|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$406.20 |
$406.20 |
$406.20 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$222.70 |
$222.70 |
$222.70 |
$196.30
|
|
Osmolality blood
|
$129.10 |
$129.10 |
$129.10 |
$70.85
|
|
Osmolality urine
|
$110.60 |
$110.60 |
$110.60 |
$65.52
|
|
Osteopath manip tx/5-6 body region 98927
|
$157.90 |
$157.90 |
$157.90 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$179.50 |
$179.50 |
$179.50 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$171.45 |
$171.45 |
$171.45 |
$92.42
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$160.60 |
$160.60 |
$160.60 |
$97.80
|
|
Ot re-evaluation patient/family
|
$167.35 |
$167.35 |
$167.35 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$47.55 |
$47.55 |
$47.55 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$50.15 |
$50.15 |
$50.15 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$226.65 |
$226.65 |
$226.65 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$133.55 |
$133.55 |
$133.55 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$87.91 |
$87.91 |
$87.91 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$232.05 |
$232.05 |
$232.05 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,881.01 |
$6,881.01 |
$6,881.01 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$12,434.56 |
$12,434.56 |
$12,434.56 |
$6,238.82
|
|
Palonosetron hcl
|
$283.02 |
$283.02 |
$283.02 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$756.55 |
$756.55 |
$756.55 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$18,934.65 |
$18,934.65 |
$18,934.65 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$99.27 |
$99.27 |
$99.27 |
$28.90
|
|
Parathormone (pth) intact
|
$255.10 |
$255.10 |
$255.10 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,001.85 |
$2,001.85 |
$2,001.85 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,613.80 |
$1,613.80 |
$1,613.80 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$2,614.35 |
$2,614.35 |
$2,614.35 |
$1,374.75
|
|
Paricalcitol
|
$106.10 |
$106.10 |
$106.10 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$176.85 |
$176.85 |
$176.85 |
$245.67
|
|
Passy muir valve metal trach
|
$707.05 |
$707.05 |
$707.05 |
$275.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$16,769.57 |
$16,769.57 |
$16,769.57 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$13,674.31 |
$13,674.31 |
$13,674.31 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$13,333.28 |
$13,333.28 |
$13,333.28 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,484.86 |
$8,484.86 |
$8,484.86 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$2,604.95 |
$2,604.95 |
$2,604.95 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,055.55 |
$2,055.55 |
$2,055.55 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,732.95 |
$1,732.95 |
$1,732.95 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,390.40 |
$3,390.40 |
$3,390.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,630.60 |
$2,630.60 |
$2,630.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,460.50 |
$2,460.50 |
$2,460.50 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$800.35 |
$800.35 |
$800.35 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$435.95 |
$435.95 |
$435.95 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$359.00 |
$359.00 |
$359.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$529.05 |
$529.05 |
$529.05 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,410.16 |
$15,410.16 |
$15,410.16 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$12,911.73 |
$12,911.73 |
$12,911.73 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,193.43 |
$3,193.43 |
$3,193.43 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$152.51 |
$152.51 |
$152.51 |
$97.85
|
|
Penile injection
|
$167.60 |
$167.60 |
$167.60 |
$424.60
|
|
Pentamidine non-comp unit
|
$1,162.88 |
$1,162.88 |
$1,162.88 |
$294.39
|
|
Pentostatin 10 mg intravenous solution
|
$11,995.78 |
$11,995.78 |
$11,995.78 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$892.87 |
$892.87 |
$892.87 |
$332.84
|
|
Peripheral vascular rehab
|
$115.70 |
$115.70 |
$115.70 |
$132.50
|
|
Peri-proc device eval icd
|
$100.25 |
$100.25 |
$100.25 |
$192.40
|
|
Peri-proc device eval pm
|
$83.50 |
$83.50 |
$83.50 |
$156.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$283.40 |
$283.40 |
$283.40 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$35,642.53 |
$35,642.53 |
$35,642.53 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$130.00 |
$130.00 |
$130.00 |
$141.60
|
|
Pessary reusable rub anytype
|
$141.00 |
$141.00 |
$141.00 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$2,981.20 |
$2,981.20 |
$2,981.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,981.20 |
$2,981.20 |
$2,981.20 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,981.20 |
$2,981.20 |
$2,981.20 |
$4,060.00
|
|
Pet image full body
|
$5,242.15 |
$5,242.15 |
$5,242.15 |
$5,148.14
|
|
Pet image skull-thigh
|
$5,242.15 |
$5,242.15 |
$5,242.15 |
$4,589.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$10,795.50 |
$10,795.50 |
$10,795.50 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$48.90 |
$48.90 |
$48.90 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$70.60 |
$70.60 |
$70.60 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$24.45 |
$24.45 |
$24.45 |
$31.20
|
|
Ph body fluid
|
$63.45 |
$63.45 |
$63.45 |
$42.00
|
|
Phencyclidine (pcp)
|
$285.20 |
$285.20 |
$285.20 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$553.08 |
$553.08 |
$553.08 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$203.25 |
$203.25 |
$203.25 |
$105.00
|
|
Phentolaine mesylate inj
|
$2,845.02 |
$2,845.02 |
$2,845.02 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$98.16 |
$98.16 |
$98.16 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$156.55 |
$156.55 |
$156.55 |
$111.27
|
|
Phlebotomy therapeutic
|
$345.55 |
$345.55 |
$345.55 |
$231.40
|
|
Phosphorus
|
$25.65 |
$25.65 |
$25.65 |
$49.20
|
|
Phosphorus 24 hour urine
|
$33.75 |
$33.75 |
$33.75 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$371.10 |
$371.10 |
$371.10 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$344.15 |
$344.15 |
$344.15 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$357.65 |
$357.65 |
$357.65 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$167.35 |
$167.35 |
$167.35 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$395.96 |
$395.96 |
$395.96 |
$90.25
|
|
Pinworm exam
|
$39.10 |
$39.10 |
$39.10 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$525.61 |
$525.61 |
$525.61 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$812.05 |
$812.05 |
$812.05 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,427.95 |
$1,427.95 |
$1,427.95 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,969.35 |
$2,969.35 |
$2,969.35 |
$3,933.00
|
|
Platelet aggregation each agent teg
|
$215.90 |
$215.90 |
$215.90 |
$148.98
|
|
Platelet automated
|
$32.40 |
$32.40 |
$32.40 |
$46.00
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$3,393.15 |
$3,393.15 |
$3,393.15 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,106.95 |
$3,106.95 |
$3,106.95 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,285.10 |
$3,285.10 |
$3,285.10 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,673.55 |
$1,673.55 |
$1,673.55 |
$1,005.65
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$690.85 |
$690.85 |
$690.85 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$576.45 |
$576.45 |
$576.45 |
$759.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$1,427.95 |
$1,427.95 |
$1,427.95 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$350.95 |
$350.95 |
$350.95 |
$408.05
|
|
Plug insert indwelling 16f
|
$317.35 |
$317.35 |
$317.35 |
$149.90
|
|
Pm device progr eval dual
|
$149.15 |
$149.15 |
$149.15 |
$149.15
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$338.80 |
$338.80 |
$338.80 |
$187.32
|