|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$413.16 |
$413.16 |
$413.16 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$348.26 |
$348.26 |
$348.26 |
$231.00
|
|
Orthopantogram
|
$129.58 |
$129.58 |
$129.58 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$584.76 |
$584.76 |
$584.76 |
$420.76
|
|
Osmolality blood
|
$159.94 |
$159.94 |
$159.94 |
$67.60
|
|
Osmolality urine
|
$160.16 |
$160.16 |
$160.16 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$120.12 |
$120.12 |
$120.12 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$85.36 |
$85.36 |
$85.36 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$101.64 |
$101.64 |
$101.64 |
$263.50
|
|
Oth resp proc, group
|
$75.02 |
$75.02 |
$75.02 |
$123.05
|
|
Oth resp proc, indiv
|
$52.14 |
$52.14 |
$52.14 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$48.18 |
$48.18 |
$48.18 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$59.62 |
$59.62 |
$59.62 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$56.98 |
$56.98 |
$56.98 |
$105.00
|
|
Ot re-evaluation patient/family
|
$37.40 |
$37.40 |
$37.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$61.60 |
$61.60 |
$61.60 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$37.18 |
$37.18 |
$37.18 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$49.28 |
$49.28 |
$49.28 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$61.38 |
$61.38 |
$61.38 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$61.60 |
$61.60 |
$61.60 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$61.16 |
$61.16 |
$61.16 |
$94.25
|
|
Ovarian cystectomy 58925
|
$298.80 |
$298.80 |
$298.80 |
$5,841.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$103.07 |
$103.07 |
$103.07 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$10.15 |
$10.15 |
$10.15 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$15,365.68 |
$15,365.68 |
$15,365.68 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.91 |
$1.91 |
$1.91 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$834.27 |
$834.27 |
$834.27 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,232.76 |
$2,232.76 |
$2,232.76 |
$6,238.82
|
|
Palonosetron hcl
|
$74.45 |
$74.45 |
$74.45 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$26.73 |
$26.73 |
$26.73 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.63 |
$10.63 |
$10.63 |
$29.31
|
|
Papaverin hcl injection
|
$52.51 |
$52.51 |
$52.51 |
$77.05
|
|
Parathormone (pth) intact
|
$175.34 |
$175.34 |
$175.34 |
$204.87
|
|
Parathyroid planar imaging
|
$343.42 |
$343.42 |
$343.42 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$817.30 |
$817.30 |
$817.30 |
$1,350.60
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3.30 |
$3.30 |
$3.30 |
$4,921.76
|
|
Pdgfra gene
|
$110.00 |
$110.00 |
$110.00 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$4,066.44 |
$4,066.44 |
$4,066.44 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,645.28 |
$2,645.28 |
$2,645.28 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$2,724.64 |
$2,724.64 |
$2,724.64 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,568.05 |
$1,568.05 |
$1,568.05 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$4,067.80
|
|
Pelvic CT scan (with and without contrast)
|
$2,240.26 |
$2,240.26 |
$2,240.26 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,218.70 |
$2,218.70 |
$2,218.70 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,955.36 |
$1,955.36 |
$1,955.36 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,676.52 |
$2,676.52 |
$2,676.52 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,436.28 |
$2,436.28 |
$2,436.28 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,238.72 |
$2,238.72 |
$2,238.72 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$779.68 |
$779.68 |
$779.68 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$501.38 |
$501.38 |
$501.38 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$2,433.89 |
$2,433.89 |
$2,433.89 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$271.83 |
$271.83 |
$271.83 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$18.82 |
$18.82 |
$18.82 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$8,430.84 |
$8,430.84 |
$8,430.84 |
$18,764.94
|
|
Penile vascular study
|
$438.24 |
$438.24 |
$438.24 |
$574.60
|
|
Perc cryo ablate renal tum
|
$4,324.98 |
$4,324.98 |
$4,324.98 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$6,336.88 |
$6,336.88 |
$6,336.88 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$8,422.04 |
$8,422.04 |
$8,422.04 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$6,336.88 |
$6,336.88 |
$6,336.88 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$8,481.66 |
$8,481.66 |
$8,481.66 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$6,753.78 |
$6,753.78 |
$6,753.78 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$8,897.90 |
$8,897.90 |
$8,897.90 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$11,476.96 |
$11,476.96 |
$11,476.96 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$11,476.96 |
$11,476.96 |
$11,476.96 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$33.66 |
$33.66 |
$33.66 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,826.44 |
$1,826.44 |
$1,826.44 |
$2,251.20
|
|
Perit-vens shunt pat tst
|
$537.24 |
$537.24 |
$537.24 |
$758.37
|
|
Perq clsr tcat l atr apndge
|
$9,309.08 |
$9,309.08 |
$9,309.08 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$1,215.28 |
$1,215.28 |
$1,215.28 |
$1,837.20
|
|
Perq plmt bile duct stent
|
$3,928.98 |
$3,928.98 |
$3,928.98 |
$6,904.15
|
|
Pertuzumab 30 mg/ml desensitization
|
$3,438.45 |
$3,438.45 |
$3,438.45 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$5,633.42 |
$5,633.42 |
$5,633.42 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,205.50 |
$2,205.50 |
$2,205.50 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$1,850.42 |
$1,850.42 |
$1,850.42 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$1,909.16 |
$1,909.16 |
$1,909.16 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$10,045.20 |
$10,045.20 |
$10,045.20 |
$38,834.22
|
|
Ph body fluid
|
$107.80 |
$107.80 |
$107.80 |
$41.28
|
|
Phencyclidine (pcp)
|
$52.80 |
$52.80 |
$52.80 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$76.70 |
$76.70 |
$76.70 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$158.18 |
$158.18 |
$158.18 |
$104.50
|
|
Phentolaine mesylate inj
|
$481.11 |
$481.11 |
$481.11 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$6.30 |
$6.30 |
$6.30 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$124.52 |
$124.52 |
$124.52 |
$110.88
|
|
Phlebotomy therapeutic
|
$203.28 |
$203.28 |
$203.28 |
$231.66
|
|
Phosphorus
|
$128.26 |
$128.26 |
$128.26 |
$48.80
|
|
Phosphorus 24 hour urine
|
$128.04 |
$128.04 |
$128.04 |
$41.51
|
|
Phys blood bank serv authrj
|
$30.58 |
$30.58 |
$30.58 |
$107.67
|
|
Phys blood bank serv reactj
|
$83.82 |
$83.82 |
$83.82 |
$207.50
|
|
Phys blood bank serv xmatch
|
$20.02 |
$20.02 |
$20.02 |
$97.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$63.62 |
$63.62 |
$63.62 |
$87.50
|
|
Pik3ca gene trgt seq alys
|
$89.32 |
$89.32 |
$89.32 |
$463.20
|
|
Pin caspar distraction 12mm
|
$4,969.36 |
$4,969.36 |
$4,969.36 |
$11,925.00
|
|
Pinworm exam
|
$124.52 |
$124.52 |
$124.52 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$25.93 |
$25.93 |
$25.93 |
$83.03
|
|
Place cath xtrnl carotid
|
$8,179.38 |
$8,179.38 |
$8,179.38 |
$4,202.90
|
|
Place duod/jej tube perc
|
$762.74 |
$762.74 |
$762.74 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$123.64 |
$123.64 |
$123.64 |
$795.00
|