|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$918.57 |
$918.57 |
$918.57 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$1,089.27 |
$1,089.27 |
$1,089.27 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$918.57 |
$918.57 |
$918.57 |
$240.24
|
|
Orthovisc inj per dose
|
$2,643.53 |
$2,643.53 |
$2,643.53 |
$498.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,132.74 |
$1,132.74 |
$1,132.74 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$495.16 |
$495.16 |
$495.16 |
$221.34
|
|
Osmolality blood
|
$142.19 |
$142.19 |
$142.19 |
$67.60
|
|
Osmolality urine
|
$146.63 |
$146.63 |
$146.63 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$758.39 |
$758.39 |
$758.39 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$758.39 |
$758.39 |
$758.39 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$758.39 |
$758.39 |
$758.39 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$297.69 |
$297.69 |
$297.69 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$342.70 |
$342.70 |
$342.70 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$229.28 |
$229.28 |
$229.28 |
$107.32
|
|
Ot re-evaluation patient/family
|
$444.81 |
$444.81 |
$444.81 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$195.08 |
$195.08 |
$195.08 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$314.65 |
$314.65 |
$314.65 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$330.38 |
$330.38 |
$330.38 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$230.56 |
$230.56 |
$230.56 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$292.68 |
$292.68 |
$292.68 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$223.58 |
$223.58 |
$223.58 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$793.12 |
$793.12 |
$793.12 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2,829.12 |
$2,829.12 |
$2,829.12 |
$231.46
|
|
Palonosetron hcl
|
$6,510.63 |
$6,510.63 |
$6,510.63 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,037.37 |
$1,037.37 |
$1,037.37 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$66,898.30 |
$66,898.30 |
$66,898.30 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$358.63 |
$358.63 |
$358.63 |
$44.25
|
|
Papaverin hcl injection
|
$538.36 |
$538.36 |
$538.36 |
$76.40
|
|
Parathormone (pth) intact
|
$172.68 |
$172.68 |
$172.68 |
$200.23
|
|
Parathyroid planar imaging
|
$1,677.46 |
$1,677.46 |
$1,677.46 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,546.78 |
$2,546.78 |
$2,546.78 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$762.17 |
$762.17 |
$762.17 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$109,371.04 |
$109,371.04 |
$109,371.04 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$38,336.71 |
$38,336.71 |
$38,336.71 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$77,080.74 |
$77,080.74 |
$77,080.74 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$40,829.90 |
$40,829.90 |
$40,829.90 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$7,112.05 |
$7,112.05 |
$7,112.05 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$10,159.63 |
$10,159.63 |
$10,159.63 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$8,789.66 |
$8,789.66 |
$8,789.66 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,634.13 |
$3,634.13 |
$3,634.13 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$2,930.17 |
$2,930.17 |
$2,930.17 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,587.24 |
$1,587.24 |
$1,587.24 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$449.45 |
$449.45 |
$449.45 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$117,520.26 |
$117,520.26 |
$117,520.26 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$14,308.44 |
$14,308.44 |
$14,308.44 |
$643.59
|
|
Penile vascular study
|
$1,467.80 |
$1,467.80 |
$1,467.80 |
$460.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$194.22 |
$194.22 |
$194.22 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$3,532.70 |
$3,532.70 |
$3,532.70 |
$2,573.60
|
|
Perq art m-thrombect &/nfs
|
$18,300.02 |
$18,300.02 |
$18,300.02 |
$7,796.10
|
|
Perq dev breast 1st strtctc
|
$8,913.37 |
$8,913.37 |
$8,913.37 |
$1,548.60
|
|
Pertuzumab 30 mg/ml desensitization
|
$67,972.55 |
$67,972.55 |
$67,972.55 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$281,695.16 |
$281,695.16 |
$281,695.16 |
$41,963.08
|
|
Ph body fluid
|
$211.04 |
$211.04 |
$211.04 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,588.72 |
$1,588.72 |
$1,588.72 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$1,199.52 |
$1,199.52 |
$1,199.52 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$320.20 |
$320.20 |
$320.20 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$248.26 |
$248.26 |
$248.26 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$709.77 |
$709.77 |
$709.77 |
$111.27
|
|
Phosphorus
|
$238.76 |
$238.76 |
$238.76 |
$47.81
|
|
Phosphorus 24 hour urine
|
$18.21 |
$18.21 |
$18.21 |
$42.81
|
|
Phys blood bank serv reactj
|
$455.16 |
$455.16 |
$455.16 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$445.16 |
$445.16 |
$445.16 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$367.42 |
$367.42 |
$367.42 |
$95.01
|
|
Place duod/jej tube perc
|
$8,804.15 |
$8,804.15 |
$8,804.15 |
$2,588.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$7,638.98 |
$7,638.98 |
$7,638.98 |
$1,372.15
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,835.02 |
$1,835.02 |
$1,835.02 |
$650.65
|
|
Place slctv cath carotid/inom art intcrn uni
|
$22,894.61 |
$22,894.61 |
$22,894.61 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$13,514.39 |
$13,514.39 |
$13,514.39 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$24,814.45 |
$24,814.45 |
$24,814.45 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$803.10 |
$803.10 |
$803.10 |
$147.96
|
|
Platelet automated
|
$457.33 |
$457.33 |
$457.33 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,725.71 |
$1,725.71 |
$1,725.71 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$2,189.03 |
$2,189.03 |
$2,189.03 |
$1,180.31
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,702.22 |
$1,702.22 |
$1,702.22 |
$879.36
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$31,159.14 |
$31,159.14 |
$31,159.14 |
$8,054.72
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$881.79 |
$881.79 |
$881.79 |
$173.00
|
|
Potassium 24 hour urine
|
$483.53 |
$483.53 |
$483.53 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$916.50 |
$916.50 |
$916.50 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$307.01 |
$307.01 |
$307.01 |
$44.64
|
|
Pr application of long arm splint
|
$455.38 |
$455.38 |
$455.38 |
$332.75
|
|
Pr application splint static short arm
|
$416.30 |
$416.30 |
$416.30 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$1,634.57 |
$1,634.57 |
$1,634.57 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$86.09 |
$86.09 |
$86.09 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$3,634.30 |
$3,634.30 |
$3,634.30 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$758.33 |
$758.33 |
$758.33 |
$356.40
|
|
Prealbumin
|
$108.72 |
$108.72 |
$108.72 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$144.80 |
$144.80 |
$144.80 |
$16.30
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$5,760.84 |
$5,760.84 |
$5,760.84 |
$2,363.79
|
|
Pregnancy Ultrasound (first trimester)
|
$700.04 |
$700.04 |
$700.04 |
$541.45
|
|
Pretreat rbc absorption reference
|
$206.25 |
$206.25 |
$206.25 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$455.16 |
$455.16 |
$455.16 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$345.83 |
$345.83 |
$345.83 |
$106.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$2,930.84 |
$2,930.84 |
$2,930.84 |
$827.94
|
|
Prim art mech thrmbc non-intracranial
|
$24,782.88 |
$24,782.88 |
$24,782.88 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$8,134.18 |
$8,134.18 |
$8,134.18 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,150.39 |
$1,150.39 |
$1,150.39 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$1,376.85 |
$1,376.85 |
$1,376.85 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,000.34 |
$1,000.34 |
$1,000.34 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,225.93 |
$1,225.93 |
$1,225.93 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,714.51 |
$1,714.51 |
$1,714.51 |
$277.60
|