|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$152.92 |
$152.92 |
$152.92 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,043.88 |
$13,043.88 |
$13,043.88 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$19.96 |
$19.96 |
$19.96 |
$29.31
|
|
Parathormone (pth) intact
|
$161.40 |
$161.40 |
$161.40 |
$201.50
|
|
Parathyroid planar imaging
|
$244.20 |
$244.20 |
$244.20 |
$1,132.80
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$105.60 |
$105.60 |
$105.60 |
$249.00
|
|
Partial removal finger bone
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,021.04
|
|
Partial removal foot fascia
|
$12,533.80 |
$12,533.80 |
$12,533.80 |
$3,786.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$17,335.60 |
$17,335.60 |
$17,335.60 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,589.06 |
$1,589.06 |
$1,589.06 |
$275.75
|
|
Patten bottom
|
$1,142.09 |
$1,142.09 |
$1,142.09 |
$672.73
|
|
Pdgfra gene
|
$988.80 |
$988.80 |
$988.80 |
$743.34
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$81.61 |
$81.61 |
$81.61 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,397.15 |
$10,397.15 |
$10,397.15 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$6,763.50 |
$6,763.50 |
$6,763.50 |
$7,265.37
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,381.76 |
$3,381.76 |
$3,381.76 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$4,050.01 |
$4,050.01 |
$4,050.01 |
$4,028.25
|
|
Pegunigalsidase alfa-iwxj
|
$18,069.10 |
$18,069.10 |
$18,069.10 |
$2,146.13
|
|
Pelv band/spread bar thigh c
|
$1,689.31 |
$1,689.31 |
$1,689.31 |
$802.87
|
|
Pelvic control band & belt b
|
$1,121.35 |
$1,121.35 |
$1,121.35 |
$566.16
|
|
Pelvic control band & belt u
|
$826.25 |
$826.25 |
$826.25 |
$500.58
|
|
Pelvic control hip heavy dut
|
$892.15 |
$892.15 |
$892.15 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,548.65 |
$1,548.65 |
$1,548.65 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$781.20 |
$781.20 |
$781.20 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$834.00 |
$834.00 |
$834.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$721.20 |
$721.20 |
$721.20 |
$1,357.20
|
|
Pelvic & hip control thigh c
|
$3,789.05 |
$3,789.05 |
$3,789.05 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$2,855.40 |
$2,855.40 |
$2,855.40 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$949.20 |
$949.20 |
$949.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$187.20 |
$187.20 |
$187.20 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$129.60 |
$129.60 |
$129.60 |
$435.09
|
|
Pelv & thor control gluteal
|
$493.83 |
$493.83 |
$493.83 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,828.22 |
$10,828.22 |
$10,828.22 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$111.79 |
$111.79 |
$111.79 |
$6,582.76
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$869.37 |
$869.37 |
$869.37 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$207.59 |
$207.59 |
$207.59 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$46,941.80 |
$46,941.80 |
$46,941.80 |
$18,473.40
|
|
Pentamidine 300 mg solution for injection
|
$680.92 |
$680.92 |
$680.92 |
$453.61
|
|
Pentamidine non-comp unit
|
$680.92 |
$680.92 |
$680.92 |
$294.39
|
|
Pentostatin 10 mg intravenous solution
|
$5,312.30 |
$5,312.30 |
$5,312.30 |
$5,181.67
|
|
Pericardiocentesis wwo imaging
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$2,276.64
|
|
Permanent tear duct plug
|
$455.16 |
$455.16 |
$455.16 |
$291.00
|
|
Peroneal straps pair pre ots
|
$60.99 |
$60.99 |
$60.99 |
$36.90
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,276.89 |
$12,276.89 |
$12,276.89 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$25,049.77 |
$25,049.77 |
$25,049.77 |
$26,634.51
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$380.15 |
$380.15 |
$380.15 |
$141.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$124,228.58 |
$124,228.58 |
$124,228.58 |
$38,318.04
|
|
Ph body fluid
|
$13.80 |
$13.80 |
