|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,003.12 |
$3,003.12 |
$3,003.12 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,150.56 |
$1,150.56 |
$1,150.56 |
$1,550.95
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,342.08 |
$1,342.08 |
$1,342.08 |
$1,091.00
|
|
Nuclear Stress Test (Heart)
|
$4,363.20 |
$4,363.20 |
$4,363.20 |
$3,818.25
|
|
Nudt15 gene common variants
|
$882.00 |
$882.00 |
$882.00 |
$301.62
|
|
Observation direct referral from physician office for admission
|
$662.40 |
$662.40 |
$662.40 |
$386.40
|
|
Observation per hour
|
$59.04 |
$59.04 |
$59.04 |
$80.73
|
|
Obstetrics panel
|
$272.88 |
$272.88 |
$272.88 |
$215.20
|
|
Ob Ultrasound nuchal meas 1 gest
|
$629.28 |
$629.28 |
$629.28 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$285.12 |
$285.12 |
$285.12 |
$249.60
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$8.59 |
$8.59 |
$8.59 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$4.35 |
$4.35 |
$4.35 |
$109.62
|
|
Onco (ovar) two proteins
|
$604.08 |
$604.08 |
$604.08 |
$310.58
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$3.24 |
$3.24 |
$3.24 |
$22.67
|
|
Organic acids total quant ea spec
|
$213.84 |
$213.84 |
$213.84 |
$150.70
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.93 |
$53.93 |
$53.93 |
$50.63
|
|
Osmolality blood
|
$49.68 |
$49.68 |
$49.68 |
$70.85
|
|
Osmolality urine
|
$65.52 |
$65.52 |
$65.52 |
$66.30
|
|
Ot evaluation high complexity patient/family
|
$520.56 |
$520.56 |
$520.56 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$257.76 |
$257.76 |
$257.76 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$316.80 |
$316.80 |
$316.80 |
$263.50
|
|
Oth resp proc, group
|
$97.20 |
$97.20 |
$97.20 |
$124.20
|
|
Oth resp proc, indiv
|
$74.88 |
$74.88 |
$74.88 |
$81.73
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$156.96 |
$156.96 |
$156.96 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$147.60 |
$147.60 |
$147.60 |
$105.00
|
|
Ot re-evaluation patient/family
|
$150.48 |
$150.48 |
$150.48 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$135.36 |
$135.36 |
$135.36 |
$99.72
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$82.08 |
$82.08 |
$82.08 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$82.08 |
$82.08 |
$82.08 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$147.60 |
$147.60 |
$147.60 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$165.60 |
$165.60 |
$165.60 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$101.52 |
$101.52 |
$101.52 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$12.96 |
$12.96 |
$12.96 |
$50.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$17.64 |
$17.64 |
$17.64 |
$28.54
|
|
Parathormone (pth) intact
|
$94.32 |
$94.32 |
$94.32 |
$204.87
|
|
Parathyroid planar imaging
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$1,132.80
|
|
Partial hysterectomy
|
$2,535.12 |
$2,535.12 |
$2,535.12 |
$2,400.00
|
|
Pelvic CT scan (with and without contrast)
|
$2,558.88 |
$2,558.88 |
$2,558.88 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,352.96 |
$2,352.96 |
$2,352.96 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,144.88 |
$2,144.88 |
$2,144.88 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,230.00 |
$4,230.00 |
$4,230.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,435.12 |
$3,435.12 |
$3,435.12 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,942.64 |
$2,942.64 |
$2,942.64 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$659.15
|
|
Pelvic Ultrasound (limited)
|
$566.64 |
$566.64 |
$566.64 |
$435.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$106.29 |
$106.29 |
$106.29 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$13.10 |
$13.10 |
$13.10 |
$97.85
|
|
Penile injection
|
$765.36 |
$765.36 |
$765.36 |
$418.86
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$339.44 |
$339.44 |
$339.44 |
$329.04
|
|
Peripheral vascular rehab
|
$114.48 |
$114.48 |
$114.48 |
$132.50
