|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$81.92 |
$81.92 |
$81.92 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$54.44 |
$54.44 |
$54.44 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$44.64 |
$44.64 |
$44.64 |
$60.45
|
|
Ot re-evaluation patient/family
|
$105.83 |
$105.83 |
$105.83 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$59.53 |
$59.53 |
$59.53 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$45.28 |
$45.28 |
$45.28 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$48.84 |
$48.84 |
$48.84 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$53.42 |
$53.42 |
$53.42 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$64.62 |
$64.62 |
$64.62 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$68.18 |
$68.18 |
$68.18 |
$94.25
|
|
Ovarian cystectomy 58925
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$5,841.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$144.00 |
$144.00 |
$144.00 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$55.95 |
$55.95 |
$55.95 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$274.56 |
$274.56 |
$274.56 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$3,435.42
|
|
Palonosetron hcl
|
$489.60 |
$489.60 |
$489.60 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$281.16 |
$281.16 |
$281.16 |
$128.07
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$2,390.40 |
$2,390.40 |
$2,390.40 |
$2,927.40
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,961.47 |
$13,961.47 |
$13,961.47 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$70.08 |
$70.08 |
$70.08 |
$29.31
|
|
Parathormone (pth) intact
|
$192.84 |
$192.84 |
$192.84 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,205.28 |
$1,205.28 |
$1,205.28 |
$1,574.40
|
|
Parathyroid planar imaging
|
$566.88 |
$566.88 |
$566.88 |
$1,129.91
|
|
Parial mast w/lymph removal 19302
|
$1,392.48 |
$1,392.48 |
$1,392.48 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$108.96 |
$108.96 |
$108.96 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$312.96 |
$312.96 |
$312.96 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$1,908.96 |
$1,908.96 |
$1,908.96 |
$2,497.20
|
|
Partial exc bone humerus
|
$1,089.12 |
$1,089.12 |
$1,089.12 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$905.76 |
$905.76 |
$905.76 |
$4,914.00
|
|
Partial hip replacement
|
$1,736.64 |
$1,736.64 |
$1,736.64 |
$3,874.00
|
|
Partial hysterectomy
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$2,400.00
|
|
Partial removal finger bone
|
$690.72 |
$690.72 |
$690.72 |
$2,049.27
|
|
Partial removal foot fascia
|
$792.48 |
$792.48 |
$792.48 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$1,393.44 |
$1,393.44 |
$1,393.44 |
$4,315.20
|
|
Partial removal of fibula
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$3,786.00
|
|
Partial removal of foot bone
|
$923.52 |
$923.52 |
$923.52 |
$3,839.54
|
|
Partial removal of hand bone
|
$779.04 |
$779.04 |
$779.04 |
$3,839.54
|
|
Partial removal of lip
|
$857.76 |
$857.76 |
$857.76 |
$3,544.29
|
|
Partial removal of penis
|
$964.80 |
$964.80 |
$964.80 |
$4,081.37
|
|
Partial removal of rectum
|
$1,656.48 |
$1,656.48 |
$1,656.48 |
$2,684.00
|
|
Partial removal of thyroid
|
$1,084.32 |
$1,084.32 |
$1,084.32 |
$6,457.82
|
|
Partial removal of tibia
|
$1,280.16 |
$1,280.16 |
$1,280.16 |
$4,108.80
|
|
Partial removal of toe
|
$624.00 |
$624.00 |
$624.00 |
$3,674.58
|
|
Partial removal of tongue
|
$1,613.28 |
$1,613.28 |
$1,613.28 |
$5,978.70
|
|
Partial removal of ulna
|
$881.76 |
$881.76 |
$881.76 |
$3,594.44
|
|
Partial thyroid excision
|
$1,085.28 |
$1,085.28 |
$1,085.28 |
$6,457.82
|
|
Part removal of metatarsal
|
$707.52 |
$707.52 |
$707.52 |
$3,795.71
|
|
Part removal of metatarsal
|
$893.76 |
$893.76 |
$893.76 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$736.32 |
$736.32 |
$736.32 |
$3,839.54
|
|
Part remove hip bone super
|
$1,362.24 |
