|
Osmolality urine
|
$57.37 |
$57.37 |
$57.37 |
$63.70
|
|
Ot evaluation high complexity patient/family
|
$150.41 |
$150.41 |
$150.41 |
$301.41
|
|
Ot evaluation low complexity patient/family
|
$150.41 |
$150.41 |
$150.41 |
$236.00
|
|
Ot evaluation moderate complexity patient/family
|
$150.41 |
$150.41 |
$150.41 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$68.94 |
$68.94 |
$68.94 |
$102.30
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$52.55 |
$52.55 |
$52.55 |
$107.71
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$81.95 |
$81.95 |
$81.95 |
$108.80
|
|
Ot re-evaluation patient/family
|
$61.23 |
$61.23 |
$61.23 |
$169.65
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$77.62 |
$77.62 |
$77.62 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$63.64 |
$63.64 |
$63.64 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$128.23 |
$128.23 |
$128.23 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$80.51 |
$80.51 |
$80.51 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$103.16 |
$103.16 |
$103.16 |
$100.08
|
|
Ot training self care/home management direct contact each 15 minutes
|
$79.06 |
$79.06 |
$79.06 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$39.96 |
$39.96 |
$39.96 |
$45.01
|
|
Oxaliplatin 5 mg/ml desensitization
|
$348.69 |
$348.69 |
$348.69 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$0.13 |
$0.13 |
$0.13 |
$43.65
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$536.55 |
$536.55 |
$536.55 |
$201.09
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,020.68 |
$5,020.68 |
$5,020.68 |
$3,825.25
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,569.20 |
$5,569.20 |
$5,569.20 |
$5,078.52
|
|
Palonosetron hcl
|
$155.91 |
$155.91 |
$155.91 |
$569.38
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$69.47 |
$69.47 |
$69.47 |
$148.35
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$18,390.86 |
$18,390.86 |
$18,390.86 |
$18,554.59
|
|
Papaverin hcl injection
|
$67.49 |
$67.49 |
$67.49 |
$73.07
|
|
Parathormone (pth) intact
|
$255.98 |
$255.98 |
$255.98 |
$196.95
|
|
Parathyroid planar imaging
|
$676.33 |
$676.33 |
$676.33 |
$1,159.15
|
|
Parathyroid planar img w/tomo spect
|
$209.70 |
$209.70 |
$209.70 |
$1,406.42
|
|
Parial mast w/lymph removal 19302
|
$6,916.52 |
$6,916.52 |
$6,916.52 |
$5,428.78
|
|
Paricalcitol
|
$30.73 |
$30.73 |
$30.73 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$227.05 |
$227.05 |
$227.05 |
$264.00
|
|
Partial removal finger bone
|
$1,100.53 |
$1,100.53 |
$1,100.53 |
$2,134.33
|
|
Patient recorded spirometry
|
$334.07 |
$334.07 |
$334.07 |
$436.10
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$20,114.47 |
$20,114.47 |
$20,114.47 |
$12,556.80
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,545.24 |
$9,545.24 |
$9,545.24 |
$9,545.24
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,910.08 |
$4,910.08 |
$4,910.08 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$714.89 |
$714.89 |
$714.89 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$903.86 |
$903.86 |
$903.86 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$591.00 |
$591.00 |
$591.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,183.93 |
$1,183.93 |
$1,183.93 |
$2,713.80
|
|
Pelvic MRI (with contrast)
|
$718.75 |
$718.75 |
$718.75 |
$2,070.00
|
|
Pelvic MRI (without contrast)
|
$738.51 |
$738.51 |
$738.51 |
$1,810.38
|
|
Pelvic Ultrasound (complete)
|
$479.65 |
$479.65 |
$479.65 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$537.50 |
$537.50 |
$537.50 |
$438.10
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$17,097.60 |
$17,097.60 |
$17,097.60 |
$16,273.24
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$186.68 |
$186.68 |
$186.68 |
$2,046.45
|
|
Peng benzathine/procaine inj
|
$310.49 |
$310.49 |
$310.49 |
$204.03
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$760.68 |
$760.68 |
$760.68 |
$578.30
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$34.09 |
$34.09 |
$34.09 |
$80.66
|
|
Penicillin g procaine inj
|
$31.04 |
$31.04 |
$31.04 |
$40.94
|
|
