|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$77.76 |
$77.76 |
$77.76 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$84.96 |
$84.96 |
$84.96 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$97.44 |
$97.44 |
$97.44 |
$107.32
|
|
Ot re-evaluation patient/family
|
$191.52 |
$191.52 |
$191.52 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$90.72 |
$90.72 |
$90.72 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$79.68 |
$79.68 |
$79.68 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$79.68 |
$79.68 |
$79.68 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$94.08 |
$94.08 |
$94.08 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$105.12 |
$105.12 |
$105.12 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$88.80 |
$88.80 |
$88.80 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$214.78 |
$214.78 |
$214.78 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$55,872.00 |
$55,872.00 |
$55,872.00 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$222.09 |
$222.09 |
$222.09 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,189.80 |
$2,189.80 |
$2,189.80 |
$3,656.90
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,347.74 |
$4,347.74 |
$4,347.74 |
$5,156.88
|
|
Palonosetron hcl
|
$407.40 |
$407.40 |
$407.40 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$139.98 |
$139.98 |
$139.98 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$35.43
|
|
Papaverin hcl injection
|
$154.86 |
$154.86 |
$154.86 |
$83.77
|
|
Parathormone (pth) intact
|
$83.59 |
$83.59 |
$83.59 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,511.04 |
$1,511.04 |
$1,511.04 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,217.28 |
$1,217.28 |
$1,217.28 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,511.04 |
$1,511.04 |
$1,511.04 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$918.72 |
$918.72 |
$918.72 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$4,107.36 |
$4,107.36 |
$4,107.36 |
$3,762.53
|
|
Partial removal finger bone
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$2,021.04
|
|
Partial removal finger bone
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$2,211.05
|
|
Partial removal of toe
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,428.77 |
$5,428.77 |
$5,428.77 |
$4,418.35
|
|
Passy muir valve metal trach
|
$329.24 |
$329.24 |
$329.24 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$2,692.80 |
$2,692.80 |
$2,692.80 |
$2,436.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,961.32 |
$5,961.32 |
$5,961.32 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,356.03 |
$2,356.03 |
$2,356.03 |
$7,531.80
|
|
Pelvic CT scan (with and without contrast)
|
$1,887.84 |
$1,887.84 |
$1,887.84 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,572.96 |
$1,572.96 |
$1,572.96 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,441.44 |
$1,441.44 |
$1,441.44 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$6,444.96 |
$6,444.96 |
$6,444.96 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,071.52 |
$3,071.52 |
$3,071.52 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,909.28 |
$2,909.28 |
$2,909.28 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$831.36 |
$831.36 |
$831.36 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$217.44 |
$217.44 |
$217.44 |
$445.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,605.03 |
$5,605.03 |
$5,605.03 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$568.42 |
$568.42 |
$568.42 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$190.17 |
$190.17 |
$190.17 |
$90.35
|
|
Penile injection
|
$732.00 |
$732.00 |
$732.00 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$23,726.69 |
$23,726.69 |
$23,726.69 |
$19,815.11
|
|
Penile vascular study
|
$225.60 |
$225.60 |
$225.60 |
$561.00
|
|
Penile vascular study
|
$229.92 |
$229.92 |
$229.92 |
$460.20
|
|
Pentobarbital sodium inj
|
