|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$26.95 |
$26.95 |
$26.95 |
$26.95
|
|
Oxaliplatin 5 mg/ml desensitization
|
$33.86 |
$33.86 |
$33.86 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$58.28 |
$58.28 |
$58.28 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.05 |
$1.05 |
$1.05 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$38.81 |
$38.81 |
$38.81 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,118.68 |
$1,118.68 |
$1,118.68 |
$4,898.66
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,633.27 |
$1,633.27 |
$1,633.27 |
$5,156.88
|
|
Palonosetron hcl
|
$372.41 |
$372.41 |
$372.41 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$647.48 |
$647.48 |
$647.48 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$187.16 |
$187.16 |
$187.16 |
$187.16
|
|
Papaverin hcl injection
|
$39.86 |
$39.86 |
$39.86 |
$85.02
|
|
Parathormone (pth) intact
|
$139.49 |
$139.49 |
$139.49 |
$204.00
|
|
Parathyroid planar imaging
|
$402.84 |
$402.84 |
$402.84 |
$1,041.95
|
|
Paricalcitol
|
$41.14 |
$41.14 |
$41.14 |
$41.14
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$182.78 |
$182.78 |
$182.78 |
$270.00
|
|
Partial removal finger bone
|
$767.01 |
$767.01 |
$767.01 |
$2,211.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1,048.08 |
$1,048.08 |
$1,048.08 |
$5,901.00
|
|
Passy muir valve metal trach
|
$160.47 |
$160.47 |
$160.47 |
$241.20
|
|
Pegaspargase injection
|
$3,604.91 |
$3,604.91 |
$3,604.91 |
$39,780.27
|
|
Pelvic CT scan (with and without contrast)
|
$813.08 |
$813.08 |
$813.08 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$971.25 |
$971.25 |
$971.25 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$943.69 |
$943.69 |
$943.69 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,192.60 |
$1,192.60 |
$1,192.60 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$842.49 |
$842.49 |
$842.49 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$889.67 |
$889.67 |
$889.67 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$485.35 |
$485.35 |
$485.35 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$301.27 |
$301.27 |
$301.27 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$98.35 |
$98.35 |
$98.35 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$122.56 |
$122.56 |
$122.56 |
$122.56
|
|
Peng benzathine/procaine inj
|
$108.11 |
$108.11 |
$108.11 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$47.66 |
$47.66 |
$47.66 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.28 |
$53.28 |
$53.28 |
$53.75
|
|
Penicillin g procaine inj
|
$16.56 |
$16.56 |
$16.56 |
$40.94
|
|
Penile injection
|
$222.46 |
$222.46 |
$222.46 |
$403.80
|
|
Penile vascular study
|
$319.22 |
$319.22 |
$319.22 |
$527.34
|
|
Pentamidine non-comp unit
|
$159.27 |
$159.27 |
$159.27 |
$279.76
|
|
Pentobarbital sodium inj
|
$64.60 |
$64.60 |
$64.60 |
$64.60
|
|
Pentostatin 10 mg intravenous solution
|
$1,838.79 |
$1,838.79 |
$1,838.79 |
$2,581.74
|
|
Perc cryo ablate renal tum
|
$14,222.62 |
$14,222.62 |
$14,222.62 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$12,467.24 |
$12,467.24 |
$12,467.24 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$12,467.24 |
$12,467.24 |
$12,467.24 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$12,467.24 |
$12,467.24 |
$12,467.24 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$12,467.24 |
$12,467.24 |
$12,467.24 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$12,467.24 |
$12,467.24 |
$12,467.24 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$13,090.51 |
$13,090.51 |
$13,090.51 |
$21,146.91
|
|
Perc drug-el cor stent bran
|
$13,090.51 |
$13,090.51 |
$13,090.51 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$13,090.51 |
$13,090.51 |
$13,090.51 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$12,484.54 |
$12,484.54 |
$12,484.54 |
$6,949.48
|
|
Percut ablate liver rf
|
$6,242.27 |
$6,242.27 |
$6,242.27 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$269.71 |
