|
Ortho whf rigd without jnt cstm w/fit&adj
|
$767.06 |
$767.06 |
$767.06 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,135.43 |
$2,135.43 |
$2,135.43 |
$645.00
|
|
Oscillation chest wall mechanical per session
|
$426.00 |
$426.00 |
$426.00 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$54.11 |
$54.11 |
$54.11 |
$54.11
|
|
O shoe add instep extension
|
$201.67 |
$201.67 |
$201.67 |
$201.67
|
|
O shoe add instep velcro clo
|
$153.46 |
$153.46 |
$153.46 |
$153.46
|
|
O shoe add standard toe tap
|
$21.15 |
$21.15 |
$21.15 |
$21.15
|
|
O shoe convert to sof counte
|
$126.41 |
$126.41 |
$126.41 |
$126.41
|
|
Osmolality blood
|
$90.00 |
$90.00 |
$90.00 |
$69.55
|
|
Osmolality urine
|
$64.20 |
$64.20 |
$64.20 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$213.00 |
$213.00 |
$213.00 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$191.40 |
$191.40 |
$191.40 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$180.60 |
$180.60 |
$180.60 |
$263.50
|
|
Other immunoelectrophoresis
|
$33.60 |
$33.60 |
$33.60 |
$107.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$81.00 |
$81.00 |
$81.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$67.80 |
$67.80 |
$67.80 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$63.60 |
$63.60 |
$63.60 |
$105.00
|
|
Ot re-evaluation patient/family
|
$88.80 |
$88.80 |
$88.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$55.80 |
$55.80 |
$55.80 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$113.40 |
$113.40 |
$113.40 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$63.60 |
$63.60 |
$63.60 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$66.00 |
$66.00 |
$66.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$84.60 |
$84.60 |
$84.60 |
$93.60
|
|
Outrigger
|
$123.81 |
$123.81 |
$123.81 |
$123.81
|
|
Outrigger bil with vert extens
|
$414.44 |
$414.44 |
$414.44 |
$414.44
|
|
Oxytocin 10 unit/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$65,474.29 |
$65,474.29 |
$65,474.29 |
$47,880.00
|
|
Palb2 gene full gene seq
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$649.44
|
|
Palingen or palingen xplus
|
$15,246.72 |
$15,246.72 |
$15,246.72 |
$656.01
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$27.12 |
$27.12 |
$27.12 |
$27.16
|
|
Papaverin hcl injection
|
$73.32 |
$73.32 |
$73.32 |
$76.40
|
|
Parathormone (pth) intact
|
$280.80 |
$280.80 |
$280.80 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$962.40 |
$962.40 |
$962.40 |
$1,555.00
|
|
Parathyroid planar imaging
|
$496.20 |
$496.20 |
$496.20 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$962.40 |
$962.40 |
$962.40 |
$1,345.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$285.60 |
$285.60 |
$285.60 |
$242.88
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$17,282.09 |
$17,282.09 |
$17,282.09 |
$4,810.50
|
|
Partial removal finger bone
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,964.00
|
|
Partial removal of foot bone
|
$13,969.32 |
$13,969.32 |
$13,969.32 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$11,494.09 |
$11,494.09 |
$11,494.09 |
$4,706.31
|
|
Passy muir valve metal trach
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$275.75
|
|
Path clin consltj sf 5-20
|
$133.80 |
$133.80 |
$133.80 |
$82.15
|
|
Patten bottom
|
$757.24 |
$757.24 |
$757.24 |
$757.24
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$54.11 |
$54.11 |
$54.11 |
$44.97
|
|
Pelv band/spread bar thigh c
|
$1,120.07 |
$1,120.07 |
$1,120.07 |
$802.87
|
|
Pelvic control band & belt b
|
$743.50 |
$743.50 |
$743.50 |
$743.50
|
|
Pelvic control band & belt u
|
$547.83 |
$547.83 |
$547.83 |
$547.83
|
|
Pelvic control hip heavy dut
|
$591.53 |
$591.53 |
$591.53 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,026.80 |
$1,026.80 |
