|
Paliperidone 117 mg/0.75 ml inj
|
$5,568.01 |
$5,568.01 |
$5,568.01 |
$6,238.82
|
|
Palonosetron hcl
|
$46.80 |
$46.80 |
$46.80 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$131.90 |
$131.90 |
$131.90 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,130.48 |
$1,130.48 |
$1,130.48 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.88 |
$11.88 |
$11.88 |
$28.90
|
|
Papaverin hcl injection
|
$48.46 |
$48.46 |
$48.46 |
$78.75
|
|
Parathormone (pth) intact
|
$185.25 |
$185.25 |
$185.25 |
$206.18
|
|
Paricalcitol
|
$35.45 |
$35.45 |
$35.45 |
$47.15
|
|
Pathogen reduced plasma sing
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$324.07
|
|
Pegaspargase injection
|
$17,150.98 |
$17,150.98 |
$17,150.98 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$25,030.16 |
$25,030.16 |
$25,030.16 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$15,307.50 |
$15,307.50 |
$15,307.50 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,282.50 |
$16,282.50 |
$16,282.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$71,938.60 |
$71,938.60 |
$71,938.60 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$1,057.04 |
$1,057.04 |
$1,057.04 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$477.10 |
$477.10 |
$477.10 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$477.10 |
$477.10 |
$477.10 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$477.10 |
$477.10 |
$477.10 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,692.22 |
$4,692.22 |
$4,692.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,522.83 |
$2,522.83 |
$2,522.83 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$284.45 |
$284.45 |
$284.45 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$548.46 |
$548.46 |
$548.46 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.97 |
$30.97 |
$30.97 |
$97.85
|
|
Penicillin g procaine inj
|
$112.32 |
$112.32 |
$112.32 |
$149.20
|
|
Penile injection
|
$727.35 |
$727.35 |
$727.35 |
$424.60
|
|
Pentamidine 300 mg solution for injection
|
$390.53 |
$390.53 |
$390.53 |
$572.10
|
|
Pentobarbital sodium inj
|
$141.57 |
$141.57 |
$141.57 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$9,530.25 |
$9,530.25 |
$9,530.25 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$438.75 |
$438.75 |
$438.75 |
$332.84
|
|
Perq dev breast 1st strtctc
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,456.00
|
|
Pertussis ag if
|
$53.95 |
$53.95 |
$53.95 |
$66.23
|
|
Pertuzumab 30 mg/ml desensitization
|
$1,519.99 |
$1,519.99 |
$1,519.99 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$2,894.63 |
$2,894.63 |
$2,894.63 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$6,541.60 |
$6,541.60 |
$6,541.60 |
$4,707.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$135.20 |
$135.20 |
$135.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$203.45 |
$203.45 |
$203.45 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$66.30 |
$66.30 |
$66.30 |
$31.20
|
|
Ph body fluid
|
$16.25 |
$16.25 |
$16.25 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$107.64 |
$107.64 |
$107.64 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$68.90 |
$68.90 |
$68.90 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,146.52 |
$1,146.52 |
$1,146.52 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.48 |
$9.48 |
$9.48 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.62 |
$1.62 |
$1.62 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$111.27
|
|
Phosphorus
|
$21.45 |
$21.45 |
$21.45 |
$49.20
|
|
Phosphorus 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$393.25 |
$393.25 |
$393.25 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$393.25 |
$393.25 |
$393.25 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$393.25 |
$393.25 |
$393.25 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$248.95 |
$248.95 |
$248.95 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$115.73 |
$115.73 |
$115.73 |
$90.25
|
|
Pinworm exam
|
$18.85 |
$18.85 |
$18.85 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$343.43 |
$343.43 |
$343.43 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,485.90
|
|
Placental lactogen
|
$91.00 |
$91.00 |
$91.00 |
$163.28
|
|
Plaelet rich plasma unit
|
$2,499.90 |
$2,499.90 |
$2,499.90 |
$659.51
|
|
Plasma cryoprecipitate reduced each unit
|
$660.40 |
$660.40 |
$660.40 |
$163.04
|
|
Platelet automated
|
$20.15 |
$20.15 |
$20.15 |
$46.00
|
|
Platelet pheresis irr ea
|
$2,635.75 |
$2,635.75 |
$2,635.75 |
$1,108.52
|
|
Platelets irradiated ea unit
|
$609.05 |
$609.05 |
$609.05 |
$259.70
|
|
Platelets leukocytes reduced each unit
|
$564.20 |
$564.20 |
$564.20 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$921.05 |
$921.05 |
$921.05 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,059.85 |
$2,059.85 |
$2,059.85 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,184.65 |
$2,184.65 |
$2,184.65 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,030.30 |
$3,030.30 |
$3,030.30 |
$1,284.80
|
|
Plerixafor injection
|
$19,437.74 |
$19,437.74 |
$19,437.74 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$930.80 |
$930.80 |
$930.80 |
$408.05
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$117.00 |
$117.00 |
$117.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$58,067.59 |
$58,067.59 |
$58,067.59 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,790.61
|
|
Porfimer sodium injection
|
$72,767.76 |
$72,767.76 |
$72,767.76 |
$37,618.13
|
|
Potassium 24 hour urine
|
$21.45 |
$21.45 |
$21.45 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$2.32 |
$2.32 |
$2.32 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$21.45 |
$21.45 |
$21.45 |
$47.85
|
|
Pralatrexate injection
|
$15,543.74 |
$15,543.74 |
$15,543.74 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$202.88 |
$202.88 |
$202.88 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,738.90
|
|
Pr application of long arm splint
|
$471.90 |
$471.90 |
$471.90 |
$332.75
|
|
Pr application splint static short arm
|
$385.45 |
$385.45 |
$385.45 |
$288.00
|
|
Pr assessment emotional/behavioral per instrument brief
|
$42.90 |
$42.90 |
$42.90 |
$47.49
|
|
Prealbumin
|
$65.65 |
$65.65 |
$65.65 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.68 |
$2.68 |
$2.68 |
$13.87
|
|
Prednisone 1 mg tablet
|
$8.45 |
$8.45 |
$8.45 |
$2.88
|
|
Pregnancy associated plasma protein-a
|
$67.60 |
$67.60 |
$67.60 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$477.10 |
$477.10 |
$477.10 |
$590.27
|
|
Pregnancy Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$459.00
|
|
Pressure max expiratory/inspiratory
|
$194.35 |
$194.35 |
$194.35 |
$243.69
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$768.30 |
$768.30 |
$768.30 |
$161.40
|
|
Pretreat rbc absorption reference
|
$266.50 |
$266.50 |
$266.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$768.30 |
$768.30 |
$768.30 |
$182.31
|