|
Nm imaging pulmonary ventilation/perfusion
|
$4,753.85 |
$4,753.85 |
$4,753.85 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,116.50 |
$1,116.50 |
$1,116.50 |
$1,186.03
|
|
Nuclear Stress Test (Heart)
|
$15,473.12 |
$15,473.12 |
$15,473.12 |
$3,921.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$8,815.69 |
$8,815.69 |
$8,815.69 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$2,044.42 |
$2,044.42 |
$2,044.42 |
$411.10
|
|
Observation per hour
|
$73.65 |
$73.65 |
$73.65 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$805,547.50 |
$805,547.50 |
$805,547.50 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$366.08 |
$366.08 |
$366.08 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$157,439.73 |
$157,439.73 |
$157,439.73 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$55,282.40 |
$55,282.40 |
$55,282.40 |
$4,797.94
|
|
Oncoprotein dcp
|
$1,030.56 |
$1,030.56 |
$1,030.56 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$117.75 |
$117.75 |
$117.75 |
$34.32
|
|
Organic acids total quant ea spec
|
$377.60 |
$377.60 |
$377.60 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$283.37 |
$283.37 |
$283.37 |
$65.07
|
|
Orthovisc inj per dose
|
$2,234.52 |
$2,234.52 |
$2,234.52 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$711.85 |
$711.85 |
$711.85 |
$221.34
|
|
Osmolality blood
|
$254.87 |
$254.87 |
$254.87 |
$67.60
|
|
Osmolality urine
|
$23.87 |
$23.87 |
$23.87 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,149.18 |
$1,149.18 |
$1,149.18 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$1,149.18 |
$1,149.18 |
$1,149.18 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,149.18 |
$1,149.18 |
$1,149.18 |
$270.58
|
|
Oth resp proc, indiv
|
$401.92 |
$401.92 |
$401.92 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$285.06 |
$285.06 |
$285.06 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$210.16 |
$210.16 |
$210.16 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$405.18 |
$405.18 |
$405.18 |
$107.32
|
|
Ot re-evaluation patient/family
|
$957.98 |
$957.98 |
$957.98 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$315.01 |
$315.01 |
$315.01 |
$100.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$394.32 |
$394.32 |
$394.32 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$331.21 |
$331.21 |
$331.21 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$300.42 |
$300.42 |
$300.42 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$641.24 |
$641.24 |
$641.24 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2,295.28 |
$2,295.28 |
$2,295.28 |
$231.46
|
|
Palonosetron hcl
|
$5,505.78 |
$5,505.78 |
$5,505.78 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$821.14 |
$821.14 |
$821.14 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$55,059.00 |
$55,059.00 |
$55,059.00 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$291.05 |
$291.05 |
$291.05 |
$44.25
|
|
Papaverin hcl injection
|
$425.91 |
$425.91 |
$425.91 |
$76.40
|
|
Parathormone (pth) intact
|
$250.10 |
$250.10 |
$250.10 |
$200.23
|
|
Parathyroid planar imaging
|
$1,474.57 |
$1,474.57 |
$1,474.57 |
$1,166.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$618.20 |
$618.20 |
$618.20 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$92,517.75 |
$92,517.75 |
$92,517.75 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$32,428.19 |
$32,428.19 |
$32,428.19 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$65,202.64 |
$65,202.64 |
$65,202.64 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$34,537.23 |
$34,537.23 |
$34,537.23 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$7,294.68 |
$7,294.68 |
$7,294.68 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$7,596.33 |
$7,596.33 |
$7,596.33 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$6,405.72 |
$6,405.72 |
$6,405.72 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$5,006.69 |
$5,006.69 |
$5,006.69 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$3,574.76 |
$3,574.76 |
