|
Oth resp proc, indiv
|
$318.00 |
$318.00 |
$318.00 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$422.00 |
$422.00 |
$422.00 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$294.00 |
$294.00 |
$294.00 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$239.00 |
$239.00 |
$239.00 |
$107.32
|
|
Ot re-evaluation patient/family
|
$533.00 |
$533.00 |
$533.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$259.00 |
$259.00 |
$259.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$288.00 |
$288.00 |
$288.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$288.00 |
$288.00 |
$288.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$326.00 |
$326.00 |
$326.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$353.00 |
$353.00 |
$353.00 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$326.00 |
$326.00 |
$326.00 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$16.69 |
$16.69 |
$16.69 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$16.36 |
$16.36 |
$16.36 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$11.78 |
$11.78 |
$11.78 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$4.20 |
$4.20 |
$4.20 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,420.45 |
$3,420.45 |
$3,420.45 |
$3,656.90
|
|
Palifermin injection
|
$10,941.16 |
$10,941.16 |
$10,941.16 |
$35.91
|
|
Paliperidone 117 mg/0.75 ml inj
|
$13,915.14 |
$13,915.14 |
$13,915.14 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$12,744.62 |
$12,744.62 |
$12,744.62 |
$5,156.88
|
|
Palonosetron hcl
|
$28.51 |
$28.51 |
$28.51 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$11.89 |
$11.89 |
$11.89 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,177.46 |
$1,177.46 |
$1,177.46 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.90 |
$8.90 |
$8.90 |
$35.43
|
|
Papaverin hcl injection
|
$27.49 |
$27.49 |
$27.49 |
$83.77
|
|
Parathormone (pth) intact
|
$49.00 |
$49.00 |
$49.00 |
$200.23
|
|
Parathyroid planar imaging
|
$2,770.00 |
$2,770.00 |
$2,770.00 |
$1,166.00
|
|
Paricalcitol
|
$32.81 |
$32.81 |
$32.81 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$627.00 |
$627.00 |
$627.00 |
$270.00
|
|
Path clin consltj high 41-60
|
$369.00 |
$369.00 |
$369.00 |
$187.28
|
|
Path clin consltj mod 21-40
|
$161.00 |
$161.00 |
$161.00 |
$192.11
|
|
Path clin consltj prolng svc
|
$69.00 |
$69.00 |
$69.00 |
$118.57
|
|
Path clin consltj sf 5-20
|
$90.00 |
$90.00 |
$90.00 |
$82.15
|
|
Pegaspargase injection
|
$17,876.77 |
$17,876.77 |
$17,876.77 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,338.67 |
$19,338.67 |
$19,338.67 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$11,659.55 |
$11,659.55 |
$11,659.55 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,668.75 |
$9,668.75 |
$9,668.75 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,242.22 |
$9,242.22 |
$9,242.22 |
$4,749.07
|
|
Pegloticase 8 mg/ml intravenous solution
|
$102,615.80 |
$102,615.80 |
$102,615.80 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$4,439.00 |
$4,439.00 |
$4,439.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,186.00 |
$4,186.00 |
$4,186.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,092.00 |
$3,092.00 |
$3,092.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$5,002.00 |
$5,002.00 |
$5,002.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,365.00 |
$3,365.00 |
$3,365.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,071.00 |
$3,071.00 |
$3,071.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$830.00 |
$830.00 |
$830.00 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,059.32 |
$5,059.32 |
$5,059.32 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$160.62 |
$160.62 |
$160.62 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$397.76 |
$397.76 |
$397.76 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$576.19 |
