|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$29,843.66 |
$29,843.66 |
$29,843.66 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$18,251.26 |
$18,251.26 |
$18,251.26 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$19,413.75 |
$19,413.75 |
$19,413.75 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$19,996.16 |
$19,996.16 |
$19,996.16 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,706.88 |
$9,706.88 |
$9,706.88 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$11,625.01 |
$11,625.01 |
$11,625.01 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$92,228.97 |
$92,228.97 |
$92,228.97 |
$49,135.11
|
|
Pelv band/spread bar thigh c
|
$1,977.03 |
$1,977.03 |
$1,977.03 |
$802.87
|
|
Pelvic control band & belt b
|
$1,312.34 |
$1,312.34 |
$1,312.34 |
$566.16
|
|
Pelvic control band & belt u
|
$966.98 |
$966.98 |
$966.98 |
$500.58
|
|
Pelvic control hip heavy dut
|
$1,044.10 |
$1,044.10 |
$1,044.10 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,812.41 |
$1,812.41 |
$1,812.41 |
$912.18
|
|
Pelvic CT scan (with contrast)
|
$1,748.40 |
$1,748.40 |
$1,748.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,218.80 |
$2,218.80 |
$2,218.80 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$4,434.40 |
$4,434.40 |
$4,434.40 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$4,208.40 |
$4,208.40 |
$4,208.40 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$3,367.20 |
$3,367.20 |
$3,367.20 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$934.20 |
$934.20 |
$934.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$334.80 |
$334.80 |
$334.80 |
$430.00
|
|
Pelv & thor control gluteal
|
$577.93 |
$577.93 |
$577.93 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$24,904.92 |
$24,904.92 |
$24,904.92 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16,738.02 |
$16,738.02 |
$16,738.02 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,716.04 |
$1,716.04 |
$1,716.04 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$215.10 |
$215.10 |
$215.10 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$54,936.82 |
$54,936.82 |
$54,936.82 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$1,196.60 |
$1,196.60 |
$1,196.60 |
$453.61
|
|
Perc d-e cor revasc t cabg s
|
$22,216.80 |
$22,216.80 |
$22,216.80 |
$16,047.20
|
|
Perc drug-el cor stent sing
|
$21,630.00 |
$21,630.00 |
$21,630.00 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$2,105.99 |
$2,105.99 |
$2,105.99 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,677.60 |
$1,677.60 |
$1,677.60 |
$1,797.00
|
|
Perit-vens shunt pat tst
|
$496.80 |
$496.80 |
$496.80 |
$758.37
|
|
Permanent tear duct plug
|
$532.68 |
$532.68 |
$532.68 |
$291.00
|
|
Peroneal straps pair pre ots
|
$71.38 |
$71.38 |
$71.38 |
$36.90
|
|
Perq clsr tcat l atr apndge
|
$8,227.80 |
$8,227.80 |
$8,227.80 |
$9,509.53
|
|
Perq nl/pl lithotrp cplx>2cm
|
$32,611.30 |
$32,611.30 |
$32,611.30 |
$10,114.58
|
|
Perq skel fix ulnar styld fx
|
$11,731.63 |
$11,731.63 |
$11,731.63 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$28,236.84 |
$28,236.84 |
$28,236.84 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$57,614.46 |
$57,614.46 |
$57,614.46 |
$27,833.07
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$444.91 |
$444.91 |
$444.91 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$7,663.20 |
$7,663.20 |
$7,663.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$9,579.00 |
$9,579.00 |
$9,579.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,641.20 |
$2,641.20 |
$2,641.20 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$145,386.90 |
$145,386.90 |
$145,386.90 |
$38,834.22
|
|
Ph body fluid
|
$42.00 |
$42.00 |
$42.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$138.00 |
$138.00 |
$138.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$245.21 |
$245.21 |
$245.21 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$68.40 |
$68.40 |
