|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$127.50 |
$127.50 |
$127.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$114.75 |
$114.75 |
$114.75 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$1,493.45 |
$1,493.45 |
$1,493.45 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$2,504.10 |
$2,504.10 |
$2,504.10 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$243.95 |
$243.95 |
$243.95 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$427.55 |
$427.55 |
$427.55 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$10,740.26 |
$10,740.26 |
$10,740.26 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$209.87 |
$209.87 |
$209.87 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$502.57 |
$502.57 |
$502.57 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,141.76 |
$6,141.76 |
$6,141.76 |
$3,435.42
|
|
Palifermin injection
|
$11,993.41 |
$11,993.41 |
$11,993.41 |
$5,464.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$13,979.90 |
$13,979.90 |
$13,979.90 |
$5,569.20
|
|
Palonosetron hcl
|
$88.18 |
$88.18 |
$88.18 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$242.89 |
$242.89 |
$242.89 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$29,717.19 |
$29,717.19 |
$29,717.19 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$84.58 |
$84.58 |
$84.58 |
$29.31
|
|
Papaverin hcl injection
|
$160.89 |
$160.89 |
$160.89 |
$77.05
|
|
Parathormone (pth) intact
|
$469.20 |
$469.20 |
$469.20 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$399.50 |
$399.50 |
$399.50 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,126.25 |
$1,126.25 |
$1,126.25 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$495.55 |
$495.55 |
$495.55 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$2,079.10 |
$2,079.10 |
$2,079.10 |
$5,509.55
|
|
Paricalcitol
|
$84.58 |
$84.58 |
$84.58 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$220.15 |
$220.15 |
$220.15 |
$245.00
|
|
Partial removal finger bone
|
$1,887.85 |
$1,887.85 |
$1,887.85 |
$2,049.27
|
|
Partial removal of foot bone
|
$2,454.80 |
$2,454.80 |
$2,454.80 |
$3,839.54
|
|
Partial removal of thyroid
|
$1,648.15 |
$1,648.15 |
$1,648.15 |
$6,457.82
|
|
Partial removal of thyroid
|
$2,190.45 |
$2,190.45 |
$2,190.45 |
$5,855.00
|
|
Partial removal of toe
|
$1,887.85 |
$1,887.85 |
$1,887.85 |
$3,674.58
|
|
Partial thyroid excision
|
$1,643.90 |
$1,643.90 |
$1,643.90 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$2,347.70 |
$2,347.70 |
$2,347.70 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7,409.99 |
$7,409.99 |
$7,409.99 |
$4,921.76
|
|
Part removal of metatarsal
|
$1,395.70 |
$1,395.70 |
$1,395.70 |
$3,134.00
|
|
Passy muir valve metal trach
|
$62.56 |
$62.56 |
$62.56 |
$275.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,009.32 |
$19,009.32 |
$19,009.32 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$13,506.80 |
$13,506.80 |
$13,506.80 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,556.69 |
$6,556.69 |
$6,556.69 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$6,209.00 |
$6,209.00 |
$6,209.00 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$96,058.50 |
$96,058.50 |
$96,058.50 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$3,250.40 |
$3,250.40 |
$3,250.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,513.45 |
$2,513.45 |
$2,513.45 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,731.90 |
$2,731.90 |
$2,731.90 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,065.55 |
$4,065.55 |
$4,065.55 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,638.40 |
$2,638.40 |
$2,638.40 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,104.20 |
$3,104.20 |
$3,104.20 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$837.25 |
$837.25 |
$837.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$519.35 |
$519.35 |
$519.35 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$25,065.31 |
$25,065.31 |
$25,065.31 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$15,715.36 |
$15,715.36 |
