|
Papaverin hcl injection
|
$67.11 |
$67.11 |
$67.11 |
$77.05
|
|
Parathormone (pth) intact
|
$297.00 |
$297.00 |
$297.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$997.50 |
$997.50 |
$997.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$997.50 |
$997.50 |
$997.50 |
$1,350.60
|
|
Paricalcitol
|
$68.01 |
$68.01 |
$68.01 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$164.25 |
$164.25 |
$164.25 |
$245.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$423.36 |
$423.36 |
$423.36 |
$4,921.76
|
|
Passy muir valve metal trach
|
$297.36 |
$297.36 |
$297.36 |
$275.75
|
|
Ped home apnea mntr att only
|
$436.50 |
$436.50 |
$436.50 |
$185.15
|
|
Ped home apnea mntr dl&alys
|
$436.50 |
$436.50 |
$436.50 |
$296.92
|
|
Pegaspargase injection
|
$59,402.49 |
$59,402.49 |
$59,402.49 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$15,021.85 |
$15,021.85 |
$15,021.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$9,188.25 |
$9,188.25 |
$9,188.25 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,773.25 |
$9,773.25 |
$9,773.25 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,888.50 |
$4,888.50 |
$4,888.50 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$66,408.61 |
$66,408.61 |
$66,408.61 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$10,366.91 |
$10,366.91 |
$10,366.91 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,363.11
|
|
Pelvic MRI (with contrast)
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$600.00 |
$600.00 |
$600.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$435.00 |
$435.00 |
$435.00 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$14,110.44 |
$14,110.44 |
$14,110.44 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$9,494.37 |
$9,494.37 |
$9,494.37 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$572.65 |
$572.65 |
$572.65 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,773.30 |
$1,773.30 |
$1,773.30 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$141.13 |
$141.13 |
$141.13 |
$101.34
|
|
Penicillin g procaine inj
|
$212.32 |
$212.32 |
$212.32 |
$147.96
|
|
Penile rear tip xtnd 0.5cm
|
$382.50 |
$382.50 |
$382.50 |
$18,764.94
|
|
Penile vascular study
|
$398.25 |
$398.25 |
$398.25 |
$576.40
|
|
Penile vascular study
|
$342.75 |
$342.75 |
$342.75 |
$574.60
|
|
Penis plastic surgery
|
$6,029.25 |
$6,029.25 |
$6,029.25 |
$4,081.37
|
|
Penis study
|
$640.50 |
$640.50 |
$640.50 |
$368.50
|
|
Pentamidine non-comp unit
|
$394.28 |
$394.28 |
$394.28 |
$294.39
|
|
Pentobarbital sodium inj
|
$2,953.64 |
$2,953.64 |
$2,953.64 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$6,939.75 |
$6,939.75 |
$6,939.75 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$9,751.50 |
$9,751.50 |
$9,751.50 |
$11,458.04
|
|
Perc d-e cor revasc chro sin
|
$23,970.75 |
$23,970.75 |
$23,970.75 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$11,535.00 |
$11,535.00 |
$11,535.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$2,268.75 |
$2,268.75 |
$2,268.75 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$26,080.50 |
$26,080.50 |
$26,080.50 |
$18,700.50
|
|
Perc drug-el cor stent sing
|
$23,668.50 |
$23,668.50 |
$23,668.50 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$8,067.75 |
$8,067.75 |
$8,067.75 |
$7,243.60
|
|
Percut ablate liver rf
|
$8,556.00 |
$8,556.00 |
$8,556.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$871.32 |
$871.32 |
$871.32 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$585.75 |
$585.75 |
$585.75 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$2,251.20
|
|
Peri-proc device eval icd
|
$145.50 |
$145.50 |
$145.50 |
$192.40
|
|
Peri-proc device eval pm
|
$123.75 |
$123.75 |
$123.75 |
$159.90
|
|
Peritoneogram rs&i
|
$1,400.25 |
$1,400.25 |
$1,400.25 |
$695.89
|
|
Perit-vens shunt pat tst
|
$997.50 |
$997.50 |
$997.50 |
$758.37
|
|
Permanent tear duct plug
|
$180.57 |
$180.57 |
$180.57 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$8,939.25 |
$8,939.25 |
$8,939.25 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$11,331.75 |
$11,331.75 |
$11,331.75 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,456.00
|
|
Perq nl/pl lithotrp smpl<2cm
|
$25,387.50 |
$25,387.50 |
$25,387.50 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$11,895.00 |
$11,895.00 |
$11,895.00 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$13,135.50 |
$13,135.50 |
$13,135.50 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$13,357.50 |
$13,357.50 |
$13,357.50 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$780.00 |
$780.00 |
$780.00 |
$625.93
|
|
Perq transcath cls aortic
|
$30,384.75 |
$30,384.75 |
$30,384.75 |
$22,633.26
|
|
Perq transcath cls mitral
|
$33,423.00 |
$33,423.00 |
$33,423.00 |
$23,617.60
|
|
Pertussis ag if
|
$72.75 |
$72.75 |
$72.75 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$15,993.69 |
$15,993.69 |
$15,993.69 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$30,093.45 |
$30,093.45 |
$30,093.45 |
$27,833.07
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$408.00 |
$408.00 |
$408.00 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$3,890.25 |
$3,890.25 |
$3,890.25 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,371.75 |
$4,371.75 |
$4,371.75 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$4,060.00
|
|
Pet image full body
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$5,070.50
|
|
Pet image ltd area
|
$3,811.50 |
$3,811.50 |
$3,811.50 |
$3,677.40
|
|
Pet image skull-thigh
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$4,305.60
|
|
Pet scan brain perf study
|
$265.50 |
$265.50 |
$265.50 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$747.36 |
$747.36 |
$747.36 |
$38,834.22
|
|
Ph body fluid
|
$25.50 |
$25.50 |
$25.50 |
$41.28
|
|
Phencyclidine (pcp)
|
$168.00 |
$168.00 |
$168.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$74.13 |
$74.13 |
$74.13 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$77.25 |
$77.25 |
$77.25 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,150.26 |
$1,150.26 |
$1,150.26 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$295.47 |
$295.47 |
$295.47 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$11.96 |
$11.96 |
$11.96 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$91.50 |
$91.50 |
$91.50 |
$110.88
|
|
Phlebotomy therapeutic
|
$356.25 |
$356.25 |
$356.25 |
$231.66
|
|
Phosphorus
|
$50.25 |
$50.25 |
$50.25 |
$48.80
|
|
Phosphorus 24 hour urine
|
$33.75 |
$33.75 |
$33.75 |
$41.51
|
|
Phys blood bank serv authrj
|
$294.75 |
$294.75 |
$294.75 |
$107.67
|
|
Phys blood bank serv reactj
|
$304.50 |
$304.50 |
$304.50 |
$207.50
|
|
Phys blood bank serv xmatch
|
$297.00 |
$297.00 |
$297.00 |
$97.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$135.96 |
$135.96 |
$135.96 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$13,375.47 |
$13,375.47 |
$13,375.47 |
$1,035.81
|
|
Pillow shldr abduc inflat univ
|
$310.77 |
$310.77 |
$310.77 |
$614.36
|
|
Pin caspar distraction 12mm
|
$740.58 |
$740.58 |
$740.58 |
$11,925.00
|
|
Pin finger fracture each
|
$5,553.75 |
$5,553.75 |
$5,553.75 |
$4,115.40
|
|
Pinworm exam
|
$19.50 |
$19.50 |
$19.50 |
$39.75
|
|
Pinworm examinations
|
$13.50 |
$13.50 |
$13.50 |
$5.70
|