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$663.12 |
$663.12 |
$663.12 |
$625.93
|
|
Pfc sigma fem post aug sz3 8mm
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$36,933.25
|
|
Ph body fluid
|
$78.48 |
$78.48 |
$78.48 |
$40.04
|
|
Phencyclidine (pcp)
|
$38.88 |
$38.88 |
$38.88 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$91.08 |
$91.08 |
$91.08 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$118.80 |
$118.80 |
$118.80 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.03 |
$0.03 |
$0.03 |
$67.80
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$3.24 |
$3.24 |
$3.24 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$163.44 |
$163.44 |
$163.44 |
$112.93
|
|
Phlebotomy therapeutic
|
$159.84 |
$159.84 |
$159.84 |
$237.00
|
|
Phosphorus
|
$86.40 |
$86.40 |
$86.40 |
$50.25
|
|
Phosphorus 24 hour urine
|
$134.64 |
$134.64 |
$134.64 |
$42.25
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$16.93 |
$16.93 |
$16.93 |
$85.79
|
|
Pinworm exam
|
$84.24 |
$84.24 |
$84.24 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$16.50 |
$16.50 |
$16.50 |
$84.15
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,822.32 |
$1,822.32 |
$1,822.32 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$641.52 |
$641.52 |
$641.52 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,822.32 |
$1,822.32 |
$1,822.32 |
$1,332.43
|
|
Place right device/marker pros
|
$3,749.76 |
$3,749.76 |
$3,749.76 |
$2,008.20
|
|
Platelet aggregation each agent teg
|
$62.64 |
$62.64 |
$62.64 |
$146.50
|
|
Platelet automated
|
$54.72 |
$54.72 |
$54.72 |
$45.63
|
|
Platelets leukocytes reduced each unit
|
$1,150.56 |
$1,150.56 |
$1,150.56 |
$299.40
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,049.76 |
$1,049.76 |
$1,049.76 |
$418.95
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,204.56 |
$1,204.56 |
$1,204.56 |
$1,175.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,195.92 |
$1,195.92 |
$1,195.92 |
$1,131.65
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,090.80 |
$1,090.80 |
$1,090.80 |
$1,237.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$1,004.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$641.52 |
$641.52 |
$641.52 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$720.00 |
$720.00 |
$720.00 |
$405.00
|
|
#pnh-flow cytometry interp
|
$170.64 |
$170.64 |
$170.64 |
$132.48
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$195.12 |
$195.12 |
$195.12 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,944.96 |
$4,944.96 |
$4,944.96 |
$3,751.48
|
|
Potassium 24 hour urine
|
$71.28 |
$71.28 |
$71.28 |
$51.35
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$65.52 |
$65.52 |
$65.52 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$72.00 |
$72.00 |
$72.00 |
$47.85
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$18,010.80 |
$18,010.80 |
$18,010.80 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$8,851.68 |
$8,851.68 |
$8,851.68 |
$3,043.81
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$7,920.72 |
$7,920.72 |
$7,920.72 |
$3,738.90
|
|
Pr application of long arm splint
|
$430.56 |
$430.56 |
$430.56 |
$328.78
|
|
Pr application splint static short arm
|
$329.76 |
$329.76 |
$329.76 |
$287.70
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$424.08 |
$424.08 |
$424.08 |
$350.98
|
|
Prealbumin
|
$87.12 |
$87.12 |
$87.12 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.44 |
$1.44 |
$1.44 |
$13.87
|
|
Prednisone 1 mg tablet
|
$0.43 |
$0.43 |
$0.43 |
$3.00
|
|
Pregabalin - sendout
|
$167.76 |
$167.76 |
$167.76 |
$72.14
|
|
Pregnancy associated plasma protein-a
|
$144.00 |
$144.00 |
$144.00 |
$75.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$596.70
|
|
Pregnancy Ultrasound (first trimester)
|
$1,056.24 |
$1,056.24 |
$1,056.24 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$324.00 |
$324.00 |
$324.00 |
$238.33
|
|
Pressure treatment esophagus
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$1,555.50
|