|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$202.09 |
$202.09 |
$202.09 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,051.61 |
$13,051.61 |
$13,051.61 |
$13,051.61
|
|
Papaverin hcl injection
|
$52.18 |
$52.18 |
$52.18 |
$76.06
|
|
Parathormone (pth) intact
|
$273.30 |
$273.30 |
$273.30 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,634.30 |
$2,634.30 |
$2,634.30 |
$1,641.50
|
|
Parathyroid planar imaging
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,132.80
|
|
Parathyroid planar img w/tomo spect
|
$1,883.70 |
$1,883.70 |
$1,883.70 |
$1,350.60
|
|
Paricalcitol
|
$41.45 |
$41.45 |
$41.45 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$235.35 |
$235.35 |
$235.35 |
$245.89
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,448.80 |
$6,448.80 |
$6,448.80 |
$4,921.76
|
|
Passy muir valve metal trach
|
$275.75 |
$275.75 |
$275.75 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$5.73 |
$5.73 |
$5.73 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$61.50 |
$61.50 |
$61.50 |
$54.11
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,707.63 |
$12,707.63 |
$12,707.63 |
$11,216.31
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,133.25 |
$4,133.25 |
$4,133.25 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$56,690.57 |
$56,690.57 |
$56,690.57 |
$49,585.09
|
|
Pelvic CT scan (with and without contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,081.55 |
$2,081.55 |
$2,081.55 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$2,637.58 |
$2,637.58 |
$2,637.58 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,997.75 |
$2,997.75 |
$2,997.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$861.45 |
$861.45 |
$861.45 |
$659.15
|
|
Pelvic Ultrasound (limited)
|
$383.10 |
$383.10 |
$383.10 |
$435.13
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$11,003.90 |
$11,003.90 |
$11,003.90 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$8,005.14 |
$8,005.14 |
$8,005.14 |
$6,582.76
|
|
Peng benzathine/procaine inj
|
$477.40 |
$477.40 |
$477.40 |
$397.04
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,124.96 |
$1,124.96 |
$1,124.96 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$88.57 |
$88.57 |
$88.57 |
$97.85
|
|
Penicillin g procaine inj
|
$180.77 |
$180.77 |
$180.77 |
$147.21
|
|
Penile rear tip xtnd 0.5cm
|
$18,349.50 |
$18,349.50 |
$18,349.50 |
$18,349.50
|
|
Pentobarbital sodium inj
|
$4,655.07 |
$4,655.07 |
$4,655.07 |
$2,047.85
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$231.43 |
$231.43 |
$231.43 |
$329.04
|
|
Pericardiocentesis wwo imaging
|
$2,976.90 |
$2,976.90 |
$2,976.90 |
$2,300.48
|
|
Permanent tear duct plug
|
$241.08 |
$241.08 |
$241.08 |
$291.00
|
|
Perphenazine 4mg oral
|
$1.84 |
$1.84 |
$1.84 |
$2.58
|
|
Perq dev breast 1st strtctc
|
$490.20 |
$490.20 |
$490.20 |
$1,456.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$507.60 |
$507.60 |
$507.60 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,923.02 |
$12,923.02 |
$12,923.02 |
$13,666.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$49,800.00 |
$49,800.00 |
$49,800.00 |
$36,933.25
|
|
Ph body fluid
|
$83.55 |
$83.55 |
$83.55 |
$40.04
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$160.05 |
$160.05 |
$160.05 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$350.85 |
$350.85 |
$350.85 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,940.25 |
$1,940.25 |
$1,940.25 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$100.62 |
$100.62 |
$100.62 |
$67.80
|
|
Phenylep ketorolac opth soln
|
$934.56 |
$934.56 |
$934.56 |
$934.56
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.00 |
$6.00 |
$6.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$294.90 |
$294.90 |
$294.90 |
$112.93
|
|
Phlebotomy therapeutic
|
$174.45 |
$174.45 |
$174.45 |
$237.00
|
|
Phosphorus
|
$160.50 |
$160.50 |
$160.50 |
$50.25
|
|
Phosphorus 24 hour urine
|
$39.60 |
