|
Optx ulnar styloid fracture
|
$428.40 |
$428.40 |
$428.40 |
$4,627.00
|
|
Organic acids total quant ea spec
|
$17.68 |
$17.68 |
$17.68 |
$151.36
|
|
Orthovisc inj per dose
|
$101.32 |
$101.32 |
$101.32 |
$537.58
|
|
Osmolality blood
|
$65.88 |
$65.88 |
$65.88 |
$67.60
|
|
Osmolality urine
|
$66.06 |
$66.06 |
$66.06 |
$65.00
|
|
Osteochondral knee allograft
|
$911.88 |
$911.88 |
$911.88 |
$10,629.07
|
|
Osteot humerus w/wo int fixj
|
$558.18 |
$558.18 |
$558.18 |
$7,807.24
|
|
Ot evaluation high complexity patient/family
|
$205.02 |
$205.02 |
$205.02 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$185.40 |
$185.40 |
$185.40 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$190.80 |
$190.80 |
$190.80 |
$263.50
|
|
Oth resp proc, group
|
$31.32 |
$31.32 |
$31.32 |
$123.05
|
|
Oth resp proc, indiv
|
$31.32 |
$31.32 |
$31.32 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$67.50 |
$67.50 |
$67.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$70.20 |
$70.20 |
$70.20 |
$105.00
|
|
Ot re-evaluation patient/family
|
$104.22 |
$104.22 |
$104.22 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$72.18 |
$72.18 |
$72.18 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$74.88 |
$74.88 |
$74.88 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$74.88 |
$74.88 |
$74.88 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$64.62 |
$64.62 |
$64.62 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$67.86 |
$67.86 |
$67.86 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$58.14 |
$58.14 |
$58.14 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$13.32 |
$13.32 |
$13.32 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$58.46 |
$58.46 |
$58.46 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$9.96 |
$9.96 |
$9.96 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$18,495.00 |
$18,495.00 |
$18,495.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$56.39 |
$56.39 |
$56.39 |
$216.00
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,338.56 |
$2,338.56 |
$2,338.56 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$806.16 |
$806.16 |
$806.16 |
$5,569.20
|
|
Palonosetron hcl
|
$124.74 |
$124.74 |
$124.74 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$34.21 |
$34.21 |
$34.21 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$13.29 |
$13.29 |
$13.29 |
$29.31
|
|
Papaverin hcl injection
|
$16.20 |
$16.20 |
$16.20 |
$77.05
|
|
Parathormone (pth) intact
|
$167.94 |
$167.94 |
$167.94 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$638.64 |
$638.64 |
$638.64 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,030.86 |
$1,030.86 |
$1,030.86 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$594.54 |
$594.54 |
$594.54 |
$1,350.60
|
|
Paricalcitol
|
$21.73 |
$21.73 |
$21.73 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$102.06 |
$102.06 |
$102.06 |
$245.00
|
|
Partial exc bone humerus
|
$476.46 |
$476.46 |
$476.46 |
$3,839.54
|
|
Partial hip replacement
|
$750.96 |
$750.96 |
$750.96 |
$3,874.00
|
|
Partial removal leg bone(s)
|
$608.94 |
$608.94 |
$608.94 |
$4,315.20
|
|
Part removal hip bone deep
|
$651.42 |
$651.42 |
$651.42 |
$2,229.48
|
|
Passy muir valve metal trach
|
$338.76 |
$338.76 |
$338.76 |
$275.75
|
|
Path clin consltj sf 5-20
|
$25.02 |
$25.02 |
$25.02 |
$97.14
|
|
Pegaspargase injection
|
$7,342.72 |
$7,342.72 |
$7,342.72 |
$39,780.27
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,469.62 |
$1,469.62 |
$1,469.62 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$6,698.66 |
$6,698.66 |
$6,698.66 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,669.14 |
$1,669.14 |
$1,669.14 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,517.22 |
$1,517.22 |
$1,517.22 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,213.74 |
$1,213.74 |
$1,213.74 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,985.58 |
