|
Paste skin barrier .5oz adapt
|
$0.38 |
$0.38 |
$0.38 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$94.19 |
$94.19 |
$94.19 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,709.85 |
$17,709.85 |
$17,709.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$10,830.70 |
$10,830.70 |
$10,830.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$20,144.40 |
$20,144.40 |
$20,144.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,866.15 |
$11,866.15 |
$11,866.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,037.30 |
$5,037.30 |
$5,037.30 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$11,497.50 |
$11,497.50 |
$11,497.50 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$95,364.75 |
$95,364.75 |
$95,364.75 |
$49,135.11
|
|
Pelvic CT scan (with contrast)
|
$1,740.05 |
$1,740.05 |
$1,740.05 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,290.90 |
$1,290.90 |
$1,290.90 |
$1,335.34
|
|
Pelvis X-ray (1 to 2 views)
|
$226.85 |
$226.85 |
$226.85 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$505.05 |
$505.05 |
$505.05 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,047.05 |
$18,047.05 |
$18,047.05 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,906.25 |
$5,906.25 |
$5,906.25 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,928.25 |
$1,928.25 |
$1,928.25 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$234.00 |
$234.00 |
$234.00 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$13,529.89 |
$13,529.89 |
$13,529.89 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$792.75 |
$792.75 |
$792.75 |
$572.10
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Peripheral vascular rehab
|
$273.00 |
$273.00 |
$273.00 |
$132.50
|
|
Perphenazine 4mg oral
|
$1.00 |
$1.00 |
$1.00 |
$2.58
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,666.10 |
$20,666.10 |
$20,666.10 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$96.38 |
$96.38 |
$96.38 |
$141.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$54,744.57 |
$54,744.57 |
$54,744.57 |
$39,920.50
|
|
Ph body fluid
|
$52.65 |
$52.65 |
$52.65 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$201.80 |
$201.80 |
$201.80 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$120.90 |
$120.90 |
$120.90 |
$105.00
|
|
Phentolaine mesylate inj
|
$2,253.40 |
$2,253.40 |
$2,253.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$11.90 |
$11.90 |
$11.90 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$8.25 |
$8.25 |
$8.25 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$100.10 |
$100.10 |
$100.10 |
$111.27
|
|
Phosphorus
|
$52.00 |
$52.00 |
$52.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$76.05 |
$76.05 |
$76.05 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$196.95 |
$196.95 |
$196.95 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$222.95 |
$222.95 |
$222.95 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$194.35 |
$194.35 |
$194.35 |
$256.20
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$22.60 |
$22.60 |
$22.60 |
$90.25
|
|
Pillow shldr abduc inflat univ
|
$781.90 |
$781.90 |
$781.90 |
$537.66
|
|
Pin caspar distraction 12mm
|
$24,304.88 |
$24,304.88 |
$24,304.88 |
$11,759.36
|
|
Pinworm exam
|
$33.80 |
$33.80 |
$33.80 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$89.80 |
$89.80 |
$89.80 |
$81.36
|
|
Plasma cryoprecipitate reduced each unit
|
$247.65 |
$247.65 |
$247.65 |
$163.04
|
|
Platelet aggregation each agent teg
|
$134.55 |
$134.55 |
$134.55 |
$148.98
|
|
Platelet automated
|
$32.50 |
$32.50 |
$32.50 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,504.10 |
$1,504.10 |
$1,504.10 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$245.05 |
$245.05 |
$245.05 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$397.15 |
$397.15 |
$397.15 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,170.65 |