$576.19 |
$576.19 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$15.07 |
$15.07 |
$15.07 |
$90.35
|
|
Penicillin g procaine inj
|
$127.02 |
$127.02 |
$127.02 |
$47.19
|
|
Penile injection
|
$524.00 |
$524.00 |
$524.00 |
$418.00
|
|
Pentamidine non-comp unit
|
$299.25 |
$299.25 |
$299.25 |
$279.76
|
|
Pentobarbital sodium inj
|
$67.03 |
$67.03 |
$67.03 |
$185.00
|
|
Pentostatin 10 mg intravenous solution
|
$8,676.36 |
$8,676.36 |
$8,676.36 |
$6,659.13
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$198.45 |
$198.45 |
$198.45 |
$321.71
|
|
Peri-proc device eval icd
|
$221.00 |
$221.00 |
$221.00 |
$220.35
|
|
Peri-proc device eval pm
|
$221.00 |
$221.00 |
$221.00 |
$195.80
|
|
Perphenazine 4mg oral
|
$1.97 |
$1.97 |
$1.97 |
$2.58
|
|
Perq dev breast 1st mr guide
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,548.60
|
|
Pertuzumab 30 mg/ml desensitization
|
$1,631.70 |
$1,631.70 |
$1,631.70 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$3,107.36 |
$3,107.36 |
$3,107.36 |
$27,858.08
|
|
Pet image ltd area
|
$9,931.00 |
$9,931.00 |
$9,931.00 |
$2,519.20
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$579.00 |
$579.00 |
$579.00 |
$91.50
|
|
Ph body fluid
|
$140.00 |
$140.00 |
$140.00 |
$39.20
|
|
Phencyclidine (pcp)
|
$88.00 |
$88.00 |
$88.00 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$130.90 |
$130.90 |
$130.90 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$169.00 |
$169.00 |
$169.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,523.24 |
$1,523.24 |
$1,523.24 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$3.03 |
$3.03 |
$3.03 |
$57.09
|
|
Phenylep ketorolac opth soln
|
$413.00 |
$413.00 |
$413.00 |
$413.00
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.82 |
$1.82 |
$1.82 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$150.00 |
$150.00 |
$150.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$679.00 |
$679.00 |
$679.00 |
$249.00
|
|
Phosphorus
|
$38.00 |
$38.00 |
$38.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$53.00 |
$53.00 |
$53.00 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$156.23 |
$156.23 |
$156.23 |
$92.07
|
|
Piflu f-18, dia 1 millicurie
|
$16,100.00 |
$16,100.00 |
$16,100.00 |
$1,035.81
|
|
Pin finger fracture each
|
$10,554.00 |
$10,554.00 |
$10,554.00 |
$3,910.33
|
|
Pinworm exam
|
$57.00 |
$57.00 |
$57.00 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$9.24 |
$9.24 |
$9.24 |
$101.60
|
|
Place breast cath for rad
|
$7,151.00 |
$7,151.00 |
$7,151.00 |
$232.80
|
|
Place breast rad tube/caths
|
$47,461.00 |
$47,461.00 |
$47,461.00 |
$6,215.93
|
|
Placental lactogen
|
$198.00 |
$198.00 |
$198.00 |
$143.67
|
|
Place po breast cath for rad
|
$47,461.00 |
$47,461.00 |
$47,461.00 |
$11,238.72
|
|
Place right device/marker pros
|
$4,410.00 |
$4,410.00 |
$4,410.00 |
$1,903.23
|
|
Platelet aggregation each agent teg
|
$146.00 |
$146.00 |
$146.00 |
$147.96
|
|
Platelet automated
|
$65.00 |
$65.00 |
$65.00 |
$44.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$226.00 |
$226.00 |
$226.00 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$226.00 |
$226.00 |
$226.00 |
$818.55
|
|
Plerixafor injection
|
$510.42 |
$510.42 |
$510.42 |
$19,437.74
|
|
Plethysmography lung volumes/airway resistance
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$411.51
|
|
Pm device progr eval dual
|
$322.00 |
$322.00 |
$322.00 |
$148.00
|
|
#pnh-flow cytometry interp
|
$419.00 |
$419.00 |
$419.00 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$636.00 |
$636.00 |
$636.00 |
$173.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$13,552.04 |
$13,552.04 |
$13,552.04 |
$37,278.00
|
|
Porfimer sodium injection
|
$78,067.50 |
$78,067.50 |
$78,067.50 |
$45,970.50
|
|
Postpartum Care Only
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$501.60
|
