|
Oxytocin 10 unit/ml injection solution
|
$23.40 |
$23.40 |
$23.40 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.20 |
$1.20 |
$1.20 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,934.20 |
$3,934.20 |
$3,934.20 |
$3,435.42
|
|
Palonosetron hcl
|
$498.00 |
$498.00 |
$498.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$40.20 |
$40.20 |
$40.20 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$18,043.80 |
$18,043.80 |
$18,043.80 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$37.20 |
$37.20 |
$37.20 |
$28.90
|
|
Papaverin hcl injection
|
$25.80 |
$25.80 |
$25.80 |
$78.75
|
|
Parathormone (pth) intact
|
$275.40 |
$275.40 |
$275.40 |
$206.18
|
|
Parathyroid planar imaging
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$1,530.60 |
$1,530.60 |
$1,530.60 |
$5,763.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$150.60 |
$150.60 |
$150.60 |
$245.67
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$4,914.00
|
|
Partial hysterectomy
|
$1,747.20 |
$1,747.20 |
$1,747.20 |
$1,993.68
|
|
Partial removal finger bone
|
$891.00 |
$891.00 |
$891.00 |
$2,211.05
|
|
Partial removal foot fascia
|
$727.80 |
$727.80 |
$727.80 |
$3,821.05
|
|
Partial removal leg bone(s)
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$4,315.20
|
|
Partial removal of fibula
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$3,821.05
|
|
Partial removal of foot bone
|
$793.80 |
$793.80 |
$793.80 |
$3,839.54
|
|
Partial removal of penis
|
$976.80 |
$976.80 |
$976.80 |
$4,081.37
|
|
Partial removal of rectum
|
$1,678.20 |
$1,678.20 |
$1,678.20 |
$2,414.94
|
|
Partial removal of thyroid
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$5,855.00
|
|
Partial removal of thyroid
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$5,741.00
|
|
Partial removal of tongue
|
$1,902.60 |
$1,902.60 |
$1,902.60 |
$6,084.97
|
|
Partial thyroid excision
|
$1,241.40 |
$1,241.40 |
$1,241.40 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$6,213.84
|
|
Part removal of metatarsal
|
$544.80 |
$544.80 |
$544.80 |
$3,821.05
|
|
Part removal of metatarsal
|
$775.80 |
$775.80 |
$775.80 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$590.40 |
$590.40 |
$590.40 |
$3,839.54
|
|
Passy muir valve metal trach
|
$484.20 |
$484.20 |
$484.20 |
$275.75
|
|
Pcv21 vaccine im
|
$360.00 |
$360.00 |
$360.00 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$15,980.40 |
$15,980.40 |
$15,980.40 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$10,395.60 |
$10,395.60 |
$10,395.60 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,197.80 |
$5,197.80 |
$5,197.80 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$76,549.80 |
$76,549.80 |
$76,549.80 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$886.20 |
$886.20 |
$886.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$679.80 |
$679.80 |
$679.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$599.40 |
$599.40 |
$599.40 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$1,912.20 |
$1,912.20 |
$1,912.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$316.80 |
$316.80 |
$316.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$280.20 |
$280.20 |
$280.20 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$118.20 |
$118.20 |
$118.20 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$184.20 |
$184.20 |
$184.20 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$13,285.80 |
$13,285.80 |
$13,285.80 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,066.80 |
$10,066.80 |
$10,066.80 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$119.40 |
$119.40 |
$119.40 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$948.00 |
$948.00 |
$948.00 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$7.20 |
$7.20 |
$7.20 |
$97.85
|
|
Pentamidine non-comp unit
|
$209.40 |
$209.40 |
$209.40 |
$294.39
|
|
Pentostatin 10 mg intravenous solution
|
$7,348.80 |
$7,348.80 |
$7,348.80 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$262.80 |
$262.80 |
$262.80 |
$332.84
|
|
Peri-proc device eval icd
|
$41.40 |
$41.40 |
$41.40 |
$192.40
|
|
Peri-proc device eval pm
|
$37.80 |
$37.80 |
$37.80 |
$155.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,504.20 |
$1,504.20 |
$1,504.20 |
$625.93
|
|
Pertussis ag if
|
$53.40 |
$53.40 |
$53.40 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$13,307.40 |
$13,307.40 |
$13,307.40 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$34,651.80 |
$34,651.80 |
$34,651.80 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$8,425.20 |
$8,425.20 |
$8,425.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$8,079.60 |
$8,079.60 |
$8,079.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,180.00 |
$6,180.00 |
$6,180.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$6,335.40 |
$6,335.40 |
$6,335.40 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$12,600.00 |
$12,600.00 |
$12,600.00 |
$40,252.07
|
|
Ph body fluid
|
$28.20 |
$28.20 |
$28.20 |
$42.00
|
|
Phencyclidine (pcp)
|
$62.40 |
$62.40 |
$62.40 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$33.00 |
$33.00 |
$33.00 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$80.40 |
$80.40 |
$80.40 |
$104.80
|
|
Phenylephrine 10 mg/ml injection solution
|
$67.80 |
$67.80 |
$67.80 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$91.80 |
$91.80 |
$91.80 |
$111.20
|
|
Phlebotomy therapeutic
|
$298.20 |
$298.20 |
$298.20 |
$231.87
|
|
Phosphorus
|
$37.80 |
$37.80 |
$37.80 |
$48.96
|
|
Phosphorus 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$281.40 |
$281.40 |
$281.40 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$281.40 |
$281.40 |
$281.40 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$281.40 |
$281.40 |
$281.40 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$125.40 |
$125.40 |
$125.40 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$61.20 |
$61.20 |
$61.20 |
$89.82
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,765.80 |
$1,765.80 |
$1,765.80 |
$1,116.00
|
|
Pinworm exam
|
$43.20 |
$43.20 |
$43.20 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$16.80 |
$16.80 |
$16.80 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$751.20 |
$751.20 |
$751.20 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$120.60 |
$120.60 |
$120.60 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$337.20 |
$337.20 |
$337.20 |
$1,332.43
|
|
Placement of seton
|
$426.00 |
$426.00 |
$426.00 |
$4,160.00
|
|
Platelet automated
|
$46.20 |
$46.20 |
$46.20 |
$45.76
|
|
Platelets leukocytes reduced each unit
|
$135.60 |
$135.60 |
$135.60 |
$315.25
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,651.40 |
$2,651.40 |
$2,651.40 |
$1,288.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$243.60 |
$243.60 |
$243.60 |
$5,087.15
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$76.80 |
$76.80 |
$76.80 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$121.80 |
$121.80 |
$121.80 |
$411.51
|
|
Pm device progr eval dual
|
$183.00 |
$183.00 |
$183.00 |
$148.65
|
|
Pm device progr eval multi
|
$183.00 |
$183.00 |
$183.00 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$127.20 |
$127.20 |
$127.20 |
$187.32
|
|
Post non-seg/spine instrumentation 22840
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,831.20
|
|
Post seg spine instrument/3-6 seg 22842
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,837.60
|
|
Potassium 24 hour urine
|
$34.20 |
$34.20 |
$34.20 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$4.80 |
$4.80 |
$4.80 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$36.60 |
$36.60 |
$36.60 |
$47.85
|
