|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,063.12 |
$2,063.12 |
$2,063.12 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,470.80 |
$2,470.80 |
$2,470.80 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$158.34 |
$158.34 |
$158.34 |
$802.87
|
|
Pelvic CT scan (with and without contrast)
|
$573.91 |
$573.91 |
$573.91 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$382.80 |
$382.80 |
$382.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$382.80 |
$382.80 |
$382.80 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$699.19 |
$699.19 |
$699.19 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$515.33 |
$515.33 |
$515.33 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$489.23 |
$489.23 |
$489.23 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$105.56 |
$105.56 |
$105.56 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$67.28 |
$67.28 |
$67.28 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,714.55 |
$5,714.55 |
$5,714.55 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,358.94 |
$1,358.94 |
$1,358.94 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$240.28 |
$240.28 |
$240.28 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$747.38 |
$747.38 |
$747.38 |
$826.47
|
|
Pentobarbital sodium inj
|
$117.90 |
$117.90 |
$117.90 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$2,916.81 |
$2,916.81 |
$2,916.81 |
$5,181.67
|
|
Perc d-e cor revasc chro add
|
$2,509.08 |
$2,509.08 |
$2,509.08 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$5,363.84 |
$5,363.84 |
$5,363.84 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$2,509.08 |
$2,509.08 |
$2,509.08 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$2,509.08 |
$2,509.08 |
$2,509.08 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$2,509.08 |
$2,509.08 |
$2,509.08 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$5,363.84 |
$5,363.84 |
$5,363.84 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$2,509.08 |
$2,509.08 |
$2,509.08 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$2,509.08 |
$2,509.08 |
$2,509.08 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$109.90 |
$109.90 |
$109.90 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$614.22 |
$614.22 |
$614.22 |
$2,251.20
|
|
Perit-vens shunt pat tst
|
$201.84 |
$201.84 |
$201.84 |
$758.37
|
|
Perq dev breast 1st mr guide
|
$929.16 |
$929.16 |
$929.16 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$734.86 |
$734.86 |
$734.86 |
$1,456.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$6,740.83 |
$6,740.83 |
$6,740.83 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$13,753.98 |
$13,753.98 |
$13,753.98 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$1,555.56 |
$1,555.56 |
$1,555.56 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,555.56 |
$1,555.56 |
$1,555.56 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$1,555.56 |
$1,555.56 |
$1,555.56 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$1,555.56 |
$1,555.56 |
$1,555.56 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$12,858.60 |
$12,858.60 |
$12,858.60 |
$38,834.22
|
|
Ph body fluid
|
$5.80 |
$5.80 |
$5.80 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$95.38 |
$95.38 |
$95.38 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$33.35 |
$33.35 |
$33.35 |
$104.50
|
|
Phentolaine mesylate inj
|
$440.61 |
$440.61 |
$440.61 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$38.86 |
$38.86 |
$38.86 |
$110.88
|
|
Phlebotomy therapeutic
|
$67.57 |
$67.57 |
$67.57 |
$231.66
|
|
Phosphorus
|
$12.76 |
$12.76 |
$12.76 |
$48.80
|
|
Phosphorus 24 hour urine
|
$15.08 |
$15.08 |
$15.08 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$72.03 |
$72.03 |
$72.03 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$32.82 |
$32.82 |
$32.82 |
$83.03
|
|
Place cath xtrnl carotid
|
$577.10 |
$577.10 |
$577.10 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$484.30 |
$484.30 |
$484.30 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$733.99 |
$733.99 |
$733.99 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$355.83 |
$355.83 |
$355.83 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$588.70 |
$588.70 |
$588.70 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$588.41 |
$588.41 |
$588.41 |
$3,873.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,361.68 |
$3,361.68 |
$3,361.68 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$1,403.31 |
$1,403.31 |
$1,403.31 |
$5,053.33
|
|
Place slctv cath carotd art uni
|
$4,945.95 |
$4,945.95 |
$4,945.95 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$2,806.62 |
$2,806.62 |
$2,806.62 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$4,945.95 |
$4,945.95 |
$4,945.95 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$2,806.62 |
$2,806.62 |
$2,806.62 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$4,945.95 |
$4,945.95 |
$4,945.95 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$64.67 |
$64.67 |
$64.67 |
$157.95
|
|
Platelet aggregation each agent teg
|
$61.48 |
$61.48 |
$61.48 |
$148.80
|
|
Platelet automated
|
$13.05 |
$13.05 |
$13.05 |
$45.60
|
|
Platelets leukocytes reduced each unit
|
$395.27 |
$395.27 |
$395.27 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$413.25 |
$413.25 |
$413.25 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$440.80 |
$440.80 |
$440.80 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$459.07 |
$459.07 |
$459.07 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$435.00 |
$435.00 |
$435.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$453.27 |
$453.27 |
$453.27 |
$1,278.55
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$978.75 |
$978.75 |
$978.75 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$978.75 |
$978.75 |
$978.75 |
$751.30
|
|
Plc pq device breast ea addl lesion MRI guide
|
$929.16 |
$929.16 |
$929.16 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$734.86 |
$734.86 |
$734.86 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$588.70 |
$588.70 |
$588.70 |
$758.52
|
|
Plerixafor injection
|
$9,207.14 |
$9,207.14 |
$9,207.14 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$165.88 |
$165.88 |
$165.88 |
$405.00
|
|
Plmt nephroureteral catheter
|
$1,059.66 |
$1,059.66 |
$1,059.66 |
$4,081.37
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$3,941.59 |
$3,941.59 |
$3,941.59 |
$35,781.91
|
|
Postop app non-wgt bear dsg
|
$1,151.30 |
$1,151.30 |
$1,151.30 |
$977.13
|
|
Potassium 24 hour urine
|
$12.47 |
$12.47 |
$12.47 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$13.56 |
$13.56 |
$13.56 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$4.64 |
$4.64 |
$4.64 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$325.38 |
$325.38 |
$325.38 |
$720.00
|
|
Pq thr inj ext pse
|
$297.54 |
$297.54 |
$297.54 |
$775.00
|
|
Pralatrexate injection
|
$12,336.93 |
$12,336.93 |
$12,336.93 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$85.69 |
$85.69 |
$85.69 |
$271.00
|
|
Pr application of long arm splint
|
$72.21 |
$72.21 |
$72.21 |
$329.00
|
|
Pr application splint static short arm
|
$59.74 |
$59.74 |
$59.74 |
$287.70
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$89.03 |
$89.03 |
$89.03 |
$351.60
|
|
Prealbumin
|
$36.83 |
$36.83 |
$36.83 |
$93.36
|
|
Pr ecg 12 lead report only
|
$5.10 |
$5.10 |
$5.10 |
$20.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.19 |
$1.19 |
$1.19 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.08 |
$1.08 |
$1.08 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$191.98 |
$191.98 |
$191.98 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$191.98 |
$191.98 |
$191.98 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$68.15 |
$68.15 |
$68.15 |
$238.33
|
|
Pretreat rbc absorption reference
|
$55.10 |
$55.10 |
$55.10 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$58.00 |
$58.00 |
$58.00 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$55.10 |
$55.10 |
$55.10 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$43.50 |
$43.50 |
$43.50 |
$167.05
|