|
Ot evaluation moderate complexity patient/family
|
$74.56 |
$74.56 |
$74.56 |
$249.60
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$34.50 |
$34.50 |
$34.50 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$33.95 |
$33.95 |
$33.95 |
$105.50
|
|
Ot re-evaluation patient/family
|
$38.30 |
$38.30 |
$38.30 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$34.50 |
$34.50 |
$34.50 |
$96.11
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$33.02 |
$33.02 |
$33.02 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$31.17 |
$31.17 |
$31.17 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$42.55 |
$42.55 |
$42.55 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$26.95 |
$26.95 |
$26.95 |
$26.95
|
|
Oxaliplatin 5 mg/ml desensitization
|
$33.86 |
$33.86 |
$33.86 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$58.28 |
$58.28 |
$58.28 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.05 |
$1.05 |
$1.05 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$38.81 |
$38.81 |
$38.81 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,118.68 |
$1,118.68 |
$1,118.68 |
$4,898.66
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,633.27 |
$1,633.27 |
$1,633.27 |
$5,156.88
|
|
Palonosetron hcl
|
$372.41 |
$372.41 |
$372.41 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$647.48 |
$647.48 |
$647.48 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$187.16 |
$187.16 |
$187.16 |
$187.16
|
|
Papaverin hcl injection
|
$39.86 |
$39.86 |
$39.86 |
$85.02
|
|
Parathormone (pth) intact
|
$139.49 |
$139.49 |
$139.49 |
$204.00
|
|
Paricalcitol
|
$41.14 |
$41.14 |
$41.14 |
$41.14
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$182.78 |
$182.78 |
$182.78 |
$270.00
|
|
Partial removal finger bone
|
$767.01 |
$767.01 |
$767.01 |
$2,211.05
|
|
Passy muir valve metal trach
|
$160.47 |
$160.47 |
$160.47 |
$241.20
|
|
Pegaspargase injection
|
$3,604.91 |
$3,604.91 |
$3,604.91 |
$39,780.27
|
|
Pelvic CT scan (with and without contrast)
|
$813.08 |
$813.08 |
$813.08 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$971.25 |
$971.25 |
$971.25 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$943.69 |
$943.69 |
$943.69 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,192.60 |
$1,192.60 |
$1,192.60 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$842.49 |
$842.49 |
$842.49 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$889.67 |
$889.67 |
$889.67 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$485.35 |
$485.35 |
$485.35 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$301.27 |
$301.27 |
$301.27 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$98.35 |
$98.35 |
$98.35 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$122.56 |
$122.56 |
$122.56 |
$122.56
|
|
Peng benzathine/procaine inj
|
$108.11 |
$108.11 |
$108.11 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$47.66 |
$47.66 |
$47.66 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.28 |
$53.28 |
$53.28 |
$53.75
|
|
Penicillin g procaine inj
|
$16.56 |
$16.56 |
$16.56 |
$40.94
|
|
Penile injection
|
$222.46 |
$222.46 |
$222.46 |
$403.80
|
|
Penile vascular study
|
$319.22 |
$319.22 |
$319.22 |
$527.34
|
|
Pentamidine non-comp unit
|
$159.27 |
$159.27 |
$159.27 |
$279.76
|
|
Pentobarbital sodium inj
|
$64.60 |
$64.60 |
$64.60 |
$64.60
|
|
Pentostatin 10 mg intravenous solution
|
$1,838.79 |
$1,838.79 |
$1,838.79 |
$2,581.74
|
|
Perc cryo ablate renal tum
|
$14,222.62 |
$14,222.62 |
$14,222.62 |
$13,038.50
|
|
Perc rf ablate renal tumor
|
$12,484.54 |
$12,484.54 |
$12,484.54 |
$6,949.48
|
|
Percut ablate liver rf
|
$6,242.27 |
$6,242.27 |
$6,242.27 |
$7,024.12
|
|
Peritoneogram rs&i
|
$295.26 |
$295.26 |
$295.26 |
$510.85
|
|
Perq dev breast 1st mr guide
|
$1,606.36 |
$1,606.36 |
$1,606.36 |
$2,153.40
|
|
Perq dev breast 1st strtctc
|
$541.31 |
$541.31 |
$541.31 |
$1,471.17
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$434.66 |