$15,715.36 |
$7,089.13
|
|
Pemivibart infusion
|
$547.40 |
$547.40 |
$547.40 |
$533.10
|
|
Peng benzathine/procaine inj
|
$944.92 |
$944.92 |
$944.92 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,672.13 |
$2,672.13 |
$2,672.13 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$213.78 |
$213.78 |
$213.78 |
$101.34
|
|
Penicillin g procaine inj
|
$301.95 |
$301.95 |
$301.95 |
$147.96
|
|
Penile rear tip xtnd 0.5cm
|
$8,493.03 |
$8,493.03 |
$8,493.03 |
$18,764.94
|
|
Pentobarbital sodium inj
|
$7,161.04 |
$7,161.04 |
$7,161.04 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$9,882.91 |
$9,882.91 |
$9,882.91 |
$5,181.67
|
|
Perc rf ablate renal tumor
|
$4,868.80 |
$4,868.80 |
$4,868.80 |
$7,243.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$340.00 |
$340.00 |
$340.00 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$585.65 |
$585.65 |
$585.65 |
$2,251.20
|
|
Peripheral vascular rehab
|
$71.40 |
$71.40 |
$71.40 |
$132.50
|
|
Perit-vens shunt pat tst
|
$925.65 |
$925.65 |
$925.65 |
$758.37
|
|
Perq dev breast 1st mr guide
|
$2,859.40 |
$2,859.40 |
$2,859.40 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,583.55 |
$1,583.55 |
$1,583.55 |
$1,456.00
|
|
Pertussis ag if
|
$334.90 |
$334.90 |
$334.90 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$28,885.65 |
$28,885.65 |
$28,885.65 |
$13,666.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$109.40 |
$109.40 |
$109.40 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$5,767.25 |
$5,767.25 |
$5,767.25 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,767.25 |
$5,767.25 |
$5,767.25 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,297.60 |
$4,297.60 |
$4,297.60 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,556.85 |
$4,556.85 |
$4,556.85 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$41,998.50 |
$41,998.50 |
$41,998.50 |
$38,834.22
|
|
Ph body fluid
|
$109.65 |
$109.65 |
$109.65 |
$41.28
|
|
Phencyclidine (pcp)
|
$187.00 |
$187.00 |
$187.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$213.80 |
$213.80 |
$213.80 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$205.70 |
$205.70 |
$205.70 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,809.31 |
$1,809.31 |
$1,809.31 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$175.74 |
$175.74 |
$175.74 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$84.58 |
$84.58 |
$84.58 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$163.20 |
$163.20 |
$163.20 |
$110.88
|
|
Phlebotomy therapeutic
|
$266.90 |
$266.90 |
$266.90 |
$231.66
|
|
Phosphorus
|
$92.65 |
$92.65 |
$92.65 |
$48.80
|
|
Phosphorus 24 hour urine
|
$113.90 |
$113.90 |
$113.90 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$101.07 |
$101.07 |
$101.07 |
$87.50
|
|
Pin caspar distraction 12mm
|
$14,932.80 |
$14,932.80 |
$14,932.80 |
$11,925.00
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,406.75 |
$1,406.75 |
$1,406.75 |
$1,116.00
|
|
Pinworm exam
|
$54.40 |
$54.40 |
$54.40 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$474.81 |
$474.81 |
$474.81 |
$83.03
|
|
Place gastrostomy tube open 43832
|
$2,385.95 |
$2,385.95 |
$2,385.95 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$978.35 |
$978.35 |
$978.35 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,663.45 |
$1,663.45 |
$1,663.45 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,224.85 |
$1,224.85 |
$1,224.85 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,732.30 |
$1,732.30 |
$1,732.30 |
$1,332.43
|
|
Placement of seton
|
$268.60 |
$268.60 |
$268.60 |
$3,845.10
|
|
Plasma cryoprecipitate reduced each unit
|
$256.70 |
$256.70 |
$256.70 |
$157.95
|
|
Plastic mod low ext pad/line
|
$281.75 |
$281.75 |
$281.75 |
$241.54
|
|
Platelet aggregation each agent teg
|
$330.65 |
$330.65 |
$330.65 |
$148.80
|
|
Platelet automated
|
$67.15 |
$67.15 |
$67.15 |
$45.60
|
|
Platelet pheresis each unit
|
$1,492.60 |
$1,492.60 |
$1,492.60 |
$961.70
|
|
Platelet pheresis irr ea
|
$1,432.25 |
$1,432.25 |
$1,432.25 |
$1,082.25
|
