|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$98.25 |
$98.25 |
$98.25 |
$98.25
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$143.25 |
$143.25 |
$143.25 |
$110.62
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$138.75 |
$138.75 |
$138.75 |
$112.80
|
|
Ot training self care/home management direct contact each 15 minutes
|
$138.75 |
$138.75 |
$138.75 |
$104.00
|
|
Oxaliplatin 5 mg/ml desensitization
|
$342.84 |
$342.84 |
$342.84 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$35.06 |
$35.06 |
$35.06 |
$35.06
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$57,937.50 |
$57,937.50 |
$57,937.50 |
$48,945.60
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$34.43 |
$34.43 |
$34.43 |
$34.43
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,416.36 |
$5,416.36 |
$5,416.36 |
$5,416.36
|
|
Palifermin injection
|
$11,767.98 |
$11,767.98 |
$11,767.98 |
$11,767.98
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,272.41 |
$6,272.41 |
$6,272.41 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$9,797.53 |
$9,797.53 |
$9,797.53 |
$6,191.26
|
|
Palonosetron hcl
|
$184.88 |
$184.88 |
$184.88 |
$184.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$148.35 |
$148.35 |
$148.35 |
$148.35
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$27,287.26 |
$27,287.26 |
$27,287.26 |
$27,287.26
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.49 |
$18.49 |
$18.49 |
$30.80
|
|
Papaverin hcl injection
|
$143.71 |
$143.71 |
$143.71 |
$143.71
|
|
Parathormone (pth) intact
|
$500.25 |
$500.25 |
$500.25 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,436.25 |
$1,436.25 |
$1,436.25 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$2,424.75 |
$2,424.75 |
$2,424.75 |
$1,317.94
|
|
Paricalcitol
|
$35.52 |
$35.52 |
$35.52 |
$35.52
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$291.75 |
$291.75 |
$291.75 |
$275.89
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7,702.14 |
$7,702.14 |
$7,702.14 |
$7,702.14
|
|
Passy muir valve metal trach
|
$1,016.73 |
$1,016.73 |
$1,016.73 |
$1,016.73
|
|
Pdgfra gene
|
$618.00 |
$618.00 |
$618.00 |
$743.34
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$7.50 |
$7.50 |
$7.50 |
$7.50
|
|
Pegaspargase injection
|
$82,241.50 |
$82,241.50 |
$82,241.50 |
$82,241.50
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$16,623.78 |
$16,623.78 |
$16,623.78 |
$12,717.60
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,163.13 |
$11,163.13 |
$11,163.13 |
$11,163.13
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,455.84 |
$6,455.84 |
$6,455.84 |
$6,455.84
|
|
Pegloticase 8 mg/ml intravenous solution
|
$113,672.22 |
$113,672.22 |
$113,672.22 |
$113,672.22
|
|
Pelvic CT scan (with and without contrast)
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,975.00
|
|
Pelvic CT scan (with contrast)
|
$1,710.75 |
$1,710.75 |
$1,710.75 |
$1,710.75
|
|
Pelvic CT scan (without contrast)
|
$1,392.75 |
$1,392.75 |
$1,392.75 |
$1,374.84
|
|
Pelvic MRI (with and without contrast)
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$2,663.76
|
|
Pelvic MRI (with contrast)
|
$2,373.75 |
$2,373.75 |
$2,373.75 |
$1,989.01
|
|
Pelvic MRI (without contrast)
|
$2,221.50 |
$2,221.50 |
$2,221.50 |
$1,810.38
|
|
Pelvic Ultrasound (complete)
|
$919.50 |
$919.50 |
$919.50 |
$647.87
|
|
Pelvic Ultrasound (limited)
|
$567.00 |
$567.00 |
$567.00 |
$477.10
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$21,806.82 |
$21,806.82 |
$21,806.82 |
$21,806.82
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$13,859.24 |
$13,859.24 |
$13,859.24 |
$13,859.24
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,592.13 |
$2,592.13 |
$2,592.13 |
$1,641.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$203.37 |
$203.37 |
$203.37 |
$203.37
|
|
Penile injection
|
$306.75 |
$306.75 |
$306.75 |
$411.00
|
|
Penile rear tip xtnd 0.5cm
|
$26,765.44 |
$26,765.44 |
$26,765.44 |
$26,765.44
|
|
Penile vascular study
|
$1,240.50 |
$1,240.50 |
$1,240.50 |
$590.85
|
|
Penile vascular study
|
$792.00 |
$792.00 |
$792.00 |
$336.00
|
|
Pentamidine 300 mg solution for injection
