|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$34.32 |
$34.32 |
$34.32 |
$67.80
|
|
Oxytocin 10 unit/ml injection solution
|
$33.79 |
$33.79 |
$33.79 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$34,860.00 |
$34,860.00 |
$34,860.00 |
$44,654.40
|
|
Paliperidone 117 mg/0.75 ml inj
|
$12,567.75 |
$12,567.75 |
$12,567.75 |
$6,272.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$130.10 |
$130.10 |
$130.10 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.27 |
$34.27 |
$34.27 |
$35.43
|
|
Papaverin hcl injection
|
$59.73 |
$59.73 |
$59.73 |
$83.77
|
|
Parathormone (pth) intact
|
$398.65 |
$398.65 |
$398.65 |
$200.23
|
|
Parathyroid planar imaging
|
$961.80 |
$961.80 |
$961.80 |
$1,166.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$242.20 |
$242.20 |
$242.20 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$3,762.53
|
|
Partial removal finger bone
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$2,021.04
|
|
Partial removal finger bone
|
$1,203.65 |
$1,203.65 |
$1,203.65 |
$2,211.05
|
|
Partial removal of toe
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,311.28 |
$3,311.28 |
$3,311.28 |
$4,418.35
|
|
Passy muir valve metal trach
|
$188.44 |
$188.44 |
$188.44 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$440.30 |
$440.30 |
$440.30 |
$2,436.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,891.05 |
$1,891.05 |
$1,891.05 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,774.15 |
$1,774.15 |
$1,774.15 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,506.75 |
$1,506.75 |
$1,506.75 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,446.15 |
$2,446.15 |
$2,446.15 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,328.20 |
$2,328.20 |
$2,328.20 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,118.90 |
$2,118.90 |
$2,118.90 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$701.05 |
$701.05 |
$701.05 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$376.95 |
$376.95 |
$376.95 |
$445.00
|
|
Peng benzathine/procaine inj
|
$873.45 |
$873.45 |
$873.45 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$663.16 |
$663.16 |
$663.16 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$182.71 |
$182.71 |
$182.71 |
$90.35
|
|
Penile injection
|
$275.80 |
$275.80 |
$275.80 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$14,758.57 |
$14,758.57 |
$14,758.57 |
$19,815.11
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$111.83 |
$111.83 |
$111.83 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,535.00 |
$3,535.00 |
$3,535.00 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,480.40 |
$3,480.40 |
$3,480.40 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$863.10 |
$863.10 |
$863.10 |
$2,013.60
|
|
Perq dev breast 1st mr guide
|
$3,509.10 |
$3,509.10 |
$3,509.10 |
$2,032.24
|
|
Perq plmt bile duct stent
|
$3,012.10 |
$3,012.10 |
$3,012.10 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$5,523.70 |
$5,523.70 |
$5,523.70 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$5,523.70 |
$5,523.70 |
$5,523.70 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$528.85 |
$528.85 |
$528.85 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,839.54
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$85.17 |
$85.17 |
$85.17 |
$113.84
|
|
Pfc sigma fem post aug sz3 8mm
|
$46,021.89 |
$46,021.89 |
$46,021.89 |
$33,990.40
|
|
Ph body fluid
|
$57.75 |
$57.75 |
$57.75 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$102.57 |
$102.57 |
$102.57 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$260.40 |
$260.40 |
$260.40 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,146.80 |
$1,146.80 |
$1,146.80 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$35.18 |
$35.18 |
$35.18 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$32.99 |
$32.99 |
$32.99 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$260.40 |
$260.40 |
$260.40 |
$111.27
|
|
Phlebotomy therapeutic
|
$316.05 |
$316.05 |
$316.05 |
$249.00
|
|
Phosphorus
|
$71.75 |
$71.75 |
$71.75 |
$47.81
|
|
Phosphorus 24 hour urine
|
$90.65 |
$90.65 |
$90.65 |
$42.81
|
|
Phys blood bank serv reactj
|
$122.15 |
$122.15 |
$122.15 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$85.79 |
$85.79 |
$85.79 |
$92.07
|
|
Pin caspar distraction 12mm
|
$7,163.45 |
$7,163.45 |
$7,163.45 |
$10,255.29
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$397.95 |
$397.95 |
$397.95 |
$1,016.25
|
|
Pin finger fracture each
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$3,910.33
|
|
Pinworm exam
|
$225.75 |
$225.75 |
$225.75 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$87.10 |
$87.10 |
$87.10 |
$101.60
|
|
Place cath intracranial art
|
$1,784.65 |
$1,784.65 |
$1,784.65 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$2,223.55 |
$2,223.55 |
$2,223.55 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$4,741.45 |
$4,741.45 |
$4,741.45 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$637.35 |
$637.35 |
$637.35 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$5,536.30 |
$5,536.30 |
$5,536.30 |
$4,450.11
|
|
Placement of seton
|
$1,282.05 |
$1,282.05 |
$1,282.05 |
$3,375.00
|
|
Place non-slctv cath thoracic arta
|
$3,701.95 |
$3,701.95 |
$3,701.95 |
$5,110.00
|
|
Place right device/marker pros
|
$3,636.50 |
$3,636.50 |
$3,636.50 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$10,242.40 |
$10,242.40 |
$10,242.40 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$6,826.75 |
$6,826.75 |
$6,826.75 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$9,259.95 |
$9,259.95 |
$9,259.95 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$6,644.40 |
$6,644.40 |
$6,644.40 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$7,135.10 |
$7,135.10 |
$7,135.10 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$42.00 |
$42.00 |
$42.00 |
$173.47
|
|
Platelet aggregation each agent teg
|
$87.50 |
$87.50 |
$87.50 |
$147.96
|
|
Platelet automated
|
$73.15 |
$73.15 |
$73.15 |
$44.00
|
|
Platelet pheresis each unit
|
$286.30 |
$286.30 |
$286.30 |
$1,035.45
|
|
Platelets each unit
|
$36.40 |
$36.40 |
$36.40 |
$240.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$286.30 |
$286.30 |
$286.30 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$307.30 |
$307.30 |
$307.30 |
$1,363.70
|
|
Platelets pheresis pathogen-reduced each unit
|
$511.00 |
$511.00 |
$511.00 |
$992.49
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,910.25 |
$2,910.25 |
$2,910.25 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$4,573.45 |
$4,573.45 |
$4,573.45 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,059.00 |
$3,059.00 |
$3,059.00 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,211.60 |
$3,211.60 |
$3,211.60 |
$6,048.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,673.35 |
$1,673.35 |
$1,673.35 |
$1,505.60
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$840.00 |
$840.00 |
$840.00 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$295.40 |
$295.40 |
$295.40 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$3,647.00 |
$3,647.00 |
$3,647.00 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$2,969.75 |
$2,969.75 |
$2,969.75 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$5,424.65 |
$5,424.65 |
$5,424.65 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$3,211.60 |
$3,211.60 |
$3,211.60 |
$5,419.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$349.65 |
$349.65 |
$349.65 |
$173.00
|
|
Potassium 24 hour urine
|
$107.10 |
$107.10 |
$107.10 |
$50.00
|