|
Ot manual therpy techniques >=1 region each 15 minutes
|
$214.20 |
$214.20 |
$214.20 |
$105.00
|
|
Otoplasty 69300
|
$22,252.31 |
$22,252.31 |
$22,252.31 |
$3,589.62
|
|
Ot re-evaluation patient/family
|
$328.30 |
$328.30 |
$328.30 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$168.70 |
$168.70 |
$168.70 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$135.80 |
$135.80 |
$135.80 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$163.10 |
$163.10 |
$163.10 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$165.20 |
$165.20 |
$165.20 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$168.70 |
$168.70 |
$168.70 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$188.30 |
$188.30 |
$188.30 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,229.50 |
$2,229.50 |
$2,229.50 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$165.02 |
$165.02 |
$165.02 |
$50.40
|
|
Pabpn1 gene detc abnor allel
|
$316.40 |
$316.40 |
$316.40 |
$225.42
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$87,066.79 |
$87,066.79 |
$87,066.79 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$729.92 |
$729.92 |
$729.92 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,248.12 |
$4,248.12 |
$4,248.12 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$192.01
|
|
Palb2 gene full gene seq
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,931.27 |
$5,931.27 |
$5,931.27 |
$6,238.82
|
|
Palonosetron hcl
|
$292.07 |
$292.07 |
$292.07 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$835.80 |
$835.80 |
$835.80 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$24,574.20 |
$24,574.20 |
$24,574.20 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$46.37 |
$46.37 |
$46.37 |
$29.31
|
|
Papaverin hcl injection
|
$121.45 |
$121.45 |
$121.45 |
$77.05
|
|
Parathormone (pth) intact
|
$391.30 |
$391.30 |
$391.30 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$49,519.47 |
$49,519.47 |
$49,519.47 |
$4,080.85
|
|
Parathyroid planar imaging
|
$2,422.70 |
$2,422.70 |
$2,422.70 |
$1,129.91
|
|
Partial removal of eye fluid
|
$24,295.54 |
$24,295.54 |
$24,295.54 |
$2,698.92
|
|
Partial removal of thyroid
|
$30,583.87 |
$30,583.87 |
$30,583.87 |
$6,457.82
|
|
Partial removal of vaginal wall 57106
|
$20,893.02 |
$20,893.02 |
$20,893.02 |
$3,762.53
|
|
Passy muir valve metal trach
|
$1,768.20 |
$1,768.20 |
$1,768.20 |
$275.75
|
|
Pcv21 vaccine im
|
$1,305.32 |
$1,305.32 |
$1,305.32 |
$410.26
|
|
Pdgfra gene
|
$761.60 |
$761.60 |
$761.60 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$15,719.55 |
$15,719.55 |
$15,719.55 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$6,952.75 |
$6,952.75 |
$6,952.75 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,527.60 |
$11,527.60 |
$11,527.60 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,104.70 |
$6,104.70 |
$6,104.70 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$84,709.27 |
$84,709.27 |
$84,709.27 |
$49,135.11
|
|
Pelvic control hip heavy dut
|
$337.40 |
$337.40 |
$337.40 |
$591.53
|
|
Pelvic CT scan (with and without contrast)
|
$3,318.00 |
$3,318.00 |
$3,318.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,907.80 |
$2,907.80 |
$2,907.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,156.70 |
$2,156.70 |
$2,156.70 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,765.60 |
$4,765.60 |
$4,765.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,615.50 |
$3,615.50 |
$3,615.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,509.90 |
$1,509.90 |
$1,509.90 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$862.40 |
$862.40 |
$862.40 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$20,909.52 |
$20,909.52 |
$20,909.52 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,869.77 |
$10,869.77 |
$10,869.77 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$948.32 |
$948.32 |
$948.32 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$659.22 |
$659.22 |
$659.22 |
$101.34
|
|
Penile injection
|
$704.20 |
$704.20 |
$704.20 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$47,525.11 |
$47,525.11 |
$47,525.11 |
$18,764.94
|
|
Penis plastic surgery
|
$20,960.65 |
$20,960.65 |
$20,960.65 |
$4,081.37
|
|
Pentamidine 300 mg solution for injection
|
$1,387.05 |
$1,387.05 |
$1,387.05 |
$453.61
|
|
Pentobarbital sodium inj
|
$4,754.22 |
$4,754.22 |
$4,754.22 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$6,491.45 |
$6,491.45 |
$6,491.45 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$15,636.60 |
$15,636.60 |
$15,636.60 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$20,179.60 |
$20,179.60 |
$20,179.60 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$17,370.50 |
$17,370.50 |
$17,370.50 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$19,483.80 |
$19,483.80 |
$19,483.80 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$14,084.00 |
$14,084.00 |
$14,084.00 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$14,807.10 |
$14,807.10 |
$14,807.10 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$13,615.00 |
$13,615.00 |
$13,615.00 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$20,030.50 |
$20,030.50 |
$20,030.50 |
$16,258.50
|
|
Percut ablate liver rf
|
$6,825.00 |
$6,825.00 |
$6,825.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$557.55 |
$557.55 |
$557.55 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,194.80 |
$3,194.80 |
$3,194.80 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$12,442.00 |
$12,442.00 |
$12,442.00 |
$2,251.20
|
|
Peri-proc device eval pm
|
$309.40 |
$309.40 |
$309.40 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$4,081.00 |
$4,081.00 |
$4,081.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$739.90 |
$739.90 |
$739.90 |
$695.89
|
|
Perq art m-thrombect &/nfs
|
$29,983.10 |
$29,983.10 |
$29,983.10 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$10,022.60 |
$10,022.60 |
$10,022.60 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$2,756.60 |
$2,756.60 |
$2,756.60 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$60,788.83 |
$60,788.83 |
$60,788.83 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$54,146.55 |
$54,146.55 |
$54,146.55 |
$9,442.38
|
|
Perq p-art revsc 1 abnor uni
|
$42,242.20 |
$42,242.20 |
$42,242.20 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt uni
|
$26,104.40 |
$26,104.40 |
$26,104.40 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$10,885.00 |
$10,885.00 |
$10,885.00 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$11,519.20 |
$11,519.20 |
$11,519.20 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,588.30 |
$1,588.30 |
$1,588.30 |
$625.93
|
|
Perq transcath closure each
|
$12,824.70 |
$12,824.70 |
$12,824.70 |
$9,204.00
|
|
Perq transcath closure pda
|
$33,441.80 |
$33,441.80 |
$33,441.80 |
$18,408.00
|
|
Perq transcath cls mitral
|
$19,471.90 |
$19,471.90 |
$19,471.90 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$8,999.20 |
$8,999.20 |
$8,999.20 |
$8,605.90
|
|
Pertussis ag if
|
$182.00 |
$182.00 |
$182.00 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$37,738.40 |
$37,738.40 |
$37,738.40 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$77,001.22 |
$77,001.22 |
$77,001.22 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$5,905.20 |
$5,905.20 |
$5,905.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,905.20 |
$5,905.20 |
$5,905.20 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$6,045.20 |
$6,045.20 |
$6,045.20 |
$4,060.00
|
|
Pet image ltd area
|
$5,712.00 |
$5,712.00 |
$5,712.00 |
$3,677.40
|
|
Pet image skull-thigh
|
$5,630.10 |
$5,630.10 |
$5,630.10 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$5,609.80 |
$5,609.80 |
$5,609.80 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$43,202.68 |
$43,202.68 |
$43,202.68 |
$38,834.22
|
|
Ph body fluid
|
$75.60 |
$75.60 |
$75.60 |
$41.28
|