$2,958.72 |
$2,958.72 |
$2,958.72 |
$185.00
|
|
Perc cryo ablate renal tum
|
$20,419.68 |
$20,419.68 |
$20,419.68 |
$12,320.22
|
|
Perc d-e cor revasc chro sin
|
$9,551.04 |
$9,551.04 |
$9,551.04 |
$21,249.26
|
|
Perc d-e cor revasc t cabg s
|
$9,551.04 |
$9,551.04 |
$9,551.04 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$9,551.04 |
$9,551.04 |
$9,551.04 |
$11,957.60
|
|
Perc d-e cor stent ather s
|
$9,551.04 |
$9,551.04 |
$9,551.04 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$7,896.96 |
$7,896.96 |
$7,896.96 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$7,896.96 |
$7,896.96 |
$7,896.96 |
$16,846.20
|
|
Percut ablate liver rf
|
$10,285.44 |
$10,285.44 |
$10,285.44 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$153.36 |
$153.36 |
$153.36 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,156.32 |
$1,156.32 |
$1,156.32 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,108.32 |
$1,108.32 |
$1,108.32 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$4,013.28 |
$4,013.28 |
$4,013.28 |
$2,013.60
|
|
Peripheral vascular rehab
|
$76.32 |
$76.32 |
$76.32 |
$128.69
|
|
Peri-proc device eval icd
|
$66.24 |
$66.24 |
$66.24 |
$220.35
|
|
Peri-proc device eval pm
|
$53.76 |
$53.76 |
$53.76 |
$195.80
|
|
Peritoneogram rs&i
|
$1,500.96 |
$1,500.96 |
$1,500.96 |
$648.84
|
|
Perq art m-thrombect &/nfs
|
$6,597.60 |
$6,597.60 |
$6,597.60 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$5,121.60 |
$5,121.60 |
$5,121.60 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$2,001.12 |
$2,001.12 |
$2,001.12 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$2,223.84 |
$2,223.84 |
$2,223.84 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$11,294.88 |
$11,294.88 |
$11,294.88 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$12,989.28 |
$12,989.28 |
$12,989.28 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$12,989.28 |
$12,989.28 |
$12,989.28 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,286.40 |
$1,286.40 |
$1,286.40 |
$625.93
|
|
Perq transcath cls aortic
|
$21,953.76 |
$21,953.76 |
$21,953.76 |
$22,633.26
|
|
Perq tx big toe fracture w/manip 28496
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$8,143.67 |
$8,143.67 |
$8,143.67 |
$15,007.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$150.35 |
$150.35 |
$150.35 |
$113.84
|
|
Pet CT skull-mid thgh initial
|
$4,570.08 |
$4,570.08 |
$4,570.08 |
$4,854.75
|
|
Pet CT whole body initial
|
$5,439.36 |
$5,439.36 |
$5,439.36 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$3,517.92 |
$3,517.92 |
$3,517.92 |
$3,559.05
|
|
Pet image full body
|
$4,508.16 |
$4,508.16 |
$4,508.16 |
$4,795.47
|
|
Pet image ltd area
|
$3,727.20 |
$3,727.20 |
$3,727.20 |
$2,519.20
|
|
Pet image skull-thigh
|
$4,021.92 |
$4,021.92 |
$4,021.92 |
$4,247.10
|
|
Pet image w/ct lmtd
|
$3,772.80 |
$3,772.80 |
$3,772.80 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$61,223.82 |
$61,223.82 |
$61,223.82 |
$33,990.40
|
|
Pharmacologic management w/psytx
|
$103.68 |
$103.68 |
$103.68 |
$93.00
|
|
Ph body fluid
|
$59.04 |
$59.04 |
$59.04 |
$39.20
|
|
Phencyclidine (pcp)
|
$48.00 |
$48.00 |
$48.00 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$88.86 |
$88.86 |
$88.86 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$59.04 |
$59.04 |
$59.04 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,434.01 |
$1,434.01 |
$1,434.01 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$116.24 |
$116.24 |
$116.24 |
$57.09
|
|
Phenytoin total therapeutic drug level
|
$59.04 |
$59.04 |
$59.04 |
$111.27
|
|
Phlebotomy therapeutic
|
$158.88 |
$158.88 |
$158.88 |
$249.00
|
|
Phosphorus
|
$59.04 |
$59.04 |
$59.04 |
$47.81
|
|
Phosphorus 24 hour urine
|
$61.92 |
$61.92 |
$61.92 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$89.29 |
$89.29 |
$89.29 |
$92.07
|
|
Pin caspar distraction 12mm
|
$11,640.00 |
$11,640.00 |
$11,640.00 |
$11,580.00
|