|
Opn tx orbit fx without impl 21406
|
$11,973.78 |
$11,973.78 |
$11,973.78 |
$6,430.79
|
|
Optx clavicular fx w/int fix
|
$12,898.86 |
$12,898.86 |
$12,898.86 |
$7,907.11
|
|
Optx lunate dislocation
|
$12,898.86 |
$12,898.86 |
$12,898.86 |
$5,855.00
|
|
Optx medial ankle fx
|
$12,898.86 |
$12,898.86 |
$12,898.86 |
$5,741.00
|
|
Optx mndblr/max alv ridge fx
|
$11,973.78 |
$11,973.78 |
$11,973.78 |
$5,110.00
|
|
Optx prox humrl fx w/int fix
|
$29,260.14 |
$29,260.14 |
$29,260.14 |
$9,932.80
|
|
Optx ulnar shft fx int fixj
|
$12,898.86 |
$12,898.86 |
$12,898.86 |
$7,324.91
|
|
Orchiopexy ingun/scrot appr
|
$7,942.74 |
$7,942.74 |
$7,942.74 |
$3,986.00
|
|
Organic acids total quant ea spec
|
$234.78 |
$234.78 |
$234.78 |
$150.70
|
|
Osmolality blood
|
$164.58 |
$164.58 |
$164.58 |
$64.20
|
|
Osmolality urine
|
$166.92 |
$166.92 |
$166.92 |
$63.00
|
|
Ot evaluation high complexity patient/family
|
$599.04 |
$599.04 |
$599.04 |
$299.40
|
|
Ot evaluation low complexity patient/family
|
$416.52 |
$416.52 |
$416.52 |
$235.95
|
|
Ot evaluation moderate complexity patient/family
|
$498.42 |
$498.42 |
$498.42 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$151.32 |
$151.32 |
$151.32 |
$102.30
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$176.28 |
$176.28 |
$176.28 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$172.38 |
$172.38 |
$172.38 |
$108.80
|
|
Ot re-evaluation patient/family
|
$255.84 |
$255.84 |
$255.84 |
$169.65
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$164.58 |
$164.58 |
$164.58 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$150.54 |
$150.54 |
$150.54 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$150.54 |
$150.54 |
$150.54 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$169.26 |
$169.26 |
$169.26 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$169.26 |
$169.26 |
$169.26 |
$100.08
|
|
Ot training self care/home management direct contact each 15 minutes
|
$173.94 |
$173.94 |
$173.94 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$50.70 |
$50.70 |
$50.70 |
$43.65
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$50.70 |
$50.70 |
$50.70 |
$30.80
|
|
Parathormone (pth) intact
|
$330.72 |
$330.72 |
$330.72 |
$196.95
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$351.78 |
$351.78 |
$351.78 |
$257.50
|
|
Part hymenectomy/revi hymenal ring 56700
|
$6,340.62 |
$6,340.62 |
$6,340.62 |
$3,522.35
|
|
Partial removal finger bone
|
$2,797.08 |
$2,797.08 |
$2,797.08 |
$1,893.86
|
|
Partial removal finger bone
|
$2,797.08 |
$2,797.08 |
$2,797.08 |
$2,134.33
|
|
Partial removal of toe
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,402.43
|
|
Pedicle enel/ntroral 15576
|
$3,870.36 |
$3,870.36 |
$3,870.36 |
$2,255.76
|
|
Pelvic CT scan (with contrast)
|
$3,059.16 |
$3,059.16 |
$3,059.16 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,331.42 |
$2,331.42 |
$2,331.42 |
$1,316.71
|
|
Pelvic Ultrasound (complete)
|
$1,106.04 |
$1,106.04 |
$1,106.04 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$769.08 |
$769.08 |
$769.08 |
$438.10
|
|
Peng benzathine/procaine inj
|
$1,260.04 |
$1,260.04 |
$1,260.04 |
$192.51
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$956.67 |
$956.67 |
$956.67 |
$576.19
|
|
Penile injection
|
$418.86 |
$418.86 |
$418.86 |
$403.80
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
$2,522.88
|
|
Pericardiotomy/clot/for bod remove 33020
|
$3,584.10 |
$3,584.10 |
$3,584.10 |
$1,898.40
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$859.56 |
$859.56 |
$859.56 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,786.00
|
|
Ph body fluid
|
$87.36 |
$87.36 |
$87.36 |
$37.00
|
|
Phencyclidine (pcp)
|
$165.36 |
$165.36 |
$165.36 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$144.39 |
$144.39 |
$144.39 |
$128.80
|
|
Phentolaine mesylate inj
|
$1,426.18 |
$1,426.18 |
$1,426.18 |
$881.36
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$50.70 |
$50.70 |
$50.70 |
$21.17
|
|
Phenytoin total therapeutic drug level
|
$141.18 |
$141.18 |
$141.18 |