$1,026.80 |
$1,026.80
|
|
Pelvic CT scan (with and without contrast)
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$2,512.27 |
$2,512.27 |
$2,512.27 |
$2,512.27
|
|
Pelvic Ultrasound (complete)
|
$732.60 |
$732.60 |
$732.60 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$244.80 |
$244.80 |
$244.80 |
$430.00
|
|
Pelv & thor control gluteal
|
$327.43 |
$327.43 |
$327.43 |
$327.43
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,594.26 |
$1,594.26 |
$1,594.26 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$229.62 |
$229.62 |
$229.62 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$31,123.99 |
$31,123.99 |
$31,123.99 |
$18,349.50
|
|
Perc cryo ablate renal tum
|
$8,894.40 |
$8,894.40 |
$8,894.40 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$11,515.20 |
$11,515.20 |
$11,515.20 |
$13,045.40
|
|
Perc d-e cor revasc chro sin
|
$12,670.20 |
$12,670.20 |
$12,670.20 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$13,314.00 |
$13,314.00 |
$13,314.00 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$14,858.40 |
$14,858.40 |
$14,858.40 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$13,947.60 |
$13,947.60 |
$13,947.60 |
$12,719.00
|
|
Perc d-e cor stent ather s
|
$17,503.20 |
$17,503.20 |
$17,503.20 |
$18,808.65
|
|
Perc drug-el cor stent bran
|
$11,515.20 |
$11,515.20 |
$11,515.20 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$10,029.60 |
$10,029.60 |
$10,029.60 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$15,211.80 |
$15,211.80 |
$15,211.80 |
$6,949.48
|
|
Percut ablate liver rf
|
$5,383.20 |
$5,383.20 |
$5,383.20 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$1,213.80 |
$1,213.80 |
$1,213.80 |
$2,341.50
|
|
Pericardiotomy/clot/for bod remove 33020
|
$2,065.80 |
$2,065.80 |
$2,065.80 |
$1,696.80
|
|
Peri-proc device eval icd
|
$251.40 |
$251.40 |
$251.40 |
$192.40
|
|
Peri-proc device eval pm
|
$251.40 |
$251.40 |
$251.40 |
$156.00
|
|
Peritoneogram rs&i
|
$948.00 |
$948.00 |
$948.00 |
$689.15
|
|
Permanent tear duct plug
|
$301.79 |
$301.79 |
$301.79 |
$262.41
|
|
Peroneal straps pair pre ots
|
$40.44 |
$40.44 |
$40.44 |
$40.44
|
|
Perq art m-thrombect &/nfs
|
$6,249.60 |
$6,249.60 |
$6,249.60 |
$7,559.55
|
|
Perq plmt bile duct stent
|
$12,962.40 |
$12,962.40 |
$12,962.40 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$10,801.20 |
$10,801.20 |
$10,801.20 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$10,801.20 |
$10,801.20 |
$10,801.20 |
$7,085.70
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$252.05 |
$252.05 |
$252.05 |
$141.60
|
|
Pet image w/ct lmtd
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$4,366.50
|
|
Pfc sigma fem post aug sz3 8mm
|
$82,367.71 |
$82,367.71 |
$82,367.71 |
$34,920.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$34.20 |
$34.20 |
$34.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$49.80 |
$49.80 |
$49.80 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$17.40 |
$17.40 |
$17.40 |
$31.20
|
|
Ph body fluid
|
$39.00 |
$39.00 |
$39.00 |
$40.04
|
|
Phencyclidine (pcp)
|
$39.00 |
$39.00 |
$39.00 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$122.64 |
$122.64 |
$122.64 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$114.00 |
$114.00 |
$114.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$2,210.70 |
$2,210.70 |
$2,210.70 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.30 |
$6.30 |
$6.30 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$136.20 |
$136.20 |
$136.20 |
$112.50
|
|
Phosphorus
|
$57.60 |
$57.60 |
$57.60 |
$49.60
|
|
Phosphorus 24 hour urine
|
$64.20 |
$64.20 |
$64.20 |
$41.58
|
|
Phys blood bank serv reactj
|
$136.20 |
$136.20 |
$136.20 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$44.22 |
$44.22 |
$44.22 |
$85.79
|
