|
Organic acids total quant ea spec
|
$196.14 |
$196.14 |
$196.14 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$11.07 |
$11.07 |
$11.07 |
$40.92
|
|
Ortho elbow w/lock w/ft&adj
|
$294.84 |
$294.84 |
$294.84 |
$183.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$159.60 |
$159.60 |
$159.60 |
$213.39
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$62.16 |
$62.16 |
$62.16 |
$62.16
|
|
Orthosis lso rigd frm hyperex
|
$273.84 |
$273.84 |
$273.84 |
$813.61
|
|
Osmolality blood
|
$14.28 |
$14.28 |
$14.28 |
$57.00
|
|
Osmolality urine
|
$15.12 |
$15.12 |
$15.12 |
$57.85
|
|
Other immunoelectrophoresis
|
$21.84 |
$21.84 |
$21.84 |
$92.70
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$27.72 |
$27.72 |
$27.72 |
$90.00
|
|
Oxaliplatin 5 mg/ml desensitization
|
$10.81 |
$10.81 |
$10.81 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$1.30 |
$1.30 |
$1.30 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.63 |
$1.63 |
$1.63 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$11.58 |
$11.58 |
$11.58 |
$28.29
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$21.49 |
$21.49 |
$21.49 |
$129.80
|
|
Parathormone (pth) intact
|
$89.88 |
$89.88 |
$89.88 |
$204.00
|
|
Parathyroid planar imaging
|
$491.40 |
$491.40 |
$491.40 |
$1,041.95
|
|
Paricalcitol
|
$3.73 |
$3.73 |
$3.73 |
$41.14
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$197.82 |
$197.82 |
$197.82 |
$270.00
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$14.70 |
$14.70 |
$14.70 |
$7.50
|
|
Pelvic CT scan (with and without contrast)
|
$987.42 |
$987.42 |
$987.42 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$869.40 |
$869.40 |
$869.40 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$810.60 |
$810.60 |
$810.60 |
$1,290.90
|
|
Pelvic Ultrasound (complete)
|
$299.46 |
$299.46 |
$299.46 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$151.62 |
$151.62 |
$151.62 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$31.05 |
$31.05 |
$31.05 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$1.95 |
$1.95 |
$1.95 |
$53.75
|
|
Peritoneogram rs&i
|
$633.78 |
$633.78 |
$633.78 |
$510.85
|
|
Perphenazine 4mg oral
|
$2.23 |
$2.23 |
$2.23 |
$2.47
|
|
Ph body fluid
|
$5.04 |
$5.04 |
$5.04 |
$35.75
|
|
Phencyclidine (pcp)
|
$16.93 |
$16.93 |
$16.93 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$98.29 |
$98.29 |
$98.29 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$25.20 |
$25.20 |
$25.20 |
$97.50
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.76 |
$0.76 |
$0.76 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$28.98 |
$28.98 |
$28.98 |
$100.75
|
|
Phosphorus 24 hour urine
|
$9.24 |
$9.24 |
$9.24 |
$41.51
|
|
Phys blood bank serv reactj
|
$149.10 |
$149.10 |
$149.10 |
$219.94
|
|
Phys blood bank serv xmatch
|
$77.49 |
$77.49 |
$77.49 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$8.07 |
$8.07 |
$8.07 |
$75.04
|
|
Pillow shldr abduc inflat univ
|
$487.20 |
$487.20 |
$487.20 |
$487.20
|
|
Pinworm exam
|
$9.24 |
$9.24 |
$9.24 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$1.44 |
$1.44 |
$1.44 |
$51.80
|
|
Placental lactogen
|
$62.16 |
$62.16 |
$62.16 |
$133.00
|
|
Platelet aggregation each agent teg
|
$27.72 |
$27.72 |
$27.72 |
$145.60
|
|
Platelet automated
|
$10.08 |
$10.08 |
$10.08 |
$33.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,554.42 |
$1,554.42 |
$1,554.42 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,890.84 |
$1,890.84 |
$1,890.84 |
$1,530.10
|
|
Pm device progr eval dual
|
$89.04 |
$89.04 |
$89.04 |
$153.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,162.18 |
$3,162.18 |
$3,162.18 |
$4,313.58
|
|
Potassium 24 hour urine
|
$9.66 |
$9.66 |
$9.66 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$1.51 |
