|
Ot evaluation low complexity patient/family
|
$219.00 |
$219.00 |
$219.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$256.20 |
$256.20 |
$256.20 |
$263.50
|
|
Oth resp proc, indiv
|
$97.20 |
$97.20 |
$97.20 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$102.60 |
$102.60 |
$113.40 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$122.40 |
$122.40 |
$122.40 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$142.20 |
$142.20 |
$142.20 |
$105.00
|
|
Ot re-evaluation patient/family
|
$174.00 |
$174.00 |
$174.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$133.80 |
$133.80 |
$133.80 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$121.20 |
$121.20 |
$121.20 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$85.20 |
$85.20 |
$85.20 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$118.80 |
$118.80 |
$118.80 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$104.40 |
$104.40 |
$104.40 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$115.80 |
$115.80 |
$115.80 |
$94.25
|
|
Outrigger
|
$295.82 |
$295.82 |
$295.82 |
$123.81
|
|
Outrigger bil with vert extens
|
$990.22 |
$990.22 |
$990.22 |
$378.67
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.01 |
$0.01 |
$0.01 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$166.20 |
$166.20 |
$186.00 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$156,436.50 |
$156,436.50 |
$156,436.50 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$150.89 |
$150.89 |
$172.71 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,868.70 |
$7,868.70 |
$9,006.34 |
$3,435.42
|
|
Palingen or palingen xplus
|
$36,428.70 |
$36,428.70 |
$36,428.70 |
$656.01
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$90.00 |
$170.48
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$9,022.02 |
$9,022.02 |
$10,326.41 |
$13,051.61
|
|
Papaverin hcl injection
|
$172.06 |
$172.06 |
$192.56 |
$77.05
|
|
Parathormone (pth) intact
|
$284.40 |
$284.40 |
$284.40 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,076.60 |
$2,076.60 |
$2,076.60 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$2,076.60 |
$2,076.60 |
$2,076.60 |
$1,350.60
|
|
Paricalcitol
|
$45.00 |
$45.00 |
$45.00 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$238.20 |
$238.20 |
$238.20 |
$245.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$16,708.38 |
$16,708.38 |
$16,708.38 |
$4,914.00
|
|
Partial removal finger bone
|
$952.20 |
$952.20 |
$952.20 |
$2,049.27
|
|
Partial removal foot fascia
|
$12,682.31 |
$12,682.31 |
$12,682.31 |
$3,762.00
|
|
Partial removal of fibula
|
$8,229.86 |
$8,229.86 |
$8,229.86 |
$3,786.00
|
|
Partial removal of foot bone
|
$24,363.26 |
$24,363.26 |
$24,363.26 |
$3,839.54
|
|
Partial removal of thyroid
|
$37,810.99 |
$37,810.99 |
$37,810.99 |
$6,457.82
|
|
Partial removal of toe
|
$9,883.58 |
$9,883.58 |
$9,883.58 |
$3,674.58
|
|
Partial removal of tongue
|
$16,545.35 |
$16,545.35 |
$16,545.35 |
$3,243.20
|
|
Partial thyroid excision
|
$39,909.82 |
$39,909.82 |
$39,909.82 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$27,462.60 |
$27,462.60 |
$27,462.60 |
$4,921.76
|
|
Part removal of metatarsal
|
$120,160.69 |
$120,160.69 |
$120,160.69 |
$3,795.71
|
|
Part removal of metatarsal 28112
|
$26,778.23 |
$26,778.23 |
$26,778.23 |
$3,839.54
|
|
Passy muir valve metal trach
|
$2,517.34 |
$2,517.34 |
$2,517.34 |
$275.75
|
|
Patten bottom
|
$1,809.27 |
$1,809.27 |
$1,809.27 |
$672.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$129.29 |
$129.29 |
$129.29 |
$49.45
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$12,435.67 |
$12,435.67 |
$12,435.67 |
$2,837.09
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$26,955.56 |
$26,955.56 |
$30,806.35 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$17,535.00 |
$17,535.00 |
$20,040.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,767.51 |
$8,767.51 |
$10,020.01 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$10,500.01 |
