|
Ot re-evaluation patient/family
|
$179.00 |
$179.00 |
$179.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$272.00 |
$272.00 |
$272.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$272.00 |
$272.00 |
$272.00 |
$93.12
|
|
Ovarian cystectomy 58925
|
$28,595.75 |
$28,595.75 |
$28,595.75 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$14.50 |
$14.50 |
$14.50 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$6.85 |
$6.85 |
$6.85 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$290.64
|
|
P-32 sod phosphate ther per mci
|
$1,383.10 |
$1,383.10 |
$1,383.10 |
$469.34
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$22,352.16 |
$22,352.16 |
$22,352.16 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$328.00 |
$328.00 |
$328.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,766.15 |
$4,766.15 |
$4,766.15 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$93.32 |
$93.32 |
$93.32 |
$192.01
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$136.60 |
$136.60 |
$136.60 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$20,996.10 |
$20,996.10 |
$20,996.10 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.25 |
$10.25 |
$10.25 |
$28.90
|
|
Papaverin hcl injection
|
$29.90 |
$29.90 |
$29.90 |
$78.75
|
|
Parathormone (pth) intact
|
$620.00 |
$620.00 |
$620.00 |
$206.18
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$340.09 |
$340.09 |
$340.09 |
$4,921.76
|
|
Passy muir valve metal trach
|
$373.03 |
$373.03 |
$373.03 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$0.65 |
$0.65 |
$0.65 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$144.91 |
$144.91 |
$144.91 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,709.85 |
$17,709.85 |
$17,709.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$10,830.70 |
$10,830.70 |
$10,830.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$20,144.40 |
$20,144.40 |
$20,144.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,866.15 |
$11,866.15 |
$11,866.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,037.30 |
$5,037.30 |
$5,037.30 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$11,497.50 |
$11,497.50 |
$11,497.50 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$95,364.75 |
$95,364.75 |
$95,364.75 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$3,436.00 |
$3,436.00 |
$3,436.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$3,263.00 |
$3,263.00 |
$3,263.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$7,541.00 |
$7,541.00 |
$7,541.00 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$981.00 |
$981.00 |
$981.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$47,217.57 |
$47,217.57 |
$47,217.57 |
$281.82
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,047.05 |
$18,047.05 |
$18,047.05 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,906.25 |
$5,906.25 |
$5,906.25 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,928.25 |
$1,928.25 |
$1,928.25 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$234.00 |
$234.00 |
$234.00 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$20,815.21 |
$20,815.21 |
$20,815.21 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$792.75 |
$792.75 |
$792.75 |
$572.10
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Perc drug-el cor stent sing
|
$35,266.00 |
$35,266.00 |
$35,266.00 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$393.60 |
$393.60 |
$393.60 |
$332.84
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,666.10 |
$20,666.10 |
$20,666.10 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$148.28 |
$148.28 |
$148.28 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$9,778.20 |
$9,778.20 |
$9,778.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$11,540.00 |
$11,540.00 |
$11,540.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,186.00 |
$4,186.00 |
$4,186.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$7,347.00 |
$7,347.00 |
$7,347.00 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$84,222.41 |
$84,222.41 |
$84,222.41 |
$39,920.50
|
|
Ph body fluid
|
$43.00 |
$43.00 |
$43.00 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$201.80 |
$201.80 |
$201.80 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$237.00 |
$237.00 |
$237.00 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,621.15 |
$1,621.15 |
$1,621.15 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$11.90 |
$11.90 |
$11.90 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$3.00 |
$3.00 |
$3.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$274.00 |
$274.00 |
$274.00 |
$111.27
|
|
Phosphorus
|
$42,502.97 |
$42,502.97 |
$42,502.97 |
$49.20
|
|
Phosphorus 24 hour urine
|
$107.00 |
$107.00 |
$107.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$419.00 |
$419.00 |
$419.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$407.00 |
$407.00 |
$407.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$407.00 |
$407.00 |
$407.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$179.00 |
$179.00 |
$179.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$22.60 |
$22.60 |
$22.60 |
$90.25
|
|
Pillow shldr abduc inflat univ
|
$1,202.93 |
$1,202.93 |
$1,202.93 |
$537.66
|
|
Pin caspar distraction 12mm
|
$37,392.12 |
$37,392.12 |
$37,392.12 |
$11,759.36
|
|
Pinworm exam
|
$70.00 |
$70.00 |
$70.00 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$89.80 |
$89.80 |
$89.80 |
$81.36
|
|
Place cath intracranial art
|
$853.00 |
$853.00 |
$853.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$290.00 |
$290.00 |
$290.00 |
$4,202.90
|
|
Place duod/jej tube perc
|
$868.00 |
$868.00 |
$868.00 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$1,993.00 |
$1,993.00 |
$1,993.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$14,439.00 |
$14,439.00 |
$14,439.00 |
$1,332.43
|
|
Placement occlusive device venous/arterial access site post procedure
|
$263.00 |
$263.00 |
$263.00 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$26,977.00 |
$26,977.00 |
$26,977.00 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$11,500.00 |
$11,500.00 |
$11,500.00 |
$5,271.46
|
|
Place right device/marker pros
|
$19,895.50 |
$19,895.50 |
$19,895.50 |
$2,402.50
|
|
Plasma cryoprecipitate reduced each unit
|
$381.00 |
$381.00 |
$381.00 |
$163.04
|
|
Platelet aggregation each agent teg
|
$310.00 |
$310.00 |
$310.00 |
$148.98
|
|
Platelet automated
|
$139.00 |
$139.00 |
$139.00 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,071.00 |
$3,071.00 |
$3,071.00 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$377.00 |
$377.00 |
$377.00 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$616.00 |
$616.00 |
$616.00 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,546.00 |
$1,546.00 |
$1,546.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,005.65
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$5,087.15
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$4,177.00 |
$4,177.00 |
$4,177.00 |
$1,230.00
|
|
Plmt access bil tree sm bwl
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$4,762.80
|
|
Plug insert indwelling 16f
|
$235.90 |
$235.90 |
$235.90 |
$149.90
|
|
Pm device progr eval dual
|
$112.00 |
$112.00 |
$112.00 |
$149.15
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$504.00 |
$504.00 |
$504.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$59,184.30 |
$59,184.30 |
$59,184.30 |
$35,781.91
|
