|
Oth resp proc, indiv
|
$54.60 |
$54.60 |
$54.60 |
$83.50
|
|
Ot re-evaluation patient/family
|
$138.60 |
$138.60 |
$138.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$114.60 |
$114.60 |
$114.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$114.60 |
$114.60 |
$114.60 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.00 |
$3.00 |
$3.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$894.00 |
$894.00 |
$894.00 |
$290.64
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.20 |
$1.20 |
$1.20 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$963.60 |
$963.60 |
$963.60 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,391.40 |
$1,391.40 |
$1,391.40 |
$6,238.82
|
|
Palonosetron hcl
|
$24.00 |
$24.00 |
$24.00 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$5.40 |
$5.40 |
$5.40 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$197.40 |
$197.40 |
$197.40 |
$13,051.61
|
|
Papaverin hcl injection
|
$12.00 |
$12.00 |
$12.00 |
$78.75
|
|
Parathormone (pth) intact
|
$209.40 |
$209.40 |
$209.40 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,374.75
|
|
Paricalcitol
|
$9.00 |
$9.00 |
$9.00 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$288.60 |
$288.60 |
$288.60 |
$245.67
|
|
Path clin consltj sf 5-20
|
$98.40 |
$98.40 |
$98.40 |
$97.14
|
|
Pcv21 vaccine im
|
$162.00 |
$162.00 |
$162.00 |
$410.26
|
|
Pdgfra gene
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,417.60 |
$6,417.60 |
$6,417.60 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,924.60 |
$3,924.60 |
$3,924.60 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,174.80 |
$4,174.80 |
$4,174.80 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$4,300.20 |
$4,300.20 |
$4,300.20 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,499.60 |
$2,499.60 |
$2,499.60 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$17,178.60 |
$17,178.60 |
$17,178.60 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$876.00 |
$876.00 |
$876.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$394.20 |
$394.20 |
$394.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$394.20 |
$394.20 |
$394.20 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$262.80 |
$262.80 |
$262.80 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$262.80 |
$262.80 |
$262.80 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$850.20 |
$850.20 |
$850.20 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$96.00 |
$96.00 |
$96.00 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.00 |
$30.00 |
$30.00 |
$97.85
|
|
Penile injection
|
$403.80 |
$403.80 |
$403.80 |
$424.60
|
|
Pentamidine non-comp unit
|
$99.60 |
$99.60 |
$99.60 |
$294.39
|
|
Pentobarbital sodium inj
|
$42.00 |
$42.00 |
$42.00 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$1,609.20 |
$1,609.20 |
$1,609.20 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$20,125.80 |
$20,125.80 |
$20,125.80 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$402.60 |
$402.60 |
$402.60 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$24,161.40 |
$24,161.40 |
$24,161.40 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$9,788.40 |
$9,788.40 |
$9,788.40 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$9,788.40 |
$9,788.40 |
$9,788.40 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$24,161.40 |
$24,161.40 |
$24,161.40 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$9,788.40 |
$9,788.40 |
$9,788.40 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$15,411.00 |
$15,411.00 |
$15,411.00 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$17,216.40 |
$17,216.40 |
$17,216.40 |
$7,243.60
|
|
Percut ablate liver rf
|
$7,327.20 |
$7,327.20 |
$7,327.20 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$104.40 |
$104.40 |
$104.40 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$2,473.20 |
$2,473.20 |
$2,473.20 |
$2,375.00
|
|
Peripheral vascular rehab
|
$129.60 |
$129.60 |
$129.60 |
$132.50
|
|
Perit-vens shunt pat tst
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$752.49
|
|
Perphenazine 4mg oral
|
$0.60 |
$0.60 |
$0.60 |
$2.58
|
|
Perq clsr tcat l atr apndge
|
$5,606.40 |
$5,606.40 |
$5,606.40 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$924.60 |
$924.60 |
$924.60 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$14,191.20 |
$14,191.20 |
$14,191.20 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$7,327.20 |
$7,327.20 |
$7,327.20 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$978.00 |
$978.00 |
$978.00 |
$625.93
|
|
Perq transcath closure each
|
$4,354.20 |
$4,354.20 |
$4,354.20 |
$9,204.00
|
|
Perq transcath cls aortic
|
$46,970.40 |
$46,970.40 |
$46,970.40 |
$22,633.26
|
|
Perq transcath cls mitral
|
$46,970.40 |
$46,970.40 |
$46,970.40 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$5,606.40 |
$5,606.40 |
$5,606.40 |
$8,999.20
|
|
Pertuzumab 30 mg/ml desensitization
|
$279.60 |
$279.60 |
$279.60 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$523.20 |
$523.20 |
$523.20 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$4,349.76
|
|
Pet not otherwise specified
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$1,070.40
|
|
Pet scan brain perf study
|
$7,048.20 |
$7,048.20 |
$7,048.20 |
$3,832.80
|
|
Ph body fluid
|
$19.20 |
$19.20 |
$19.20 |
$42.00
|
|
Phencyclidine (pcp)
|
$74.40 |
$74.40 |
$74.40 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$40.80 |
$40.80 |
$40.80 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$110.40 |
$110.40 |
$110.40 |
$105.00
|
|
Phentolaine mesylate inj
|
$293.40 |
$293.40 |
$293.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$2.40 |
$2.40 |
$2.40 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$94.80 |
$94.80 |
$94.80 |
$111.27
|
|
Phlebotomy therapeutic
|
$231.00 |
$231.00 |
$231.00 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$8,640.60 |
$8,640.60 |
$8,640.60 |
$4,810.00
|
|
Phleb veins 1 extrm >20 stab
|
$8,640.60 |
$8,640.60 |
$8,640.60 |
$4,621.21
|
|
Phosphorus
|
$24.00 |
$24.00 |
$24.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$29.40 |
$29.40 |
$29.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$363.00 |
$363.00 |
$363.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$226.80 |
$226.80 |
$226.80 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$303.60 |
$303.60 |
$303.60 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$139.20 |
$139.20 |
$139.20 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$29.40 |
$29.40 |
$29.40 |
$90.25
|
