|
Orphenadrine citrate 30 mg/ml injection solution
|
$63.20 |
$63.20 |
$63.20 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$507.60 |
$507.60 |
$507.60 |
$196.70
|
|
Osmolality blood
|
$16.20 |
$16.20 |
$16.20 |
$69.55
|
|
Osmolality urine
|
$16.80 |
$16.80 |
$16.80 |
$65.50
|
|
Oth resp proc, group
|
$75.60 |
$75.60 |
$75.60 |
$126.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$93.00 |
$93.00 |
$93.00 |
$98.40
|
|
Ot re-evaluation patient/family
|
$67.20 |
$67.20 |
$67.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$225.60 |
$225.60 |
$225.60 |
$94.81
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$54.60 |
$54.60 |
$54.60 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$15.60 |
$15.60 |
$15.60 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$17.40 |
$17.40 |
$17.40 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.00 |
$1.00 |
$1.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$44.40 |
$44.40 |
$44.40 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$54.40 |
$54.40 |
$54.40 |
$6,238.82
|
|
Palonosetron hcl
|
$179.40 |
$179.40 |
$179.40 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$49.00 |
$49.00 |
$49.00 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$200.40 |
$200.40 |
$200.40 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$22.60 |
$22.60 |
$22.60 |
$28.90
|
|
Papaverin hcl injection
|
$60.40 |
$60.40 |
$60.40 |
$78.75
|
|
Parathormone (pth) intact
|
$102.00 |
$102.00 |
$102.00 |
$206.18
|
|
Parathyroid planar imaging
|
$408.60 |
$408.60 |
$408.60 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$282.00 |
$282.00 |
$282.00 |
$1,350.60
|
|
Parenteral 50% dextrose solu
|
$133.60 |
$133.60 |
$133.60 |
$145.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$56.40 |
$56.40 |
$56.40 |
$245.67
|
|
Partial removal finger bone
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$2,134.33
|
|
Path clin consltj mod 21-40
|
$447.60 |
$447.60 |
$447.60 |
$202.78
|
|
Path clin consltj sf 5-20
|
$198.60 |
$198.60 |
$198.60 |
$97.14
|
|
Pcv21 vaccine im
|
$252.80 |
$252.80 |
$252.80 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$872.40 |
$872.40 |
$872.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$645.60 |
$645.60 |
$645.60 |
$4,300.20
|
|
Pelvic CT scan (with and without contrast)
|
$795.00 |
$795.00 |
$795.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$669.60 |
$669.60 |
$669.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$507.00 |
$507.00 |
$507.00 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$978.60 |
$978.60 |
$978.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$739.20 |
$739.20 |
$739.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$684.60 |
$684.60 |
$684.60 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$181.80 |
$181.80 |
$181.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$122.40 |
$122.40 |
$122.40 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$117.00 |
$117.00 |
$117.00 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$159.60 |
$159.60 |
$159.60 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$147.00 |
$147.00 |
$147.00 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$199.20 |
$199.20 |
$199.20 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$543.00 |
$543.00 |
$543.00 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$19.20 |
$19.20 |
$19.20 |
$97.85
|
|
Pentamidine non-comp unit
|
$267.20 |
$267.20 |
$267.20 |
$294.39
|
|
Perc drug-el cor stent bran
|
$11,988.00 |
$11,988.00 |
$11,988.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$11,263.20 |
$11,263.20 |
$11,263.20 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$442.20 |
$442.20 |
$442.20 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$703.20 |
$703.20 |
$703.20 |
$2,418.99
|
|
Peripheral vascular rehab
|
$302.40 |
$302.40 |
$302.40 |
$132.50
|
|
Pertussis ag if
|
$136.20 |
$136.20 |
$136.20 |
$65.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$38.40 |
$38.40 |
$38.40 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$321.00 |
$321.00 |
$321.00 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$4,850.00
|
|
Pet image w/ct lmtd
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$21,439.80 |
$21,439.80 |
$21,439.80 |
$40,252.07
|
|
Ph body fluid
|
$45.00 |
$45.00 |
$45.00 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$71.20 |
$71.20 |
$71.20 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$27.60 |
$27.60 |
$27.60 |
$104.80
|
|
Phentolaine mesylate inj
|
$397.60 |
$397.60 |
$397.60 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.05 |
$0.05 |
$0.05 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$295.20 |
$295.20 |
$295.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$32.40 |
$32.40 |
$32.40 |
$111.20
|
|
Phlebotomy therapeutic
|
$190.20 |
$190.20 |
$190.20 |
$231.87
|
|
Phosphorus
|
$11.40 |
$11.40 |
$11.40 |
$48.96
|
|
Phosphorus 24 hour urine
|
$12.60 |
$12.60 |
$12.60 |
$42.25
|
|
Phys blood bank serv reactj
|
$181.80 |
$181.80 |
$181.80 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$108.60 |
$108.60 |
$108.60 |
$297.00
|
|
Physical Therapy Evaluation (low complexity)
|
$90.60 |
$90.60 |
$90.60 |
$224.95
|
|
Physical Therapy Evaluation (moderate complexity)
|
$98.40 |
$98.40 |
$98.40 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$66.00 |
$66.00 |
$66.00 |
$155.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$66.00 |
$66.00 |
$66.00 |
$89.82
|
|
Piflu f-18, dia 1 millicurie
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$1,038.40
|
|
Pinworm exam
|
$13.80 |
$13.80 |
$13.80 |
$39.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$31.80 |
$31.80 |
$31.80 |
$81.36
|
|
Place duod/jej tube perc
|
$11,911.80 |
$11,911.80 |
$11,911.80 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$10,710.60 |
$10,710.60 |
$10,710.60 |
$2,308.95
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$295.20 |
$295.20 |
$295.20 |
$1,494.36
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$295.20 |
$295.20 |
$295.20 |
$795.00
|
|
Placement nephrostomy catheter (both sides)
|
$2,037.60 |
$2,037.60 |
$2,037.60 |
$3,946.56
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$7,734.60 |
$7,734.60 |
$7,734.60 |
$13,879.25
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,359.80 |
$2,359.80 |
$2,359.80 |
$9,074.00
|
|
Place slctv cath vertebral art uni
|
$3,860.40 |
$3,860.40 |
$3,860.40 |
$9,200.62
|
|
Platelet automated
|
$10.80 |
$10.80 |
$10.80 |
$45.76
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,390.80 |
$1,390.80 |
$1,390.80 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,946.00 |
$2,946.00 |
$2,946.00 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$5,590.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,628.40 |
$1,628.40 |
$1,628.40 |
$759.55
|
|
Plethysmography lung volumes/airway resistance
|
$161.40 |
$161.40 |
$161.40 |
$411.51
|
|
Plmt nephroureteral catheter
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$4,170.03
|
|
Pms2 gene dup/delet variants
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$407.27
|
|
Pms2 gene full seq analysis
|
$3,123.60 |
$3,123.60 |
$3,123.60 |
$1,002.60
|
|
#pnh-flow cytometry interp
|
$637.20 |
$637.20 |
$637.20 |
$123.75
|
|
Pn soln nos 10 grams lipids
|
$70.20 |
$70.20 |
$70.20 |
$96.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$47.40 |
$47.40 |
$47.40 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$348.80 |
$348.80 |
$348.80 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$3,785.10
|
