|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$312.25 |
$312.25 |
$312.25 |
$100.75
|
|
Ot re-evaluation patient/family
|
$388.65 |
$388.65 |
$388.65 |
$174.00
|
|
Oxytocin 10 unit/ml injection solution
|
$204.00 |
$204.00 |
$204.00 |
$45.86
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$8,411.50 |
$8,411.50 |
$8,411.50 |
$5,156.88
|
|
Palonosetron hcl
|
$4,392.00 |
$4,392.00 |
$4,392.00 |
$372.41
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$15,832.00 |
$15,832.00 |
$15,832.00 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.00 |
$18.00 |
$18.00 |
$44.25
|
|
Papaverin hcl injection
|
$19.00 |
$19.00 |
$19.00 |
$76.40
|
|
Parathyroid planar imaging
|
$3,015.10 |
$3,015.10 |
$3,015.10 |
$1,166.00
|
|
Patient recorded spirometry
|
$314.05 |
$314.05 |
$314.05 |
$436.10
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$26,955.75 |
$26,955.75 |
$26,955.75 |
$12,556.80
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$17,535.00 |
$17,535.00 |
$17,535.00 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$19,288.50 |
$19,288.50 |
$19,288.50 |
$5,908.68
|
|
Pelvic MRI (with and without contrast)
|
$5,273.65 |
$5,273.65 |
$5,273.65 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,902.35 |
$3,902.35 |
$3,902.35 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,637.30 |
$3,637.30 |
$3,637.30 |
$1,879.15
|
|
Pelvic Ultrasound (limited)
|
$889.35 |
$889.35 |
$889.35 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,033.25 |
$16,033.25 |
$16,033.25 |
$16,340.69
|
|
Ph body fluid
|
$20.80 |
$20.80 |
$20.80 |
$39.20
|
|
Phencyclidine (pcp)
|
$54.15 |
$54.15 |
$54.15 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$68.00 |
$68.00 |
$68.00 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$112.95 |
$112.95 |
$112.95 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,520.75 |
$1,520.75 |
$1,520.75 |
$1,011.98
|
|
Phlebotomy therapeutic
|
$741.45 |
$741.45 |
$741.45 |
$249.00
|
|
Phosphorus 24 hour urine
|
$4.15 |
$4.15 |
$4.15 |
$42.81
|
|
Phys blood bank serv reactj
|
$2,720.40 |
$2,720.40 |
$2,720.40 |
$219.94
|
|
Pinworm exam
|
$7.95 |
$7.95 |
$7.95 |
$39.75
|
|
Platelet automated
|
$526.75 |
$526.75 |
$526.75 |
$44.00
|
|
Pm device progr eval multi
|
$394.15 |
$394.15 |
$394.15 |
$160.55
|
|
Potassium 24 hour urine
|
$874.25 |
$874.25 |
$874.25 |
$50.00
|
|
Pralidoxime 1 gram solution for injection
|
$347.00 |
$347.00 |
$347.00 |
$374.55
|
|
Pr application of long arm splint
|
$594.70 |
$594.70 |
$594.70 |
$332.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$62.85 |
$62.85 |
$62.85 |
$16.30
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$878.80 |
$878.80 |
$878.80 |
$141.00
|
|
Pretreat rbc absorption reference
|
$334.50 |
$334.50 |
$334.50 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$543.25 |
$543.25 |
$543.25 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$314.70 |
$314.70 |
$314.70 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$878.80 |
$878.80 |
$878.80 |
$166.10
|
|
Prgrmg dev eval pm/ldls pm
|
$317.05 |
$317.05 |
$317.05 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$282.70 |
$282.70 |
$282.70 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$317.05 |
$317.05 |
$317.05 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$317.05 |
$317.05 |
$317.05 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$14,389.20 |
$14,389.20 |
$14,389.20 |
$4,889.30
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$209.00 |
$209.00 |
$209.00 |
$666.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$218.00 |
$218.00 |
$218.00 |
$46.50
|
|
Progesterone
|
$4.70 |
$4.70 |
$4.70 |
$105.00
|
|
Prolactin
|
$3.80 |
$3.80 |
$3.80 |
$127.50
|
|
Promethazine 25 mg tablet
|
$4.67 |
$4.67 |
$4.67 |
$7.01
