|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1,165.20 |
$5,901.00 |
$20,723.39 |
|
|
Passy muir valve metal trach
|
$217.20 |
$288.88 |
$12,104.40 |
|
|
Pcv21 vaccine im
|
$2,352.65 |
$2,352.65 |
$2,352.65 |
|
|
Pdgfra gene
|
$975.38 |
$975.38 |
$975.38 |
|
|
Pegaspargase injection
|
$39,780.27 |
$46,529.45 |
$46,529.45 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$3,658.44 |
$9,121.58 |
$10,396.75 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$1,728.95 |
$5,045.58 |
$5,688.56 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,105.10 |
$4,188.00 |
$5,159.82 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$3,592.12 |
$3,592.12 |
$3,592.12 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,004.26 |
$5,961.60 |
$18,216.90 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$464.06 |
$5,229.92 |
$5,229.92 |
|
|
Peg interferon alfa-2a/180
|
$1,944.16 |
$1,944.16 |
$1,944.16 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$39,174.78 |
$39,174.78 |
$41,940.84 |
|
|
Pegunigalsidase alfa-iwxj
|
$2,146.13 |
$2,146.13 |
$2,146.13 |
|
|
Pelvic CT scan (with and without contrast)
|
$542.40 |
$971.00 |
$4,711.19 |
|
|
Pelvic CT scan (with contrast)
|
$499.12 |
$739.00 |
$2,680.59 |
|
|
Pelvic CT scan (without contrast)
|
$450.12 |
$574.50 |
$2,598.80 |
|
|
Pelvic MRI (with and without contrast)
|
$582.60 |
$1,073.00 |
$4,117.54 |
|
|
Pelvic MRI (with contrast)
|
$582.60 |
$909.50 |
$3,307.20 |
|
|
Pelvic MRI (without contrast)
|
$582.60 |
$741.50 |
$3,202.65 |
|
|
Pelvic Ultrasound (complete)
|
$343.20 |
$438.00 |
$861.92 |
|
|
Pelvic Ultrasound (limited)
|
$242.40 |
$409.00 |
$942.66 |
|
|
Pelvis X-ray (1 to 2 views)
|
$146.40 |
$195.00 |
$869.92 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$178.20 |
$241.50 |
$1,429.82 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$85.04 |
$613.74 |
$28,348.37 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16.16 |
$140.32 |
$12,548.69 |
|
|
Peng benzathine/procaine inj
|
$338.23 |
$1,052.20 |
$2,359.27 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$35.36 |
$48.74 |
$2,274.76 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$41.87 |
$119.56 |
$260.60 |
|
|
Penicillin g procaine inj
|
$107.18 |
$107.18 |
$441.20 |
|
|
Penile injection
|
$207.00 |
$207.00 |
$207.00 |
|
|
Penile rear tip xtnd 0.5cm
|
$78,746.42 |
$78,746.42 |
$78,746.42 |
|
|
Penile vascular study
|
$810.60 |
$810.60 |
$820.20 |
|
|
Pentamidine 300 mg solution for injection
|
$5.42 |
$5.42 |
$5.42 |
|
|
Pentamidine non-comp unit
|
$124.00 |
$162.81 |
$1,654.39 |
|
|
Pentazocine injection
|
$44.17 |
$44.17 |
$44.17 |
|
|
Pentobarbital sodium inj
|
$279.95 |
$3,309.25 |
$8,748.26 |
|
|
Pentostatin 10 mg intravenous solution
|
$5,948.18 |
$5,948.18 |
$26,232.65 |
|
|
Perc cryo ablate renal tum
|
$6,408.00 |
$6,603.00 |
$32,512.26 |
|
|
Perc d-e cor revasc chro add
|
$29,520.00 |
$34,522.80 |
$48,021.53 |
|
|
Perc d-e cor revasc chro sin
|
$23,580.50 |
$47,221.80 |
$59,027.42 |
|
|
Perc d-e cor revasc t cabg b
|
$10,478.50 |
$34,522.80 |
$48,021.53 |
|
|
Perc d-e cor revasc t cabg s
|
$20,960.00 |
$47,221.80 |
$89,496.45 |
|
|
Perc d-e cor stent ather br
|
$29,520.00 |
$34,522.80 |
$48,021.53 |
|
|
Perc d-e cor stent ather s
|
$20,960.00 |
$34,272.60 |
$59,027.42 |
|
|
Perc drug-el cor stent bran
|
$10,478.50 |
$16,080.00 |
$48,021.53 |
|
|
Perc drug-el cor stent sing
|
$16,846.20 |
$19,069.80 |
$59,027.42 |
|
|
Perc rf ablate renal tumor
|
$6,178.80 |
$7,694.00 |
$27,491.82 |
|
|
Percut ablate liver rf
|
$4,189.80 |
$6,178.80 |
