|
Osmolality blood
|
$13.16 |
$13.16 |
$13.16 |
$69.55
|
|
Osmolality urine
|
$13.16 |
$13.16 |
$13.16 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$95.97 |
$95.97 |
$95.97 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$42.70 |
$42.70 |
$42.70 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$55.09 |
$55.09 |
$55.09 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$23.66 |
$23.66 |
$23.66 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$22.40 |
$22.40 |
$22.40 |
$104.50
|
|
Ot re-evaluation patient/family
|
$25.62 |
$25.62 |
$25.62 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$37.03 |
$37.03 |
$37.03 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$14.77 |
$14.77 |
$14.77 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$14.77 |
$14.77 |
$14.77 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$32.97 |
$32.97 |
$32.97 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$27.09 |
$27.09 |
$27.09 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2.17 |
$2.17 |
$2.17 |
$79.80
|
|
Oxytocin 10 unit/ml injection solution
|
$32.48 |
$32.48 |
$32.48 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.28 |
$0.28 |
$0.28 |
$216.00
|
|
Paliperidone 117 mg/0.75 ml inj
|
$8.12 |
$8.12 |
$8.12 |
$6,272.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$370.79 |
$370.79 |
$370.79 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$44.31 |
$44.31 |
$44.31 |
$27.16
|
|
Papaverin hcl injection
|
$34.86 |
$34.86 |
$34.86 |
$76.40
|
|
Parathormone (pth) intact
|
$26.67 |
$26.67 |
$26.67 |
$201.50
|
|
Parathyroid planar imaging
|
$413.49 |
$413.49 |
$413.49 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$353.01 |
$353.01 |
$353.01 |
$1,345.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1.75 |
$1.75 |
$1.75 |
$4,706.31
|
|
Pelvic CT scan (with and without contrast)
|
$753.48 |
$753.48 |
$753.48 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$630.00 |
$630.00 |
$630.00 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$577.78 |
$577.78 |
$577.78 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$999.95 |
$999.95 |
$999.95 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$811.58 |
$811.58 |
$811.58 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$266.00 |
$266.00 |
$266.00 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$155.89 |
$155.89 |
$155.89 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$40.25 |
$40.25 |
$40.25 |
$12,385.22
|
|
Peng benzathine/procaine inj
|
$2.87 |
$2.87 |
$2.87 |
$338.23
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3.43 |
$3.43 |
$3.43 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$2.87 |
$2.87 |
$2.87 |
$97.85
|
|
Penicillin g procaine inj
|
$40.74 |
$40.74 |
$40.74 |
$147.21
|
|
Penile rear tip xtnd 0.5cm
|
$2,452.87 |
$2,452.87 |
$2,452.87 |
$18,349.50
|
|
Penile vascular study
|
$106.12 |
$106.12 |
$106.12 |
$585.20
|
|
Pentamidine non-comp unit
|
$291.55 |
$291.55 |
$291.55 |
$279.76
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$99.40 |
$99.40 |
$99.40 |
$335.79
|
|
Pet CT whole body initial
|
$448.42 |
$448.42 |
$448.42 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$5,996.06 |
$5,996.06 |
$5,996.06 |
$34,920.00
|
|
Ph body fluid
|
$11.06 |
$11.06 |
$11.06 |
$40.04
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$3.22 |
$3.22 |
$3.22 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$52.01 |
$52.01 |
$52.01 |
$104.50
|
|
Phentolaine mesylate inj
|
$128.17 |
$128.17 |
$128.17 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.14 |
$0.14 |
$0.14 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.21 |
$0.21 |
$0.21 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$54.81 |
