|
Oxaliplatin 5 mg/ml desensitization
|
$25.75 |
$25.75 |
$25.75 |
$17.82
|
|
Paliperidone 117 mg/0.75 ml inj
|
$7.99 |
$7.99 |
$7.99 |
$4,898.66
|
|
Palonosetron hcl
|
$30.93 |
$30.93 |
$30.93 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$75.72 |
$75.72 |
$75.72 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$62.64 |
$62.64 |
$62.64 |
$187.16
|
|
Papaverin hcl injection
|
$8.93 |
$8.93 |
$8.93 |
$85.02
|
|
Parathormone (pth) intact
|
$149.52 |
$149.52 |
$149.52 |
$204.00
|
|
Parathyrd planar w/spect&ct
|
$576.80 |
$576.80 |
$576.80 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$1,272.32 |
$1,272.32 |
$1,272.32 |
$598.40
|
|
Parathyroid planar imaging
|
$497.28 |
$497.28 |
$497.28 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$529.76 |
$529.76 |
$529.76 |
$1,317.94
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$285.60 |
$285.60 |
$285.60 |
$270.00
|
|
Partial removal of thyroid
|
$5,796.56 |
$5,796.56 |
$5,796.56 |
$6,457.82
|
|
Partial thyroid excision
|
$5,796.56 |
$5,796.56 |
$5,796.56 |
$6,049.87
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6.72 |
$6.72 |
$6.72 |
$5,901.00
|
|
Pegaspargase injection
|
$7,331.43 |
$7,331.43 |
$7,331.43 |
$39,780.27
|
|
Pelvic CT scan (with and without contrast)
|
$876.96 |
$876.96 |
$876.96 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$854.00 |
$854.00 |
$854.00 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$715.12 |
$715.12 |
$715.12 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$983.92 |
$983.92 |
$983.92 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$509.04 |
$509.04 |
$509.04 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$261.52 |
$261.52 |
$261.52 |
$429.66
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$41.91 |
$41.91 |
$41.91 |
$122.56
|
|
Peng benzathine/procaine inj
|
$14.63 |
$14.63 |
$14.63 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$202.39 |
$202.39 |
$202.39 |
$48.74
|
|
Penicillin g procaine inj
|
$18.06 |
$18.06 |
$18.06 |
$40.94
|
|
Penile rear tip xtnd 0.5cm
|
$10,917.76 |
$10,917.76 |
$10,917.76 |
$26,765.44
|
|
Penile vascular study
|
$147.28 |
$147.28 |
$147.28 |
$527.34
|
|
Pentobarbital sodium inj
|
$35.74 |
$35.74 |
$35.74 |
$64.60
|
|
Perc cryo ablate renal tum
|
$23,167.76 |
$23,167.76 |
$23,167.76 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$13,832.00 |
$13,832.00 |
$13,832.00 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$12,410.72 |
$12,410.72 |
$12,410.72 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$13,782.16 |
$13,782.16 |
$13,782.16 |
$21,146.91
|
|
Perc drug-el cor stent bran
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$9,253.44 |
$9,253.44 |
$9,253.44 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$224.00 |
$224.00 |
$224.00 |
$269.36
|
|
Peri-proc device eval icd
|
$124.32 |
$124.32 |
$124.32 |
$220.35
|
|
Peri-proc device eval pm
|
$124.32 |
$124.32 |
$124.32 |
$200.92
|
|
Perit-vens shunt pat tst
|
$545.44 |
$545.44 |
$545.44 |
$608.46
|
|
Perq art m-thrombect &/nfs
|
$5,291.44 |
$5,291.44 |
$5,291.44 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$4,118.80 |
$4,118.80 |
$4,118.80 |
$12,032.67
|
|
Perq plmt bile duct stent
|
$11,127.76 |
$11,127.76 |
$11,127.76 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$11,303.04 |
$11,303.04 |
$11,303.04 |
$6,085.18
|
|
Perq plmt bile duct stent
|
$15,640.24 |
$15,640.24 |
$15,640.24 |
$7,082.99
|
|
Perq transcath cls aortic
|
$23,378.88 |
$23,378.88 |
$23,378.88 |
$22,633.26
|
|
Perq transcath cls mitral
|
$23,378.88 |
$23,378.88 |
$23,378.88 |
$25,206.69
|
|
Perq transcath septal reduxn
|
$3,979.92 |
$3,979.92 |
$3,979.92 |
$6,003.27
|
|
Pertussis ag if
|
$10.76 |
$10.76 |
