|
Palb2 gene full gene seq
|
$3,112.00 |
$3,112.00 |
$3,112.00 |
$672.50
|
|
Palifermin injection
|
$7,111.38 |
$7,111.38 |
$7,111.38 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$12,414.82 |
$12,414.82 |
$12,414.82 |
$6,238.82
|
|
Palonosetron hcl
|
$304.89 |
$304.89 |
$304.89 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$157.43 |
$157.43 |
$157.43 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$17,391.84 |
$17,391.84 |
$17,391.84 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.66 |
$21.66 |
$21.66 |
$28.90
|
|
Papaverin hcl injection
|
$173.92 |
$173.92 |
$173.92 |
$78.75
|
|
Parathormone (pth) intact
|
$190.00 |
$190.00 |
$190.00 |
$206.18
|
|
Parathyroid planar imaging
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,374.75
|
|
Paricalcitol
|
$63.63 |
$63.63 |
$63.63 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$721.00 |
$721.00 |
$721.00 |
$245.67
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,101.06 |
$4,101.06 |
$4,101.06 |
$4,921.76
|
|
Pcv21 vaccine im
|
$1,268.30 |
$1,268.30 |
$1,268.30 |
$410.26
|
|
Pegaspargase injection
|
$48,644.26 |
$48,644.26 |
$48,644.26 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$23,797.91 |
$23,797.91 |
$23,797.91 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$14,553.90 |
$14,553.90 |
$14,553.90 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$15,480.90 |
$15,480.90 |
$15,480.90 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$10,020.00 |
$10,020.00 |
$10,020.00 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,270.00 |
$9,270.00 |
$9,270.00 |
$4,120.37
|
|
Peg interferon alfa-2a/180
|
$2,672.20 |
$2,672.20 |
$2,672.20 |
$2,672.20
|
|
Pegunigalsidase alfa-iwxj
|
$9,924.26 |
$9,924.26 |
$9,924.26 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$606.00 |
$606.00 |
$606.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$606.00 |
$606.00 |
$606.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$566.00 |
$566.00 |
$566.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$566.00 |
$566.00 |
$566.00 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$41,214.57 |
$41,214.57 |
$41,214.57 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$14,991.44 |
$14,991.44 |
$14,991.44 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$819.53 |
$819.53 |
$819.53 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,106.72 |
$2,106.72 |
$2,106.72 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$231.00 |
$231.00 |
$231.00 |
$97.85
|
|
Penicillin g procaine inj
|
$192.99 |
$192.99 |
$192.99 |
$149.20
|
|
Penile injection
|
$519.00 |
$519.00 |
$519.00 |
$424.60
|
|
Pentamidine non-comp unit
|
$700.95 |
$700.95 |
$700.95 |
$294.39
|
|
Pentostatin 10 mg intravenous solution
|
$7,083.08 |
$7,083.08 |
$7,083.08 |
$5,181.67
|
|
Perc drug-el cor stent bran
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$29,016.00 |
$29,016.00 |
$29,016.00 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,408.47 |
$1,408.47 |
$1,408.47 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$5,423.00 |
$5,423.00 |
$5,423.00 |
$2,375.00
|
|
Peripheral vascular rehab
|
$314.00 |
$314.00 |
$314.00 |
$132.50
|
|
Peritoneogram rs&i
|
$2,579.00 |
$2,579.00 |
$2,579.00 |
$698.50
|
|
Pertussis ag if
|
$55.00 |
$55.00 |
$55.00 |
$66.23
|
|
Pertuzumab 30 mg/ml desensitization
|
$17,088.16 |
$17,088.16 |
$17,088.16 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$33,399.69 |
$33,399.69 |
$33,399.69 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$7,795.00 |
$7,795.00 |
$7,795.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$7,795.00 |
$7,795.00 |
$7,795.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$7,795.00 |
$7,795.00 |
$7,795.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$7,795.00 |
$7,795.00 |
$7,795.00 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$28,113.13 |
$28,113.13 |
$28,113.13 |
$39,920.50
|
|
Ph body fluid
|
$17.00 |
$17.00 |
$17.00 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$287.28 |
$287.28 |
$287.28 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$70.00 |
$70.00 |
$70.00 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,816.78 |
$1,816.78 |
$1,816.78 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$375.44 |
$375.44 |
$375.44 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$18.47 |
$18.47 |
$18.47 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$61.00 |
$61.00 |
$61.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$453.00 |
$453.00 |
$453.00 |
$231.40
|
|
Phosphorus
|
$22.00 |
$22.00 |
$22.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$27.00 |
$27.00 |
$27.00 |
$42.25
|
|
Physical Therapy Re-Evaluation
|
$347.00 |
$347.00 |
$347.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$205.66 |
$205.66 |
$205.66 |
$90.25
|
|
Pin caspar distraction 12mm
|
$1,321.49 |
$1,321.49 |
$1,321.49 |
$11,759.36
|
|
Pinworm exam
|
$20.00 |
$20.00 |
$20.00 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$106.75 |
$106.75 |
$106.75 |
$81.36
|
|
Platelet aggregation each agent teg
|
$115.00 |
$115.00 |
$115.00 |
$148.98
|
|
Platelet automated
|
$21.00 |
$21.00 |
$21.00 |
$46.00
|
|
Platelet pheresis each unit
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$1,012.80
|
|
Platelet pheresis irr ea
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$1,108.52
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
$1,532.70
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,234.00 |
$2,234.00 |
$2,234.00 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,864.00 |
$2,864.00 |
$2,864.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,680.00 |
$2,680.00 |
$2,680.00 |
$1,005.65
|
|
Plerixafor injection
|
$23,923.36 |
$23,923.36 |
$23,923.36 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$408.05
|
|
Pms2 gene dup/delet variants
|
$936.00 |
$936.00 |
$936.00 |
$407.27
|
|
Pms2 gene full seq analysis
|
$3,112.00 |
$3,112.00 |
$3,112.00 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$120.00 |
$120.00 |
$120.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$44,667.38 |
$44,667.38 |
$44,667.38 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$7,540.00 |
$7,540.00 |
$7,540.00 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$4,953.00 |
$4,953.00 |
$4,953.00 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$7,540.00 |
$7,540.00 |
$7,540.00 |
$3,790.61
|
|
Potassium 24 hour urine
|
$22.00 |
$22.00 |
$22.00 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$168.00 |
$168.00 |
$168.00 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$23.00 |
$23.00 |
$23.00 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$720.00
|
|
Pralatrexate injection
|
$16,290.04 |
$16,290.04 |
$16,290.04 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$1,248.48 |
$1,248.48 |
$1,248.48 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$11,959.00 |
$11,959.00 |
$11,959.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$586.00 |
$586.00 |
$586.00 |
$332.75
|
|
Pr application splint static short arm
|
$466.00 |
$466.00 |
$466.00 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$1,601.00 |
$1,601.00 |
$1,601.00 |
$458.25
|
|
Prcrd drg 6+yr without anomly
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$2,253.00
|
