|
Paricalcitol
|
$141.70 |
$141.70 |
$141.70 |
$47.15
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$10,941.45 |
$10,941.45 |
$10,941.45 |
$4,921.76
|
|
Passy muir valve metal trach
|
$808.60 |
$808.60 |
$808.60 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$7.80 |
$7.80 |
$7.80 |
$5.73
|
|
Pathogen reduced plasma pool
|
$98.80 |
$98.80 |
$98.80 |
$66.40
|
|
Pathogen reduced plasma sing
|
$98.80 |
$98.80 |
$98.80 |
$324.07
|
|
Pdgfra gene
|
$840.45 |
$840.45 |
$840.45 |
$717.23
|
|
Pegaspargase injection
|
$130,909.35 |
$130,909.35 |
$130,909.35 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$1,857.70 |
$1,857.70 |
$1,857.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$3,077.75 |
$3,077.75 |
$3,077.75 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,036.10 |
$1,036.10 |
$1,036.10 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$16,090.75 |
$16,090.75 |
$16,090.75 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$3,695.90 |
$3,695.90 |
$3,695.90 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$3,380.65 |
$3,380.65 |
$3,380.65 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$3,043.95 |
$3,043.95 |
$3,043.95 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,604.25 |
$3,604.25 |
$3,604.25 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,424.20 |
$3,424.20 |
$3,424.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,249.35 |
$3,249.35 |
$3,249.35 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,264.25 |
$1,264.25 |
$1,264.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$650.65 |
$650.65 |
$650.65 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$839.15 |
$839.15 |
$839.15 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$284.70 |
$284.70 |
$284.70 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$92.95 |
$92.95 |
$92.95 |
$7,089.13
|
|
Pemivibart infusion
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$533.10
|
|
Peng benzathine/procaine inj
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$958.10 |
$958.10 |
$958.10 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$118.95 |
$118.95 |
$118.95 |
$97.85
|
|
Penile injection
|
$580.45 |
$580.45 |
$580.45 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$35,766.25 |
$35,766.25 |
$35,766.25 |
$18,764.94
|
|
Penile vascular study
|
$590.85 |
$590.85 |
$590.85 |
$561.00
|
|
Penile vascular study
|
$574.60 |
$574.60 |
$574.60 |
$574.60
|
|
Penis study
|
$308.10 |
$308.10 |
$308.10 |
$368.50
|
|
Pentobarbital sodium inj
|
$507.00 |
$507.00 |
$507.00 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$15,797.60 |
$15,797.60 |
$15,797.60 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$251.55 |
$251.55 |
$251.55 |
$332.84
|
|
Peripheral vascular rehab
|
$100.75 |
$100.75 |
$100.75 |
$132.50
|
|
Perit-vens shunt pat tst
|
$1,760.20 |
$1,760.20 |
$1,760.20 |
$752.49
|
|
Permanent tear duct plug
|
$807.95 |
$807.95 |
$807.95 |
$291.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$85.80 |
$85.80 |
$85.80 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$403.00 |
$403.00 |
$403.00 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$5,567.25 |
$5,567.25 |
$5,567.25 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$163,493.85 |
$163,493.85 |
$163,493.85 |
$39,920.50
|
|
Ph body fluid
|
$176.80 |
$176.80 |
$176.80 |
$42.00
|
|
Phencyclidine (pcp)
|
$7.15 |
$7.15 |
$7.15 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$468.65 |
$468.65 |
$468.65 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$497.90 |
$497.90 |
$497.90 |
$105.00
|
|
Phentolaine mesylate inj
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$49.40 |
$49.40 |
$49.40 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$20.80 |
$20.80 |
$20.80 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$148.20 |
$148.20 |
$148.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$611.65 |
$611.65 |
$611.65 |
$231.40
|
|
Phosphorus
|
$54.60 |
$54.60 |
$54.60 |
$49.20
|
|
Phosphorus 24 hour urine
|
$195.65 |
$195.65 |
$195.65 |
$42.25
|
|
Photodynamic tx addl 15 min
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$219.12
|
|
Photodynmc tx 30 min add-on
|
$2,637.05 |
$2,637.05 |
$2,637.05 |
$582.40
|
|
Physical Therapy Evaluation (high complexity)
|
$586.95 |
$586.95 |
$586.95 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$261.30 |
$261.30 |
$261.30 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$391.30 |
$391.30 |
$391.30 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$299.00 |
$299.00 |
$299.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$382.20 |
$382.20 |
$382.20 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$1,155.05 |
$1,155.05 |
$1,155.05 |
$1,038.40
|
|
Pik3ca gene trgt seq alys
|
$664.95 |
$664.95 |
$664.95 |
$463.20
|
|
Pin caspar distraction 12mm
|
$31,566.60 |
$31,566.60 |
$31,566.60 |
$11,759.36
|
|
Pinworm exam
|
$171.60 |
$171.60 |
$171.60 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$230.10 |
$230.10 |
$230.10 |
$81.36
|
|
Placental lactogen
|
$187.20 |
$187.20 |
$187.20 |
$163.28
|
|
Plasma cryoprecipitate reduced each unit
|
$118.30 |
$118.30 |
$118.30 |
$163.04
|
|
Platelet aggregation each agent teg
|
$525.85 |
$525.85 |
$525.85 |
$148.98
|
|
Platelet automated
|
$133.25 |
$133.25 |
$133.25 |
$46.00
|
|
Platelet pheresis each unit
|
$874.25 |
$874.25 |
$874.25 |
$1,012.80
|
|
Platelet pheresis irr ea
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$1,108.52
|
|
Platelets each unit
|
$104.00 |
$104.00 |
$104.00 |
$169.29
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,658.80 |
$1,658.80 |
$1,658.80 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$144.30 |
$144.30 |
$144.30 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$784.55 |
$784.55 |
$784.55 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$893.10 |
$893.10 |
$893.10 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,285.70 |
$1,285.70 |
$1,285.70 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,363.70 |
$1,363.70 |
$1,363.70 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$1,005.65
|
|
Plerixafor injection
|
$169.00 |
$169.00 |
$169.00 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$761.15 |
$761.15 |
$761.15 |
$408.05
|
|
Pms2 gene full seq analysis
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$588.90 |
$588.90 |
$588.90 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$642.20 |
$642.20 |
$642.20 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$4,386.85 |
$4,386.85 |
$4,386.85 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$2,744.30 |
$2,744.30 |
$2,744.30 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,386.85 |
$4,386.85 |
$4,386.85 |
$3,790.61
|
|
Porfimer sodium injection
|
$64,623.65 |
$64,623.65 |
$64,623.65 |
$37,618.13
|
|
Potassium 24 hour urine
|
$172.90 |
$172.90 |
$172.90 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$215.80 |
$215.80 |
$215.80 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$54.60 |
$54.60 |
$54.60 |
$47.85
|
|
Pouch high output 2pc 50mm red
|
$20.15 |
$20.15 |
$20.15 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$3.25 |
$3.25 |
$3.25 |
$3.25
|
|
Pouch uros new (both sides) 2.75in clr
|
$9.75 |
$9.75 |
$9.75 |
$15.80
|
|
Powder prem protct 1oz
|
$5.20 |
$5.20 |
$5.20 |
$5.43
|
|
Pq thr inj ext pse
|
$1,922.05 |
$1,922.05 |
$1,922.05 |
$781.62
|
