|
Occupational Therapy Evaluation (low complexity)
|
$181.16 |
$181.16 |
$181.16 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$255.04 |
$255.04 |
$255.04 |
$264.55
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$668.04 |
$668.04 |
$668.04 |
$12,080.43
|
|
Ocular instrumnt screen bil
|
$22.16 |
$22.16 |
$22.16 |
$37.50
|
|
Olanzapine long-acting inj
|
$5.92 |
$5.92 |
$5.92 |
$1,847.66
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$103.71 |
$103.71 |
$103.71 |
$4,595.01
|
|
Onc breast mrna 58 genes
|
$9,084.10 |
$9,084.10 |
$9,084.10 |
$3,464.09
|
|
Onc breast mrna 70 genes
|
$11,352.85 |
$11,352.85 |
$11,352.85 |
$5,866.53
|
|
Oncology prostate prob score
|
$1,790.17 |
$1,790.17 |
$1,790.17 |
$952.00
|
|
Oncoprotein dcp
|
$171.25 |
$171.25 |
$171.25 |
$171.25
|
|
Oncoprotein her-2/neu
|
$163.10 |
$163.10 |
$163.10 |
$216.00
|
|
Onc prostate mrna 46 genes
|
$11,352.85 |
$11,352.85 |
$11,352.85 |
$4,260.30
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.10 |
$0.10 |
$0.10 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.23 |
$0.23 |
$0.23 |
$22.62
|
|
One-way allow prorated trip
|
$58.78 |
$58.78 |
$58.78 |
$18.57
|
|
Optx prox humrl fx w/int fix
|
$13,931.12 |
$13,931.12 |
$13,931.12 |
$13,780.53
|
|
Organic acids total quant ea spec
|
$69.19 |
$69.19 |
$69.19 |
$152.50
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$559.44 |
$559.44 |
$559.44 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$968.88 |
$968.88 |
$968.88 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,484.29 |
$2,484.29 |
$2,484.29 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,492.95 |
$1,492.95 |
$1,492.95 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$524.76 |
$524.76 |
$524.76 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$622.34 |
$622.34 |
$622.34 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$180.08 |
$180.08 |
$180.08 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$524.76 |
$524.76 |
$524.76 |
$229.45
|
|
Orthosis lso rigd frm hyperex
|
$868.65 |
$868.65 |
$868.65 |
$813.61
|
|
Orthovisc inj per dose
|
$295.88 |
$295.88 |
$295.88 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$786.13 |
$786.13 |
$786.13 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,690.06 |
$1,690.06 |
$1,690.06 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$401.62 |
$401.62 |
$401.62 |
$196.70
|
|
Osmolality blood
|
$23.92 |
$23.92 |
$23.92 |
$69.55
|
|
Osmolality urine
|
$24.67 |
$24.67 |
$24.67 |
$65.50
|
|
Oth resp proc, group
|
$86.78 |
$86.78 |
$86.78 |
$126.00
|
|
Oth resp proc, indiv
|
$86.78 |
$86.78 |
$86.78 |
$83.50
|
|
Ot re-evaluation patient/family
|
$169.70 |
$169.70 |
$169.70 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$70.43 |
$70.43 |
$70.43 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$72.64 |
$72.64 |
$72.64 |
$94.81
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$16.65 |
$16.65 |
$16.65 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$29.43 |
$29.43 |
$29.43 |
$6,238.82
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$17.05 |
$17.05 |
$17.05 |
$122.00
|
|
Parathormone (pth) intact
|
$149.38 |
$149.38 |
$149.38 |
$206.18
|
|
Parathyroid planar imaging
|
$812.30 |
$812.30 |
$812.30 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$812.30 |
$812.30 |
$812.30 |
$1,350.60
|
|
Paricalcitol
|
$1.82 |
$1.82 |
$1.82 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$444.52 |
$444.52 |
$444.52 |
$245.67
|
|
Partial removal foot fascia
|
$5,685.50 |
$5,685.50 |
$5,685.50 |
$3,821.05
|
|
Partial removal of lung 32480
|
$18,071.58 |
$18,071.58 |
$18,071.58 |
$2,868.60
|
|
Partial thyroid excision
|
$10,645.06 |
$10,645.06 |
$10,645.06 |
$6,463.42
|
|
Passy muir valve metal trach
|
$230.86 |
$230.86 |
$230.86 |
$275.75
|
|
Pdgfra gene
|
$965.89 |
$965.89 |
$965.89 |
$717.23
|
|
Pegloticase 8 mg/ml intravenous solution