$269.71 |
$269.71 |
$269.36
|
|
Peripheral vascular rehab
|
$53.65 |
$53.65 |
$53.65 |
$142.11
|
|
Peri-proc device eval pm
|
$41.44 |
$41.44 |
$41.44 |
$200.92
|
|
Peritoneogram rs&i
|
$295.26 |
$295.26 |
$295.26 |
$510.85
|
|
Perit-vens shunt pat tst
|
$272.41 |
$272.41 |
$272.41 |
$608.46
|
|
Perq art m-thrombect &/nfs
|
$1,628.00 |
$1,628.00 |
$1,628.00 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$6,954.34 |
$6,954.34 |
$6,954.34 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$1,606.36 |
$1,606.36 |
$1,606.36 |
$2,153.40
|
|
Perq dev breast 1st strtctc
|
$541.31 |
$541.31 |
$541.31 |
$1,471.17
|
|
Perq plmt bile duct stent
|
$5,790.13 |
$5,790.13 |
$5,790.13 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$5,514.67 |
$5,514.67 |
$5,514.67 |
$6,085.18
|
|
Perq plmt bile duct stent
|
$5,514.67 |
$5,514.67 |
$5,514.67 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$434.66 |
$434.66 |
$434.66 |
$636.09
|
|
Perq transcath closure each
|
$10,970.41 |
$10,970.41 |
$10,970.41 |
$10,244.02
|
|
Perq transcath closure pda
|
$43,742.23 |
$43,742.23 |
$43,742.23 |
$19,624.54
|
|
Perq transcath cls mitral
|
$12,589.07 |
$12,589.07 |
$12,589.07 |
$25,206.69
|
|
Perq transcath septal reduxn
|
$4,664.50 |
$4,664.50 |
$4,664.50 |
$6,003.27
|
|
Pertussis ag if
|
$82.42 |
$82.42 |
$82.42 |
$53.95
|
|
Pertuzumab 30 mg/ml desensitization
|
$40.22 |
$40.22 |
$40.22 |
$15,007.91
|
|
Pet CT skull-mid thgh initial
|
$2,937.43 |
$2,937.43 |
$2,937.43 |
$4,850.00
|
|
Pet CT whole body initial
|
$2,959.91 |
$2,959.91 |
$2,959.91 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$1,792.56 |
$1,792.56 |
$1,792.56 |
$3,274.20
|
|
Pet image full body
|
$758.40 |
$758.40 |
$758.40 |
$2,796.00
|
|
Pet image ltd area
|
$2,480.20 |
$2,480.20 |
$2,480.20 |
$2,519.20
|
|
Pet image skull-thigh
|
$2,783.07 |
$2,783.07 |
$2,783.07 |
$2,783.07
|
|
Pet image w/ct lmtd
|
$2,098.18 |
$2,098.18 |
$2,098.18 |
$4,422.60
|
|
Pet scan brain perf study
|
$1,575.29 |
$1,575.29 |
$1,575.29 |
$3,445.60
|
|
Ph body fluid
|
$30.25 |
$30.25 |
$30.25 |
$35.75
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$90.27 |
$90.27 |
$90.27 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$59.57 |
$59.57 |
$59.57 |
$97.50
|
|
Phentolaine mesylate inj
|
$198.12 |
$198.12 |
$198.12 |
$881.36
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.25 |
$9.25 |
$9.25 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$68.54 |
$68.54 |
$68.54 |
$100.75
|
|
Phlebotomy therapeutic
|
$74.83 |
$74.83 |
$74.83 |
$240.24
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,662.26 |
$3,662.26 |
$3,662.26 |
$3,785.00
|
|
Phleb veins 1 extrm >20 stab
|
$3,662.26 |
$3,662.26 |
$3,662.26 |
$4,022.46
|
|
Phosphorus
|
$32.93 |
$32.93 |
$32.93 |
$42.37
|
|
Phosphorus 24 hour urine
|
$26.36 |
$26.36 |
$26.36 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$75.04 |
$75.04 |
$75.04 |
$75.04
|
|
Pinworm exam
|
$17.58 |
$17.58 |
$17.58 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$47.75 |
$47.75 |
$47.75 |
$51.80
|
|
Place cath intracranial art
|
$6,283.90 |
$6,283.90 |
$6,283.90 |
$4,656.83
|
|
Place cath xtrnl carotid
|
$7,292.70 |
$7,292.70 |
$7,292.70 |
$4,202.90
|
|
Place duod/jej tube perc
|
$2,056.74 |
$2,056.74 |
$2,056.74 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$832.96 |
$832.96 |
$832.96 |
$2,286.40
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$541.31 |
$541.31 |
$541.31 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$98.24 |
$98.24 |
$98.24 |
$1,094.83
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$515.23 |
$515.23 |
$515.23 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$4,236.50 |
$4,236.50 |
$4,236.50 |
$4,653.60
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$29,290.87 |
$29,290.87 |
$29,290.87 |
$16,799.75
|
|
Place non-slctv cath thoracic arta
|
$3,711.84 |
$3,711.84 |
$3,711.84 |
$5,274.33
|
