|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,424.23 |
$2,424.23 |
$2,424.23 |
$645.00
|
|
Oscillation chest wall mechanical per session
|
$154.20 |
$154.20 |
$154.20 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$61.43 |
$61.43 |
$61.43 |
$54.11
|
|
O shoe add instep extension
|
$228.95 |
$228.95 |
$228.95 |
$201.67
|
|
O shoe add instep velcro clo
|
$174.22 |
$174.22 |
$174.22 |
$153.46
|
|
O shoe add standard toe tap
|
$24.01 |
$24.01 |
$24.01 |
$21.15
|
|
O shoe convert to sof counte
|
$143.50 |
$143.50 |
$143.50 |
$126.41
|
|
Osmolality blood
|
$65.40 |
$65.40 |
$65.40 |
$69.55
|
|
Osmolality urine
|
$65.40 |
$65.40 |
$65.40 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$441.60 |
$441.60 |
$441.60 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$325.80 |
$325.80 |
$325.80 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$382.80 |
$382.80 |
$382.80 |
$263.50
|
|
Other immunoelectrophoresis
|
$124.80 |
$124.80 |
$124.80 |
$107.52
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$145.80 |
$145.80 |
$145.80 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$153.60 |
$153.60 |
$153.60 |
$105.00
|
|
Ot re-evaluation patient/family
|
$178.80 |
$178.80 |
$178.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$142.20 |
$142.20 |
$142.20 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$412.20 |
$412.20 |
$412.20 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$412.20 |
$412.20 |
$412.20 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$199.20 |
$199.20 |
$199.20 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$130.80 |
$130.80 |
$130.80 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$175.20 |
$175.20 |
$175.20 |
$93.60
|
|
Outrigger
|
$140.56 |
$140.56 |
$140.56 |
$123.81
|
|
Outrigger bil with vert extens
|
$470.49 |
$470.49 |
$470.49 |
$414.44
|
|
Oxytocin 10 unit/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$74,329.04 |
$74,329.04 |
$74,329.04 |
$47,880.00
|
|
Palingen or palingen xplus
|
$17,308.69 |
$17,308.69 |
$17,308.69 |
$656.01
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$90.00 |
$154.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$20.76 |
$20.76 |
$20.76 |
$27.16
|
|
Parathormone (pth) intact
|
$183.60 |
$183.60 |
$183.60 |
$201.50
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$380.40 |
$380.40 |
$380.40 |
$242.88
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$6,334.20 |
$6,334.20 |
$6,334.20 |
$4,810.50
|
|
Partial removal finger bone
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$1,964.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$13,048.55 |
$13,048.55 |
$13,048.55 |
$4,706.31
|
|
Passy muir valve metal trach
|
$1,196.09 |
$1,196.09 |
$1,196.09 |
$275.75
|
|
Patten bottom
|
$859.66 |
$859.66 |
$859.66 |
$757.24
|
|
Pca3/klk3 antigen
|
$864.60 |
$864.60 |
$864.60 |
$510.40
|
|
Pcv21 vaccine im
|
$577.20 |
$577.20 |
$577.20 |
$350.40
|
|
Pdgfra gene
|
$864.60 |
$864.60 |
$864.60 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$61.43 |
$61.43 |
$61.43 |
$44.97
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,824.14 |
$5,824.14 |
$5,824.14 |
$4,133.25
|
|
Pelv band/spread bar thigh c
|
$1,271.55 |
$1,271.55 |
$1,271.55 |
$802.87
|
|
Pelvic control band & belt b
|
$844.04 |
$844.04 |
$844.04 |
$743.50
|
|
Pelvic control band & belt u
|
$621.92 |
$621.92 |
$621.92 |
$547.83
|
|
Pelvic control hip heavy dut
|
$671.53 |
$671.53 |
$671.53 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,165.67 |
$1,165.67 |
$1,165.67 |