$68.40 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,513.02 |
$3,513.02 |
$3,513.02 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$143.40 |
$143.40 |
$143.40 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$21.00 |
$21.00 |
$21.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$121.80 |
$121.80 |
$121.80 |
$110.88
|
|
Phlebotomy therapeutic
|
$323.40 |
$323.40 |
$323.40 |
$231.66
|
|
Phosphorus
|
$54.00 |
$54.00 |
$54.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$48.00 |
$48.00 |
$48.00 |
$41.51
|
|
Phys blood bank serv reactj
|
$255.60 |
$255.60 |
$255.60 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$70.22 |
$70.22 |
$70.22 |
$87.50
|
|
Pillow shldr abduc inflat univ
|
$3,031.51 |
$3,031.51 |
$3,031.51 |
$614.36
|
|
Pin caspar distraction 12mm
|
$42,614.40 |
$42,614.40 |
$42,614.40 |
$11,925.00
|
|
Pinworm exam
|
$48.00 |
$48.00 |
$48.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$28.68 |
$28.68 |
$28.68 |
$83.03
|
|
Place gastrostomy tube perc
|
$2,989.80 |
$2,989.80 |
$2,989.80 |
$2,289.60
|
|
Placement nephrostomy catheter (both sides)
|
$3,630.60 |
$3,630.60 |
$3,630.60 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$775.80 |
$775.80 |
$775.80 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$27,872.40 |
$27,872.40 |
$27,872.40 |
$13,964.50
|
|
Place slctv cath carotid/inom art excrn uni
|
$8,859.00 |
$8,859.00 |
$8,859.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$11,427.00 |
$11,427.00 |
$11,427.00 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$9,778.80 |
$9,778.80 |
$9,778.80 |
$6,325.00
|
|
Plas shoe insert w ank joint
|
$436.61 |
$436.61 |
$436.61 |
$245.71
|
|
Plastic mod low ext pad/line
|
$620.69 |
$620.69 |
$620.69 |
$241.54
|
|
Plastic mold recipro hip & c
|
$8,925.95 |
$8,925.95 |
$8,925.95 |
$3,850.61
|
|
Platelet aggregation each agent teg
|
$113.40 |
$113.40 |
$113.40 |
$148.80
|
|
Platelet automated
|
$54.60 |
$54.60 |
$54.60 |
$45.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,004.00
|
|
Plating chrome/nickel pr bar
|
$326.42 |
$326.42 |
$326.42 |
$184.93
|
|
Plcmnt biliary drainage cath w/img ext
|
$5,515.20 |
$5,515.20 |
$5,515.20 |
$4,482.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$7,261.20 |
$7,261.20 |
$7,261.20 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$13,354.80 |
$13,354.80 |
$13,354.80 |
$5,589.75
|
|
Plethysmography lung volumes/airway resistance
|
$241.80 |
$241.80 |
$241.80 |
$405.00
|
|
Plmt biliary drainage cath
|
$4,083.60 |
$4,083.60 |
$4,083.60 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$7,261.20 |
$7,261.20 |
$7,261.20 |
$4,081.37
|
|
Pneum full leg splnt pre ots
|
$546.30 |
$546.30 |
$546.30 |
$309.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$213.00 |
$213.00 |
$213.00 |
$187.32
|
|
Post non-seg/spine instrumentation 22840
|
$93,145.85 |
$93,145.85 |
$93,145.85 |
$1,831.20
|
|
Postop app non-wgt bear dsg
|
$1,055.72 |
$1,055.72 |
$1,055.72 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$2,452.97 |
$2,452.97 |
$2,452.97 |
$1,389.71
|
|
Postop dsg & 1 cast chg ak/d
|
$5,893.66 |
$5,893.66 |
$5,893.66 |
$3,339.01
|
|
Post-operative body jacket
|
$7,497.17 |
$7,497.17 |
$7,497.17 |
$3,773.28
|
|
Post-op hip abduct custom fa
|
$3,238.80 |
$3,238.80 |
$3,238.80 |
$1,760.02
|
|
Post seg spine instrument/3-6 seg 22842
|
$121,564.35 |
$121,564.35 |
$121,564.35 |
$1,837.60
|
|
Potassium 24 hour urine
|
$58.20 |
$58.20 |
$58.20 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$28.18 |
$28.18 |
$28.18 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$58.80 |
$58.80 |
$58.80 |
$46.75
|
|
Pq thr inj ext pse
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$775.00
|
|
Pralidoxime 1 gram solution for injection
|
$621.64 |
$621.64 |
$621.64 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,135.80 |
$4,135.80 |
$4,135.80 |
$3,738.90
|
|
Pr application of long arm splint
|
$334.20 |
$334.20 |
$334.20 |
$329.00
|