$10,500.01 |
$12,000.01 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$2,676.16 |
$2,676.16 |
$2,676.16 |
$802.87
|
|
Pelvic control band & belt b
|
$1,776.41 |
$1,776.41 |
$1,776.41 |
$566.16
|
|
Pelvic control band & belt u
|
$1,308.92 |
$1,308.92 |
$1,308.92 |
$500.58
|
|
Pelvic control hip heavy dut
|
$1,413.32 |
$1,413.32 |
$1,413.32 |
$591.53
|
|
Pelvic control pelvic sling
|
$2,453.33 |
$2,453.33 |
$2,453.33 |
$912.18
|
|
Pelvic CT scan (with contrast)
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$6,002.52 |
$6,002.52 |
$6,002.52 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$2,071.80 |
$2,071.80 |
$2,071.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,281.80 |
$2,281.80 |
$2,281.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$610.20 |
$610.20 |
$610.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$682.80 |
$682.80 |
$682.80 |
$430.00
|
|
Pelv & thor control gluteal
|
$782.31 |
$782.31 |
$782.31 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$29,958.09 |
$29,958.09 |
$34,289.38 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$20,134.14 |
$20,134.14 |
$23,045.10 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,176.12 |
$3,176.12 |
$3,629.86 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$413.42 |
$413.42 |
$462.68 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$74,363.96 |
$74,363.96 |
$74,363.96 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$1,386.86 |
$1,386.86 |
$1,552.08 |
$453.61
|
|
Pentamidine non-comp unit
|
$1,386.86 |
$1,386.86 |
$1,552.08 |
$294.39
|
|
Pentobarbital sodium inj
|
$1,508.27 |
$1,508.27 |
$1,687.95 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$14,697.38 |
$14,697.38 |
$16,822.30 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$14,855.40 |
$14,855.40 |
$14,855.40 |
$11,458.04
|
|
Perc d-e cor revasc chro sin
|
$19,566.60 |
$19,566.60 |
$19,566.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$18,486.00 |
$18,486.00 |
$18,486.00 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$16,020.00 |
$16,020.00 |
$16,020.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$18,502.20 |
$18,502.20 |
$18,502.20 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$19,074.60 |
$19,074.60 |
$19,074.60 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$16,701.60 |
$16,701.60 |
$16,701.60 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$13,230.00 |
$13,230.00 |
$13,230.00 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$14,002.20 |
$14,002.20 |
$14,002.20 |
$7,243.60
|
|
Percut ablate liver rf
|
$10,606.80 |
$10,606.80 |
$10,606.80 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,426.16 |
$1,426.16 |
$1,477.89 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,479.00 |
$1,479.00 |
$1,553.40 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$31,094.80 |
$31,094.80 |
$63,295.38 |
$3,986.00
|
|
Perit-vens shunt pat tst
|
$539.40 |
$539.40 |
$539.40 |
$758.37
|
|
Permanent tear duct plug
|
$721.05 |
$721.05 |
$721.05 |
$291.00
|
|
Peroneal straps pair pre ots
|
$96.62 |
$96.62 |
$96.62 |
$36.90
|
|
Perq art m-thrombect &/nfs
|
$9,851.40 |
$9,851.40 |
$9,851.40 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$6,441.60 |
$6,441.60 |
$6,441.60 |
$9,509.53
|
|
Perq dev breast 1st strtctc
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$46,137.84 |
$46,137.84 |
$46,137.84 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$38,601.46 |
$38,601.46 |
$38,601.46 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$6,026.40 |
$6,026.40 |
$6,026.40 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$19,318.56 |
$19,318.56 |
$19,318.56 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$6,026.40 |
$6,026.40 |
$6,026.40 |
$6,904.15
|
|
Pertuzumab 30 mg/ml desensitization
|
$33,966.05 |
$33,966.05 |
$38,876.81 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$69,304.35 |
$69,304.35 |
$79,324.25 |
$27,833.07
|