|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$13.65 |
$13.65 |
$13.65 |
$1,739.46
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$101.40 |
$101.40 |
$101.40 |
$267.57
|
|
Oscillation chest wall mechanical per session
|
$139.10 |
$139.10 |
$139.10 |
$204.89
|
|
Osmolality blood
|
$72.15 |
$72.15 |
$72.15 |
$57.00
|
|
Osmolality urine
|
$65.65 |
$65.65 |
$65.65 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$598.65 |
$598.65 |
$598.65 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$541.45 |
$541.45 |
$541.45 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$566.80 |
$566.80 |
$566.80 |
$249.60
|
|
Oth resp proc, group
|
$61.75 |
$61.75 |
$61.75 |
$100.80
|
|
Oth resp proc, indiv
|
$67.60 |
$67.60 |
$67.60 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$95.55 |
$95.55 |
$95.55 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$85.15 |
$85.15 |
$85.15 |
$105.50
|
|
Ot re-evaluation patient/family
|
$426.40 |
$426.40 |
$426.40 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$93.60 |
$93.60 |
$93.60 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$27.95 |
$27.95 |
$27.95 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.00 |
$91.00 |
$91.00 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$75.40 |
$75.40 |
$75.40 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$15.09 |
$15.09 |
$15.09 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.44 |
$7.44 |
$7.44 |
$18.49
|
|
Parathormone (pth) intact
|
$196.95 |
$196.95 |
$196.95 |
$204.00
|
|
Pdgfra gene
|
$542.10 |
$542.10 |
$542.10 |
$717.23
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,105.94 |
$6,105.94 |
$6,105.94 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$2,148.25 |
$2,148.25 |
$2,148.25 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,400.75 |
$1,400.75 |
$1,400.75 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$971.10 |
$971.10 |
$971.10 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,155.10 |
$3,155.10 |
$3,155.10 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$1,929.85 |
$1,929.85 |
$1,929.85 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$363.35 |
$363.35 |
$363.35 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$416.65 |
$416.65 |
$416.65 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$887.89 |
$887.89 |
$887.89 |
$48.74
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$312.65 |
$312.65 |
$312.65 |
$636.09
|
|
Ph body fluid
|
$50.70 |
$50.70 |
$50.70 |
$35.75
|
|
Phenobarbital therapeutic drug level
|
$85.15 |
$85.15 |
$85.15 |
$97.50
|
|
Phenytoin total therapeutic drug level
|
$100.75 |
$100.75 |
$100.75 |
$100.75
|
|
Phlebotomy therapeutic
|
$144.30 |
$144.30 |
$144.30 |
$240.24
|
|
Phosphorus
|
$42.25 |
$42.25 |
$42.25 |
$42.37
|
|
Phosphorus 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$56.13 |
$56.13 |
$56.13 |
$75.04
|
|
Pinworm exam
|
$29.90 |
$29.90 |
$29.90 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$53.63 |
$53.63 |
$53.63 |
$51.80
|
|
Platelet aggregation each agent teg
|
$118.95 |
$118.95 |
$118.95 |
$145.60
|
|
Platelet automated
|
$57.85 |
$57.85 |
$57.85 |
$33.60
|
|
Platelet pheresis each unit
|
$1,162.85 |
$1,162.85 |
$1,162.85 |
$943.15
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$1,146.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,354.60 |
$1,354.60 |
$1,354.60 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,322.10 |
$1,322.10 |
$1,322.10 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$1,046.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$151.45 |
$151.45 |
$151.45 |
$146.15
|
|
Potassium 24 hour urine
|
$49.40 |
$49.40 |
$49.40 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$42.25 |
$42.25 |
$42.25 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$34.45 |
$34.45 |
$34.45 |
$40.00
|
|
Pr application of long arm splint
|
$208.65 |
$208.65 |
$208.65 |
$320.00
|
|
Pr application splint static short arm
|
$154.70 |
$154.70 |
$154.70 |
$277.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$37.70 |
$37.70 |
$37.70 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$274.30 |
$274.30 |
$274.30 |
$350.98
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$133.25 |
$133.25 |
$133.25 |
$148.00
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$191.75 |
$191.75 |
$191.75 |
$209.60
|
|
Prealbumin
|
$100.10 |
$100.10 |
$100.10 |
$80.40
|
|
Pr ecg 12 lead report only
|
$40.30 |
$40.30 |
$40.30 |
$22.10
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Prednisone 1 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$453.70 |
$453.70 |
$453.70 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$365.95 |
$365.95 |
$365.95 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$113.10 |
$113.10 |
$113.10 |
$260.25
|
|
Pretreat rbc absorption reference
|
$160.55 |
$160.55 |
$160.55 |
$139.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$208.65 |
$208.65 |
$208.65 |
$1,794.93
|
|
Pr hospital ip/obs care initial high level per day
|
$350.35 |
$350.35 |
$350.35 |
$362.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$266.50 |
$266.50 |
$266.50 |
$266.50
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$182.00 |
$182.00 |
$182.00 |
$182.00
|
|
Pr hospital ip/obs care subsequent high level per day
|
$186.55 |
$186.55 |
$186.55 |
$217.60
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$136.50 |
$136.50 |
$136.50 |
$145.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$81.90 |
$81.90 |
$81.90 |
$81.90
|
|
Pr incision & drainage abscess complicated/multiple
|
$464.10 |
$464.10 |
$464.10 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$224.25 |
$224.25 |
$224.25 |
$437.53
|
|
Pr incision & drainage abscess vulva/perineal
|
$369.85 |
$369.85 |
$369.85 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$288.60 |
$288.60 |
$288.60 |
$606.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$176.15 |
$176.15 |
$176.15 |
$266.64
|
|
Procalcitonin
|
$183.30 |
$183.30 |
$183.30 |
$133.20
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$10.12 |
$10.12 |
$10.12 |
$35.00
|
|
Progesterone
|
$90.35 |
$90.35 |
$90.35 |
$100.24
|
|
Prolactin
|
$111.80 |
$111.80 |
$111.80 |
$123.20
|
|
Prolng off/op e/m ea 15 min 99417
|
$49.40 |
$49.40 |
$49.40 |
$61.10
|
|
Promethazine hcl injection
|
$8.75 |
$8.75 |
$8.75 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$131.23 |
$131.23 |
$131.23 |
$45.25
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$57.22 |
$57.22 |
$57.22 |
$28.79
|
|
Protamine 10 mg/ml intravenous solution
|
$38.58 |
$38.58 |
$38.58 |
$32.68
|
|
Protein c activity
|
$143.65 |
$143.65 |
$143.65 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$107.90 |
$107.90 |
$107.90 |
$84.00
|
|
Protein s total
|
$139.10 |
$139.10 |
$139.10 |
$85.10
|
|
Protein total 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$45.00
|
|
Protein total body fluid
|
$57.20 |
$57.20 |
$57.20 |
$49.20
|
|
Protein total serum plasma whole blood
|
$44.20 |
$44.20 |
$44.20 |
$40.70
|
|
Prothrombin time substitution plasma fractions each
|
$37.05 |
$37.05 |
$37.05 |
$37.05
|
|
Pr planning advance care 1st 30 minutes
|
$140.40 |
$140.40 |
$140.40 |
$153.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$226.85 |
$226.85 |
$226.85 |
$278.20
|