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$202.00 |
$202.00 |
$202.00 |
$39.59
|
|
Prostate biopsy, any mthd
|
$321.75 |
$321.75 |
$321.75 |
$555.26
|
|
Protein c activity
|
$19.05 |
$19.05 |
$19.05 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1.60 |
$1.60 |
$1.60 |
$85.20
|
|
Protein s total
|
$51.55 |
$51.55 |
$51.55 |
$78.87
|
|
Prothrombin time substitution plasma fractions each
|
$36.40 |
$36.40 |
$36.40 |
$37.05
|
|
PSA (Prostate) Test
|
$309.05 |
$309.05 |
$309.05 |
$109.35
|
|
Psychotherapy patient individual therapy 30 minutes
|
$637.25 |
$637.25 |
$637.25 |
$200.00
|
|
Pt application of modality traction mechanical
|
$1,360.25 |
$1,360.25 |
$1,360.25 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$1,588.35 |
$1,588.35 |
$1,588.35 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$758.90 |
$758.90 |
$758.90 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,144.25 |
$1,144.25 |
$1,144.25 |
$263.90
|
|
Pt re-evaluation patient/family
|
$464.60 |
$464.60 |
$464.60 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$434.90 |
$434.90 |
$434.90 |
$65.97
|
|
Pulse ox multiple
|
$695.05 |
$695.05 |
$695.05 |
$194.33
|
|
Pyridoxine hcl 100 mg
|
$33.00 |
$33.00 |
$33.00 |
$43.24
|
|
Pyruvate kinase
|
$124.20 |
$124.20 |
$124.20 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$760.75 |
$760.75 |
$760.75 |
$1,209.44
|
|
Quest t3 uptake
|
$13.90 |
$13.90 |
$13.90 |
$56.10
|
|
Quinupristin/dalfopristin
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$647.41
|
|
Rabies vaccine id
|
$907.00 |
$907.00 |
$907.00 |
$264.47
|
|
Radiation physics consult
|
$450.45 |
$450.45 |
$450.45 |
$574.75
|
|
Radiation treatment aid(s)
|
$396.85 |
$396.85 |
$396.85 |
$541.45
|
|
Radiation treatment aid(s)
|
$426.90 |
$426.90 |
$426.90 |
$665.00
|
|
Radiation treatment aid(s)
|
$594.00 |
$594.00 |
$594.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,290.40 |
$1,290.40 |
$1,290.40 |
$909.98
|
|
Radiesse injection
|
$827.00 |
$827.00 |
$827.00 |
$1,010.63
|
|
Radiotherapy dose plan imrt
|
$11,458.65 |
$11,458.65 |
$11,458.65 |
$5,996.21
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$8,074.30 |
$8,074.30 |
$8,074.30 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$9,635.85 |
$9,635.85 |
$9,635.85 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$4,147.90 |
$4,147.90 |
$4,147.90 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$760.75 |
$760.75 |
$760.75 |
$678.81
|
|
Rapid Strep Test
|
$456.80 |
$456.80 |
$456.80 |
$74.10
|
|
Rbc count only automated
|
$16.30 |
$16.30 |
$16.30 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,864.71
|
|
Rem interrog dev eval icpms
|
$2,482.15 |
$2,482.15 |
$2,482.15 |
$109.50
|
|
Renal cyst study s&i
|
$933.75 |
$933.75 |
$933.75 |
$648.84
|
|
Renal function panel
|
$1,079.35 |
$1,079.35 |
$1,079.35 |
$110.10
|
|
Renal venogram bil s&i
|
$8,167.00 |
$8,167.00 |
$8,167.00 |
$3,615.28
|
|
Respirator motion mgmt simul
|
$2,191.30 |
$2,191.30 |
$2,191.30 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$22.20 |
$22.20 |
$22.20 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$22.20 |
$22.20 |
$22.20 |
$35.20
|
|
Reticulocyte automated
|
$383.15 |
$383.15 |
$383.15 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$383.15 |
$383.15 |
$383.15 |
$33.57
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$390.00 |
$390.00 |
$390.00 |
$255.26
|
|
Rho d immune globulin inj
|
$390.00 |
$390.00 |
$390.00 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$298.00 |
$298.00 |
$298.00 |
$539.70
|
|
Right ventric recording
|
$2,743.35 |
$2,743.35 |
$2,743.35 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$19.00 |
$19.00 |
$19.00 |
$5.97
|
|
Rmvl sq defib electrode
|
$19,315.60 |
$19,315.60 |
$19,315.60 |
$4,306.60
|
