|
Other immunoelectrophoresis
|
$2,919.75 |
$2,919.75 |
$2,919.75 |
$46.40
|
|
Oth resp proc, group
|
$137.05 |
$137.05 |
$362.00 |
$137.05
|
|
Oth resp proc, indiv
|
$137.05 |
$137.05 |
$458.00 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$119.77 |
$119.77 |
$119.77 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$488.88 |
$488.88 |
$488.88 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$288.40 |
$288.40 |
$288.40 |
$107.32
|
|
Ot re-evaluation patient/family
|
$571.11 |
$571.11 |
$973.18 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$255.00 |
$255.00 |
$255.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$383.46 |
$383.46 |
$542.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$383.46 |
$383.46 |
$542.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$271.38 |
$271.38 |
$271.38 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$299.77 |
$299.77 |
$299.77 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$319.76 |
$319.76 |
$319.76 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$731.16 |
$731.16 |
$731.16 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$98.63 |
$204.75 |
$211.00 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$3.23 |
$6.00 |
$2,815.70 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,321.24 |
$5,321.24 |
$9,869.50 |
$3,656.90
|
|
Pad repl cerv collr univ adult
|
$194.66 |
$194.66 |
$194.66 |
$93.32
|
|
Palivizumab 50 mg/0.5 ml inj
|
$10,404.03 |
$10,404.03 |
$12,973.00 |
$5,156.88
|
|
Palonosetron hcl
|
$2,659.32 |
$2,659.32 |
$2,854.00 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$274.00 |
$434.54 |
$896.00 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,939.00 |
$28,208.92 |
$35,248.00 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$44.25 |
$183.00 |
$416.29 |
$35.43
|
|
Papaverin hcl injection
|
$419.08 |
$419.08 |
$419.08 |
$83.77
|
|
Parathormone (pth) intact
|
$661.07 |
$661.07 |
$661.07 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$8,216.02 |
$8,216.02 |
$17,264.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,733.09 |
$4,117.69 |
$9,654.00 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$6,280.11 |
$7,206.38 |
$17,264.00 |
$1,398.75
|
|
Paricalcitol
|
$115.43 |
$386.00 |
$701.25 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$529.44 |
$529.44 |
$529.44 |
$270.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,881.50
|
|
Partial removal foot fascia
|
$8,017.78 |
$8,017.78 |
$8,017.78 |
$3,839.54
|
|
Partial removal of eye fluid
|
$6,293.91 |
$6,293.91 |
$6,293.91 |
$2,698.92
|
|
Partial removal of foot bone
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$13.81 |
$13.81 |
$13.81 |
$4,418.35
|
|
Part removal of metatarsal
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,795.71
|
|
Paste skin barrier .5oz adapt
|
$7.00 |
$7.00 |
$11.00 |
$7.00
|
|
Path clin consltj high 41-60
|
$526.01 |
$526.01 |
$526.01 |
$187.28
|
|
Pdgfra gene
|
$609.93 |
$609.93 |
$609.93 |
$659.20
|
|
Pegaspargase injection
|
$135,619.75 |
$135,619.75 |
$135,619.75 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$14,712.85 |
$19,919.66 |
$43,326.50 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$6,993.24 |
$6,993.24 |
$16,924.75 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$14,043.66 |
$14,043.66 |
$14,043.66 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,446.94 |
$16,379.00 |
$25,312.75 |
$4,749.07
|
|
Pegloticase 8 mg/ml intravenous solution
|
$161,124.75 |
$161,124.75 |
$161,124.75 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$7,257.67 |
$7,257.67 |
$8,888.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$6,227.81 |
$6,227.81 |
$8,021.50 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$4,813.00 |
$4,813.00 |
$4,813.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,002.64 |
$7,002.64 |
$17,521.75 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,123.64 |
$5,123.64 |
