|
Palifermin injection
|
$3,515.68 |
$3,515.68 |
$3,515.68 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,014.01 |
$4,014.01 |
$4,014.01 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,769.30 |
$1,769.30 |
$1,769.30 |
$5,569.20
|
|
Palonosetron hcl
|
$191.66 |
$191.66 |
$191.66 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$86.68 |
$86.68 |
$86.68 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$8,149.82 |
$8,149.82 |
$8,149.82 |
$13,051.61
|
|
Parathormone (pth) intact
|
$137.28 |
$137.28 |
$137.28 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$274.56 |
$274.56 |
$274.56 |
$1,574.40
|
|
Parathyroid planar imaging
|
$202.29 |
$202.29 |
$202.29 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$202.29 |
$202.29 |
$202.29 |
$1,350.60
|
|
Paricalcitol
|
$14.02 |
$14.02 |
$14.02 |
$47.15
|
|
Passy muir valve metal trach
|
$62.04 |
$62.04 |
$62.04 |
$275.75
|
|
Pcv21 vaccine im
|
$322.77 |
$322.77 |
$322.77 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,217.93 |
$7,217.93 |
$7,217.93 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$4,414.21 |
$4,414.21 |
$4,414.21 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,695.37 |
$4,695.37 |
$4,695.37 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,347.69 |
$2,347.69 |
$2,347.69 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,811.60 |
$2,811.60 |
$2,811.60 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$180.18 |
$180.18 |
$180.18 |
$802.87
|
|
Pelvic CT scan (with and without contrast)
|
$653.07 |
$653.07 |
$653.07 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$435.60 |
$435.60 |
$435.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$435.60 |
$435.60 |
$435.60 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$795.63 |
$795.63 |
$795.63 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$586.41 |
$586.41 |
$586.41 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$556.71 |
$556.71 |
$556.71 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$120.12 |
$120.12 |
$120.12 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$76.56 |
$76.56 |
$76.56 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,502.76 |
$6,502.76 |
$6,502.76 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,546.38 |
$1,546.38 |
$1,546.38 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$273.42 |
$273.42 |
$273.42 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$850.47 |
$850.47 |
$850.47 |
$826.47
|
|
Pentobarbital sodium inj
|
$134.16 |
$134.16 |
$134.16 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,319.13 |
$3,319.13 |
$3,319.13 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$125.06 |
$125.06 |
$125.06 |
$321.71
|
|
Perq dev breast 1st strtctc
|
$836.22 |
$836.22 |
$836.22 |
$1,456.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$7,670.60 |
$7,670.60 |
$7,670.60 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$15,651.08 |
$15,651.08 |
$15,651.08 |
$27,833.07
|
|
Pfc sigma fem post aug sz3 8mm
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$38,834.22
|
|
Ph body fluid
|
$16.17 |
$16.17 |
$16.17 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$108.54 |
$108.54 |
$108.54 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$37.95 |
$37.95 |
$37.95 |
$104.50
|
|
Phentolaine mesylate inj
|
$501.38 |
$501.38 |
$501.38 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$44.22 |
$44.22 |
$44.22 |
$110.88
|
|
Phlebotomy therapeutic
|
$76.89 |
$76.89 |
$76.89 |
$231.66
|
|
Phosphorus
|
$14.52 |
$14.52 |
$14.52 |
$48.80
|
|
Phosphorus 24 hour urine
|
$17.16 |
$17.16 |
$17.16 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$81.97 |
$81.97 |
$81.97 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$37.35 |
$37.35 |
$37.35 |
$83.03
|
|
Place gastrostomy tube perc
|
$551.10 |
$551.10 |
$551.10 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$835.23 |
$835.23 |
$835.23 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$404.91 |
$404.91 |
$404.91 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$669.90 |
$669.90 |
$669.90 |
$1,332.43
|
|
Plasma cryoprecipitate reduced each unit
|
$73.59 |
$73.59 |
$73.59 |
$157.95
|
|
Platelet aggregation each agent teg
|
$112.53 |
$112.53 |
$112.53 |
$148.80
|
|
Platelet automated
|
$14.85 |
$14.85 |
$14.85 |
$45.60
|
|
Platelets leukocytes reduced each unit
|
$449.79 |
$449.79 |
$449.79 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$470.25 |
$470.25 |
$470.25 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$501.60 |
$501.60 |
$501.60 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$522.39 |
$522.39 |
$522.39 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$495.00 |
$495.00 |
$495.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$515.79 |
$515.79 |
$515.79 |
$1,278.55
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,113.75 |
$1,113.75 |
$1,113.75 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,113.75 |
$1,113.75 |
$1,113.75 |
$751.30
|
|
Plc pq device breast ea addl lesion stereo guide
|
$836.22 |
$836.22 |
$836.22 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$669.90 |
$669.90 |
$669.90 |
$758.52
|
|
Plerixafor injection
|
$10,477.09 |
$10,477.09 |
$10,477.09 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$188.76 |
$188.76 |
$188.76 |
$405.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$78.87 |
$78.87 |
$78.87 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$4,485.25 |
$4,485.25 |
$4,485.25 |
$35,781.91
|
|
Potassium 24 hour urine
|
$14.19 |
$14.19 |
$14.19 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$15.43 |
$15.43 |
$15.43 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$5.28 |
$5.28 |
$5.28 |
$46.75
|
|
Pralatrexate injection
|
$14,038.58 |
$14,038.58 |
$14,038.58 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$97.51 |
$97.51 |
$97.51 |
$271.00
|
|
Pr application of long arm splint
|
$82.17 |
$82.17 |
$82.17 |
$329.00
|
|
Pr application splint static short arm
|
$67.98 |
$67.98 |
$67.98 |
$287.70
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$101.31 |
$101.31 |
$101.31 |
$351.60
|
|
Prealbumin
|
$41.91 |
$41.91 |
$41.91 |
$93.36
|
|
Pr ecg 12 lead report only
|
$5.80 |
$5.80 |
$5.80 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$32.78 |
$32.78 |
$32.78 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.35 |
$1.35 |
$1.35 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.23 |
$1.23 |
$1.23 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$218.46 |
$218.46 |
$218.46 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$218.46 |
$218.46 |
$218.46 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$77.55 |
$77.55 |
$77.55 |
$238.33
|
|
Pretreat rbc absorption reference
|
$62.70 |
$62.70 |
$62.70 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$66.00 |
$66.00 |
$66.00 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$62.70 |
$62.70 |
$62.70 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$49.50 |
$49.50 |
$49.50 |
$167.05
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$674.78 |
$674.78 |
$674.78 |
$670.00
|
|
Procalcitonin
|
$54.78 |
$54.78 |
$54.78 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.58 |
$12.58 |
$12.58 |
$36.72
|
|
Progesterone
|
$69.30 |
$69.30 |
$69.30 |
$115.64
|
|
Prolactin
|
$64.35 |
$64.35 |
$64.35 |
$123.50
|
|
Prolonged IV inf, req pump
|
$164.67 |
$164.67 |
$164.67 |
$557.50
|
|
Promethazine hcl injection
|
$201.85 |
$201.85 |
$201.85 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$18.50 |
$18.50 |
$18.50 |
$32.93
|
|
Prostate biopsy, any mthd
|
$194.04 |
$194.04 |
$194.04 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$76.27 |
$76.27 |
$76.27 |
$57.89
|
|
Protein c activity
|
$43.89 |
$43.89 |
$43.89 |
$119.60
|