|
$572.10 |
$572.10 |
$572.10 |
$572.10
|
|
Pentamidine non-comp unit
|
$396.65 |
$396.65 |
$396.65 |
$396.65
|
|
Pentobarbital sodium inj
|
$3,170.80 |
$3,170.80 |
$3,170.80 |
$3,170.80
|
|
Pentostatin 10 mg intravenous solution
|
$8,715.64 |
$8,715.64 |
$8,715.64 |
$8,715.64
|
|
Perc cryo ablate renal tum
|
$6,669.00 |
$6,669.00 |
$6,669.00 |
$13,038.50
|
|
Perc d-e cor revasc chro sin
|
$32,979.75 |
$32,979.75 |
$32,979.75 |
$24,161.40
|
|
Perc d-e cor revasc t cabg b
|
$27,913.50 |
$27,913.50 |
$27,913.50 |
$25,809.00
|
|
Perc d-e cor revasc t cabg s
|
$32,979.75 |
$32,979.75 |
$32,979.75 |
$23,282.40
|
|
Perc d-e cor stent ather br
|
$27,915.00 |
$27,915.00 |
$27,915.00 |
$24,949.80
|
|
Perc d-e cor stent ather s
|
$32,979.75 |
$32,979.75 |
$32,979.75 |
$24,161.40
|
|
Perc drug-el cor stent bran
|
$16,054.50 |
$16,054.50 |
$16,054.50 |
$16,054.50
|
|
Perc drug-el cor stent sing
|
$16,258.50 |
$16,258.50 |
$16,258.50 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$5,724.00 |
$5,724.00 |
$5,724.00 |
$6,949.48
|
|
Percut ablate liver rf
|
$6,566.25 |
$6,566.25 |
$6,566.25 |
$7,327.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$321.71 |
$321.71 |
$321.71 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,796.50 |
$3,796.50 |
$3,796.50 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$2,472.75 |
$2,472.75 |
$2,472.75 |
$2,573.60
|
|
Peripheral vascular rehab
|
$184.50 |
$184.50 |
$184.50 |
$154.59
|
|
Peri-proc device eval icd
|
$609.75 |
$609.75 |
$609.75 |
$220.35
|
|
Peri-proc device eval pm
|
$327.75 |
$327.75 |
$327.75 |
$198.40
|
|
Perq art m-thrombect &/nfs
|
$9,473.25 |
$9,473.25 |
$9,473.25 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$7,520.25 |
$7,520.25 |
$7,520.25 |
$10,810.00
|
|
Perq dev breast 1st mr guide
|
$4,497.00 |
$4,497.00 |
$4,497.00 |
$2,158.00
|
|
Perq dev breast 1st strtctc
|
$3,114.75 |
$3,114.75 |
$3,114.75 |
$1,372.15
|
|
Perq p-art revsc 1 abnor bi
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$18,035.00
|
|
Perq p-art revsc 1 abnor uni
|
$44,278.50 |
$44,278.50 |
$44,278.50 |
$22,633.26
|
|
Perq p-art revsc 1 nm nt bi
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$27,235.50 |
$27,235.50 |
$27,235.50 |
$20,544.05
|
|
Perq p-art revsc each addl
|
$13,844.25 |
$13,844.25 |
$13,844.25 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$4,355.25 |
$4,355.25 |
$4,355.25 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$4,355.25 |
$4,355.25 |
$4,355.25 |
$6,085.18
|
|
Perq plmt bile duct stent
|
$4,355.25 |
$4,355.25 |
$4,355.25 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,159.50 |
$1,159.50 |
$1,159.50 |
$659.35
|
|
Perq transcath closure each
|
$12,118.50 |
$12,118.50 |
$12,118.50 |
$7,544.16
|
|
Perq transcath septal reduxn
|
$15,793.50 |
$15,793.50 |
$15,793.50 |
$6,003.27
|
|
Pertuzumab 30 mg/ml desensitization
|
$25,218.78 |
$25,218.78 |
$25,218.78 |
$25,218.78
|
|
Pertuzu, trastuzu, 10 mg
|
$51,456.39 |
$51,456.39 |
$51,456.39 |
$51,456.39
|
|
Pet CT skull-mid thgh initial
|
$4,854.75 |
$4,854.75 |
$4,854.75 |
$4,854.75
|
|
Pet CT whole body initial
|
$4,915.50 |
$4,915.50 |
$4,915.50 |
$5,231.06
|
|
Pet fdg brain metoblic eval sb
|
$4,834.50 |
$4,834.50 |
$4,834.50 |
$4,116.53
|
|
Pet image ltd area
|
$4,590.75 |
$4,590.75 |
$4,590.75 |
$2,519.20
|
|
Pet image w/ct lmtd
|
$4,680.75 |
$4,680.75 |
$4,680.75 |
$4,484.45
|
|
Pet scan brain perf study
|
$4,525.50 |
$4,525.50 |
$4,525.50 |
$4,297.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,024,537.50 |
$1,024,537.50 |
$1,024,537.50 |
$26,256.60
|
|
Ph body fluid
|
$104.25 |
$104.25 |
$104.25 |
$34.40
|
|
Phencyclidine (pcp)
|
$498.00 |
$498.00 |
$498.00 |
$70.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$203.37 |
$203.37 |
$203.37 |
$128.80
|
|
Phenobarbital therapeutic drug level
|
$153.00 |
$153.00 |
$153.00 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$58.80 |
$58.80 |
$58.80 |
$0.60
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.71 |
$7.71 |
$7.71 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$102.00
|