$14,116.46 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$70.20 |
$83.70 |
$1,457.36 |
|
|
Pericardiocentesis wwo imaging
|
$389.00 |
$3,999.60 |
$6,465.00 |
|
|
Peripheral vascular rehab
|
$61.58 |
$246.50 |
$258.50 |
|
|
Peri-proc device eval icd
|
$172.71 |
$212.50 |
$219.50 |
|
|
Peri-proc device eval pm
|
$155.00 |
$158.00 |
$362.37 |
|
|
Peritoneogram rs&i
|
$396.00 |
$396.00 |
$984.76 |
|
|
Perit-vens shunt pat tst
|
$980.00 |
$1,295.40 |
$1,656.00 |
|
|
Permanent tear duct plug
|
$2,231.62 |
$2,231.62 |
$2,231.62 |
|
|
Perphenazine 4mg oral
|
$1.15 |
$1.15 |
$2.47 |
|
|
Perq art m-thrombect &/nfs
|
$7,671.50 |
$20,594.40 |
$45,837.67 |
|
|
Perq clsr tcat l atr apndge
|
$16,297.80 |
$17,868.00 |
$30,097.12 |
|
|
Perq dev breast 1st mr guide
|
$562.50 |
$580.00 |
$4,117.20 |
|
|
Perq dev breast 1st strtctc
|
$2,305.80 |
$2,305.80 |
$2,320.80 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$7,866.60 |
$7,866.60 |
$7,866.60 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$5,813.40 |
$5,813.40 |
$5,813.40 |
|
|
Perq plmt bile duct stent
|
$10,143.00 |
$10,713.00 |
$10,713.00 |
|
|
Perq plmt bile duct stent
|
$8,719.80 |
$8,719.80 |
$8,719.80 |
|
|
Perq plmt bile duct stent
|
$5,888.00 |
$16,161.60 |
$16,161.60 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$643.20 |
$1,018.20 |
$1,018.20 |
|
|
Perq transcath closure each
|
$8,203.13 |
$8,203.13 |
$8,203.13 |
|
|
Perq transcath closure pda
|
$38,928.00 |
$38,928.00 |
$78,067.56 |
|
|
Perq transcath cls aortic
|
$28,285.50 |
$37,949.40 |
$70,555.55 |
|
|
Perq transcath cls mitral
|
$37,591.80 |
$37,591.80 |
$70,555.55 |
|
|
Perq transcath septal reduxn
|
$16,958.40 |
$16,958.40 |
$89,496.45 |
|
|
Perq trluml angp nt/recr coa
|
$12,378.00 |
$16,521.00 |
$16,521.00 |
|
|
Pertussis ag if
|
$92.40 |
$222.00 |
$252.00 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$169.18 |
$10,118.19 |
$15,255.16 |
|
|
Pertuzu, trastuzu, 10 mg
|
$820.58 |
$33,319.14 |
$33,319.14 |
|
|
Pet CT skull-mid thgh initial
|
$2,505.50 |
$5,895.00 |
$8,087.69 |
|
|
Pet CT whole body initial
|
$2,505.50 |
$6,190.20 |
$8,087.69 |
|
|
Pet fdg brain metoblic eval sb
|
$3,504.60 |
$3,504.60 |
$5,824.41 |
|
|
Pet image full body
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
|
|
Pet image ltd area
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
|
|
Pet image skull-thigh
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
|
|
Pet image w/ct lmtd
|
$3,949.80 |
$5,390.62 |
$5,659.20 |
|
|
Pet scan brain perf study
|
$5,390.62 |
$5,390.62 |
$5,390.62 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$140,000.00 |
$140,000.00 |
$182,882.43 |
|
|
Ph body fluid
|
$31.62 |
$57.60 |
$106.80 |
|
|
Phencyclidine (pcp)
|
$136.20 |
$171.00 |
$204.60 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$77.20 |
$135.50 |
$472.50 |
|
|
Phenobarbital therapeutic drug level
|
$103.38 |
$183.50 |
$265.80 |
|
|
Phentolaine mesylate inj
|
$881.36 |
$881.36 |
$3,459.97 |
|
|
Phenylephrine 10 mg/ml injection solution
|
$26.96 |
$41.63 |
$428.69 |
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$18.44 |
$39.08 |
$40.38 |
|
|
Phenytoin total therapeutic drug level
|
$90.60 |
$187.80 |
$263.40 |
|
|
Phlebotomy therapeutic
|
$180.00 |
$384.00 |
$437.50 |
|
|
Phosphorus
|
$27.00 |
$60.00 |
$108.00 |
|
|
Phosphorus 24 hour urine
|
$19.80 |
$46.00 |
$137.40 |
|
|
Photochemotherapy puva
|
$118.20 |
$118.20 |
$118.20 |
|
|
Photodynamic tx addl 15 min
|
$567.00 |
$567.00 |
$835.80 |
|
|
Photodynmc tx 30 min add-on
|
$1,079.00 |
$1,096.00 |
$1,671.60 |
|
