|
Organic acids total quant ea spec
|
$335.02 |
$335.02 |
$335.02 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$284.59 |
$284.59 |
$284.59 |
$65.07
|
|
Orthopantogram
|
$783.49 |
$783.49 |
$783.49 |
$219.22
|
|
Orthovisc inj per dose
|
$2,091.93 |
$2,091.93 |
$2,091.93 |
$498.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,866.32 |
$1,866.32 |
$1,866.32 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$556.14 |
$556.14 |
$556.14 |
$221.34
|
|
Osmolality blood
|
$198.31 |
$198.31 |
$198.31 |
$67.60
|
|
Osmolality urine
|
$162.90 |
$162.90 |
$162.90 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$846.31 |
$846.31 |
$846.31 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$654.12 |
$654.12 |
$654.12 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$762.26 |
$762.26 |
$762.26 |
$270.58
|
|
Oth resp proc, group
|
$237.88 |
$237.88 |
$237.88 |
$154.00
|
|
Oth resp proc, indiv
|
$332.56 |
$332.56 |
$332.56 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$314.28 |
$314.28 |
$314.28 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$282.32 |
$282.32 |
$282.32 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$199.31 |
$199.31 |
$199.31 |
$107.32
|
|
Ot re-evaluation patient/family
|
$367.84 |
$367.84 |
$367.84 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$149.70 |
$149.70 |
$149.70 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$146.73 |
$146.73 |
$146.73 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$176.70 |
$176.70 |
$176.70 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$219.58 |
$219.58 |
$219.58 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$219.42 |
$219.42 |
$219.42 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$167.01 |
$167.01 |
$167.01 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$398.90 |
$398.90 |
$398.90 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,371.07 |
$1,371.07 |
$1,371.07 |
$231.46
|
|
Palonosetron hcl
|
$5,154.07 |
$5,154.07 |
$5,154.07 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$793.31 |
$793.31 |
$793.31 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$27,677.87 |
$27,677.87 |
$27,677.87 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$292.33 |
$292.33 |
$292.33 |
$44.25
|
|
Papaverin hcl injection
|
$411.34 |
$411.34 |
$411.34 |
$76.40
|
|
Parathormone (pth) intact
|
$637.16 |
$637.16 |
$637.16 |
$200.23
|
|
Parathyroid planar imaging
|
$1,184.56 |
$1,184.56 |
$1,184.56 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,760.83 |
$1,760.83 |
$1,760.83 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$642.62 |
$642.62 |
$642.62 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$86,603.63 |
$86,603.63 |
$86,603.63 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$30,355.41 |
$30,355.41 |
$30,355.41 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$61,034.69 |
$61,034.69 |
$61,034.69 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$32,329.63 |
$32,329.63 |
$32,329.63 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$8,325.53 |
$8,325.53 |
$8,325.53 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$7,982.71 |
$7,982.71 |
$7,982.71 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$7,492.98 |
$7,492.98 |
$7,492.98 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,761.69 |
$7,761.69 |
$7,761.69 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$6,098.47 |
$6,098.47 |
$6,098.47 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$5,191.26 |
$5,191.26 |
$5,191.26 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,785.92 |
$2,785.92 |
$2,785.92 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,791.06 |
$1,791.06 |
$1,791.06 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$48,611.01 |
$48,611.01 |
$48,611.01 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$11,328.73 |
$11,328.73 |
$11,328.73 |
$643.59
|
|
Penile injection
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$418.00
|
|
Penile vascular study
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$460.20
|
|
Perc cryo ablate renal tum
|
$54,981.36 |
$54,981.36 |
$54,981.36 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$19,457.97 |
$19,457.97 |
$19,457.97 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$43,573.03 |
$43,573.03 |
$43,573.03 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$21,787.45 |
$21,787.45 |
$21,787.45 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$43,728.54 |
$43,728.54 |
$43,728.54 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$21,787.45 |
$21,787.45 |
$21,787.45 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$45,221.75 |
$45,221.75 |
$45,221.75 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$35,423.42 |
$35,423.42 |
$35,423.42 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$43,733.72 |
$43,733.72 |
$43,733.72 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$17,292.68 |
$17,292.68 |
$17,292.68 |
$6,949.48
|
|
Percut ablate liver rf
|
$59,775.03 |
$59,775.03 |
$59,775.03 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$517.93 |
$517.93 |
$517.93 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,687.78 |
$1,687.78 |
$1,687.78 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,994.42 |
$3,994.42 |
$3,994.42 |
$2,573.60
|
|
Peripheral vascular rehab
|
$670.29 |
$670.29 |
$670.29 |
$128.69
|
|
Peritoneogram rs&i
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$648.84
|
|
Perq art m-thrombect &/nfs
|
$13,560.00 |
$13,560.00 |
$13,560.00 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$46,220.06 |
$46,220.06 |
$46,220.06 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$1,266.33 |
$1,266.33 |
$1,266.33 |
$2,032.24
|
|
Perq plmt bile duct stent
|
$19,143.16 |
$19,143.16 |
$19,143.16 |
$6,904.15
|
|
Perq transcath closure pda
|
$92,656.53 |
$92,656.53 |
$92,656.53 |
$18,277.50
|
|
Pertuzumab 30 mg/ml desensitization
|
$28,122.09 |
$28,122.09 |
$28,122.09 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$223,057.70 |
$223,057.70 |
$223,057.70 |
$41,963.08
|
|
Pet CT skull-mid thgh initial
|
$24,121.72 |
$24,121.72 |
$24,121.72 |
$4,854.75
|
|
Pet CT whole body initial
|
$26,801.92 |
$26,801.92 |
$26,801.92 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$14,593.75 |
$14,593.75 |
$14,593.75 |
$3,559.05
|
|
Pet image full body
|
$20,101.44 |
$20,101.44 |
$20,101.44 |
$4,795.47
|
|
Pet image w/ct lmtd
|
$14,593.75 |
$14,593.75 |
$14,593.75 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$29,393.94 |
$29,393.94 |
$29,393.94 |
$34,848.45
|
|
Ph body fluid
|
$130.19 |
$130.19 |
$130.19 |
$39.20
|
|
Phencyclidine (pcp)
|
$177.54 |
$177.54 |
$177.54 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,215.35 |
$1,215.35 |
$1,215.35 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$568.56 |
$568.56 |
$568.56 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$267.69 |
$267.69 |
$267.69 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$203.12 |
$203.12 |
$203.12 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$357.01 |
$357.01 |
$357.01 |
$111.27
|
|
Phlebotomy therapeutic
|
$545.07 |
$545.07 |
$545.07 |
$249.00
|
|
Phosphorus
|
$218.59 |
$218.59 |
$218.59 |
$47.81
|
|
Phosphorus 24 hour urine
|
$89.22 |
$89.22 |
$89.22 |
$42.81
|
|
Phys blood bank serv reactj
|
$1,666.44 |
$1,666.44 |
$1,666.44 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$363.34 |
$363.34 |
$363.34 |
$86.36
|
|
Pinworm exam
|
$65.91 |
$65.91 |
$65.91 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$352.48 |
$352.48 |
$352.48 |
$95.01
|
|
Place cath intracranial art
|
$8,907.93 |
$8,907.93 |
$8,907.93 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$5,074.98 |
$5,074.98 |
$5,074.98 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$5,468.60 |
$5,468.60 |
$5,468.60 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$5,341.20 |
$5,341.20 |
$5,341.20 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,303.88 |
$2,303.88 |
$2,303.88 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,822.99 |
$2,822.99 |
$2,822.99 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$6,641.15 |
$6,641.15 |
$6,641.15 |
$4,450.11
|