$13.80 |
$40.04
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$139.54 |
$139.54 |
$139.54 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$51.60 |
$51.60 |
$51.60 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,999.05 |
$1,999.05 |
$1,999.05 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$4.80 |
$4.80 |
$4.80 |
$67.80
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$4.80 |
$4.80 |
$4.80 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$52.20 |
$52.20 |
$52.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$169.20 |
$169.20 |
$169.20 |
$238.04
|
|
Phosphorus
|
$19.20 |
$19.20 |
$19.20 |
$49.20
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$34.90 |
$34.90 |
$34.90 |
$85.79
|
|
Pillow shldr abduc inflat univ
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
$537.66
|
|
Pin caspar distraction 12mm
|
$36,412.68 |
$36,412.68 |
$36,412.68 |
$11,925.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$598.82 |
$598.82 |
$598.82 |
$83.41
|
|
Plas shoe insert w ank joint
|
$373.07 |
$373.07 |
$373.07 |
$244.06
|
|
Plastic mod low ext pad/line
|
$530.36 |
$530.36 |
$530.36 |
$244.50
|
|
Plastic mold recipro hip & c
|
$7,626.95 |
$7,626.95 |
$7,626.95 |
$3,850.61
|
|
Platelet automated
|
$18.60 |
$18.60 |
$18.60 |
$45.49
|
|
Plating chrome/nickel pr bar
|
$278.92 |
$278.92 |
$278.92 |
$168.95
|
|
Plethysmography lung volumes/airway resistance
|
$333.00 |
$333.00 |
$333.00 |
$405.00
|
|
Pneum full leg splnt pre ots
|
$466.79 |
$466.79 |
$466.79 |
$309.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$75.60 |
$75.60 |
$75.60 |
$186.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$902.08 |
$902.08 |
$902.08 |
$903.50
|
|
Postop app non-wgt bear dsg
|
$2,095.99 |
$2,095.99 |
$2,095.99 |
$1,389.71
|
|
Postop dsg & 1 cast chg ak/d
|
$5,035.95 |
$5,035.95 |
$5,035.95 |
$3,339.01
|
|
Post-operative body jacket
|
$6,406.10 |
$6,406.10 |
$6,406.10 |
$3,773.28
|
|
Potassium 24 hour urine
|
$18.00 |
$18.00 |
$18.00 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$20.40 |
$20.40 |
$20.40 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$18.60 |
$18.60 |
$18.60 |
$47.40
|
|
Pralidoxime 1 gram solution for injection
|
$353.74 |
$353.74 |
$353.74 |
$270.01
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$3,738.90
|
|
Pr application of long arm splint
|
$105.00 |
$105.00 |
$105.00 |
$329.00
|
|
Pr application splint static short arm
|
$83.40 |
$83.40 |
$83.40 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$268.80 |
$268.80 |
$268.80 |
$458.25
|
|
Pr correction hammertoe
|
$31,529.58 |
$31,529.58 |
$31,529.58 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$53.40 |
$53.40 |
$53.40 |
$48.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$130.20 |
$130.20 |
$130.20 |
$351.60
|
|
Prealbumin
|
$57.60 |
$57.60 |
$57.60 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.80 |
$4.80 |
$4.80 |
$13.87
|
|
Prednisone 1 mg tablet
|
$4.80 |
$4.80 |
$4.80 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$954.60 |
$954.60 |
$954.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$281.40 |
$281.40 |
$281.40 |
$537.00
|
|
Prep bk ptb open end socket
|
$6,916.59 |
$6,916.59 |
$6,916.59 |
$4,073.94
|
|
Prep bk ptb thermopls molded
|
$6,030.77 |
$6,030.77 |
$6,030.77 |
$3,998.60
|
|
Pretreat rbc absorption reference
|
$211.20 |
$211.20 |
$211.20 |
$149.50
|
|
Pretreat rbc w chem/drugs reference
|
$107.40 |
$107.40 |
$107.40 |
$111.20
|
|
Pretreat rbc w enzyme reference
|
$907.20 |
$907.20 |
$907.20 |
$165.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$4,269.64 |
$4,269.64 |
$4,269.64 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$268.80 |
$268.80 |
$268.80 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$333.60 |
$333.60 |
$333.60 |
$697.60
|
|
Pr incision & drainage abscess simple/single
|
$2,465.99 |
$2,465.99 |
$2,465.99 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$447.00 |
$447.00 |
$447.00 |
$543.84
|
