|
Ot therapeutic activities direct patient contact each 15 minutes
|
$144.30 |
$144.30 |
$144.30 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$100.75 |
$100.75 |
$100.75 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$100.75 |
$100.75 |
$100.75 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$150.15 |
$150.15 |
$150.15 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$126.75 |
$126.75 |
$126.75 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$133.90 |
$133.90 |
$133.90 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.32 |
$0.32 |
$0.32 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$110.37 |
$110.37 |
$110.37 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$93.31 |
$93.31 |
$93.31 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,183.38 |
$2,183.38 |
$2,183.38 |
$4,014.63
|
|
Palb2 gene known famil vrnt
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$398.20
|
|
Paliperidone 117 mg/0.75 ml inj
|
$11,107.72 |
$11,107.72 |
$11,107.72 |
$6,493.54
|
|
Palonosetron hcl
|
$44.36 |
$44.36 |
$44.36 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$151.84 |
$151.84 |
$151.84 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$19,146.17 |
$19,146.17 |
$19,146.17 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$36.17 |
$36.17 |
$36.17 |
$44.25
|
|
Papaverin hcl injection
|
$71.50 |
$71.50 |
$71.50 |
$76.40
|
|
Parathormone (pth) intact
|
$152.10 |
$152.10 |
$152.10 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,937.65 |
$1,937.65 |
$1,937.65 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,185.30 |
$2,185.30 |
$2,185.30 |
$1,398.75
|
|
Paricalcitol
|
$33.44 |
$33.44 |
$33.44 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$123.50 |
$123.50 |
$123.50 |
$270.00
|
|
Part removal of metatarsal
|
$2,009.80 |
$2,009.80 |
$2,009.80 |
$2,942.23
|
|
Passy muir valve metal trach
|
$149.75 |
$149.75 |
$149.75 |
$241.20
|
|
Pdgfra gene
|
$1,121.90 |
$1,121.90 |
$1,121.90 |
$659.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,005.45 |
$10,005.45 |
$10,005.45 |
$12,556.80
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,726.56 |
$5,726.56 |
$5,726.56 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,458.74 |
$4,458.74 |
$4,458.74 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$1,527.50 |
$1,527.50 |
$1,527.50 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,389.05 |
$1,389.05 |
$1,389.05 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,262.30 |
$1,262.30 |
$1,262.30 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,939.60 |
$1,939.60 |
$1,939.60 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,745.25 |
$1,745.25 |
$1,745.25 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$559.00 |
$559.00 |
$559.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$373.10 |
$373.10 |
$373.10 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,273.24 |
$16,273.24 |
$16,273.24 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,706.60 |
$10,706.60 |
$10,706.60 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,133.70 |
$1,133.70 |
$1,133.70 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.50 |
$53.50 |
$53.50 |
$100.50
|
|
Penile injection
|
$560.95 |
$560.95 |
$560.95 |
$418.00
|
|
Penile vascular study
|
$828.10 |
$828.10 |
$828.10 |
$561.00
|
|
Penile vascular study
|
$460.20 |
$460.20 |
$460.20 |
$460.20
|
|
Perc cryo ablate renal tum
|
$14,996.80 |
$14,996.80 |
$14,996.80 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$4,642.30 |
$4,642.30 |
$4,642.30 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$10,923.90 |
$10,923.90 |
$10,923.90 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$3,047.85 |
$3,047.85 |
$3,047.85 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$7,094.75 |
$7,094.75 |
$7,094.75 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$6,507.80 |
$6,507.80 |
$6,507.80 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$8,234.20 |
$8,234.20 |
