|
Pegaspargase injection
|
$3,958.17 |
$3,958.17 |
$3,958.17 |
$29,285.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,291.37 |
$5,291.37 |
$5,291.37 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$2,099.40 |
$2,099.40 |
$2,099.40 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,219.52 |
$4,219.52 |
$4,219.52 |
$8,382.81
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$5,284.25 |
$5,284.25 |
$5,284.25 |
$2,735.46
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,235.84 |
$2,235.84 |
$2,235.84 |
$5,908.68
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,232.74 |
$2,232.74 |
$2,232.74 |
$1,194.98
|
|
Pegloticase 8 mg/ml intravenous solution
|
$61,199.48 |
$61,199.48 |
$61,199.48 |
$41,940.84
|
|
Pelvic CT scan (with and without contrast)
|
$875.00 |
$875.00 |
$875.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$700.00 |
$700.00 |
$700.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$625.00 |
$625.00 |
$625.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$950.00 |
$950.00 |
$950.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$387.50 |
$387.50 |
$387.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$127.50 |
$127.50 |
$127.50 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$1,905.58 |
$1,905.58 |
$1,905.58 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,175.81 |
$3,175.81 |
$3,175.81 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$192.51 |
$192.51 |
$192.51 |
$258.72
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$122.74 |
$122.74 |
$122.74 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$81.08 |
$81.08 |
$81.08 |
$100.50
|
|
Penicillin g procaine inj
|
$89.25 |
$89.25 |
$89.25 |
$40.94
|
|
Pentobarbital sodium inj
|
$97.71 |
$97.71 |
$97.71 |
$167.64
|
|
Pentostatin 10 mg intravenous solution
|
$2,611.71 |
$2,611.71 |
$2,611.71 |
$6,112.62
|
|
Perc cryo ablate renal tum
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$12,320.22
|
|
Perc d-e cor revasc chro sin
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$19,992.17
|
|
Perc d-e cor revasc t cabg s
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$2,975.00 |
$2,975.00 |
$2,975.00 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$2,975.00 |
$2,975.00 |
$2,975.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$6,949.48
|
|
Percut ablate liver rf
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$117.51 |
$117.51 |
$117.51 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$625.00 |
$625.00 |
$625.00 |
$2,573.60
|
|
Peri-proc device eval icd
|
$100.00 |
$100.00 |
$100.00 |
$220.35
|
|
Peri-proc device eval pm
|
$100.00 |
$100.00 |
$100.00 |
$195.80
|
|
Peritoneogram rs&i
|
$325.00 |
$325.00 |
$325.00 |
$648.84
|
|
Perq clsr tcat l atr apndge
|
$5,500.00 |
$5,500.00 |
$5,500.00 |
$12,032.67
|
|
Perq plmt bile duct stent
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$7,082.99
|
|
Perq transcath closure pda
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$18,277.50
|
|
Pertuzumab 30 mg/ml desensitization
|
$794.62 |
$794.62 |
$794.62 |
$18,443.20
|
|
Pet CT skull-mid thgh initial
|
$1,621.25 |
$1,621.25 |
$1,621.25 |
$4,854.75
|
|
Pet CT whole body initial
|
$1,621.25 |
$1,621.25 |
$1,621.25 |
$5,017.50
|
|
Ph body fluid
|
$20.00 |
$20.00 |
$20.00 |
$39.20
|
|
Phencyclidine (pcp)
|
$25.00 |
$25.00 |
$25.00 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$102.34 |
$102.34 |
$102.34 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$47.50 |
$47.50 |
$47.50 |
$104.50
|
|
Phentolaine mesylate inj
|
$249.63 |
$249.63 |
$249.63 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$31.37 |
$31.37 |
$31.37 |
$58.49
|
|
Phenylep ketorolac opth soln
|
$489.67 |
$489.67 |
$489.67 |
$114.30
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$12.06 |
$12.06 |
$12.06 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$35.00 |
$35.00 |
$35.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$58.75 |
$58.75 |
$58.75 |
$249.00
|
|
Phosphorus
|
$20.00 |
$20.00 |
$20.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$22.50 |
$22.50 |
$22.50 |
$42.81
|
|
Phys blood bank serv reactj
|
$92.50 |
$92.50 |
$92.50 |
$219.94
|
|
Phys blood bank serv xmatch
|
$8.50 |
$8.50 |
$8.50 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$180.68 |
$180.68 |
$180.68 |
$86.36
|
|
Pinworm exam
|
$20.00 |
$20.00 |
$20.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$178.14 |
$178.14 |
$178.14 |
$95.01
|
|
Place cath xtrnl carotid
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$498.75 |
$498.75 |
$498.75 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$225.00 |
$225.00 |
$225.00 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$4,450.11
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$14,934.35
|
|
Place right device/marker pros
|
$835.00 |
$835.00 |
$835.00 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$9,181.35
|
|
Place slctv cath vertebral art uni
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$41.25 |
$41.25 |
$41.25 |
$147.96
|
|
Platelet automated
|
$20.00 |
$20.00 |
$20.00 |
$44.00
|
|
Platelets leukocytes reduced irradiated each unit
|
$167.50 |
$167.50 |
$167.50 |
$334.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$375.00 |
$375.00 |
$375.00 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$400.00 |
$400.00 |
$400.00 |
$1,180.31
|
|
Platelets pheresis pathogen-reduced each unit
|
$650.00 |
$650.00 |
$650.00 |
$879.36
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$6,048.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$4,002.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$557.50 |
$557.50 |
$557.50 |
$1,292.45
|
|
Plcmt xtn pros evasc rpr per vsl
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$3,969.00
|
|
Plerixafor injection
|
$4,870.21 |
$4,870.21 |
$4,870.21 |
$1,570.80
|
|
Plethysmography lung volumes/airway resistance
|
$200.00 |
$200.00 |
$200.00 |
$411.51
|
|
Plmt biliary drainage cath
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$5,419.00
|
|
Pm device progr eval dual
|
$93.75 |
$93.75 |
$93.75 |
$148.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$2.75 |
$2.75 |
$2.75 |
$173.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$3,167.11 |
$3,167.11 |
$3,167.11 |
$43,674.71
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$4,293.60
|
|
Porfimer sodium injection
|
$10,365.00 |
$10,365.00 |
$10,365.00 |
$26,682.81
|
|
Potassium 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$50.44 |
$50.44 |
$50.44 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$20.00 |
$20.00 |
$20.00 |
$44.64
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$2.28 |
$2.28 |
$2.28 |
$4.67
|
|
Powder prem protct 1oz
|
$0.37 |
$0.37 |
$0.37 |
$5.20
|