$434.66 |
$434.66 |
$636.09
|
|
Pertussis ag if
|
$82.42 |
$82.42 |
$82.42 |
$53.95
|
|
Pertuzumab 30 mg/ml desensitization
|
$40.22 |
$40.22 |
$40.22 |
$15,007.91
|
|
Ph body fluid
|
$30.25 |
$30.25 |
$30.25 |
$35.75
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$90.27 |
$90.27 |
$90.27 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$59.57 |
$59.57 |
$59.57 |
$97.50
|
|
Phentolaine mesylate inj
|
$198.12 |
$198.12 |
$198.12 |
$881.36
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$9.25 |
$9.25 |
$9.25 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$68.54 |
$68.54 |
$68.54 |
$100.75
|
|
Phlebotomy therapeutic
|
$74.83 |
$74.83 |
$74.83 |
$240.24
|
|
Phosphorus
|
$32.93 |
$32.93 |
$32.93 |
$42.37
|
|
Phosphorus 24 hour urine
|
$26.36 |
$26.36 |
$26.36 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$75.04 |
$75.04 |
$75.04 |
$75.04
|
|
Pinworm exam
|
$17.58 |
$17.58 |
$17.58 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$47.75 |
$47.75 |
$47.75 |
$51.80
|
|
Place gastrostomy tube perc
|
$832.96 |
$832.96 |
$832.96 |
$2,286.40
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$541.31 |
$541.31 |
$541.31 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$98.24 |
$98.24 |
$98.24 |
$1,094.83
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$515.23 |
$515.23 |
$515.23 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$4,236.50 |
$4,236.50 |
$4,236.50 |
$4,653.60
|
|
Place right device/marker pros
|
$1,549.84 |
$1,549.84 |
$1,549.84 |
$1,602.37
|
|
Platelet aggregation each agent teg
|
$66.88 |
$66.88 |
$66.88 |
$145.60
|
|
Platelet automated
|
$24.33 |
$24.33 |
$24.33 |
$33.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,028.90 |
$2,028.90 |
$2,028.90 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,855.09 |
$1,855.09 |
$1,855.09 |
$1,530.10
|
|
Plcmnt biliary drainage cath w/img ext
|
$2,915.42 |
$2,915.42 |
$2,915.42 |
$4,406.61
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$711.33 |
$711.33 |
$711.33 |
$1,331.53
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$711.33 |
$711.33 |
$711.33 |
$878.22
|
|
Plc pq device breast ea addl lesion MRI guide
|
$98.24 |
$98.24 |
$98.24 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$98.24 |
$98.24 |
$98.24 |
$964.04
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$98.24 |
$98.24 |
$98.24 |
$969.00
|
|
Plethysmography lung volumes/airway resistance
|
$104.16 |
$104.16 |
$104.16 |
$411.51
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$83.34 |
$83.34 |
$83.34 |
$146.15
|
|
Potassium 24 hour urine
|
$25.16 |
$25.16 |
$25.16 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$48.56 |
$48.56 |
$48.56 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$24.79 |
$24.79 |
$24.79 |
$40.00
|
|
Pq biliary strict dil s&i
|
$369.91 |
$369.91 |
$369.91 |
$921.14
|
|
Pq dr cath chg w cont s&i
|
$391.18 |
$391.18 |
$391.18 |
$633.97
|
|
Pq thr inj ext pse
|
$843.97 |
$843.97 |
$843.97 |
$843.97
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,035.91 |
$1,035.91 |
$1,035.91 |
$2,582.15
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,318.70 |
$2,318.70 |
$2,318.70 |
$4,452.80
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,318.70 |
$2,318.70 |
$2,318.70 |
$4,432.24
|
|
Pralatrexate injection
|
$328.13 |
$328.13 |
$328.13 |
$388.83
|
|
Pralidoxime 1 gram solution for injection
|
$160.65 |
$160.65 |
$160.65 |
$297.18
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,301.20 |
$1,301.20 |
$1,301.20 |
$3,594.44
|
|
Pr application of long arm splint
|
$225.33 |
$225.33 |
$225.33 |
$320.00
|
|
Pr application splint static short arm
|
$222.37 |
$222.37 |
$222.37 |
$277.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$91.48 |
$91.48 |
$91.48 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$125.71 |
$125.71 |
$125.71 |
$350.98
|
|
Prealbumin
|
$68.45 |
$68.45 |
$68.45 |
$80.40
|