$1,985.58 |
$1,985.58 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,805.40 |
$1,805.40 |
$1,805.40 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,510.92 |
$1,510.92 |
$1,510.92 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$538.56 |
$538.56 |
$538.56 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$280.44 |
$280.44 |
$280.44 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$1,952.64 |
$1,952.64 |
$1,952.64 |
$12,385.22
|
|
Peng benzathine/procaine inj
|
$44.26 |
$44.26 |
$44.26 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,249.57 |
$1,249.57 |
$1,249.57 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$32.40 |
$32.40 |
$32.40 |
$101.34
|
|
Penicillin g procaine inj
|
$25.20 |
$25.20 |
$25.20 |
$147.96
|
|
Penile injection
|
$164.70 |
$164.70 |
$164.70 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$8,866.80 |
$8,866.80 |
$8,866.80 |
$18,764.94
|
|
Penile vascular study
|
$357.12 |
$357.12 |
$357.12 |
$576.40
|
|
Penile vascular study
|
$304.92 |
$304.92 |
$304.92 |
$574.60
|
|
Pentamidine 300 mg solution for injection
|
$32.34 |
$32.34 |
$32.34 |
$453.61
|
|
Pentazocine injection
|
$13.14 |
$13.14 |
$13.14 |
$128.80
|
|
Perc d-e cor revasc chro add
|
$5,225.04 |
$5,225.04 |
$5,225.04 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$9,790.20 |
$9,790.20 |
$9,790.20 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$5,475.60 |
$5,475.60 |
$5,475.60 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$11,216.88 |
$11,216.88 |
$11,216.88 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$5,225.04 |
$5,225.04 |
$5,225.04 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$7,935.12 |
$7,935.12 |
$7,935.12 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$5,225.04 |
$5,225.04 |
$5,225.04 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$8,723.16 |
$8,723.16 |
$8,723.16 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,126.88 |
$2,126.88 |
$2,126.88 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,968.74 |
$2,968.74 |
$2,968.74 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$151.20 |
$151.20 |
$151.20 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,000.08 |
$1,000.08 |
$1,000.08 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$1,799.82 |
$1,799.82 |
$1,799.82 |
$2,251.20
|
|
Peri-proc device eval pm
|
$74.88 |
$74.88 |
$74.88 |
$159.90
|
|
Perphenazine injeciton
|
$8.82 |
$8.82 |
$8.82 |
$8.82
|
|
Perq art m-thrombect &/nfs
|
$657.72 |
$657.72 |
$657.72 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$20,284.74 |
$20,284.74 |
$20,284.74 |
$9,509.53
|
|
Perq plmt bile duct stent
|
$8,312.58 |
$8,312.58 |
$8,312.58 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$5,325.66 |
$5,325.66 |
$5,325.66 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$5,043.78 |
$5,043.78 |
$5,043.78 |
$6,904.15
|
|
Perq skel fix rad/uln dislc
|
$370.98 |
$370.98 |
$370.98 |
$3,821.05
|
|
Pertussis ag if
|
$12.24 |
$12.24 |
$12.24 |
$69.05
|
|
Pet CT skull-mid thgh initial
|
$3,517.38 |
$3,517.38 |
$3,517.38 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,031.38 |
$3,031.38 |
$3,031.38 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,154.32 |
$3,154.32 |
$3,154.32 |
$4,060.00
|
|
Pet image full body
|
$2,638.08 |
$2,638.08 |
$2,638.08 |
$5,070.50
|
|
Pet image ltd area
|
$2,327.58 |
$2,327.58 |
$2,327.58 |
$3,677.40
|
|
Pet image skull-thigh
|
$2,483.28 |
$2,483.28 |
$2,483.28 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$3,721.68 |
$3,721.68 |
$3,721.68 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$27,942.30 |
$27,942.30 |
$27,942.30 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$10.62 |
$10.62 |
$10.62 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$14.76 |
$14.76 |
$14.76 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$5.40 |
$5.40 |
$5.40 |
$33.30
|