$3,574.76 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$2,375.73 |
$2,375.73 |
$2,375.73 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$96,723.99 |
$96,723.99 |
$96,723.99 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$12,102.13 |
$12,102.13 |
$12,102.13 |
$643.59
|
|
Penile injection
|
$2,406.72 |
$2,406.72 |
$2,406.72 |
$418.00
|
|
Perc d-e cor revasc t cabg s
|
$93,130.72 |
$93,130.72 |
$93,130.72 |
$15,337.30
|
|
Perc drug-el cor stent bran
|
$49,953.57 |
$49,953.57 |
$49,953.57 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$45,720.37 |
$45,720.37 |
$45,720.37 |
$14,070.70
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$471.63 |
$471.63 |
$471.63 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$4,149.46 |
$4,149.46 |
$4,149.46 |
$2,573.60
|
|
Pertuzumab 30 mg/ml desensitization
|
$55,943.17 |
$55,943.17 |
$55,943.17 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$238,290.64 |
$238,290.64 |
$238,290.64 |
$41,963.08
|
|
Ph body fluid
|
$57.28 |
$57.28 |
$57.28 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,257.84 |
$1,257.84 |
$1,257.84 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$607.13 |
$607.13 |
$607.13 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$267.47 |
$267.47 |
$267.47 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$202.10 |
$202.10 |
$202.10 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$545.17 |
$545.17 |
$545.17 |
$111.27
|
|
Phosphorus
|
$293.99 |
$293.99 |
$293.99 |
$47.81
|
|
Phosphorus 24 hour urine
|
$92.48 |
$92.48 |
$92.48 |
$42.81
|
|
Phys blood bank serv reactj
|
$2,198.56 |
$2,198.56 |
$2,198.56 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$361.51 |
$361.51 |
$361.51 |
$86.36
|
|
Pinworm exam
|
$68.32 |
$68.32 |
$68.32 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$325.74 |
$325.74 |
$325.74 |
$95.01
|
|
Place gastrostomy tube perc
|
$22,780.00 |
$22,780.00 |
$22,780.00 |
$2,517.60
|
|
Placement nephrostomy catheter (both sides)
|
$24,811.20 |
$24,811.20 |
$24,811.20 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$245.63 |
$245.63 |
$245.63 |
$650.65
|
|
Platelet aggregation each agent teg
|
$398.56 |
$398.56 |
$398.56 |
$147.96
|
|
Platelet automated
|
$189.46 |
$189.46 |
$189.46 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$7,950.56 |
$7,950.56 |
$7,950.56 |
$1,070.30
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,134.51 |
$2,134.51 |
$2,134.51 |
$879.36
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$723.65 |
$723.65 |
$723.65 |
$173.00
|
|
Potassium 24 hour urine
|
$162.98 |
$162.98 |
$162.98 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$755.21 |
$755.21 |
$755.21 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$144.98 |
$144.98 |
$144.98 |
$44.64
|
|
Pq thr inj ext pse
|
$8,335.20 |
$8,335.20 |
$8,335.20 |
$872.61
|
|
Pr application of long arm splint
|
$2,298.24 |
$2,298.24 |
$2,298.24 |
$332.75
|
|
Pr application splint static short arm
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$301.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$428.96 |
$428.96 |
$428.96 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$5,243.66 |
$5,243.66 |
$5,243.66 |
$2,708.85
|
|
Prealbumin
|
$558.38 |
$558.38 |
$558.38 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$117.27 |
$117.27 |
$117.27 |
$16.30
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$2,477.63 |
$2,477.63 |
$2,477.63 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$2,697.38 |
$2,697.38 |
$2,697.38 |
$541.45
|
|
Pretreat rbc absorption reference
|
$552.48 |
$552.48 |
$552.48 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$2,198.56 |
$2,198.56 |
$2,198.56 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$552.48 |
$552.48 |
$552.48 |
$106.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$2,513.83 |
$2,513.83 |
$2,513.83 |
$827.94
|
|
Prgr stim/pace a/iv drug
|
$489.33 |
$489.33 |
$489.33 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$93,130.72 |
$93,130.72 |
$93,130.72 |
$9,470.97
|