|
Oral aprepitant
|
$120.81 |
$120.81 |
$120.81 |
$260.40
|
|
Organic acids total quant ea spec
|
$448.20 |
$448.20 |
$448.20 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.92 |
$40.92 |
$40.92 |
$40.92
|
|
Osmolality blood
|
$132.60 |
$132.60 |
$132.60 |
$57.00
|
|
Osmolality urine
|
$132.60 |
$132.60 |
$132.60 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$156.00 |
$156.00 |
$156.00 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$121.20 |
$121.20 |
$121.20 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$138.00 |
$138.00 |
$138.00 |
$249.60
|
|
Oth resp proc, group
|
$186.60 |
$186.60 |
$186.60 |
$100.80
|
|
Oth resp proc, indiv
|
$127.20 |
$127.20 |
$127.20 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$77.40 |
$77.40 |
$77.40 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$90.60 |
$90.60 |
$90.60 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$100.20 |
$100.20 |
$100.20 |
$105.50
|
|
Ot re-evaluation patient/family
|
$139.20 |
$139.20 |
$139.20 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$81.60 |
$81.60 |
$81.60 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$79.80 |
$79.80 |
$79.80 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.80 |
$91.80 |
$91.80 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$98.40 |
$98.40 |
$98.40 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$89.40 |
$89.40 |
$89.40 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$85.20 |
$85.20 |
$85.20 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$39.23 |
$39.23 |
$39.23 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$65.80 |
$65.80 |
$65.80 |
$18.49
|
|
Parathormone (pth) intact
|
$552.60 |
$552.60 |
$552.60 |
$204.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$422.40 |
$422.40 |
$422.40 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,121.58 |
$9,121.58 |
$9,121.58 |
$9,121.58
|
|
Pelvic CT scan (with and without contrast)
|
$1,751.40 |
$1,751.40 |
$1,751.40 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,401.00 |
$1,401.00 |
$1,401.00 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$2,608.80 |
$2,608.80 |
$2,608.80 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$1,303.80 |
$1,303.80 |
$1,303.80 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$576.00 |
$576.00 |
$576.00 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$518.40 |
$518.40 |
$518.40 |
$429.66
|
|
Peng benzathine/procaine inj
|
$338.23 |
$338.23 |
$338.23 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$48.74 |
$48.74 |
$48.74 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$47.09 |
$47.09 |
$47.09 |
$53.75
|
|
Perq dev breast 1st strtctc
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$1,471.17
|
|
Pertussis ag if
|
$222.00 |
$222.00 |
$222.00 |
$53.95
|
|
Ph body fluid
|
$96.00 |
$96.00 |
$96.00 |
$35.75
|
|
Phencyclidine (pcp)
|
$145.80 |
$145.80 |
$145.80 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$135.50 |
$135.50 |
$135.50 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$233.40 |
$233.40 |
$233.40 |
$97.50
|
|
Phentolaine mesylate inj
|
$881.36 |
$881.36 |
$881.36 |
$881.36
|
|
Phenylephrine 10 mg/ml injection solution
|
$43.58 |
$43.58 |
$43.58 |
$28.92
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$39.08 |
$39.08 |
$39.08 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$236.40 |
$236.40 |
$236.40 |
$100.75
|
|
Phosphorus
|
$96.00 |
$96.00 |
$96.00 |
$42.37
|
|
Phosphorus 24 hour urine
|
$129.00 |
$129.00 |
$129.00 |
$41.51
|
|
Phys blood bank serv reactj
|
$323.40 |
$323.40 |
$323.40 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$133.36 |
$133.36 |
$133.36 |
$75.04
|
|
Pinworm exam
|
$75.00 |
$75.00 |
$75.00 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$104.73 |
$104.73 |
$104.73 |
$51.80
