|
Npm1 gene
|
$430.95 |
$430.95 |
$430.95 |
$493.60
|
|
Nras gene variants exon 2&3
|
$514.80 |
$514.80 |
$514.80 |
$590.26
|
|
Obstetrics panel
|
$245.05 |
$245.05 |
$245.05 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$23.02 |
$23.02 |
$23.02 |
$59.15
|
|
Olanzapine 10 mg intramuscular solution
|
$121.93 |
$121.93 |
$121.93 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Open bx/exc inguinofem nodes
|
$1,229.80 |
$1,229.80 |
$1,229.80 |
$2,152.00
|
|
Organic acids total quant ea spec
|
$188.50 |
$188.50 |
$188.50 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$48.16 |
$48.16 |
$48.16 |
$40.92
|
|
Osmolality blood
|
$40.95 |
$40.95 |
$40.95 |
$57.00
|
|
Osmolality urine
|
$42.90 |
$42.90 |
$42.90 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$572.65 |
$572.65 |
$572.65 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$523.25 |
$523.25 |
$523.25 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$544.05 |
$544.05 |
$544.05 |
$249.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$59.80 |
$59.80 |
$59.80 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$70.85 |
$70.85 |
$70.85 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$63.70 |
$63.70 |
$63.70 |
$105.50
|
|
Ot re-evaluation patient/family
|
$457.60 |
$457.60 |
$457.60 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$68.25 |
$68.25 |
$68.25 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$20.80 |
$20.80 |
$20.80 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$65.65 |
$65.65 |
$65.65 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$98.15 |
$98.15 |
$98.15 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$70.20 |
$70.20 |
$70.20 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$71.50 |
$71.50 |
$71.50 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$34.89 |
$34.89 |
$34.89 |
$26.95
|
|
Oxytocin 10 unit/ml injection solution
|
$30.87 |
$30.87 |
$30.87 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$9.26 |
$9.26 |
$9.26 |
$18.49
|
|
Parathormone (pth) intact
|
$195.00 |
$195.00 |
$195.00 |
$204.00
|
|
Partial removal finger bone
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$2,211.05
|
|
Pdgfra gene
|
$497.90 |
$497.90 |
$497.90 |
$717.23
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,216.80
|
|
Pelvic CT scan (with and without contrast)
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,552.85 |
$1,552.85 |
$1,552.85 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$1,290.90
|
|
Pelvic Ultrasound (complete)
|
$508.30 |
$508.30 |
$508.30 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$347.10 |
$347.10 |
$347.10 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$626.67 |
$626.67 |
$626.67 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$39.21 |
$39.21 |
$39.21 |
$53.75
|
|
Ph body fluid
|
$35.75 |
$35.75 |
$35.75 |
$35.75
|
|
Phencyclidine (pcp)
|
$74.75 |
$74.75 |
$74.75 |
$74.40
|
|
Phenobarbital therapeutic drug level
|
$106.60 |
$106.60 |
$106.60 |
$97.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$28.92
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$98.80 |
$98.80 |
$98.80 |
$100.75
|
|
Phlebotomy therapeutic
|
$134.55 |
$134.55 |
$134.55 |
$240.24
|
|
Phosphorus
|
$37.05 |
$37.05 |
$37.05 |
$42.37
|
|
Phosphorus 24 hour urine
|
$42.25 |
$42.25 |
$42.25 |
$41.51
|
|
Phys blood bank serv reactj
|
$78.65 |
$78.65 |
$78.65 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$39.62 |
$39.62 |
$39.62 |
$75.04
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$616.20 |
$616.20 |
$616.20 |
$1,016.25
|
|
Pinworm exam
|
$24.70 |
$24.70 |
$24.70 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$20.07 |
$20.07 |