$109.20
|
|
Phlebotomy therapeutic
|
$519.48 |
$519.48 |
$519.48 |
$240.50
|
|
Phosphorus
|
$61.62 |
$61.62 |
$61.62 |
$47.00
|
|
Phosphorus 24 hour urine
|
$5.46 |
$5.46 |
$5.46 |
$42.35
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$140.83 |
$140.83 |
$140.83 |
$82.00
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,132.56 |
$1,132.56 |
$1,132.56 |
$1,016.25
|
|
Pin finger fracture each
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,839.54
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$50.70 |
$50.70 |
$50.70 |
$91.95
|
|
Place gastrostomy tube perc
|
$3,396.12 |
$3,396.12 |
$3,396.12 |
$2,289.60
|
|
Placement of seton
|
$5,010.72 |
$5,010.72 |
$5,010.72 |
$3,245.23
|
|
Platelet aggregation each agent teg
|
$94.38 |
$94.38 |
$94.38 |
$146.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$178.62 |
$178.62 |
$178.62 |
$161.25
|
|
Potassium 24 hour urine
|
$5.46 |
$5.46 |
$5.46 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$214.50 |
$214.50 |
$214.50 |
$64.50
|
|
Potassium serum/plasma/whole blood
|
$140.40 |
$140.40 |
$140.40 |
$44.20
|
|
Pq thr inj ext pse
|
$1,297.14 |
$1,297.14 |
$1,297.14 |
$861.67
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$6,675.24 |
$6,675.24 |
$6,675.24 |
$4,499.12
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,675.24 |
$6,675.24 |
$6,675.24 |
$4,582.03
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$6,133.92 |
$6,133.92 |
$6,133.92 |
$3,594.44
|
|
Pr application of long arm splint
|
$615.42 |
$615.42 |
$615.42 |
$328.78
|
|
Pr application splint static short arm
|
$608.40 |
$608.40 |
$608.40 |
$297.00
|
|
Pr biopsy skin punch single lesion
|
$741.00 |
$741.00 |
$741.00 |
$470.51
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
$2,479.73
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$465.66 |
$465.66 |
$465.66 |
$350.98
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$312.78 |
$312.78 |
$312.78 |
$148.00
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$390.78 |
$390.78 |
$390.78 |
$209.60
|
|
Prealbumin
|
$122.46 |
$122.46 |
$122.46 |
$85.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$24.96 |
$24.96 |
$24.96 |
$19.40
|
|
Prednisone 1 mg tablet
|
$24.96 |
$24.96 |
$24.96 |
$3.84
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$3,396.12 |
$3,396.12 |
$3,396.12 |
$2,361.00
|
|
Pregnancy associated plasma protein-a
|
$123.24 |
$123.24 |
$123.24 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,005.42 |
$1,005.42 |
$1,005.42 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$904.80 |
$904.80 |
$904.80 |
$542.33
|
|
Prep skin to 100cm2 other
|
$1,302.60 |
$1,302.60 |
$1,302.60 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,870.36 |
$3,870.36 |
$3,870.36 |
$1,951.80
|
|
Prep skn trk/ext adl 100cm2
|
$1,935.18 |
$1,935.18 |
$1,935.18 |
$811.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,430.52 |
$1,430.52 |
$1,430.52 |
$1,793.38
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,852.50 |
$1,852.50 |
$1,852.50 |
$2,211.50
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$955.50 |
$955.50 |
$955.50 |
$779.35
|
|
Pr hospital ip/obs care initial high level per day
|
$683.28 |
$683.28 |
$683.28 |
$362.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$557.70 |
$557.70 |
$557.70 |
$261.00
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$414.96 |
$414.96 |
$414.96 |
$181.60
|
|
Pr hospital ip/obs care subsequent high level per day
|
$379.86 |
$379.86 |
$379.86 |
$212.04
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$280.02 |
$280.02 |
$280.02 |
$145.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$196.56 |
$196.56 |
$196.56 |
$78.60
|
|
Pr incision & drainage abscess complicated/multiple
|
$865.02 |
$865.02 |
$865.02 |
$625.95
|
|
Pr incision & drainage abscess simple/single
|
$3,249.48 |
$3,249.48 |
$3,249.48 |
$437.53
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,106.82 |
$1,106.82 |
$1,106.82 |
$586.40
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$653.64 |
$653.64 |
$653.64 |
$589.80
|