|
Oth resp proc, group
|
$114.15 |
$114.15 |
$375.00 |
$154.00
|
|
Oth resp proc, indiv
|
$375.00 |
$375.00 |
$375.00 |
$87.45
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$36.26 |
$36.26 |
$36.26 |
$107.32
|
|
Ot re-evaluation patient/family
|
$677.00 |
$677.00 |
$677.00 |
$174.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$24.88 |
$24.88 |
$24.88 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$24.88 |
$24.88 |
$24.88 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$32.10 |
$32.10 |
$32.10 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$39.59 |
$39.59 |
$39.59 |
$100.10
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$80.22 |
$80.22 |
$129.52 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2.89 |
$2.89 |
$3.90 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$45.86 |
$48.29 |
$63.00 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.50 |
$0.50 |
$25.11 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$15.22 |
$15.71 |
$4,073.00 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,233.24 |
$2,235.84 |
$5,481.00 |
$5,156.88
|
|
Palonosetron hcl
|
$29.86 |
$41.00 |
$1,025.00 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$37.62 |
$41.47 |
$822.00 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$133.18 |
$133.18 |
$4,215.00 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$48.08 |
$48.29 |
$135.00 |
$44.25
|
|
Papaverin hcl injection
|
$50.14 |
$50.14 |
$59.00 |
$76.40
|
|
Parathormone (pth) intact
|
$104.90 |
$104.90 |
$104.90 |
$200.23
|
|
Parathyroid planar imaging
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,723.28 |
$1,723.28 |
$1,723.28 |
$1,398.75
|
|
Paricalcitol
|
$9.63 |
$9.63 |
$86.00 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,094.90 |
$5,094.90 |
$5,094.99 |
$4,418.62
|
|
Path clin consltj mod 21-40
|
$337.44 |
$337.44 |
$337.44 |
$192.11
|
|
Path clin consltj sf 5-20
|
$107.67 |
$107.67 |
$107.67 |
$82.15
|
|
Pdgfra gene
|
$940.00 |
$940.00 |
$940.00 |
$659.20
|
|
Pegaspargase injection
|
$51,967.00 |
$51,967.00 |
$51,967.00 |
$29,285.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$3,784.62 |
$3,784.62 |
$4,451.06 |
$12,556.80
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$168.77 |
$168.77 |
$168.77 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$354.24 |
$354.24 |
$424.54 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$716.04 |
$716.04 |
$716.04 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$670.16 |
$670.16 |
$670.16 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$624.28 |
$624.28 |
$624.28 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$590.15 |
$590.15 |
$590.15 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$720.02 |
$720.02 |
$720.02 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$525.86 |
$525.86 |
$525.86 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$762.76 |
$762.76 |
$762.76 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$429.66 |
$429.66 |
$429.66 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$52.35 |
$170.34 |
$17,677.00 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$77.25 |
$77.25 |
$80.08 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$13.32 |
$13.32 |
$13.32 |
$258.72
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$40.79 |
$40.79 |
$45.25 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$90.35 |
$90.35 |
$91.27 |
$100.50
|
|
Penicillin g procaine inj
|
$39.96 |
$39.96 |
$39.96 |
$40.94
|
|
Penile vascular study
|
$291.75 |
$291.75 |
$291.75 |
$561.00
|
|
Penile vascular study
|
$307.84 |
$307.84 |
$307.84 |
$460.20
|
|
Pentamidine non-comp unit
|
$417.00 |
$417.00 |
$417.00 |
$299.25
|
|
Pentobarbital sodium inj
|
$126.00 |
$126.00 |
$126.00 |
$167.64
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$274.91 |
$287.12 |
$477.00 |
