|
Palivizumab 50 mg/0.5 ml inj
|
$1,715.69 |
$1,715.69 |
$1,715.69 |
$5,569.20
|
|
Palonosetron hcl
|
$185.86 |
$185.86 |
$185.86 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$84.06 |
$84.06 |
$84.06 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$7,902.85 |
$7,902.85 |
$7,902.85 |
$13,051.61
|
|
Parathormone (pth) intact
|
$133.12 |
$133.12 |
$133.12 |
$204.87
|
|
Parathyroid planar imaging
|
$196.16 |
$196.16 |
$196.16 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$196.16 |
$196.16 |
$196.16 |
$1,350.60
|
|
Paricalcitol
|
$13.59 |
$13.59 |
$13.59 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$242.88 |
$242.88 |
$242.88 |
$245.00
|
|
Passy muir valve metal trach
|
$60.16 |
$60.16 |
$60.16 |
$275.75
|
|
Pcv21 vaccine im
|
$312.99 |
$312.99 |
$312.99 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,999.21 |
$6,999.21 |
$6,999.21 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$4,280.45 |
$4,280.45 |
$4,280.45 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,553.09 |
$4,553.09 |
$4,553.09 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,276.54 |
$2,276.54 |
$2,276.54 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,726.40 |
$2,726.40 |
$2,726.40 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$174.72 |
$174.72 |
$174.72 |
$802.87
|
|
Pelvic CT scan (with and without contrast)
|
$633.28 |
$633.28 |
$633.28 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$422.40 |
$422.40 |
$422.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$422.40 |
$422.40 |
$422.40 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$771.52 |
$771.52 |
$771.52 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$568.64 |
$568.64 |
$568.64 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$539.84 |
$539.84 |
$539.84 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$116.48 |
$116.48 |
$116.48 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$74.24 |
$74.24 |
$74.24 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,305.71 |
$6,305.71 |
$6,305.71 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,499.52 |
$1,499.52 |
$1,499.52 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$265.14 |
$265.14 |
$265.14 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$824.70 |
$824.70 |
$824.70 |
$826.47
|
|
Pentobarbital sodium inj
|
$130.10 |
$130.10 |
$130.10 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,218.55 |
$3,218.55 |
$3,218.55 |
$5,181.67
|
|
Perc d-e cor revasc chro add
|
$2,768.64 |
$2,768.64 |
$2,768.64 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$5,918.72 |
$5,918.72 |
$5,918.72 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$2,768.64 |
$2,768.64 |
$2,768.64 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$2,768.64 |
$2,768.64 |
$2,768.64 |
$16,047.20
|
|
Perc drug-el cor stent bran
|
$2,768.64 |
$2,768.64 |
$2,768.64 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$2,768.64 |
$2,768.64 |
$2,768.64 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$121.27 |
$121.27 |
$121.27 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$677.76 |
$677.76 |
$677.76 |
$2,251.20
|
|
Peritoneogram rs&i
|
$267.84 |
$267.84 |
$267.84 |
$695.89
|
|
Perq dev breast 1st strtctc
|
$810.88 |
$810.88 |
$810.88 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$1,774.72 |
$1,774.72 |
$1,774.72 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$1,774.72 |
$1,774.72 |
$1,774.72 |
$6,904.15
|
|
Pertuzumab 30 mg/ml desensitization
|
$7,438.15 |
$7,438.15 |
$7,438.15 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$15,176.81 |
$15,176.81 |
$15,176.81 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$1,716.48 |
$1,716.48 |
$1,716.48 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,716.48 |
$1,716.48 |
$1,716.48 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$15,030.00 |
$15,030.00 |
$15,030.00 |
$38,834.22
|
|
Ph body fluid
|
$47.36 |
$47.36 |
$47.36 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$105.25 |
$105.25 |
$105.25 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$36.80 |
$36.80 |
$36.80 |
$104.50
|
|
Phentolaine mesylate inj
|
$486.19 |
$486.19 |
$486.19 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$42.88 |
$42.88 |
$42.88 |
$110.88
|
|
Phlebotomy therapeutic
|
$74.56 |
$74.56 |
$74.56 |
$231.66
|
|
Phosphorus
|
$14.08 |
$14.08 |
$14.08 |
$48.80
|
|
Phosphorus 24 hour urine
|
$16.64 |
$16.64 |
$16.64 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.48 |
$79.48 |
$79.48 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$36.22 |
$36.22 |
$36.22 |
$83.03
|
|
Place gastrostomy tube perc
|
$534.40 |
$534.40 |
$534.40 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$809.92 |
$809.92 |
$809.92 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$392.64 |
$392.64 |
$392.64 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$649.60 |
$649.60 |
$649.60 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,298.56 |
$1,298.56 |
$1,298.56 |
$3,873.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$7,418.88 |
$7,418.88 |
$7,418.88 |
$13,964.50
|
|
Plasma cryoprecipitate reduced each unit
|
$71.36 |
$71.36 |
$71.36 |
$157.95
|
|
Platelet aggregation each agent teg
|
$67.84 |
$67.84 |
$67.84 |
$148.80
|
|
Platelet automated
|
$14.40 |
$14.40 |
$14.40 |
$45.60
|
|
Platelets leukocytes reduced each unit
|
$436.16 |
$436.16 |
$436.16 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$456.00 |
$456.00 |
$456.00 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$486.40 |
$486.40 |
$486.40 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$506.56 |
$506.56 |
$506.56 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$480.00 |
$480.00 |
$480.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$500.16 |
$500.16 |
$500.16 |
$1,278.55
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,877.12 |
$1,877.12 |
$1,877.12 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,709.44 |
$3,709.44 |
$3,709.44 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$1,933.44 |
$1,933.44 |
$1,933.44 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,933.44 |
$1,933.44 |
$1,933.44 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$751.30
|
|
Plc pq device breast ea addl lesion stereo guide
|
$810.88 |
$810.88 |
$810.88 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$649.60 |
$649.60 |
$649.60 |
$758.52
|
|
Plerixafor injection
|
$10,159.60 |
$10,159.60 |
$10,159.60 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$183.04 |
$183.04 |
$183.04 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$1,125.12 |
$1,125.12 |
$1,125.12 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$2,250.24 |
$2,250.24 |
$2,250.24 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,338.56 |
$2,338.56 |
$2,338.56 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$1,933.44 |
$1,933.44 |
$1,933.44 |
$5,104.20
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$4,349.34 |
$4,349.34 |
$4,349.34 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,083.52 |
$1,083.52 |
$1,083.52 |
$3,751.48
|
|
Potassium 24 hour urine
|
$13.76 |
$13.76 |
$13.76 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$14.96 |
$14.96 |
$14.96 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$5.12 |
$5.12 |
$5.12 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$359.04 |
$359.04 |
$359.04 |
$720.00
|
|
Pq thr inj ext pse
|
$328.32 |
$328.32 |
$328.32 |
$775.00
|
|
Pralatrexate injection
|
$13,613.16 |
$13,613.16 |
$13,613.16 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$94.55 |
$94.55 |
$94.55 |
$271.00
|
|
Pr application of long arm splint
|
$79.68 |
$79.68 |
$79.68 |
$329.00
|
|
Pr application splint static short arm
|
$65.92 |
$65.92 |
$65.92 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$199.36 |
$199.36 |
$199.36 |
$458.25
|
|
Prcrd drg 6+yr without anomly
|
$677.76 |
$677.76 |
$677.76 |
$2,253.00
|