|
$8,118.07 |
$8,118.07 |
$8,118.07 |
$49,135.11
|
|
Pelvic control pelvic sling
|
$955.25 |
$955.25 |
$955.25 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$799.16 |
$799.16 |
$799.16 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$799.16 |
$799.16 |
$799.16 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$499.36 |
$499.36 |
$499.36 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$1,510.60 |
$1,510.60 |
$1,510.60 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$956.04 |
$956.04 |
$956.04 |
$1,916.50
|
|
Pelvic ring fracture uni/bil
|
$10,372.22 |
$10,372.22 |
$10,372.22 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$323.71 |
$323.71 |
$323.71 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$323.71 |
$323.71 |
$323.71 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$275.16 |
$275.16 |
$275.16 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$275.16 |
$275.16 |
$275.16 |
$355.50
|
|
Peng benzathine/procaine inj
|
$39.88 |
$39.88 |
$39.88 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$62.04 |
$62.04 |
$62.04 |
$824.70
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$86.61 |
$86.61 |
$86.61 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,377.96 |
$3,377.96 |
$3,377.96 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$3,377.96 |
$3,377.96 |
$3,377.96 |
$2,418.99
|
|
Peripheral vascular rehab
|
$167.65 |
$167.65 |
$167.65 |
$132.50
|
|
Perq nl/pl lithotrp smpl<2cm
|
$9,442.38 |
$9,442.38 |
$9,442.38 |
$9,442.38
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$259.28 |
$259.28 |
$259.28 |
$625.93
|
|
Pertussis ag if
|
$43.39 |
$43.39 |
$43.39 |
$65.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$120.51 |
$120.51 |
$120.51 |
$141.60
|
|
Pessary reusable rub anytype
|
$47.81 |
$47.81 |
$47.81 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$3,047.23 |
$3,047.23 |
$3,047.23 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,854.55 |
$2,854.55 |
$2,854.55 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,047.23 |
$3,047.23 |
$3,047.23 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$2,854.55 |
$2,854.55 |
$2,854.55 |
$4,349.76
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$152.13 |
$152.13 |
$152.13 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$187.00 |
$187.00 |
$187.00 |
$91.30
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$131.16 |
$131.16 |
$131.16 |
$31.20
|
|
Ph body fluid
|
$12.95 |
$12.95 |
$12.95 |
$42.00
|
|
Phencyclidine (pcp)
|
$224.64 |
$224.64 |
$224.64 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$44.86 |
$44.86 |
$44.86 |
$104.80
|
|
Phenytoin total therapeutic drug level
|
$47.96 |
$47.96 |
$47.96 |
$111.20
|
|
Phlebotomy therapeutic
|
$255.27 |
$255.27 |
$255.27 |
$231.87
|
|
Phone e/m phys/qhp 11-20 min
|
$152.13 |
$152.13 |
$152.13 |
$155.60
|
|
Phone e/m phys/qhp 21-30 min
|
$187.00 |
$187.00 |
$187.00 |
$187.00
|
|
Phone e/m phys/qhp 5-10 min
|
$131.16 |
$131.16 |
$131.16 |
$55.97
|
|
Phosphorus
|
$17.15 |
$17.15 |
$17.15 |
$48.96
|
|
Phosphorus 24 hour urine
|
$18.74 |
$18.74 |
$18.74 |
$42.25
|
|
Phys blood bank serv reactj
|
$176.32 |
$176.32 |
$176.32 |
$207.50
|
|
Phys blood bank serv xmatch
|
$724.88 |
$724.88 |
$724.88 |
$97.60
|
|
Physical Therapy Evaluation (high complexity)
|
$361.30 |
$361.30 |
$361.30 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$181.16 |
$181.16 |
$181.16 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$272.25 |
$272.25 |
$272.25 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$181.16 |
$181.16 |
$181.16 |
$155.00
|
|
Pik3ca gene trgt seq alys
|
$647.35 |
$647.35 |
$647.35 |
$463.20
|
|
Pinworm exam
|
$15.44 |
$15.44 |
$15.44 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$1.62 |
$1.62 |
$1.62 |
$81.36
|
|
Place device/marker, non pro
|
$3,245.38 |
$3,245.38 |
$3,245.38 |
$1,969.20
|