$39.60 |
$39.60 |
$42.25
|
|
Phys blood bank serv reactj
|
$239.55 |
$239.55 |
$239.55 |
$208.73
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$31.16 |
$31.16 |
$31.16 |
$85.79
|
|
Pillow shldr abduc inflat univ
|
$365.34 |
$365.34 |
$365.34 |
$537.66
|
|
Pin caspar distraction 12mm
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$11,672.88
|
|
Pin finger fracture each
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$3,986.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$64.05 |
$64.05 |
$64.05 |
$84.15
|
|
Place gastrostomy tube perc
|
$1,865.10 |
$1,865.10 |
$1,865.10 |
$2,247.84
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$972.15 |
$972.15 |
$972.15 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$490.20 |
$490.20 |
$490.20 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$490.20 |
$490.20 |
$490.20 |
$1,332.43
|
|
Plasmaprotein fract,5%,250ml
|
$123.83 |
$123.83 |
$123.83 |
$123.83
|
|
Plas shoe insert w ank joint
|
$292.23 |
$292.23 |
$292.23 |
$245.71
|
|
Plastic mod low ext pad/line
|
$244.53 |
$244.53 |
$244.53 |
$244.53
|
|
Platelet aggregation each agent teg
|
$270.15 |
$270.15 |
$270.15 |
$146.50
|
|
Platelet automated
|
$81.45 |
$81.45 |
$81.45 |
$45.63
|
|
Platelets each unit
|
$129.90 |
$129.90 |
$129.90 |
$163.35
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,642.65 |
$1,642.65 |
$1,642.65 |
$1,511.25
|
|
Platelets leukocytes reduced each unit
|
$273.75 |
$273.75 |
$273.75 |
$299.40
|
|
Platelets leukocytes reduced irradiated each unit
|
$474.30 |
$474.30 |
$474.30 |
$418.95
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,367.85 |
$1,367.85 |
$1,367.85 |
$1,131.65
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$1,237.80
|
|
Plc pq device breast ea addl lesion MRI guide
|
$471.30 |
$471.30 |
$471.30 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$490.20 |
$490.20 |
$490.20 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$490.20 |
$490.20 |
$490.20 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$227.55 |
$227.55 |
$227.55 |
$405.00
|
|
Pneumothrx tx-intraplrl inj ai
|
$435.75 |
$435.75 |
$435.75 |
$785.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$337.05 |
$337.05 |
$337.05 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$34,735.22 |
$34,735.22 |
$34,735.22 |
$34,735.22
|
|
Postop app non-wgt bear dsg
|
$1,331.36 |
$1,331.36 |
$1,331.36 |
$903.50
|
|
Postop app non-wgt bear dsg
|
$1,449.53 |
$1,449.53 |
$1,449.53 |
$1,389.71
|
|
Postop dress & 1 cast chg bk
|
$3,057.65 |
$3,057.65 |
$3,057.65 |
$2,761.78
|
|
Post-op hip abduct custom fa
|
$2,226.01 |
$2,226.01 |
$2,226.01 |
$1,760.02
|
|
Potassium 24 hour urine
|
$121.65 |
$121.65 |
$121.65 |
$51.35
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$60.00 |
$60.00 |
$60.00 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$142.50 |
$142.50 |
$142.50 |
$47.85
|
|
Pouch drainable w barrier at
|
$1.35 |
$1.35 |
$1.35 |
$8.00
|
|
Pouch high output 2pc 50mm red
|
$7.35 |
$7.35 |
$7.35 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$0.87 |
$0.87 |
$0.87 |
$6.16
|
|
Pouch ostmy nb pouchkin ctf
|
$1.55 |
$1.55 |
$1.55 |
$1.55
|
|
Pouch uros new (both sides) 2.75in clr
|
$15.80 |
$15.80 |
$15.80 |
$15.80
|
|
Powder prem protct 1oz
|
$5.43 |
$5.43 |
$5.43 |
$5.43
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,203.30 |
$10,203.30 |
$10,203.30 |
$9,977.57
|
|
Pralidoxime 1 gram solution for injection
|
$187.28 |
$187.28 |
$187.28 |
$267.69
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,738.90 |
$3,738.90 |
$3,738.90 |
$3,738.90
|
|
Pr application of long arm splint
|
$356.85 |
$356.85 |
$356.85 |
$328.78
|
|
Pr application splint static short arm
|
$154.05 |
$154.05 |
$154.05 |
$287.70
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$42.30 |
$42.30 |
$42.30 |
$48.43
|
|
Prcrd drg 6+yr without anomly
|
$3,285.15 |
$3,285.15 |
$3,285.15 |
$2,308.80
|