|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,615.28 |
$2,615.28 |
$2,615.28 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$3,785.22 |
$3,785.22 |
$3,785.22 |
$1,431.75
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$4,328.88 |
$4,328.88 |
$4,328.88 |
$1,774.30
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,117.01 |
$2,117.01 |
$2,117.01 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,130.16 |
$1,130.16 |
$1,130.16 |
$1,186.03
|
|
Nsl/sins ndsc surg max sins
|
$14,347.32 |
$14,347.32 |
$14,347.32 |
$7,668.85
|
|
Nuclear Stress Test (Heart)
|
$5,490.15 |
$5,490.15 |
$5,490.15 |
$3,921.45
|
|
Nushield 1 square cm
|
$7,847.98 |
$7,847.98 |
$7,847.98 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$1,117.92 |
$1,117.92 |
$1,117.92 |
$420.00
|
|
Observation per hour
|
$141.27 |
$141.27 |
$141.27 |
$83.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$70.66
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,649.37 |
$1,649.37 |
$1,649.37 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$120.17
|
|
Oncoprotein dcp
|
$99.45 |
$99.45 |
$99.45 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$35.24 |
$35.24 |
$35.24 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$30.15
|
|
Ophthalmic mitomycin
|
$1,269.22 |
$1,269.22 |
$1,269.22 |
$1,269.22
|
|
Opn tx orbit fx without impl 21406
|
$10,870.14 |
$10,870.14 |
$10,870.14 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$8,453.60
|
|
Optx lunate dislocation
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,907.11
|
|
Optx medial ankle fx
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$10,870.14 |
$10,870.14 |
$10,870.14 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$26,561.82 |
$26,561.82 |
$26,561.82 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,913.97
|
|
Oral aprepitant
|
$271.60 |
$271.60 |
$271.60 |
$413.91
|
|
Orchiopexy ingun/scrot appr
|
$7,210.38 |
$7,210.38 |
$7,210.38 |
$4,176.15
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$96.11 |
$96.11 |
$96.11 |
$56.42
|
|
Orthosis lso rigd frm hyperex
|
$1,419.84 |
$1,419.84 |
$1,419.84 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$295.29 |
$295.29 |
$295.29 |
$221.34
|
|
Osmolality blood
|
$267.75 |
$267.75 |
$267.75 |
$67.60
|
|
Osmolality urine
|
$267.75 |
$267.75 |
$267.75 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$522.24 |
$522.24 |
$522.24 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$262.14 |
$262.14 |
$262.14 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$392.70 |
$392.70 |
$392.70 |
$270.58
|
|
Oth resp proc, group
|
$1,577.43 |
$1,577.43 |
$1,577.43 |
$137.05
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$707.37 |
$707.37 |
$707.37 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$138.72 |
$138.72 |
$138.72 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$162.69 |
$162.69 |
$162.69 |
$107.32
|
|
Ot re-evaluation patient/family
|
$290.19 |
$290.19 |
$290.19 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$201.45 |
$201.45 |
$201.45 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$263.16 |
$263.16 |
$263.16 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$315.69 |
$315.69 |
$315.69 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$150.96 |
$150.96 |
$150.96 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$121.89 |
$121.89 |
$121.89 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$156.57 |
$156.57 |
$156.57 |
$93.75
|
|
Oxytocin 10 unit/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$73,929.60 |
$73,929.60 |
$73,929.60 |
$44,654.40
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$177.43 |
$177.43 |
$177.43 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$35.43
|
|
Papaverin hcl injection
|
$84.15 |
$84.15 |
$84.15 |
$83.77
|
|
Parathormone (pth) intact
|
$354.96 |
$354.96 |
$354.96 |
$200.23
|
|
Parathyroid planar imaging
|
$1,961.46 |
$1,961.46 |
$1,961.46 |
$1,166.00
|
|
Paricalcitol
|
$84.15 |
$84.15 |
$84.15 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$365.67 |
$365.67 |
$365.67 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$258.57 |
$258.57 |
$258.57 |
$3,762.53
|
|
Partial removal finger bone
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,021.04
|
|
Partial removal finger bone
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,211.05
|
|
Partial removal of toe
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,798.87 |
$6,798.87 |
$6,798.87 |
$4,418.35
|
|
Passy muir valve metal trach
|
$466.79 |
$466.79 |
$466.79 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$2,436.20
|
|
Pelvic CT scan (with and without contrast)
|
$5,850.72 |
$5,850.72 |
$5,850.72 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,982.70 |
$4,982.70 |
$4,982.70 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$4,452.30 |
$4,452.30 |
$4,452.30 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$8,809.23 |
$8,809.23 |
$8,809.23 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$3,901.50 |
$3,901.50 |
$3,901.50 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,227.68 |
$2,227.68 |
$2,227.68 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,560.09 |
$1,560.09 |
$1,560.09 |
$445.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$581.06 |
$581.06 |
$581.06 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$95.07 |
$95.07 |
$95.07 |
$90.35
|
|
Penile injection
|
$564.06 |
$564.06 |
$564.06 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$31,177.60 |
$31,177.60 |
$31,177.60 |
$19,815.11
|
|
Perc d-e cor revasc t cabg s
|
$41,134.56 |
$41,134.56 |
$41,134.56 |
$17,162.50
|
|
Perc d-e cor stent ather s
|
$41,134.56 |
$41,134.56 |
$41,134.56 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$41,134.56 |
$41,134.56 |
$41,134.56 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$37,021.41 |
$37,021.41 |
$37,021.41 |
$16,846.20
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,405.67 |
$2,405.67 |
$2,405.67 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,012.57 |
$3,012.57 |
$3,012.57 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$5,718.12 |
$5,718.12 |
$5,718.12 |
$2,013.60
|
|
Perq dev breast 1st strtctc
|
$4,794.51 |
$4,794.51 |
$4,794.51 |
$1,548.60
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$435.54 |
$435.54 |
$435.54 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,839.54
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$245.77 |
$245.77 |
$245.77 |
$113.84
|
|
Pfc sigma fem post aug sz3 8mm
|
$81,583.93 |
$81,583.93 |
$81,583.93 |
$33,990.40
|
|
Ph body fluid
|
$111.69 |
$111.69 |
$111.69 |
$39.20
|
|
Phencyclidine (pcp)
|
$51.00 |
$51.00 |
$51.00 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$129.01 |
$129.01 |
$129.01 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$236.13 |
$236.13 |
$236.13 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,402.21 |
$1,402.21 |
$1,402.21 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$94.39 |
$94.39 |
$94.39 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$266.73 |
$266.73 |
$266.73 |
$111.27
|
|
Phlebotomy therapeutic
|
$235.11 |
$235.11 |
$235.11 |
$249.00
|
|
Phosphorus
|
$130.56 |
$130.56 |
$130.56 |
$47.81
|
|
Phosphorus 24 hour urine
|
$17.85 |
$17.85 |
$17.85 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$128.32 |
$128.32 |
$128.32 |
$92.07
|
|
Pin caspar distraction 12mm
|
$15,798.58 |
$15,798.58 |
$15,798.58 |
$10,255.29
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$1,016.25
|
|
Pin finger fracture each
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,910.33
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$84.15 |
$84.15 |
$84.15 |
$101.60
|