$1,362.24 |
$1,362.24 |
$3,005.60
|
|
Pca3/klk3 antigen
|
$501.12 |
$501.12 |
$501.12 |
$510.40
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,837.09
|
|
Ped critical care initial
|
$980.16 |
$980.16 |
$980.16 |
$1,446.40
|
|
Pedicle enel/ntroral 15576
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,501.10
|
|
Pegaspargase injection
|
$51,533.09 |
$51,533.09 |
$51,533.09 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$15,407.02 |
$15,407.02 |
$15,407.02 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$10,023.84 |
$10,023.84 |
$10,023.84 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$1,666.56 |
$1,666.56 |
$1,666.56 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,157.76 |
$1,157.76 |
$1,157.76 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,923.84 |
$1,923.84 |
$1,923.84 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,272.48 |
$1,272.48 |
$1,272.48 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,397.28 |
$1,397.28 |
$1,397.28 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$355.20 |
$355.20 |
$355.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$216.24 |
$216.24 |
$216.24 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$11,149.59 |
$11,149.59 |
$11,149.59 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,810.56 |
$7,810.56 |
$7,810.56 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$809.01 |
$809.01 |
$809.01 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$78.88 |
$78.88 |
$78.88 |
$101.34
|
|
Penile injection
|
$523.68 |
$523.68 |
$523.68 |
$418.00
|
|
Penis plastic surgery
|
$1,097.28 |
$1,097.28 |
$1,097.28 |
$4,081.37
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$893.64 |
$893.64 |
$893.64 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,018.56 |
$1,018.56 |
$1,018.56 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,240.32 |
$1,240.32 |
$1,240.32 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$1,090.56 |
$1,090.56 |
$1,090.56 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$420.48 |
$420.48 |
$420.48 |
$3,522.35
|
|
Peripheral vascular rehab
|
$91.58 |
$91.58 |
$91.58 |
$132.50
|
|
Peri-proc device eval pm
|
$22.08 |
$22.08 |
$22.08 |
$159.90
|
|
Perq dev breast 1st mr guide
|
$957.60 |
$957.60 |
$957.60 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$393.60 |
$393.60 |
$393.60 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$1,701.60 |
$1,701.60 |
$1,701.60 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$1,057.92 |
$1,057.92 |
$1,057.92 |
$9,442.38
|
|
Perq skel fix ulnar styld fx
|
$768.96 |
$768.96 |
$768.96 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$777.12 |
$777.12 |
$777.12 |
$3,842.58
|
|
Pertuzumab 30 mg/ml desensitization
|
$13,143.35 |
$13,143.35 |
$13,143.35 |
$13,666.00
|
|
Pet CT skull-mid thgh initial
|
$1,744.32 |
$1,744.32 |
$1,744.32 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,317.28 |
$3,317.28 |
$3,317.28 |
$4,850.00
|
|
Pet image full body
|
$1,634.88 |
$1,634.88 |
$1,634.88 |
$5,070.50
|
|
Pet image ltd area
|
$1,634.88 |
$1,634.88 |
$1,634.88 |
$3,677.40
|
|
Pet image skull-thigh
|
$2,520.48 |
$2,520.48 |
$2,520.48 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$1,634.88 |
$1,634.88 |
$1,634.88 |
$4,305.60
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$55.63 |
$55.63 |
$55.63 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$81.64 |
$81.64 |
$81.64 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$28.77 |
$28.77 |
$28.77 |
$33.30
|
|
Pharmacologic management w/psytx
|
$32.16 |
$32.16 |
$32.16 |
$78.96
|
|
Ph body fluid
|
$14.76 |
$14.76 |
$14.76 |
$41.28
|
|
Phencyclidine (pcp)
|
$218.33 |
$218.33 |
$218.33 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$107.62 |
$107.62 |
$107.62 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$79.88 |
$79.88 |
$79.88 |
$104.50
|
|
Phentolaine mesylate inj
|
$974.92 |
$974.92 |
$974.92 |
$1,028.40
|