$19,411.75 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,244.61 |
$3,244.61 |
$13,494.25 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,773.40 |
$1,773.40 |
$1,923.06 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,714.74 |
$1,714.74 |
$1,714.74 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$40,161.00 |
$47,789.00 |
$49,544.62 |
$13,809.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,620.71 |
$2,620.71 |
$2,620.71 |
$643.59
|
|
Penile injection
|
$1,347.19 |
$1,347.19 |
$1,347.19 |
$418.00
|
|
Penile vascular study
|
$461.00 |
$461.00 |
$1,802.86 |
$561.00
|
|
Penile vascular study
|
$380.22 |
$380.22 |
$380.22 |
$460.20
|
|
Pentamidine non-comp unit
|
$881.97 |
$2,642.00 |
$3,188.00 |
$279.76
|
|
Pentobarbital sodium inj
|
$168.84 |
$168.84 |
$9,564.00 |
$185.00
|
|
Pentostatin 10 mg intravenous solution
|
$16,007.00 |
$16,007.00 |
$41,362.75 |
$6,659.13
|
|
Perc cryo ablate renal tum
|
$15,426.67 |
$15,426.67 |
$15,426.67 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$15,260.33 |
$15,260.33 |
$15,260.33 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$39,448.50 |
$39,448.50 |
$39,448.50 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$15,260.33 |
$15,260.33 |
$15,260.33 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$22,995.51 |
$22,995.51 |
$22,995.51 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$13,490.08 |
$13,490.08 |
$13,490.08 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$39,448.50 |
$39,448.50 |
$39,448.50 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$15,260.33 |
$15,260.33 |
$15,260.33 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$29,704.46 |
$29,704.46 |
$29,704.46 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$15,880.82 |
$15,880.82 |
$15,880.82 |
$6,949.48
|
|
Percut ablate liver rf
|
$15,426.67 |
$15,426.67 |
$15,426.67 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$311.73 |
$311.73 |
$515.92 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$3,157.33 |
$3,157.33 |
$27,432.00 |
$2,573.60
|
|
Peripheral vascular rehab
|
$337.75 |
$353.00 |
$724.35 |
$128.69
|
|
Peri-proc device eval icd
|
$226.70 |
$226.70 |
$226.70 |
$220.35
|
|
Peri-proc device eval pm
|
$226.70 |
$226.70 |
$226.70 |
$195.80
|
|
Peritoneal cath sub q resv per
|
$9,319.57 |
$9,319.57 |
$9,319.57 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,641.72 |
$1,980.00 |
$8,129.00 |
$648.84
|
|
Perit-vens shunt pat tst
|
$1,855.80 |
$2,156.50 |
$7,418.04 |
$695.40
|
|
Perphenazine 4mg oral
|
$9.00 |
$9.00 |
$15.57 |
$2.58
|
|
Perq art m-thrombect &/nfs
|
$22,322.65 |
$22,322.65 |
$22,322.65 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$51,097.80 |
$51,097.80 |
$51,097.80 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$11,002.83 |
$11,002.83 |
$11,002.83 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$9,314.53 |
$9,314.53 |
$9,314.53 |
$1,548.60
|
|
Perq p-art revsc 1 abnor bi
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$15,145.00
|
|
Perq plmt bile duct stent
|
$5,325.85 |
$5,325.85 |
$5,325.85 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$9,672.68 |
$9,672.68 |
$9,672.68 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$9,962.48 |
$9,962.48 |
$9,962.48 |
$7,082.99
|
|
Perq transcath closure each
|
$18,882.81 |
$18,882.81 |
$18,882.81 |
$10,244.02
|
|
Perq transcath closure pda
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$18,277.50
|
|
Perq transcath cls aortic
|
$37,765.61 |
$37,765.61 |
$37,765.61 |
$22,633.26
|
|
Perq transcath cls mitral
|
$37,765.61 |
$37,765.61 |
$37,765.61 |
$23,883.21
|
|
Perq transcath septal reduxn
|
$40,377.15 |
$40,377.15 |
$40,377.15 |
$8,828.16
|
|
Pertuzumab 30 mg/ml desensitization
|
$26,736.50 |
$28,661.68 |
$42,541.00 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$51,278.21 |
$51,278.21 |
$51,278.21 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$7,218.56 |
$7,218.56 |
$11,426.02 |
$4,854.75
|
