|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$11,482.89 |
$11,482.89 |
$11,482.89 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.88 |
$34.88 |
$34.88 |
$28.90
|
|
Papaverin hcl injection
|
$41.05 |
$41.05 |
$41.05 |
$78.75
|
|
Parathormone (pth) intact
|
$56.11 |
$56.11 |
$56.11 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$3,795.79 |
$3,795.79 |
$3,795.79 |
$1,574.40
|
|
Parathyroid planar imaging
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,126.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$72.74 |
$72.74 |
$72.74 |
$245.67
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,811.90 |
$5,811.90 |
$5,811.90 |
$4,921.76
|
|
Passy muir valve metal trach
|
$252.00 |
$252.00 |
$252.00 |
$275.75
|
|
Patten bottom
|
$672.73 |
$672.73 |
$672.73 |
$672.73
|
|
Pdgfra gene
|
$509.54 |
$509.54 |
$509.54 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$71.40 |
$71.40 |
$71.40 |
$44.97
|
|
Ped crit care transport
|
$1,741.77 |
$1,741.77 |
$1,741.77 |
$434.40
|
|
Ped crit care transport addl
|
$574.56 |
$574.56 |
$574.56 |
$217.60
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,380.60 |
$7,380.60 |
$7,380.60 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$6,359.36 |
$6,359.36 |
$6,359.36 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,420.75 |
$2,420.75 |
$2,420.75 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$35,016.26 |
$35,016.26 |
$35,016.26 |
$49,135.11
|
|
Pelv band/spread bar thigh c
|
$995.01 |
$995.01 |
$995.01 |
$802.87
|
|
Pelvic band & belt thigh fla
|
$700.78 |
$700.78 |
$700.78 |
$504.00
|
|
Pelvic control band & belt b
|
$660.52 |
$660.52 |
$660.52 |
$566.16
|
|
Pelvic control band & belt u
|
$500.58 |
$500.58 |
$500.58 |
$500.58
|
|
Pelvic control hip heavy dut
|
$525.50 |
$525.50 |
$525.50 |
$591.53
|
|
Pelvic control pelvic sling
|
$912.18 |
$912.18 |
$912.18 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$1,824.98 |
$1,824.98 |
$1,824.98 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,368.81 |
$1,368.81 |
$1,368.81 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,368.81 |
$1,368.81 |
$1,368.81 |
$1,335.34
|
|
Pelvic & hip control thigh c
|
$2,394.73 |
$2,394.73 |
$2,394.73 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,234.06 |
$3,234.06 |
$3,234.06 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,205.39 |
$2,205.39 |
$2,205.39 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,310.06 |
$2,310.06 |
$2,310.06 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$508.65 |
$508.65 |
$508.65 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$508.65 |
$508.65 |
$508.65 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$208.99 |
$208.99 |
$208.99 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$139.33 |
$139.33 |
$139.33 |
$351.75
|
|
Pelv & thor control gluteal
|
$299.21 |
$299.21 |
$299.21 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$9,303.94 |
$9,303.94 |
$9,303.94 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,206.71 |
$7,206.71 |
$7,206.71 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$488.95 |
$488.95 |
$488.95 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$729.16 |
$729.16 |
$729.16 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$122.17 |
$122.17 |
$122.17 |
$97.85
|
|
Penile vascular study
|
$959.67 |
$959.67 |
$959.67 |
$561.00
|
|
Pentostatin 10 mg intravenous solution
|
$4,576.35 |
$4,576.35 |
$4,576.35 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$98.50 |
$98.50 |
$98.50 |
$332.84
|
|
Peripheral vascular rehab
|
$215.21 |
$215.21 |
$215.21 |
$132.50
|
|
Peri-proc device eval icd
|
$108.30 |
$108.30 |
$108.30 |
$192.40
|
|
Peri-proc device eval pm
|
$108.30 |
$108.30 |
$108.30 |
$156.00
|
|
Perit-vens shunt pat tst
|
$1,354.08 |
$1,354.08 |
$1,354.08 |
$752.49
|
|
Peroneal straps pair pre ots
|
$36.90 |
$36.90 |
$36.90 |
$36.90
|
|
Perp bk ptb thermopls direct
|
$3,324.50 |
$3,324.50 |
$3,324.50 |
$2,156.00