$1,026.80
|
|
Pelvic CT scan (with and without contrast)
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,374.60 |
$1,374.60 |
$1,374.60 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$2,852.03 |
$2,852.03 |
$2,852.03 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$2,609.40 |
$2,609.40 |
$2,609.40 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$430.00
|
|
Pelv & thor control gluteal
|
$371.71 |
$371.71 |
$371.71 |
$327.43
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,029.66 |
$1,029.66 |
$1,029.66 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$207.60 |
$207.60 |
$207.60 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$35,333.20 |
$35,333.20 |
$35,333.20 |
$18,349.50
|
|
Pericardiocentesis wwo imaging
|
$3,050.40 |
$3,050.40 |
$3,050.40 |
$2,341.50
|
|
Pericardiotomy/clot/for bod remove 33020
|
$2,838.60 |
$2,838.60 |
$2,838.60 |
$1,696.80
|
|
Permanent tear duct plug
|
$342.60 |
$342.60 |
$342.60 |
$262.41
|
|
Peroneal straps pair pre ots
|
$45.91 |
$45.91 |
$45.91 |
$40.44
|
|
Perq dev breast 1st mr guide
|
$1,837.20 |
$1,837.20 |
$1,837.20 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$500.40 |
$500.40 |
$500.40 |
$1,456.00
|
|
Pertussis ag if
|
$127.20 |
$127.20 |
$127.20 |
$65.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$286.15 |
$286.15 |
$286.15 |
$141.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$93,507.13 |
$93,507.13 |
$93,507.13 |
$34,920.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$54.60 |
$54.60 |
$54.60 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$81.00 |
$81.00 |
$81.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$28.20 |
$28.20 |
$28.20 |
$31.20
|
|
Ph body fluid
|
$48.60 |
$48.60 |
$48.60 |
$40.04
|
|
Phencyclidine (pcp)
|
$78.60 |
$78.60 |
$78.60 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$107.58 |
$107.58 |
$107.58 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,999.08 |
$1,999.08 |
$1,999.08 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$139.80 |
$139.80 |
$139.80 |
$112.50
|
|
Phlebotomy therapeutic
|
$219.00 |
$219.00 |
$219.00 |
$231.66
|
|
Phosphorus
|
$51.00 |
$51.00 |
$51.00 |
$49.60
|
|
Phosphorus 24 hour urine
|
$65.40 |
$65.40 |
$65.40 |
$41.58
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$50.46 |
$50.46 |
$50.46 |
$85.79
|
|
Pik3ca gene trgt seq alys
|
$458.40 |
$458.40 |
$458.40 |
$453.18
|
|
Pillow shldr abduc inflat univ
|
$1,949.74 |
$1,949.74 |
$1,949.74 |
$446.60
|
|
Pin caspar distraction 12mm
|
$27,407.90 |
$27,407.90 |
$27,407.90 |
$11,672.88
|
|
Pinworm exam
|
$65.40 |
$65.40 |
$65.40 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$26.52 |
$26.52 |
$26.52 |
$83.57
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$765.00 |
$765.00 |
$765.00 |
$795.00
|
|
Placental lactogen
|
$234.00 |
$234.00 |
$234.00 |
$163.28
|
|
Plas shoe insert w ank joint
|
$280.81 |
$280.81 |
$280.81 |
$246.72
|
|
Plastic mod low ext pad/line
|
$399.20 |
$399.20 |
$399.20 |
$244.53
|
|
Plastic mold recipro hip & c
|
$5,740.82 |
$5,740.82 |
$5,740.82 |
$5,056.93
|
|
Platelet aggregation each agent teg
|
$139.20 |
$139.20 |
$139.20 |
$136.80
|
|
Platelet automated
|
$38.40 |
$38.40 |
$38.40 |
$45.00
|
|
Platelet pheresis each unit
|
$731.40 |
$731.40 |
$731.40 |
$940.45
|
|
Platelets leukocytes reduced each unit
|
$589.20 |
$589.20 |
$589.20 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$688.80 |
$688.80 |
$688.80 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$922.20 |
$922.20 |
$922.20 |
$1,213.50
|