|
Orthovisc inj per dose
|
$566.25 |
$566.25 |
$566.25 |
$443.85
|
|
Oscillation chest wall mechanical per session
|
$642.60 |
$642.60 |
$642.60 |
$221.34
|
|
Osmolality blood
|
$117.08 |
$117.08 |
$117.08 |
$67.60
|
|
Osmolality urine
|
$73.50 |
$73.50 |
$73.50 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$471.35 |
$471.35 |
$471.35 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$471.35 |
$471.35 |
$471.35 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$471.35 |
$471.35 |
$471.35 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$171.99 |
$171.99 |
$171.99 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$171.99 |
$171.99 |
$171.99 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$165.69 |
$165.69 |
$165.69 |
$107.32
|
|
Ot re-evaluation patient/family
|
$286.97 |
$286.97 |
$286.97 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$173.36 |
$173.36 |
$173.36 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$167.16 |
$167.16 |
$167.16 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$167.16 |
$167.16 |
$167.16 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$169.47 |
$169.47 |
$169.47 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$177.14 |
$177.14 |
$177.14 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$215.88 |
$215.88 |
$215.88 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$144.24 |
$144.24 |
$144.24 |
$342.84
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$582.27 |
$582.27 |
$582.27 |
$231.63
|
|
Palonosetron hcl
|
$1,379.50 |
$1,379.50 |
$1,379.50 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$235.18 |
$235.18 |
$235.18 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$19,968.13 |
$19,968.13 |
$19,968.13 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$84.46 |
$84.46 |
$84.46 |
$35.43
|
|
Papaverin hcl injection
|
$126.94 |
$126.94 |
$126.94 |
$83.77
|
|
Parathormone (pth) intact
|
$26.36 |
$26.36 |
$26.36 |
$200.23
|
|
Parathyroid planar imaging
|
$2,019.26 |
$2,019.26 |
$2,019.26 |
$1,166.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$23,011.09 |
$23,011.09 |
$23,011.09 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$8,072.54 |
$8,072.54 |
$8,072.54 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,220.43 |
$16,220.43 |
$16,220.43 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,596.86 |
$8,596.86 |
$8,596.86 |
$4,749.07
|
|
Pelvic CT scan (with contrast)
|
$2,855.69 |
$2,855.69 |
$2,855.69 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,304.23 |
$2,304.23 |
$2,304.23 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$5,496.54 |
$5,496.54 |
$5,496.54 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$4,696.13 |
$4,696.13 |
$4,696.13 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$4,565.61 |
$4,565.61 |
$4,565.61 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$998.87 |
$998.87 |
$998.87 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$912.24 |
$912.24 |
$912.24 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$35,064.14 |
$35,064.14 |
$35,064.14 |
$13,809.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,019.39 |
$3,019.39 |
$3,019.39 |
$643.59
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$508.07 |
$508.07 |
$508.07 |
$321.71
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,288.48 |
$20,288.48 |
$20,288.48 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$59,250.93 |
$59,250.93 |
$59,250.93 |
$27,858.08
|
|
Ph body fluid
|
$29.09 |
$29.09 |
$29.09 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$354.77 |
$354.77 |
$354.77 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$164.64 |
$164.64 |
$164.64 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$71.43 |
$71.43 |
$71.43 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$40.72 |
$40.72 |
$40.72 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$169.47 |
$169.47 |
$169.47 |
$111.27
|
|
Phlebotomy therapeutic
|
$804.72 |
$804.72 |
$804.72 |
$249.00
|
|
Phone e/m phys/qhp 11-20 min
|
$111.72 |
$111.72 |
$111.72 |
$174.75
|
|
Phone e/m phys/qhp 5-10 min
|
$55.97 |
$55.97 |
$55.97 |
$50.40
|
|
Phosphorus
|
$76.02 |
$76.02 |
$76.02 |
$47.81
|
|
Phys blood bank serv reactj
|
$984.27 |
$984.27 |
$984.27 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$102.33 |
$102.33 |
$102.33 |
$92.07
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$83.57 |
$83.57 |
$83.57 |
$101.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$5,132.61 |
$5,132.61 |
$5,132.61 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,515.70 |
$2,515.70 |
$2,515.70 |
$1,372.15
|
|
Platelet automated
|
$76.02 |
$76.02 |
$76.02 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,011.35 |
$1,011.35 |
$1,011.35 |
$1,235.83
|
|
#pnh-flow cytometry interp
|
$685.23 |
$685.23 |
$685.23 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$265.34 |
$265.34 |
$265.34 |
$173.00
|
|
Potassium 24 hour urine
|
$86.10 |
$86.10 |
$86.10 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$198.73 |
$198.73 |
$198.73 |
$76.40
|
|
Potassium serum/plasma/whole blood
|
$82.85 |
$82.85 |
$82.85 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$1,405.74 |
$1,405.74 |
$1,405.74 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$24,015.29 |
$24,015.29 |
$24,015.29 |
$10,430.78
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$8,220.66 |
$8,220.66 |
$8,220.66 |
$3,761.65
|
|
Pr application of long arm splint
|
$414.65 |
$414.65 |
$414.65 |
$332.75
|
|
Pr application splint static short arm
|
$341.46 |
$341.46 |
$341.46 |
$301.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$76.34 |
$76.34 |
$76.34 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$258.72 |
$258.72 |
$258.72 |
$356.40
|
|
Prealbumin
|
$93.98 |
$93.98 |
$93.98 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$26.56 |
$26.56 |
$26.56 |
$13.32
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$897.12 |
$897.12 |
$897.12 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$977.03 |
$977.03 |
$977.03 |
$541.45
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,728.30 |
$1,728.30 |
$1,728.30 |
$827.94
|
|
Pr incision & drainage abscess complicated/multiple
|
$787.50 |
$787.50 |
$787.50 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$2,075.54 |
$2,075.54 |
$2,075.54 |
$438.00
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$768.60 |
$768.60 |
$768.60 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$456.00 |
$456.00 |
$456.00 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,569.76 |
$2,569.76 |
$2,569.76 |
$546.07
|
|
Procalcitonin
|
$651.84 |
$651.84 |
$651.84 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$40.58 |
$40.58 |
$40.58 |
$44.76
|
|
Progesterone
|
$123.38 |
$123.38 |
$123.38 |
$105.00
|
|
Prolactin
|
$116.03 |
$116.03 |
$116.03 |
$127.50
|
|
Promethazine hcl injection
|
$35.83 |
$35.83 |
$35.83 |
$23.45
|
|
Propofol infusion 10 mg/ml
|
$140.75 |
$140.75 |
$140.75 |
$71.09
|
|
Protamine 10 mg/ml intravenous solution
|
$44.03 |
$44.03 |
$44.03 |
$60.98
|
|
Protein c activity
|
$42.84 |
$42.84 |
$42.84 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$116.03 |
$116.03 |
$116.03 |
$85.20
|
|
Protein s total
|
$124.74 |
$124.74 |
$124.74 |
$78.87
|
|
Protein total 24 hour urine
|
$55.55 |
$55.55 |
$55.55 |
$52.50
|
|
Protein total body fluid
|
$76.02 |
$76.02 |
$76.02 |
$52.57
|
|
Protein total serum plasma whole blood
|
$73.82 |
$73.82 |
$73.82 |
$42.81
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$510.09 |
$510.09 |
$510.09 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$822.78 |
$822.78 |
$822.78 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$846.93 |
$846.93 |
$846.93 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$846.93 |
$846.93 |
$846.93 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,302.63 |
$1,302.63 |
$1,302.63 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$1,303.79 |
$1,303.79 |
$1,303.79 |
$422.00
|