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,329.40 |
$3,329.40 |
$3,329.40 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$3,329.40 |
$3,329.40 |
$3,329.40 |
$1,094.83
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,985.40 |
$1,985.40 |
$1,985.40 |
$1,372.15
|
|
Platelet aggregation each agent teg
|
$320.40 |
$320.40 |
$320.40 |
$145.60
|
|
Platelet automated
|
$108.60 |
$108.60 |
$108.60 |
$33.60
|
|
Platelets irradiated ea unit
|
$659.40 |
$659.40 |
$659.40 |
$215.80
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,148.40 |
$1,148.40 |
$1,148.40 |
$1,146.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,125.20 |
$2,125.20 |
$2,125.20 |
$1,642.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$1,331.53
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$878.22
|
|
Plc pq device breast ea addl lesion stereo guide
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$964.04
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,985.40 |
$1,985.40 |
$1,985.40 |
$969.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$327.60 |
$327.60 |
$327.60 |
$146.15
|
|
Potassium 24 hour urine
|
$108.60 |
$108.60 |
$108.60 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$63.27 |
$63.27 |
$63.27 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$75.00 |
$75.00 |
$75.00 |
$40.00
|
|
Pralidoxime 1 gram solution for injection
|
$305.77 |
$305.77 |
$305.77 |
$297.18
|
|
Pr application of long arm splint
|
$202.20 |
$202.20 |
$202.20 |
$320.00
|
|
Pr application splint static short arm
|
$202.20 |
$202.20 |
$202.20 |
$277.60
|
|
Pr biopsy skin punch single lesion
|
$489.00 |
$489.00 |
$489.00 |
$460.57
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$583.20 |
$583.20 |
$583.20 |
$350.98
|
|
Prealbumin
|
$298.20 |
$298.20 |
$298.20 |
$80.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$8.88 |
$8.88 |
$8.88 |
$4.87
|
|
Prednisone 1 mg tablet
|
$1.90 |
$1.90 |
$1.90 |
$4.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$486.00 |
$486.00 |
$486.00 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$466.80 |
$466.80 |
$466.80 |
$539.37
|
|
Prep skin to 100cm2 other
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$1,144.00
|
|
Prep skin to 100cm2 trk/ext
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$1,862.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,988.40 |
$1,988.40 |
$1,988.40 |
$776.49
|
|
Pretreat rbc absorption reference
|
$442.80 |
$442.80 |
$442.80 |
$139.00
|
|
Pretreat rbc w chem/drugs reference
|
$96.60 |
$96.60 |
$96.60 |
$106.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$886.80 |
$886.80 |
$886.80 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$669.00 |
$669.00 |
$669.00 |
$437.53
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,183.80 |
$1,183.80 |
$1,183.80 |
$606.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$309.00 |
$309.00 |
$309.00 |
$266.64
|
|
Procalcitonin
|
$312.00 |
$312.00 |
$312.00 |
$133.20
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$44.48 |
$44.48 |
$44.48 |
$35.00
|
|
Progesterone
|
$432.00 |
$432.00 |
$432.00 |
$100.24
|
|
Prolactin
|
$408.00 |
$408.00 |
$408.00 |
$123.20
|
|
Promethazine hcl injection
|
$63.05 |
$63.05 |
$63.05 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$45.25 |
$45.25 |
$45.25 |
$45.25
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$39.59 |
$39.59 |
$39.59 |
$28.79
|
|
Protamine 10 mg/ml intravenous solution
|
$119.18 |
$119.18 |
$119.18 |
$32.68
|
|
Protein c activity
|
$568.20 |
$568.20 |
$568.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$229.80 |
$229.80 |
$229.80 |
$84.00
|
|
Protein s total
|
$619.20 |
$619.20 |
$619.20 |
$85.10
|
|
Protein total 24 hour urine
|
$117.00 |
$117.00 |
$117.00 |
$45.00
|
|
Protein total body fluid
|
$126.60 |
$126.60 |
$126.60 |
$49.20
|