|
Olanzapine 10 mg intramuscular solution
|
$6.42 |
$6.42 |
$6.42 |
$109.62
|
|
Onco (ovar) five proteins
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$986.70
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$15.04 |
$15.04 |
$15.04 |
$22.62
|
|
Opn fem art expos cndt crtj 34714
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,041.65
|
|
Organic acids total quant ea spec
|
$152.50 |
$152.50 |
$152.50 |
$152.50
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$230.00 |
$230.00 |
$230.00 |
$279.81
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$250.00 |
$250.00 |
$250.00 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$190.00 |
$190.00 |
$190.00 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$310.00 |
$310.00 |
$310.00 |
$310.00
|
|
Orthopantogram
|
$215.00 |
$215.00 |
$215.00 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$325.00 |
$325.00 |
$325.00 |
$421.00
|
|
Oscillation chest wall mechanical per session
|
$187.50 |
$187.50 |
$187.50 |
$196.30
|
|
Osmolality blood
|
$52.50 |
$52.50 |
$52.50 |
$70.85
|
|
Osmolality urine
|
$57.50 |
$57.50 |
$57.50 |
$65.52
|
|
Oth resp proc, group
|
$67.50 |
$67.50 |
$67.50 |
$126.00
|
|
Oth resp proc, indiv
|
$65.00 |
$65.00 |
$65.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$130.00 |
$130.00 |
$130.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$6.25 |
$6.25 |
$6.25 |
$76.52
|
|
Oxytocin 10 unit/ml injection solution
|
$30.25 |
$30.25 |
$30.25 |
$50.40
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$34.85 |
$34.85 |
$34.85 |
$3,435.42
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$430.50 |
$430.50 |
$430.50 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$63.31 |
$63.31 |
$63.31 |
$28.90
|
|
Papaverin hcl injection
|
$75.62 |
$75.62 |
$75.62 |
$78.75
|
|
Parathormone (pth) intact
|
$217.50 |
$217.50 |
$217.50 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,126.00
|
|
Passy muir valve metal trach
|
$350.92 |
$350.92 |
$350.92 |
$275.75
|
|
Pca3/klk3 antigen
|
$900.00 |
$900.00 |
$900.00 |
$510.40
|
|
Pdgfra gene
|
$960.00 |
$960.00 |
$960.00 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,865.00 |
$1,865.00 |
$1,865.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$595.00 |
$595.00 |
$595.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$445.00 |
$445.00 |
$445.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$240.00 |
$240.00 |
$240.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$357.50 |
$357.50 |
$357.50 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$126.42 |
$126.42 |
$126.42 |
$12,385.22
|
|
Perc cryo ablate renal tum
|
$9,085.00 |
$9,085.00 |
$9,085.00 |
$11,523.76
|
|
Perc rf ablate renal tumor
|
$6,470.00 |
$6,470.00 |
$6,470.00 |
$7,243.60
|
|
Percut ablate liver rf
|
$4,315.00 |
$4,315.00 |
$4,315.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$167.08 |
$167.08 |
$167.08 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$2,375.00
|
|
Peripheral vascular rehab
|
$105.00 |
$105.00 |
$105.00 |
$132.50
|
|
Peri-proc device eval icd
|
$135.00 |
$135.00 |
$135.00 |
$192.40
|
|
Peri-proc device eval pm
|
$102.50 |
$102.50 |
$102.50 |
$156.00
|
|
Peritoneogram rs&i
|
$640.00 |
$640.00 |
$640.00 |
$698.50
|
|
Perit-vens shunt pat tst
|
$935.00 |
$935.00 |
$935.00 |
$752.49
|
|
Perq art m-thrombect &/nfs
|
$8,250.00 |
$8,250.00 |
$8,250.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$10,810.00 |
$10,810.00 |
$10,810.00 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$955.00 |
$955.00 |
$955.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$21,635.00 |
$21,635.00 |
$21,635.00 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$17,310.00 |
$17,310.00 |
$17,310.00 |
$22,559.00
|
|
Perq p-art revsc 1 nm nt bi
|
$13,385.00 |
$13,385.00 |
$13,385.00 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$10,705.00 |
$10,705.00 |
$10,705.00 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$5,355.00 |
$5,355.00 |
$5,355.00 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$7,460.00 |
$7,460.00 |
$7,460.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$5,390.00 |
$5,390.00 |
$5,390.00 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$5,390.00 |
$5,390.00 |
$5,390.00 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$385.00 |
$385.00 |
$385.00 |
$625.93
|
|
Perq transcath closure pda
|
$17,610.00 |
$17,610.00 |
$17,610.00 |
$18,408.00
|
|
Perq transcath septal reduxn
|
$11,810.00 |
$11,810.00 |
$11,810.00 |
$8,999.20
|
|
Perq trluml angp nt/recr coa
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$7,398.00
|
|
Pet CT skull-mid thgh initial
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$14,576.30 |
$14,576.30 |
$14,576.30 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$82.50 |
$82.50 |
$82.50 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$110.00 |
$110.00 |
$110.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$50.00 |
$50.00 |
$50.00 |
$31.20
|
|
Ph body fluid
|
$27.50 |
$27.50 |
$27.50 |
$42.00
|
|
Phencyclidine (pcp)
|
$212.50 |
$212.50 |
$212.50 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$76.59 |
$76.59 |
$76.59 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$1.50 |
$1.50 |
$1.50 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$100.00 |
$100.00 |
$100.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$207.50 |
$207.50 |
$207.50 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,785.00 |
$3,785.00 |
$3,785.00 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$4,621.21
|
|
Phosphorus
|
$35.00 |
$35.00 |
$35.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$57.50 |
$57.50 |
$57.50 |
$42.25
|
|
Phys blood bank serv reactj
|
$285.00 |
$285.00 |
$285.00 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$212.50 |
$212.50 |
$212.50 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$207.50 |
$207.50 |
$207.50 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$210.00 |
$210.00 |
$210.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$120.00 |
$120.00 |
$120.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$124.75 |
$124.75 |
$124.75 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$861.67 |
$861.67 |
$861.67 |
$1,038.40
|
|
Pin caspar distraction 12mm
|
$4,194.00 |
$4,194.00 |
$4,194.00 |
$11,759.36
|
|
Pinworm exam
|
$22.50 |
$22.50 |
$22.50 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$23.66 |
$23.66 |
$23.66 |
$81.36
|
|
Place cath intracranial art
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$7,335.00 |
$7,335.00 |
$7,335.00 |
$4,202.90
|