|
|
Perphenazine 4mg oral
|
$6.14 |
$6.14 |
$6.14 |
$2.58
|
|
Perq art m-thrombect &/nfs
|
$19,857.21 |
$19,857.21 |
$19,857.21 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$16,515.74 |
$16,515.74 |
$16,515.74 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$1,894.59 |
$1,894.59 |
$1,894.59 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$995.74 |
$995.74 |
$995.74 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$2,641.35 |
$2,641.35 |
$2,641.35 |
$7,020.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$10,697.50 |
$10,697.50 |
$10,697.50 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$19,865.38 |
$19,865.38 |
$19,865.38 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$436.46 |
$436.46 |
$436.46 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$2,554.78 |
$2,554.78 |
$2,554.78 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,554.78 |
$2,554.78 |
$2,554.78 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,554.78 |
$2,554.78 |
$2,554.78 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$2,554.78 |
$2,554.78 |
$2,554.78 |
$4,349.76
|
|
Ph body fluid
|
$38.81 |
$38.81 |
$38.81 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$89.45 |
$89.45 |
$89.45 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$38.98 |
$38.98 |
$38.98 |
$105.00
|
|
Phentolaine mesylate inj
|
$913.18 |
$913.18 |
$913.18 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$100.31 |
$100.31 |
$100.31 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$27.72 |
$27.72 |
$27.72 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$36.29 |
$36.29 |
$36.29 |
$111.27
|
|
Phlebotomy therapeutic
|
$152.77 |
$152.77 |
$152.77 |
$231.40
|
|
Phosphorus
|
$23.52 |
$23.52 |
$23.52 |
$49.20
|
|
Phosphorus 24 hour urine
|
$30.91 |
$30.91 |
$30.91 |
$42.25
|
|
Phys blood bank serv reactj
|
$337.01 |
$337.01 |
$337.01 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$240.35 |
$240.35 |
$240.35 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$240.35 |
$240.35 |
$240.35 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$240.35 |
$240.35 |
$240.35 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$146.61 |
$146.61 |
$146.61 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$70.73 |
$70.73 |
$70.73 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$1,063.83 |
$1,063.83 |
$1,063.83 |
$1,038.40
|
|
Pillow shldr abduc inflat univ
|
$1,525.72 |
$1,525.72 |
$1,525.72 |
$537.66
|
|
Pinworm exam
|
$35.95 |
$35.95 |
$35.95 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$153.50 |
$153.50 |
$153.50 |
$81.36
|
|
Place duod/jej tube perc
|
$372.79 |
$372.79 |
$372.79 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$2,236.42 |
$2,236.42 |
$2,236.42 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$635.26 |
$635.26 |
$635.26 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$476.62 |
$476.62 |
$476.62 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$748.10 |
$748.10 |
$748.10 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,753.47 |
$1,753.47 |
$1,753.47 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,931.27 |
$1,931.27 |
$1,931.27 |
$572.00
|
|
Plasma cryoprecipitate reduced each unit
|
$362.15 |
$362.15 |
$362.15 |
$163.04
|
|
Plas shoe insert w ank joint
|
$286.66 |
$286.66 |
$286.66 |
$245.71
|
|
Plastic mod low ext pad/line
|
$281.79 |
$281.79 |
$281.79 |
$241.54
|
|
Plastic mold recipro hip & c
|
$4,492.38 |
$4,492.38 |
$4,492.38 |
$3,850.61
|
|
Plast socket jts/thgh lacer
|
$7,645.57 |
$7,645.57 |
$7,645.57 |
$5,208.00
|
|
Platelet aggregation each agent teg
|
$186.20 |
$186.20 |
$186.20 |
$148.98
|
|
Platelet automated
|
$43.01 |
$43.01 |
$43.01 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,205.22 |
$3,205.22 |
$3,205.22 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$156.52 |
$156.52 |
$156.52 |
$315.25
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$3,342.25 |
$3,342.25 |
$3,342.25 |
$1,094.60
|