$10.76 |
$53.95
|
|
Pet CT skull-mid thgh initial
|
$1,912.96 |
$1,912.96 |
$1,912.96 |
$4,850.00
|
|
Pet CT whole body initial
|
$1,912.96 |
$1,912.96 |
$1,912.96 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$2,643.76 |
$2,643.76 |
$2,643.76 |
$3,274.20
|
|
Pet image full body
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$2,796.00
|
|
Pet image ltd area
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$2,519.20
|
|
Pet image skull-thigh
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$2,783.07
|
|
Pet image w/ct lmtd
|
$1,912.96 |
$1,912.96 |
$1,912.96 |
$4,422.60
|
|
Pet scan brain perf study
|
$2,643.76 |
$2,643.76 |
$2,643.76 |
$3,445.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$20,503.84 |
$20,503.84 |
$20,503.84 |
$22,916.00
|
|
Ph body fluid
|
$14.56 |
$14.56 |
$14.56 |
$35.75
|
|
Phencyclidine (pcp)
|
$73.36 |
$73.36 |
$73.36 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$24.43 |
$24.43 |
$24.43 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$63.28 |
$63.28 |
$63.28 |
$97.50
|
|
Phentolaine mesylate inj
|
$300.29 |
$300.29 |
$300.29 |
$881.36
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$3.04 |
$3.04 |
$3.04 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$63.28 |
$63.28 |
$63.28 |
$100.75
|
|
Phlebotomy therapeutic
|
$734.16 |
$734.16 |
$734.16 |
$240.24
|
|
Phosphorus
|
$19.04 |
$19.04 |
$19.04 |
$42.37
|
|
Phosphorus 24 hour urine
|
$19.04 |
$19.04 |
$19.04 |
$41.51
|
|
Pin caspar distraction 12mm
|
$6,048.00 |
$6,048.00 |
$6,048.00 |
$29,164.20
|
|
Pinworm exam
|
$24.08 |
$24.08 |
$24.08 |
$38.58
|
|
Place cath intracranial art
|
$7,739.76 |
$7,739.76 |
$7,739.76 |
$4,656.83
|
|
Place cath xtrnl carotid
|
$5,765.76 |
$5,765.76 |
$5,765.76 |
$4,202.90
|
|
Place endorectal app
|
$1,260.56 |
$1,260.56 |
$1,260.56 |
$1,010.01
|
|
Place gastrostomy tube perc
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$2,286.40
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$1,094.83
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,316.16 |
$2,316.16 |
$2,316.16 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,427.52 |
$5,427.52 |
$5,427.52 |
$4,653.60
|
|
Placement occlusive device venous/arterial access site post procedure
|
$170.80 |
$170.80 |
$170.80 |
$1,110.51
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,961.84 |
$16,961.84 |
$16,961.84 |
$16,799.75
|
|
Place needles pelvic for right
|
$7,002.80 |
$7,002.80 |
$7,002.80 |
$6,629.00
|
|
Place non-slctv cath thoracic arta
|
$21,239.12 |
$21,239.12 |
$21,239.12 |
$5,274.33
|
|
Placental lactogen
|
$60.48 |
$60.48 |
$60.48 |
$133.00
|
|
Place slctv cath carotd art uni
|
$18,942.56 |
$18,942.56 |
$18,942.56 |
$10,950.75
|
|
Place slctv cath carotid/inom art excrn uni
|
$13,404.16 |
$13,404.16 |
$13,404.16 |
$6,515.40
|
|
Place slctv cath carotid/inom art intcrn uni
|
$18,031.44 |
$18,031.44 |
$18,031.44 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$19,789.84 |
$19,789.84 |
$19,789.84 |
$7,325.60
|
|
Place slctv cath vertebral art uni
|
$19,789.84 |
$19,789.84 |
$19,789.84 |
$9,490.50
|
|
Plasma cryoprecipitate reduced each unit
|
$55.44 |
$55.44 |
$55.44 |
$160.55
|
|
Platelet aggregation each agent teg
|
$122.64 |
$122.64 |
$122.64 |
$145.60
|
|
Platelet automated
|
$12.88 |
$12.88 |
$12.88 |
$33.60
|
|
Platelet pheresis each unit
|
$479.92 |
$479.92 |
$479.92 |
$943.15
|
|
Platelets each unit
|
$106.40 |
$106.40 |
$106.40 |
$187.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$436.24 |
$436.24 |
$436.24 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$106.40 |
$106.40 |
$106.40 |
$274.95
|
|
Platelets leukocytes reduced irradiated each unit
|
$117.60 |
$117.60 |
$117.60 |
$334.10
|