$54.81 |
$54.81 |
$112.50
|
|
Phlebotomy therapeutic
|
$63.28 |
$63.28 |
$63.28 |
$231.66
|
|
Phosphorus
|
$30.24 |
$30.24 |
$30.24 |
$49.60
|
|
Phosphorus 24 hour urine
|
$0.23 |
$0.23 |
$0.23 |
$41.58
|
|
Phys blood bank serv reactj
|
$71.05 |
$71.05 |
$71.05 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$5.04 |
$5.04 |
$5.04 |
$85.79
|
|
Pin caspar distraction 12mm
|
$3,391.99 |
$3,391.99 |
$3,391.99 |
$11,672.88
|
|
Pinworm exam
|
$11.90 |
$11.90 |
$11.90 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$7.28 |
$7.28 |
$7.28 |
$83.57
|
|
Plasmaprotein fract,5%,250ml
|
$232.05 |
$232.05 |
$232.05 |
$123.83
|
|
Platelets pheresis leukocytes reduced each unit
|
$95.69 |
$95.69 |
$95.69 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$94.29 |
$94.29 |
$94.29 |
$1,213.50
|
|
Plethysmography lung volumes/airway resistance
|
$80.78 |
$80.78 |
$80.78 |
$399.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$118.44 |
$118.44 |
$118.44 |
$187.04
|
|
Potassium 24 hour urine
|
$18.90 |
$18.90 |
$18.90 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$22.12 |
$22.12 |
$22.12 |
$46.00
|
|
Pq dr cath chg w cont s&i
|
$129.92 |
$129.92 |
$129.92 |
$720.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$38.78 |
$38.78 |
$38.78 |
$350.98
|
|
Prealbumin
|
$7.91 |
$7.91 |
$7.91 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$5.88 |
$5.88 |
$5.88 |
$13.80
|
|
Prednisone 1 mg tablet
|
$2.10 |
$2.10 |
$2.10 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$264.53 |
$264.53 |
$264.53 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$290.78 |
$290.78 |
$290.78 |
$537.00
|
|
Pretreat rbc absorption reference
|
$9.38 |
$9.38 |
$9.38 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$7.00 |
$7.00 |
$7.00 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$9.38 |
$9.38 |
$9.38 |
$164.99
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$15.26 |
$15.26 |
$15.26 |
$252.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$99.40 |
$99.40 |
$99.40 |
$655.08
|
|
Procalcitonin
|
$13.44 |
$13.44 |
$13.44 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$41.79 |
$41.79 |
$41.79 |
$36.33
|
|
Progesterone
|
$27.30 |
$27.30 |
$27.30 |
$113.24
|
|
Prolactin
|
$20.23 |
$20.23 |
$20.23 |
$123.50
|
|
Promethazine hcl injection
|
$35.98 |
$35.98 |
$35.98 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$0.14 |
$0.14 |
$0.14 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$39.69 |
$39.69 |
$39.69 |
$30.26
|
|
Protamine 10 mg/ml intravenous solution
|
$1.26 |
$1.26 |
$1.26 |
$59.61
|
|
Protein c activity
|
$0.70 |
$0.70 |
$0.70 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$0.17 |
$0.17 |
$0.17 |
$84.00
|
|
Protein s total
|
$1.26 |
$1.26 |
$1.26 |
$77.60
|
|
Protein total 24 hour urine
|
$51.80 |
$51.80 |
$51.80 |
$52.47
|
|
Protein total body fluid
|
$45.43 |
$45.43 |
$45.43 |
$52.00
|
|
Protein total serum plasma whole blood
|
$31.08 |
$31.08 |
$31.08 |
$42.81
|
|
Prothrombin complex kcentra
|
$1.82 |
$1.82 |
$1.82 |
$7.55
|
|
Prothrombin time substitution plasma fractions each
|
$16.31 |
$16.31 |
$16.31 |
$40.30
|
|
PSA (Prostate) Test
|
$39.62 |
$39.62 |
$39.62 |
$107.50
|
|
Pt evaluation high complexity patient/family
|
$87.29 |
$87.29 |
$87.29 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$34.65 |
$34.65 |
$34.65 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$47.74 |
$47.74 |
$47.74 |
$249.26
|
|
Pt re-evaluation patient/family
|
$24.36 |
$24.36 |
$24.36 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$18.83 |
$18.83 |
$18.83 |
$115.35
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$16.03 |
$16.03 |
$16.03 |
$79.20
|