Penile injection
|
$342.75 |
$342.75 |
$342.75 |
$411.00
|
|
Perc drug-el cor stent sing
|
$7,448.22 |
$7,448.22 |
$7,448.22 |
$13,419.98
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$172.37 |
$172.37 |
$172.37 |
$370.40
|
|
Perphenazine 4mg oral
|
$71.57 |
$71.57 |
$71.57 |
$15.57
|
|
Perq skel fix ulnar styld fx
|
$1,604.76 |
$1,604.76 |
$1,604.76 |
$3,591.33
|
|
Pertussis ag if
|
$29.89 |
$29.89 |
$29.89 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,850.36 |
$18,850.36 |
$18,850.36 |
$18,443.20
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,735.93 |
$3,735.93 |
$3,735.93 |
$23,062.70
|
|
Ph body fluid
|
$26.04 |
$26.04 |
$26.04 |
$37.00
|
|
Phencyclidine (pcp)
|
$64.60 |
$64.60 |
$64.60 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$130.16 |
$130.16 |
$130.16 |
$130.16
|
|
Phenobarbital therapeutic drug level
|
$108.47 |
$108.47 |
$108.47 |
$99.27
|
|
Phentolaine mesylate inj
|
$785.07 |
$785.07 |
$785.07 |
$886.83
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$27.00 |
$27.00 |
$27.00 |
$22.50
|
|
Phenytoin total therapeutic drug level
|
$82.92 |
$82.92 |
$82.92 |
$109.20
|
|
Phlebotomy therapeutic
|
$94.49 |
$94.49 |
$94.49 |
$240.50
|
|
Phleb veins 1 extrm 10-20 stab
|
$4,019.86 |
$4,019.86 |
$4,019.86 |
$4,341.66
|
|
Phosphorus
|
$39.53 |
$39.53 |
$39.53 |
$47.81
|
|
Phosphorus 24 hour urine
|
$28.45 |
$28.45 |
$28.45 |
$42.35
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$103.20 |
$103.20 |
$103.20 |
$82.00
|
|
Pinworm exam
|
$24.59 |
$24.59 |
$24.59 |
$39.10
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$45.00 |
$45.00 |
$45.00 |
$91.95
|
|
Place duod/jej tube perc
|
$2,202.03 |
$2,202.03 |
$2,202.03 |
$2,588.00
|
|
Place non-slctv cath thoracic arta
|
$1,932.56 |
$1,932.56 |
$1,932.56 |
$5,053.33
|
|
Place slctv cath carotid/inom art excrn uni
|
$679.70 |
$679.70 |
$679.70 |
$6,557.85
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,532.72 |
$2,532.72 |
$2,532.72 |
$9,087.20
|
|
Place slctv cath subclavian art
|
$1,764.81 |
$1,764.81 |
$1,764.81 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$2,470.53 |
$2,470.53 |
$2,470.53 |
$9,472.00
|
|
Plasma cryoprecipitate reduced each unit
|
$142.69 |
$142.69 |
$142.69 |
$160.55
|
|
Platelet aggregation each agent teg
|
$124.86 |
$124.86 |
$124.86 |
$146.50
|
|
Platelet automated
|
$12.06 |
$12.06 |
$12.06 |
$43.50
|
|
Platelet pheresis each unit
|
$961.70 |
$961.70 |
$961.70 |
$882.66
|
|
Platelet pheresis irr ea
|
$881.68 |
$881.68 |
$881.68 |
$970.54
|
|
Platelets leukocytes reduced each unit
|
$231.87 |
$231.87 |
$231.87 |
$274.95
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,077.40 |
$1,077.40 |
$1,077.40 |
$1,192.40
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$890.36 |
$890.36 |
$890.36 |
$1,366.30
|
|
Platelets pheresis pathogen-reduced each unit
|
$569.79 |
$569.79 |
$569.79 |
$1,046.50
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,669.40 |
$3,669.40 |
$3,669.40 |
$4,454.97
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,056.01 |
$4,056.01 |
$4,056.01 |
$6,048.00
|
|
Plmt ureteral stent prq
|
$4,079.63 |
$4,079.63 |
$4,079.63 |
$5,337.00
|
|
Pmp22 gene full sequence
|
$505.68 |
$505.68 |
$505.68 |
$846.54
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$171.62 |
$171.62 |
$171.62 |
$164.09
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$49,621.79 |
$49,621.79 |
$49,621.79 |
$41,347.66
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,668.66 |
$2,668.66 |
$2,668.66 |
$4,293.60
|
|
Potassium 24 hour urine
|
$40.50 |
$40.50 |
$40.50 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$30.88 |
$30.88 |
$30.88 |
$64.50
|
|
Potassium serum/plasma/whole blood
|
$37.61 |
$37.61 |
$37.61 |
$44.20
|
|
Pq thr inj ext pse
|
$234.28 |
$234.28 |
$234.28 |
$861.67
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,073.06 |
$1,073.06 |
$1,073.06 |
$3,630.00
|
|
Pr application of long arm splint
|
$204.40 |
$204.40 |
$204.40 |
$328.78
|
|
Pr application splint static short arm
|
$256.94 |
$256.94 |
$256.94 |
$297.00
|