|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$265.50 |
$265.50 |
$265.50 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$93.00 |
$93.00 |
$93.00 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2.00 |
$2.00 |
$2.00 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$46.04 |
$46.04 |
$46.04 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$3.23 |
$3.23 |
$3.23 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$89.28 |
$89.28 |
$89.28 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$8,405.24 |
$8,405.24 |
$8,405.24 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$33.00 |
$33.00 |
$33.00 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,096.50 |
$4,096.50 |
$4,096.50 |
$5,569.20
|
|
Palonosetron hcl
|
$40.50 |
$40.50 |
$40.50 |
$170.48
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,318.60 |
$13,318.60 |
$13,318.60 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.17 |
$11.17 |
$11.17 |
$29.31
|
|
Parathormone (pth) intact
|
$258.00 |
$258.00 |
$258.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$836.50 |
$836.50 |
$836.50 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$2,278.33 |
$2,278.33 |
$2,278.33 |
$4,080.85
|
|
Parathyroid planar imaging
|
$464.00 |
$464.00 |
$464.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$464.00 |
$464.00 |
$464.00 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$8,639.50 |
$8,639.50 |
$8,639.50 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$297.50 |
$297.50 |
$297.50 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$4,810.50 |
$4,810.50 |
$4,810.50 |
$4,914.00
|
|
Partial removal finger bone
|
$710.50 |
$710.50 |
$710.50 |
$2,021.04
|
|
Partial removal finger bone
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$2,049.27
|
|
Partial removal of foot bone
|
$545.83 |
$545.83 |
$545.83 |
$3,839.54
|
|
Partial removal of thyroid
|
$4,346.50 |
$4,346.50 |
$4,346.50 |
$6,457.82
|
|
Partial removal of ulna
|
$816.25 |
$816.25 |
$816.25 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.00 |
$8.00 |
$8.00 |
$4,921.76
|
|
Part removal of metatarsal
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$3,795.71
|
|
Part removal of metatarsal
|
$3,760.50 |
$3,760.50 |
$3,760.50 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$969.17 |
$969.17 |
$969.17 |
$3,839.54
|
|
Passy muir valve metal trach
|
$154.00 |
$154.00 |
$154.00 |
$275.75
|
|
Pcv21 vaccine im
|
$222.50 |
$222.50 |
$222.50 |
$410.26
|
|
Pdt dstr prmlg les phys/qhp
|
$230.50 |
$230.50 |
$230.50 |
$294.77
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,522.59 |
$9,522.59 |
$9,522.59 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,633.76 |
$3,633.76 |
$3,633.76 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,847.50 |
$3,847.50 |
$3,847.50 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$753.00 |
$753.00 |
$753.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$608.00 |
$608.00 |
$608.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$806.50 |
$806.50 |
$806.50 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$638.00 |
$638.00 |
$638.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$638.00 |
$638.00 |
$638.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$638.00 |
$638.00 |
$638.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$279.50 |
$279.50 |
$279.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$279.50 |
$279.50 |
$279.50 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$23,590.88 |
$23,590.88 |
$23,590.88 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$199.35 |
$199.35 |
$199.35 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$42.00 |
$42.00 |
$42.00 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$381.31 |
$381.31 |
$381.31 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$101.34
|
|
Penile injection
|
$287.00 |
$287.00 |
$287.00 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$11,503.49 |
$11,503.49 |
$11,503.49 |
$18,764.94
|
|
Perc d-e cor revasc chro sin
|
$9,796.50 |
$9,796.50 |
$9,796.50 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$327.50 |
$327.50 |
$327.50 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$7,355.00 |
$7,355.00 |
$7,355.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$480.50 |
$480.50 |
$480.50 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$10,260.50 |
$10,260.50 |
$10,260.50 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$553.50 |
$553.50 |
$553.50 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$7,353.50 |
$7,353.50 |
$7,353.50 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$255.38 |
$255.38 |
$255.38 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,503.00 |
$2,503.00 |
$2,503.00 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$2,251.20
|
|
Perineoplasty rpr per nonob
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,522.35
|
|
Peri-proc device eval pm
|
$106.50 |
$106.50 |
$106.50 |
$159.90
|
|
Peritoneogram rs&i
|
$1,584.50 |
$1,584.50 |
$1,584.50 |
$695.89
|
|
Perphenazine 4mg oral
|
$1.53 |
$1.53 |
$1.53 |
$2.58
|
|
Perq dev breast 1st strtctc
|
$577.50 |
$577.50 |
$577.50 |
$1,456.00
|
|
Perq trluml angp nt/recr coa
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$7,398.00
|
|
Pertuzu, trastuzu, 10 mg
|
$27,833.07 |
$27,833.07 |
$27,833.07 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$3,191.00 |
$3,191.00 |
$3,191.00 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$6,935.00 |
$6,935.00 |
$6,935.00 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$14.00 |
$14.00 |
$14.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$19.50 |
$19.50 |
$19.50 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$8.50 |
$8.50 |
$8.50 |
$33.30
|
|
Ph body fluid
|
$55.50 |
$55.50 |
$55.50 |
$41.28
|
|
Phencyclidine (pcp)
|
$77.00 |
$77.00 |
$77.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$371.28 |
$371.28 |
$371.28 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$38.50 |
$38.50 |
$38.50 |
$104.50
|
|
Phentolaine mesylate inj
|
$607.59 |
$607.59 |
$607.59 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$89.37 |
$89.37 |
$89.37 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$18.59 |
$18.59 |
$18.59 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$41.50 |
$41.50 |
$41.50 |
$110.88
|
|
Phlebotomy therapeutic
|
$211.50 |
$211.50 |
$211.50 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$2,178.34 |
$2,178.34 |
$2,178.34 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$1,089.17 |
$1,089.17 |
$1,089.17 |
$4,453.46
|
|
Phosphorus
|
$10.50 |
$10.50 |
$10.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$19.00 |
$19.00 |
$19.00 |
$41.51
|
|
Photo patch test
|
$69.00 |
$69.00 |
$69.00 |
$71.50
|
|
Photopheresis
|
$5,006.00 |
$5,006.00 |
$5,006.00 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$299.50 |
$299.50 |
$299.50 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$43.00 |
$43.00 |
$43.00 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$692.00 |
$692.00 |
$692.00 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$59.89 |
$59.89 |
$59.89 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$215.00 |
$215.00 |
$215.00 |
$614.36
|
|
Pin caspar distraction 12mm
|
$2,546.63 |
$2,546.63 |
$2,546.63 |
$11,925.00
|
|
Pinworm exam
|
$28.50 |
$28.50 |
$28.50 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$27.68 |
$27.68 |
$27.68 |
$83.03
|
|
Place gastrostomy tube perc
|
$2,147.00 |
$2,147.00 |
$2,147.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$838.50 |
$838.50 |
$838.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$185.00 |
$185.00 |
$185.00 |
$795.00
|