$20.07 |
$51.80
|
|
Plasma cryoprecipitate reduced each unit
|
$133.90 |
$133.90 |
$133.90 |
$160.55
|
|
Platelet aggregation each agent teg
|
$152.10 |
$152.10 |
$152.10 |
$145.60
|
|
Platelet automated
|
$59.80 |
$59.80 |
$59.80 |
$33.60
|
|
Platelet pheresis each unit
|
$943.15 |
$943.15 |
$943.15 |
$943.15
|
|
Platelet pheresis irr ea
|
$891.15 |
$891.15 |
$891.15 |
$991.80
|
|
Platelets each unit
|
$187.20 |
$187.20 |
$187.20 |
$187.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,532.70 |
$1,532.70 |
$1,532.70 |
$1,532.70
|
|
Platelets irradiated ea unit
|
$215.80 |
$215.80 |
$215.80 |
$215.80
|
|
Platelets leukocytes reduced each unit
|
$280.15 |
$280.15 |
$280.15 |
$274.95
|
|
Platelets leukocytes reduced irradiated each unit
|
$334.10 |
$334.10 |
$334.10 |
$334.10
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$1,146.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,256.45 |
$1,256.45 |
$1,256.45 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,278.55 |
$1,278.55 |
$1,278.55 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
$1,046.50
|
|
#pnh-flow cytometry interp
|
$85.80 |
$85.80 |
$85.80 |
$154.14
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,412.50 |
$3,412.50 |
$3,412.50 |
$4,313.58
|
|
Potassium 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$37.50 |
$37.50 |
$37.50 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$44.20 |
$44.20 |
$44.20 |
$40.00
|
|
Pr application of long arm splint
|
$247.65 |
$247.65 |
$247.65 |
$320.00
|
|
Pr application splint static short arm
|
$163.80 |
$163.80 |
$163.80 |
$277.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$35.75 |
$35.75 |
$35.75 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$219.70 |
$219.70 |
$219.70 |
$350.98
|
|
Prealbumin
|
$87.10 |
$87.10 |
$87.10 |
$80.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Prednisone 1 mg tablet
|
$6.55 |
$6.55 |
$6.55 |
$4.87
|
|
Pregabalin - sendout
|
$130.00 |
$130.00 |
$130.00 |
$64.80
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$605.80 |
$605.80 |
$605.80 |
$2,492.25
|
|
Pregnancy associated plasma protein-a
|
$70.85 |
$70.85 |
$70.85 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$412.75 |
$412.75 |
$412.75 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$486.85 |
$486.85 |
$486.85 |
$539.37
|
|
Prep skin to 100cm2 other
|
$680.55 |
$680.55 |
$680.55 |
$1,144.00
|
|
Prep skin to 100cm2 trk/ext
|
$727.35 |
$727.35 |
$727.35 |
$1,862.64
|
|
Pressure max expiratory/inspiratory
|
$100.75 |
$100.75 |
$100.75 |
$260.25
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$99.45 |
$99.45 |
$99.45 |
$140.01
|
|
Pretreat rbc absorption reference
|
$137.80 |
$137.80 |
$137.80 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$161.85 |
$161.85 |
$161.85 |
$178.20
|
|
Pretreat rbc w chem/drugs reference
|
$54.60 |
$54.60 |
$54.60 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$152.10 |
$152.10 |
$152.10 |
$170.31
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$183.30 |
$183.30 |
$183.30 |
$1,794.93
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$448.50 |
$448.50 |
$448.50 |
$2,184.60
|
|
Pr hospital ip/obs care initial moderate level per day
|
$215.80 |
$215.80 |
$215.80 |
$266.50
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$156.00 |
$156.00 |
$156.00 |
$182.00
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$117.65 |
$117.65 |
$117.65 |
$145.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$73.45 |
$73.45 |
$73.45 |
$81.90
|
|
Pr incision & drainage abscess complicated/multiple
|
$409.50 |
$409.50 |
$409.50 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$217.75 |
$217.75 |
$217.75 |
$437.53
|