$321.71
|
|
Peripheral vascular rehab
|
$107.58 |
$107.58 |
$107.58 |
$128.69
|
|
Peritoneogram rs&i
|
$2,888.00 |
$2,888.00 |
$2,888.00 |
$648.84
|
|
Perit-vens shunt pat tst
|
$752.49 |
$752.49 |
$6,556.00 |
$695.40
|
|
Perphenazine 4mg oral
|
$15.00 |
$15.00 |
$15.00 |
$9.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$13.57 |
$13.57 |
$16,851.00 |
$18,443.20
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$97.22 |
$97.22 |
$97.22 |
$113.84
|
|
Pet CT skull-mid thgh initial
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$4,854.75
|
|
Pet CT whole body initial
|
$2,016.50 |
$2,016.50 |
$2,016.50 |
$5,017.50
|
|
Pet image w/ct lmtd
|
$1,979.50 |
$1,979.50 |
$1,979.50 |
$4,422.60
|
|
Pet scan brain perf study
|
$10,108.00 |
$10,108.00 |
$10,108.00 |
$4,297.00
|
|
Ph body fluid
|
$36.08 |
$36.08 |
$36.08 |
$39.20
|
|
Phencyclidine (pcp)
|
$42.37 |
$42.37 |
$42.37 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$82.21 |
$82.21 |
$282.14 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$45.05 |
$45.05 |
$1,524.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$521.00 |
$521.00 |
$521.00 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$45.87 |
$45.87 |
$47.38 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$24.14 |
$24.14 |
$24.14 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$52.63 |
$52.63 |
$1,521.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$217.01 |
$217.01 |
$9,283.00 |
$249.00
|
|
Phosphorus
|
$42.37 |
$42.37 |
$414.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$23.68 |
$23.68 |
$487.00 |
$42.81
|
|
Phys blood bank serv authrj
|
$107.67 |
$107.67 |
$107.67 |
$97.60
|
|
Phys blood bank serv reactj
|
$134.00 |
$337.44 |
$337.44 |
$219.94
|
|
Phys blood bank serv xmatch
|
$53.65 |
$53.65 |
$68.00 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.28 |
$86.36
|
|
Pinworm exam
|
$9.44 |
$9.44 |
$9.44 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$58.22 |
$58.22 |
$66.94 |
$95.01
|
|
Platelet aggregation each agent teg
|
$44.22 |
$44.22 |
$44.22 |
$147.96
|
|
Platelet automated
|
$30.34 |
$30.34 |
$927.00 |
$44.00
|
|
Platelets leukocytes reduced each unit
|
$144.49 |
$144.49 |
$144.49 |
$273.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$205.54 |
$205.54 |
$205.54 |
$334.10
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$235.69 |
$235.69 |
$235.69 |
$900.48
|
|
Plethysmography lung volumes/airway resistance
|
$580.00 |
$616.98 |
$616.98 |
$411.51
|
|
Pm device progr eval dual
|
$129.13 |
$129.13 |
$248.00 |
$148.00
|
|
Pm device progr eval multi
|
$129.13 |
$129.13 |
$248.00 |
$160.55
|
|
#pnh-flow cytometry interp
|
$68.17 |
$68.17 |
$68.17 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$112.39 |
$112.39 |
$112.39 |
$173.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$116.44 |
$116.44 |
$116.44 |
$43,674.71
|
|
Polysom <6 yrs cpap/bilvl
|
$2,739.48 |
$2,739.48 |
$2,739.48 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,143.00 |
$5,143.00 |
$5,143.00 |
$4,293.60
|
|
Potassium 24 hour urine
|
$34.69 |
$34.69 |
$571.00 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$16.24 |
$16.24 |
$16.24 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$7.96 |
$7.96 |
$798.00 |
$44.64
|
|
Powder prem protct 1oz
|
$37.00 |
$37.00 |
$37.00 |
$5.20
|
|
Pq biliary strict dil s&i
|
$4,403.00 |
$4,403.00 |
$4,403.00 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$628.35 |
$628.35 |
$1,572.00 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$292.00 |
$292.00 |
$292.00 |
$374.55
|
|
Pr assessment emotional/behavioral per instrument brief
|
$62.81 |
$62.81 |
$62.81 |
$44.67
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$50.04 |
$50.04 |
$50.04 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$180.10 |
$180.10 |
$922.00 |
$356.40
|