$8,234.20 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$2,981.55 |
$2,981.55 |
$2,981.55 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$6,698.25 |
$6,698.25 |
$6,698.25 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$11,794.90 |
$11,794.90 |
$11,794.90 |
$6,949.48
|
|
Percut ablate liver rf
|
$5,317.00 |
$5,317.00 |
$5,317.00 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$489.38 |
$489.38 |
$489.38 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$7,619.30 |
$7,619.30 |
$7,619.30 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$5,530.85 |
$5,530.85 |
$5,530.85 |
$2,573.60
|
|
Peripheral vascular rehab
|
$91.65 |
$91.65 |
$91.65 |
$128.69
|
|
Peri-proc device eval icd
|
$178.75 |
$178.75 |
$178.75 |
$220.35
|
|
Peri-proc device eval pm
|
$134.55 |
$134.55 |
$134.55 |
$195.80
|
|
Peritoneal cath sub q resv per
|
$6,399.90 |
$6,399.90 |
$6,399.90 |
$5,625.74
|
|
Peritoneogram rs&i
|
$981.50 |
$981.50 |
$981.50 |
$648.84
|
|
Perit-vens shunt pat tst
|
$796.25 |
$796.25 |
$796.25 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$23,988.25 |
$23,988.25 |
$23,988.25 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$12,032.67
|
|
Perq dev breast 1st strtctc
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$1,548.60
|
|
Perq nl/pl lithotrp smpl<2cm
|
$2,694.25 |
$2,694.25 |
$2,694.25 |
$8,748.48
|
|
Perq p-art revsc 1 abnor bi
|
$16,532.75 |
$16,532.75 |
$16,532.75 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$12,137.45 |
$12,137.45 |
$12,137.45 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$13,949.65 |
$13,949.65 |
$13,949.65 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$10,240.10 |
$10,240.10 |
$10,240.10 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$11,022.05 |
$11,022.05 |
$11,022.05 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$14,868.10 |
$14,868.10 |
$14,868.10 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$17,318.60 |
$17,318.60 |
$17,318.60 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$17,318.60 |
$17,318.60 |
$17,318.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$975.00 |
$975.00 |
$975.00 |
$625.93
|
|
Perq transcath closure each
|
$3,292.90 |
$3,292.90 |
$3,292.90 |
$10,244.02
|
|
Perq transcath cls aortic
|
$6,815.90 |
$6,815.90 |
$6,815.90 |
$22,633.26
|
|
Perq transcath cls mitral
|
$6,815.90 |
$6,815.90 |
$6,815.90 |
$23,883.21
|
|
Perq transcath septal reduxn
|
$6,815.90 |
$6,815.90 |
$6,815.90 |
$8,828.16
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,443.20 |
$18,443.20 |
$18,443.20 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$25,067.48 |
$25,067.48 |
$25,067.48 |
$41,963.08
|
|
Pet CT skull-mid thgh initial
|
$4,102.15 |
$4,102.15 |
$4,102.15 |
$4,854.75
|
|
Pet CT whole body initial
|
$5,415.80 |
$5,415.80 |
$5,415.80 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$3,959.15 |
$3,959.15 |
$3,959.15 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$3,689.40 |
$3,689.40 |
$3,689.40 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$2,786.65 |
$2,786.65 |
$2,786.65 |
$34,848.45
|
|
Ph body fluid
|
$31.85 |
$31.85 |
$31.85 |
$39.20
|
|
Phencyclidine (pcp)
|
$97.50 |
$97.50 |
$97.50 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$130.93 |
$130.93 |
$130.93 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$37.70 |
$37.70 |
$37.70 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,424.44 |
$1,424.44 |
$1,424.44 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$21.81 |
$21.81 |
$21.81 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$25.38 |
$25.38 |
$25.38 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$27.95 |
$27.95 |
$27.95 |
$111.27
|
|
Phlebotomy therapeutic
|
$200.85 |
$200.85 |
$200.85 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$10,897.90 |
$10,897.90 |
$10,897.90 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$11,935.30 |
$11,935.30 |
$11,935.30 |
$4,341.66
|
|
Phosphorus
|
$113.10 |
$113.10 |
$113.10 |
$47.81
|