|
Paliperidone 117 mg/0.75 ml inj
|
$2,650.85 |
$2,650.85 |
$2,650.85 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,143.62 |
$2,143.62 |
$2,143.62 |
$5,580.28
|
|
Palonosetron hcl
|
$220.48 |
$220.48 |
$220.48 |
$163.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$3,967.11 |
$3,967.11 |
$3,967.11 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$63.91 |
$63.91 |
$63.91 |
$28.90
|
|
Parathormone (pth) intact
|
$306.40 |
$306.40 |
$306.40 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,063.20 |
$2,063.20 |
$2,063.20 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
$1,374.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,933.38 |
$7,933.38 |
$7,933.38 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,217.04 |
$3,217.04 |
$3,217.04 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,513.40 |
$5,513.40 |
$5,513.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$6,616.16 |
$6,616.16 |
$6,616.16 |
$4,300.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,769.60 |
$2,769.60 |
$2,769.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,138.40 |
$4,138.40 |
$4,138.40 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$2,972.80 |
$2,972.80 |
$2,972.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$956.80 |
$956.80 |
$956.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$514.40 |
$514.40 |
$514.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$327.20 |
$327.20 |
$327.20 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$406.40 |
$406.40 |
$406.40 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,414.79 |
$6,414.79 |
$6,414.79 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,448.94 |
$3,448.94 |
$3,448.94 |
$7,089.13
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$760.00 |
$533.10
|
|
Peng benzathine/procaine inj
|
$247.83 |
$247.83 |
$247.83 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$369.52 |
$369.52 |
$369.52 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$64.80 |
$64.80 |
$64.80 |
$97.85
|
|
Pentamidine non-comp unit
|
$90.37 |
$90.37 |
$90.37 |
$294.39
|
|
Pericardiocentesis wwo imaging
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$2,375.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$5,868.80 |
$5,868.80 |
$5,868.80 |
$39,920.50
|
|
Ph body fluid
|
$20.80 |
$20.80 |
$20.80 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$80.16 |
$80.16 |
$80.16 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$105.00
|
|
Phentolaine mesylate inj
|
$750.39 |
$750.39 |
$750.39 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$64.20 |
$64.20 |
$64.20 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$62.61 |
$62.61 |
$62.61 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$133.60 |
$133.60 |
$133.60 |
$111.27
|
|
Phlebotomy therapeutic
|
$247.20 |
$247.20 |
$247.20 |
$231.40
|
|
Phosphorus
|
$36.00 |
$36.00 |
$36.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$32.80 |
$32.80 |
$32.80 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$331.20 |
$331.20 |
$331.20 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$256.00 |
$256.00 |
$256.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$280.00 |
$280.00 |
$280.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$184.80 |
$184.80 |
$184.80 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$91.00 |
$91.00 |
$91.00 |
$90.25
|
|
Pinworm exam
|
$56.80 |
$56.80 |
$56.80 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$70.99 |
$70.99 |
$70.99 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,485.90
|
|
Platelet aggregation each agent teg
|
$98.40 |
$98.40 |
$98.40 |
$148.98
|
|
Platelet automated
|
$33.60 |
$33.60 |
$33.60 |
$46.00
|
|
Platelet pheresis each unit
|
$1,389.60 |
$1,389.60 |
$1,389.60 |
$1,012.80
|
|
Platelets each unit
|
$345.60 |
$345.60 |
$345.60 |
$169.29
|
|
Platelets leukocytes reduced each unit
|
$383.20 |
$383.20 |
$383.20 |
$315.25
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,887.20 |
$1,887.20 |
$1,887.20 |
$1,284.80
|
|
Plethysmography lung volumes/airway resistance
|
$551.20 |
$551.20 |
$551.20 |
$408.05
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$208.00 |
$208.00 |
$208.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,618.40 |
$4,618.40 |
$4,618.40 |
$3,790.61
|
|
Potassium 24 hour urine
|
$36.80 |
$36.80 |
$36.80 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$98.79 |
$98.79 |
$98.79 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$34.40 |
$34.40 |
$34.40 |
$47.85
|
|
Pralidoxime 1 gram solution for injection
|
$194.36 |
$194.36 |
$194.36 |
$292.00
|
|
Pr application of long arm splint
|
$309.60 |
$309.60 |
$309.60 |
$332.75
|
|
Pr application splint static short arm
|
$272.80 |
$272.80 |
$272.80 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$517.60 |
$517.60 |
$517.60 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$58.40 |
$58.40 |
$58.40 |
$48.00
|
|
Prealbumin
|
$66.40 |
$66.40 |
$66.40 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.60 |
$3.60 |
$3.60 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$941.60 |
$941.60 |
$941.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$788.80 |
$788.80 |
$788.80 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$538.40 |
$538.40 |
$538.40 |
$459.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,129.60 |
$2,129.60 |
$2,129.60 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,117.60 |
$2,117.60 |
$2,117.60 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$857.60 |
$857.60 |
$857.60 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$855.20 |
$855.20 |
$855.20 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$473.60 |
$473.60 |
$473.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$543.20 |
$543.20 |
$543.20 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$810.40 |
$810.40 |
$810.40 |
$592.62
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$64.40 |
$64.40 |
$64.40 |
$674.78
|
|
Procalcitonin
|
$265.60 |
$265.60 |
$265.60 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$68.82 |
$68.82 |
$68.82 |
$38.48
|
|
Proctosigmoidoscopy dilate 45303
|
$3,265.60 |
$3,265.60 |
$3,265.60 |
$2,326.40
|
|
Progesterone
|
$151.20 |
$151.20 |
$151.20 |
$116.00
|
|
Prolactin
|
$144.00 |
$144.00 |
$144.00 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$64.28 |
$64.28 |
$64.28 |
$73.36
|
|
Protamine 10 mg/ml intravenous solution
|
$61.99 |
$61.99 |
$61.99 |
$56.70
|
|
Protein c activity
|
$260.80 |
$260.80 |
$260.80 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$86.40 |
$86.40 |
$86.40 |
$84.00
|
|
Protein s total
|
$204.00 |
$204.00 |
$204.00 |
$85.10
|
|
Protein total 24 hour urine
|
$60.80 |
$60.80 |
$60.80 |
$52.50
|
|
Protein total body fluid
|
$39.20 |
$39.20 |
$39.20 |
$49.80
|
|
Protein total serum plasma whole blood
|
$32.80 |
$32.80 |
$32.80 |
$43.00
|
|
Prothrombin complex kcentra
|
$1,572.80 |
$1,572.80 |
$1,572.80 |
$6.98
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$278.40 |
$278.40 |
$278.40 |
$252.00
|
|
Pr removal intrauterine device
|
$560.80 |
$560.80 |
$560.80 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$750.40 |
$750.40 |
$750.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$367.20 |
$367.20 |
$367.20 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$388.00 |
$388.00 |
$388.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$455.20 |
$455.20 |
$455.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$373.60 |
$373.60 |
$373.60 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,761.00
|
