 |
$8,517.30 |
$695.00
|
|
Radiation treatment aid(s)
|
$8,680.10 |
$8,680.10 |
$8,680.10 |
$1,100.38
|
|
Radiation treatment delivery
|
$5,001.15 |
$5,001.15 |
$5,001.15 |
$552.40
|
|
Radiation treatment delivery
|
$8,680.10 |
$8,680.10 |
$8,680.10 |
$909.98
|
|
Radiesse injection
|
$3,087.00 |
$3,087.00 |
$3,087.00 |
$1,010.63
|
|
Radiotherapy dose plan imrt
|
$48,282.30 |
$48,282.30 |
$48,282.30 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$2,726.08 |
$2,726.08 |
$2,726.08 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$10,516.50 |
$10,516.50 |
$10,516.50 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$10,516.50 |
$10,516.50 |
$10,516.50 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$7,460.50 |
$7,460.50 |
$7,460.50 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,109.50 |
$2,109.50 |
$2,109.50 |
$2,379.29
|
|
Radphm lcl tumor plr sgl day
|
$5,424.00 |
$5,424.00 |
$5,424.00 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$7,574.00 |
$7,574.00 |
$7,574.00 |
$16,050.00
|
|
Rapid Strep Test
|
$150.27 |
$150.27 |
$150.27 |
$74.10
|
|
Rbc count only automated
|
$418.81 |
$418.81 |
$418.81 |
$19.60
|
|
Rbc deglycerolized each unit
|
$2,584.45 |
$2,584.45 |
$2,584.45 |
$724.23
|