$1,170.65 |
$1,170.65 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$953.55 |
$953.55 |
$953.55 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,231.75 |
$1,231.75 |
$1,231.75 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,005.65
|
|
Plug insert indwelling 16f
|
$153.33 |
$153.33 |
$153.33 |
$149.90
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$220.35 |
$220.35 |
$220.35 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$59,184.30 |
$59,184.30 |
$59,184.30 |
$35,781.91
|
|
Positioner proc acufex leg acs
|
$197.14 |
$197.14 |
$197.14 |
$79.80
|
|
Potassium 24 hour urine
|
$53.95 |
$53.95 |
$53.95 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$60.00 |
$60.00 |
$60.00 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$43.55 |
$43.55 |
$43.55 |
$47.85
|
|
Pouch high output 2pc 50mm red
|
$282.29 |
$282.29 |
$282.29 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$0.28 |
$0.28 |
$0.28 |
$3.25
|
|
Pouch ostmy nb pouchkin ctf
|
$0.38 |
$0.38 |
$0.38 |
$1.55
|
|
Pouch uros new (both sides) 2.75in clr
|
$67.84 |
$67.84 |
$67.84 |
$15.80
|
|
Powder prem protct 1oz
|
$0.45 |
$0.45 |
$0.45 |
$5.43
|
|
Pralidoxime 1 gram solution for injection
|
$411.85 |
$411.85 |
$411.85 |
$292.00
|
|
Pr application splint static short arm
|
$325.00 |
$325.00 |
$325.00 |
$288.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$156.00 |
$156.00 |
$156.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$166.40 |
$166.40 |
$166.40 |
$182.65
|
|
Prealbumin
|
$73.45 |
$73.45 |
$73.45 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$151.70 |
$151.70 |
$151.70 |
$13.87
|
|
Prednisone 1 mg tablet
|
$254.00 |
$254.00 |
$254.00 |
$2.88
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$129.35 |
$129.35 |
$129.35 |
$161.40
|
|
Pretreat rbc absorption reference
|
$118.95 |
$118.95 |
$118.95 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$75.40 |
$75.40 |
$75.40 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$88.40 |
$88.40 |
$88.40 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$59.80 |
$59.80 |
$59.80 |
$168.50
|
|
Pr hospital ip/obs care initial moderate level per day
|
$261.30 |
$261.30 |
$261.30 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$180.05 |
$180.05 |
$180.05 |
$180.05
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$74.75 |
$74.75 |
$74.75 |
$74.75
|
|
Pr incision & drainage abscess vulva/perineal
|
$383.00 |
$383.00 |
$383.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$371.15 |
$371.15 |
$371.15 |
$592.62
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,097.91 |
$4,097.91 |
$4,097.91 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,889.60 |
$2,889.60 |
$2,889.60 |
$674.78
|
|
Procalcitonin
|
$258.70 |
$258.70 |
$258.70 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$24.40 |
$24.40 |
$24.40 |
$38.48
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.09
|
|
Progesterone
|
$107.25 |
$107.25 |
$107.25 |
$116.00
|
|
Prolactin
|
$149.50 |
$149.50 |
$149.50 |
$123.50
|
|
Promethazine 25 mg tablet
|
$25.10 |
$25.10 |
$25.10 |
$3.83
|
|
Propofol infusion 10 mg/ml
|
$46.50 |
$46.50 |
$46.50 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$45.50 |
$45.50 |
$45.50 |
$33.31
|
|
Prosthesis voc advantage 20f 14mm
|
$2,365.32 |
$2,365.32 |
$2,365.32 |
$1,088.12
|
|
Prosthesis voc lopres 20f 22mm
|
$462.69 |
$462.69 |
$462.69 |
$622.73
|
|
Protamine 10 mg/ml intravenous solution
|
$150.50 |
$150.50 |
$150.50 |
$56.70
|
|
Protector nerve neurawrap 4cm
|
$3,580.71 |
$3,580.71 |
$3,580.71 |
$3,891.30
|
|
Protein c activity
|
$119.60 |
$119.60 |
$119.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$74.75 |
$74.75 |
$74.75 |
$84.00
|
|
Protein s total
|
$63.05 |
$63.05 |
$63.05 |
$85.10
|
|
Protein total 24 hour urine
|
$48.75 |
$48.75 |
$48.75 |
$52.50
|