|
Oxaliplatin 5 mg/ml desensitization
|
$12.62 |
$12.62 |
$12.62 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$1.95 |
$1.95 |
$1.95 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.82 |
$1.82 |
$1.82 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$852.63 |
$852.63 |
$852.63 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$90.27 |
$90.27 |
$90.27 |
$192.01
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,842.75 |
$3,842.75 |
$3,842.75 |
$5,569.20
|
|
Palonosetron hcl
|
$2.45 |
$2.45 |
$2.45 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$29.49 |
$29.49 |
$29.49 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$206.28 |
$206.28 |
$206.28 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$2.74 |
$2.74 |
$2.74 |
$29.31
|
|
Papaverin hcl injection
|
$11.17 |
$11.17 |
$11.17 |
$77.05
|
|
Parathormone (pth) intact
|
$241.31 |
$241.31 |
$241.31 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$800.04 |
$800.04 |
$800.04 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,049.61 |
$1,049.61 |
$1,049.61 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,013.03 |
$1,013.03 |
$1,013.03 |
$1,350.60
|
|
Paricalcitol
|
$5.64 |
$5.64 |
$5.64 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$136.88 |
$136.88 |
$136.88 |
$245.00
|
|
Partial removal finger bone
|
$2,205.42 |
$2,205.42 |
$2,205.42 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,143.41 |
$5,143.41 |
$5,143.41 |
$4,921.76
|
|
Passy muir valve metal trach
|
$43.43 |
$43.43 |
$43.43 |
$275.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$4,398.24 |
$4,398.24 |
$4,398.24 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,125.11 |
$3,125.11 |
$3,125.11 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,517.04 |
$1,517.04 |
$1,517.04 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,436.60 |
$1,436.60 |
$1,436.60 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$13,335.18 |
$13,335.18 |
$13,335.18 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,193.03 |
$2,193.03 |
$2,193.03 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,794.19 |
$1,794.19 |
$1,794.19 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,452.58 |
$1,452.58 |
$1,452.58 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,456.22 |
$3,456.22 |
$3,456.22 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,354.15 |
$3,354.15 |
$3,354.15 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,944.10 |
$2,944.10 |
$2,944.10 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$786.47 |
$786.47 |
$786.47 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$408.87 |
$408.87 |
$408.87 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$869.92 |
$869.92 |
$869.92 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,181.67 |
$2,181.67 |
$2,181.67 |
$7,089.13
|
|
Pemivibart infusion
|
$425.39 |
$425.39 |
$425.39 |
$533.10
|
|
Peng benzathine/procaine inj
|
$65.59 |
$65.59 |
$65.59 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$104.52 |
$104.52 |
$104.52 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$29.68 |
$29.68 |
$29.68 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$5,895.17 |
$5,895.17 |
$5,895.17 |
$18,764.94
|
|
Penile vascular study
|
$846.65 |
$846.65 |
$846.65 |
$576.40
|
|
Pentobarbital sodium inj
|
$19.40 |
$19.40 |
$19.40 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$1,371.99 |
$1,371.99 |
$1,371.99 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$6,775.56 |
$6,775.56 |
$6,775.56 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$4,350.66 |
$4,350.66 |
$4,350.66 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$10,411.14 |
$10,411.14 |
$10,411.14 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$10,989.34 |
$10,989.34 |
$10,989.34 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$15,072.73 |
$15,072.73 |
$15,072.73 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$6,464.04 |
$6,464.04 |
$6,464.04 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$17,248.06 |
$17,248.06 |
$17,248.06 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$10,181.04 |
$10,181.04 |
$10,181.04 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$16,160.10 |
$16,160.10 |
$16,160.10 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$5,418.56 |
$5,418.56 |
$5,418.56 |
$7,243.60
|
|
Percut ablate liver rf
|
$3,648.56 |
$3,648.56 |
$3,648.56 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$23.60 |
$23.60 |
$23.60 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$466.10 |
$466.10 |
$466.10 |
$2,251.20
|
|
Peripheral vascular rehab
|
$244.85 |
$244.85 |
$244.85 |
$132.50
|
|
Peri-proc device eval icd
|
$143.96 |
$143.96 |
$143.96 |
$192.40
|
|
Peri-proc device eval pm
|
$145.73 |
$145.73 |
$145.73 |
$159.90
|
|
Peritoneogram rs&i
|
$918.04 |
$918.04 |
$918.04 |
$695.89
|
|
Perit-vens shunt pat tst
|
$533.36 |
$533.36 |
$533.36 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$399.43 |
$399.43 |
$399.43 |
$7,559.55
|
|
Perq dev breast 1st mr guide
|
$1,076.16 |
$1,076.16 |
$1,076.16 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,342.84 |
$1,342.84 |
$1,342.84 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$6,659.33 |
$6,659.33 |
$6,659.33 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$6,659.33 |
$6,659.33 |
$6,659.33 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$6,659.33 |
$6,659.33 |
$6,659.33 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$421.85 |
$421.85 |
$421.85 |
$625.93
|
|
Perq transcath closure pda
|
$20,707.82 |
$20,707.82 |
$20,707.82 |
$18,408.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$286.43 |
$286.43 |
$286.43 |
$13,666.00
|
|
Pet CT skull-mid thgh initial
|
$5,739.52 |
$5,739.52 |
$5,739.52 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,280.50 |
$5,280.50 |
$5,280.50 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,142.39 |
$4,142.39 |
$4,142.39 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,821.48 |
$4,821.48 |
$4,821.48 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$29,151.90 |
$29,151.90 |
$29,151.90 |
$38,834.22
|
|
Ph body fluid
|
$80.24 |
$80.24 |
$80.24 |
$41.28
|
|
Phencyclidine (pcp)
|
$126.26 |
$126.26 |
$126.26 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$29.68 |
$29.68 |
$29.68 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$115.05 |
$115.05 |
$115.05 |
$104.50
|
|
Phentolaine mesylate inj
|
$251.18 |
$251.18 |
$251.18 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$2.39 |
$2.39 |
$2.39 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.94 |
$0.94 |
$0.94 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$63.13 |
$63.13 |
$63.13 |
$110.88
|
|
Phlebotomy therapeutic
|
$231.87 |
$231.87 |
$231.87 |
$231.66
|
|
Phosphorus
|
$37.17 |
$37.17 |
$37.17 |
$48.80
|
|
Phosphorus 24 hour urine
|
$12.98 |
$12.98 |
$12.98 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$25.83 |
$25.83 |
$25.83 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$873.79 |
$873.79 |
$873.79 |
$1,035.81
|
|
Pin caspar distraction 12mm
|
$10,365.12 |
$10,365.12 |
$10,365.12 |
$11,925.00
|
|
Pinworm exam
|
$11.80 |
$11.80 |
$11.80 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$64.23 |
$64.23 |
$64.23 |
$83.03
|
|
Place cath intracranial art
|
$5,301.74 |
$5,301.74 |
$5,301.74 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$1,936.38 |
$1,936.38 |
$1,936.38 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$2,552.93 |
$2,552.93 |
$2,552.93 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,172.33 |
$1,172.33 |
$1,172.33 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$68.44 |
$68.44 |
$68.44 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,579.43 |
$1,579.43 |
$1,579.43 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$4,043.86 |
$4,043.86 |
$4,043.86 |
$3,873.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$9,613.46 |
$9,613.46 |
$9,613.46 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$5,679.93 |
$5,679.93 |
$5,679.93 |
$5,053.33
|