$1.51 |
$1.51 |
$60.99
|
|
Powder prem protct 1oz
|
$6.72 |
$6.72 |
$6.72 |
$1.80
|
|
Pq dr cath chg w cont s&i
|
$322.98 |
$322.98 |
$322.98 |
$633.97
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$326.34 |
$326.34 |
$326.34 |
$350.98
|
|
Prealbumin
|
$12.18 |
$12.18 |
$12.18 |
$80.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$257.88 |
$257.88 |
$257.88 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$310.80 |
$310.80 |
$310.80 |
$539.37
|
|
Prepare penis study
|
$1,026.06 |
$1,026.06 |
$1,026.06 |
$249.60
|
|
Prep skin to 100cm2 other
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$1,144.00
|
|
Prep skin to 100cm2 trk/ext
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$1,862.64
|
|
Prep skn trk/ext adl 100cm2
|
$979.44 |
$979.44 |
$979.44 |
$776.49
|
|
Pretreat rbc absorption reference
|
$40.74 |
$40.74 |
$40.74 |
$139.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$651.42 |
$651.42 |
$651.42 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$97.44 |
$97.44 |
$97.44 |
$140.80
|
|
Prgrmg dev eval scrms ip
|
$102.90 |
$102.90 |
$102.90 |
$150.61
|
|
Pr incision & drainage abscess complicated/multiple
|
$320.46 |
$320.46 |
$320.46 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$180.60 |
$180.60 |
$180.60 |
$437.53
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$563.22 |
$563.22 |
$563.22 |
$606.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$150.65 |
$150.65 |
$150.65 |
$660.89
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$28.51 |
$28.51 |
$28.51 |
$35.00
|
|
Progesterone
|
$45.36 |
$45.36 |
$45.36 |
$100.24
|
|
Prolactin
|
$42.42 |
$42.42 |
$42.42 |
$123.20
|
|
Promethazine hcl injection
|
$1.60 |
$1.60 |
$1.60 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$0.27 |
$0.27 |
$0.27 |
$45.25
|
|
_propoxygc/msur
|
$23.18 |
$23.18 |
$23.18 |
$73.14
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$4.12 |
$4.12 |
$4.12 |
$28.79
|
|
Protamine 10 mg/ml intravenous solution
|
$6.14 |
$6.14 |
$6.14 |
$32.68
|
|
Protein c activity
|
$29.82 |
$29.82 |
$29.82 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$23.52 |
$23.52 |
$23.52 |
$84.00
|
|
Protein s total
|
$4.96 |
$4.96 |
$4.96 |
$85.10
|
|
Protein total 24 hour urine
|
$7.98 |
$7.98 |
$7.98 |
$45.00
|
|
Prothrombin time substitution plasma fractions each
|
$13.44 |
$13.44 |
$13.44 |
$37.05
|
|
Prq card revasc chronic addl
|
$14,148.12 |
$14,148.12 |
$14,148.12 |
$13,928.62
|
|
Prq card revasc mi 1 vsl
|
$28,297.92 |
$28,297.92 |
$28,297.92 |
$16,678.62
|
|
Prq card stent w/angio addl
|
$14,148.12 |
$14,148.12 |
$14,148.12 |
$9,768.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$14,166.60 |
$14,166.60 |
$14,166.60 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$14,148.12 |
$14,148.12 |
$14,148.12 |
$11,988.60
|
|
Prq tcat plmt ntrac st 1 les
|
$14,166.60 |
$14,166.60 |
$14,166.60 |
$13,054.80
|
|
Prq trlml c athrc st angiop1
|
$14,166.60 |
$14,166.60 |
$14,166.60 |
$19,875.58
|
|
Prq trluml revsc ch occ ant
|
$23,050.86 |
$23,050.86 |
$23,050.86 |
$17,474.24
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$13.86 |
$13.86 |
$13.86 |
$82.55
|
|
Pulse ox continuous overnight monitoring
|
$151.62 |
$151.62 |
$151.62 |
$351.20
|
|
Pulse ox single
|
$44.10 |
$44.10 |
$44.10 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$116.34 |
$116.34 |
$116.34 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$354.06 |
$354.06 |
$354.06 |
$478.80
|
|
Pyridoxine hcl 100 mg
|
$14.91 |
$14.91 |
$14.91 |
$29.11
|
|
Pyruvate
|
$7.85 |
$7.85 |
$7.85 |
$65.00
|
|
Pyruvate kinase
|
$14.97 |
$14.97 |
$14.97 |
$84.50
|
|
Quest t3 uptake
|
$25.94 |
$25.94 |
$25.94 |
$55.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$2,582.32
|