|
Osmolality blood
|
$128.00 |
$128.00 |
$128.00 |
$70.85
|
|
Osmolality urine
|
$128.00 |
$128.00 |
$128.00 |
$65.52
|
|
Oth resp proc, group
|
$174.40 |
$174.40 |
$174.40 |
$126.00
|
|
Oth resp proc, indiv
|
$136.00 |
$136.00 |
$136.00 |
$83.50
|
|
Ot re-evaluation patient/family
|
$263.20 |
$263.20 |
$263.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$116.80 |
$116.80 |
$116.80 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$134.40 |
$134.40 |
$134.40 |
$93.12
|
|
Oxaliplatin 5 mg/ml desensitization
|
$370.75 |
$370.75 |
$370.75 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$60.75 |
$60.75 |
$60.75 |
$50.40
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,151.43 |
$3,151.43 |
$3,151.43 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,323.81 |
$5,323.81 |
$5,323.81 |
$5,580.28
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$61.60 |
$61.60 |
$61.60 |
$28.90
|
|
Parathormone (pth) intact
|
$216.80 |
$216.80 |
$216.80 |
$206.18
|
|
Parathyroid planar imaging
|
$1,532.00 |
$1,532.00 |
$1,532.00 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$282.40 |
$282.40 |
$282.40 |
$245.67
|
|
Part removal of metatarsal
|
$5,128.80 |
$5,128.80 |
$5,128.80 |
$3,821.05
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,519.24 |
$5,519.24 |
$5,519.24 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$2,675.20 |
$2,675.20 |
$2,675.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,978.40 |
$1,978.40 |
$1,978.40 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,391.20 |
$4,391.20 |
$4,391.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,008.00 |
$4,008.00 |
$4,008.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$714.40 |
$714.40 |
$714.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$399.20 |
$399.20 |
$399.20 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$444.00 |
$444.00 |
$444.00 |
$351.75
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,639.89 |
$3,639.89 |
$3,639.89 |
$7,089.13
|
|
Pemivibart infusion
|
$798.40 |
$798.40 |
$798.40 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$239.72 |
$239.72 |
$239.72 |
$824.70
|
|
Pentamidine non-comp unit
|
$134.76 |
$134.76 |
$134.76 |
$294.39
|
|
Peripheral vascular rehab
|
$179.20 |
$179.20 |
$179.20 |
$132.50
|
|
Pertuzumab 30 mg/ml desensitization
|
$4,899.30 |
$4,899.30 |
$4,899.30 |
$14,272.91
|
|
Ph body fluid
|
$39.20 |
$39.20 |
$39.20 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$102.76 |
$102.76 |
$102.76 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$85.60 |
$85.60 |
$85.60 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$61.04 |
$61.04 |
$61.04 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.66 |
$60.66 |
$60.66 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$186.40 |
$186.40 |
$186.40 |
$111.27
|
|
Phlebotomy therapeutic
|
$249.60 |
$249.60 |
$249.60 |
$231.40
|
|
Phosphorus
|
$72.00 |
$72.00 |
$72.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$352.80 |
$352.80 |
$352.80 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$262.40 |
$262.40 |
$262.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$308.00 |
$308.00 |
$308.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$244.00 |
$244.00 |
$244.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$92.30 |
$92.30 |
$92.30 |
$90.25
|
|
Pinworm exam
|
$82.40 |
$82.40 |
$82.40 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$63.89 |
$63.89 |
$63.89 |
$81.36
|
|
Place gastrostomy tube perc
|
$2,951.20 |
$2,951.20 |
$2,951.20 |
$2,289.60
|
|
Platelet aggregation each agent teg
|
$203.20 |
$203.20 |
$203.20 |
$148.98
|
|
Platelet automated
|
$56.00 |
$56.00 |
$56.00 |
$46.00
|
|
Platelet pheresis irr ea
|
$704.00 |
$704.00 |
$704.00 |
$1,108.52
|
|
Platelets each unit
|
$599.20 |
$599.20 |
$599.20 |
$169.29
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$320.80 |
$320.80 |
$320.80 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,949.60 |
$4,949.60 |
$4,949.60 |
$3,790.61
|
|
Potassium 24 hour urine
|
$72.80 |
$72.80 |
$72.80 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$134.14 |
$134.14 |
$134.14 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$76.00 |
$76.00 |
$76.00 |
$47.85
|
|
Pralidoxime 1 gram solution for injection
|
$190.77 |
$190.77 |
$190.77 |
$292.00
|
|
Pr application of long arm splint
|
$315.20 |
$315.20 |
$315.20 |
$332.75
|
|
Pr application splint static short arm
|
$277.60 |
$277.60 |
$277.60 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$600.80 |
$600.80 |
$600.80 |
$458.25
|
|
Pr correction hammertoe
|
$4,127.20 |
$4,127.20 |
$4,127.20 |
$4,028.00
|
|
Prealbumin
|
$94.40 |
$94.40 |
$94.40 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$14.63 |
$14.63 |
$14.63 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$955.20 |
$955.20 |
$955.20 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$604.80 |
$604.80 |
$604.80 |
$459.00
|
|
Prep skin to 100cm2 other
|
$3,104.80 |
$3,104.80 |
$3,104.80 |
$1,193.40
|
|
Pretreat rbc w chem/drugs reference
|
$519.20 |
$519.20 |
$519.20 |
$114.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$779.35
|
|
Pr incision & drainage abscess complicated/multiple
|
$746.40 |
$746.40 |
$746.40 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$624.00 |
$624.00 |
$624.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$586.40 |
$586.40 |
$586.40 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$685.60 |
$685.60 |
$685.60 |
$592.62
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$61.12 |
$61.12 |
$61.12 |
$674.78
|
|
Procalcitonin
|
$388.80 |
$388.80 |
$388.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$63.76 |
$63.76 |
$63.76 |
$38.48
|
|
Progesterone
|
$222.40 |
$222.40 |
$222.40 |
$116.00
|
|
Prolactin
|
$263.20 |
$263.20 |
$263.20 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$60.00 |
$60.00 |
$60.00 |
$73.36
|
|
Protamine 10 mg/ml intravenous solution
|
$62.96 |
$62.96 |
$62.96 |
$56.70
|
|
Protein c activity
|
$564.00 |
$564.00 |
$564.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$88.00 |
$88.00 |
$88.00 |
$84.00
|
|
Protein s total
|
$320.00 |
$320.00 |
$320.00 |
$85.10
|
|
Protein total 24 hour urine
|
$93.60 |
$93.60 |
$93.60 |
$52.50
|
|
Protein total body fluid
|
$100.00 |
$100.00 |
$100.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$85.60 |
$85.60 |
$85.60 |
$43.00
|
|
Prothrombin complex kcentra
|
$1,572.80 |
$1,572.80 |
$1,572.80 |
$6.98
|
|
Provide inr test mater/equip
|
$278.40 |
$278.40 |
$278.40 |
$250.08
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$282.40 |
$282.40 |
$282.40 |
$252.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$764.00 |
$764.00 |
$764.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$374.40 |
$374.40 |
$374.40 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$394.40 |
$394.40 |
$394.40 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$359.20 |
$359.20 |
$359.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$379.20 |
$379.20 |
$379.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$1,761.00
|
|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
