|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$19.80 |
$19.80 |
$19.80 |
$22.62
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$136.80 |
$136.80 |
$136.80 |
$238.34
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$469.60 |
$469.60 |
$469.60 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$193.60 |
$193.60 |
$193.60 |
$195.00
|
|
Osmolality blood
|
$27.20 |
$27.20 |
$27.20 |
$67.60
|
|
Osmolality urine
|
$28.00 |
$28.00 |
$28.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$312.80 |
$312.80 |
$312.80 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$335.20 |
$335.20 |
$335.20 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$312.80 |
$312.80 |
$312.80 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$76.00 |
$76.00 |
$76.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$105.00
|
|
Ot re-evaluation patient/family
|
$206.40 |
$206.40 |
$206.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$94.25
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$106.60 |
$106.60 |
$106.60 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$25.80 |
$25.80 |
$25.80 |
$29.31
|
|
Parathormone (pth) intact
|
$168.00 |
$168.00 |
$168.00 |
$204.87
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8,513.41 |
$8,513.41 |
$8,513.41 |
$4,921.76
|
|
Passy muir valve metal trach
|
$136.80 |
$136.80 |
$136.80 |
$275.75
|
|
Pelvic CT scan (without contrast)
|
$281.00 |
$281.00 |
$281.00 |
$1,363.11
|
|
Pelvic MRI (without contrast)
|
$455.50 |
$455.50 |
$455.50 |
$1,902.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$995.20 |
$995.20 |
$995.20 |
$321.71
|
|
Ph body fluid
|
$15.20 |
$15.20 |
$15.20 |
$41.28
|
|
Phenobarbital therapeutic drug level
|
$64.00 |
$64.00 |
$64.00 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$39.00 |
$39.00 |
$39.00 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$110.88
|
|
Phosphorus
|
$15.00 |
$15.00 |
$15.00 |
$48.80
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$127.20 |
$127.20 |
$127.20 |
$83.03
|
|
Place gastrostomy tube perc
|
$3,048.80 |
$3,048.80 |
$3,048.80 |
$2,289.60
|
|
Platelet aggregation each agent teg
|
$143.20 |
$143.20 |
$143.20 |
$148.80
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,188.00 |
$3,188.00 |
$3,188.00 |
$1,278.55
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$106.40 |
$106.40 |
$106.40 |
$187.32
|
|
Potassium 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$121.00 |
$121.00 |
$121.00 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$25.60 |
$25.60 |
$25.60 |
$46.75
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,656.00 |
$10,656.00 |
$10,656.00 |
$9,977.57
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$56.80 |
$56.80 |
$56.80 |
$46.56
|
|
Prealbumin
|
$59.20 |
$59.20 |
$59.20 |
$93.36
|
|
Prednisone 1 mg tablet
|
$0.80 |
$0.80 |
$0.80 |
$3.00
|
|
Pr incision & drainage abscess simple/single
|
$333.60 |
$333.60 |
$333.60 |
$467.85
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$375.20 |
$375.20 |
$375.20 |
$256.27
|
|
Procalcitonin
|
$136.00 |
$136.00 |
$136.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$36.40 |
$36.40 |
$36.40 |
$36.72
|
|
Promethazine hcl injection
|
$23.80 |
$23.80 |
$23.80 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$107.40 |
$107.40 |
$107.40 |
$73.36
|
|
Protector nerve neurawrap 4cm
|
$7,882.66 |
$7,882.66 |
$7,882.66 |
$3,831.38
|
|
Protein electrophoretic fractionation & quantitation serum
|
$40.00 |
$40.00 |
$40.00 |
$84.00
|
|
Protein total 24 hour urine
|
$15.20 |
$15.20 |
$15.20 |
$52.50
|
|
Protein total serum plasma whole blood
|
$15.20 |
$15.20 |
$15.20 |
$42.81
|
|
PSA (Prostate) Test
|
$45.00 |
$45.00 |
$45.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$133.60 |
$133.60 |
$133.60 |
$87.45
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$81.00
|
|
Pt evaluation high complexity patient/family
|
$333.60 |
$333.60 |
$333.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$292.80 |
$292.80 |
$292.80 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$312.80 |
$312.80 |
$312.80 |
$254.88
|
|
Pt re-evaluation patient/family
|
$192.00 |
$192.00 |
$192.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$110.40 |
$110.40 |
$110.40 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$180.80 |
$180.80 |
$180.80 |
$344.00
|
|
Pulse ox multiple
|
$109.60 |
$109.60 |
$109.60 |
$156.40
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$2,239.20 |
$2,239.20 |
$2,239.20 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$73.60 |
$73.60 |
$73.60 |
$127.50
|
|
Radiation physics consult
|
$476.80 |
$476.80 |
$476.80 |
$606.50
|
|
Radiation therapy dose plan
|
$789.60 |
$789.60 |
$789.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$920.00
|
|
Radiology port images(s)
|
$88.80 |
$88.80 |
$88.80 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$16,511.20 |
$16,511.20 |
$16,511.20 |
$5,744.60
|
|
Red blood cells leukocytes reduced each unit
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$528.45
|
|
Removal central venous catheter tunneled without port/pump
|
$1,186.40 |
$1,186.40 |
$1,186.40 |
$1,552.93
|
|
Renal function panel
|
$36.00 |
$36.00 |
$36.00 |
$113.52
|
|
Repair elbow perc
|
$2,590.40 |
$2,590.40 |
$2,590.40 |
$3,986.00
|
|
Reticulocyte direct measurement automated
|
$36.00 |
$36.00 |
$36.00 |
$36.57
|
|
Rheumatoid factor quantitative
|
$23.20 |
$23.20 |
$23.20 |
$57.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$67.60 |
$67.60 |
$67.60 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,310.00
|
|
Rpl tun cvc wo subq port
|
$2,422.40 |
$2,422.40 |
$2,422.40 |
$3,687.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$744.00 |
$744.00 |
$744.00 |
$983.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$605.60 |
$605.60 |
$605.60 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$989.60 |
$989.60 |
$989.60 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$702.40 |
$702.40 |
$702.40 |
$660.00
|
|
Screening hepatitis b non-obstetric high risk
|
$117.60 |
$117.60 |
$117.60 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$108.80 |
$108.80 |
$108.80 |
$99.66
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$45.00 |
$45.00 |
$45.00 |
$100.63
|
|
Sedimentation rate erythrocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Set radiation therapy field
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$762.40
|
|
Set radiation therapy field
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$712.50 |
$712.50 |
$712.50 |
$2,713.80
|
|
Shoulder X-ray
|
$330.40 |
$330.40 |
$330.40 |
$339.50
|
|
Sinus CT scan (without contrast)
|
$295.00 |
$295.00 |
$295.00 |
$1,292.04
|
|
Sleeve fing rolyan med
|
$316.00 |
$316.00 |
$316.00 |
$203.58
|
|
Smear fluorescent and/or acid fast stain
|
$22.40 |
$22.40 |
$22.40 |
$64.20
|