|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$43.47 |
$43.47 |
$43.47 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$49.14 |
$49.14 |
$49.14 |
$105.00
|
|
Ot re-evaluation patient/family
|
$88.20 |
$88.20 |
$88.20 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$52.50 |
$52.50 |
$52.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$28.98 |
$28.98 |
$28.98 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$86.94 |
$86.94 |
$86.94 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$55.02 |
$55.02 |
$55.02 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$51.03 |
$51.03 |
$51.03 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$47.04 |
$47.04 |
$47.04 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$161.80 |
$161.80 |
$161.80 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$415.82 |
$415.82 |
$415.82 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$78.67 |
$78.67 |
$78.67 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$240.39 |
$240.39 |
$240.39 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$75.35 |
$75.35 |
$75.35 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$839.84 |
$839.84 |
$839.84 |
$3,435.42
|
|
Palingen or promatrx
|
$435.75 |
$435.75 |
$435.75 |
$691.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$156.15 |
$156.15 |
$156.15 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$9.28 |
$9.28 |
$9.28 |
$29.31
|
|
Papaverin hcl injection
|
$60.34 |
$60.34 |
$60.34 |
$77.05
|
|
Parathormone (pth) intact
|
$102.27 |
$102.27 |
$102.27 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$378.21 |
$378.21 |
$378.21 |
$1,574.40
|
|
Parathyroid planar imaging
|
$392.49 |
$392.49 |
$392.49 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$392.49 |
$392.49 |
$392.49 |
$1,350.60
|
|
Paricalcitol
|
$11.67 |
$11.67 |
$11.67 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$127.26 |
$127.26 |
$127.26 |
$245.00
|
|
Pelvic CT scan (with and without contrast)
|
$899.43 |
$899.43 |
$899.43 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$717.78 |
$717.78 |
$717.78 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$613.41 |
$613.41 |
$613.41 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,267.98 |
$1,267.98 |
$1,267.98 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$901.32 |
$901.32 |
$901.32 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$786.24 |
$786.24 |
$786.24 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$288.12 |
$288.12 |
$288.12 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$134.19 |
$134.19 |
$134.19 |
$430.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,494.89 |
$2,494.89 |
$2,494.89 |
$7,089.13
|
|
Pemivibart infusion
|
$294.84 |
$294.84 |
$294.84 |
$533.10
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$170.04 |
$170.04 |
$170.04 |
$101.34
|
|
Penile injection
|
$65.94 |
$65.94 |
$65.94 |
$418.00
|
|
Pentobarbital sodium inj
|
$5,463.94 |
$5,463.94 |
$5,463.94 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$2,450.91 |
$2,450.91 |
$2,450.91 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$11,088.63 |
$11,088.63 |
$11,088.63 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$11,360.58 |
$11,360.58 |
$11,360.58 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$11,088.63 |
$11,088.63 |
$11,088.63 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$11,360.58 |
$11,360.58 |
$11,360.58 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$13,071.45 |
$13,071.45 |
$13,071.45 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$13,458.69 |
$13,458.69 |
$13,458.69 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$11,088.63 |
$11,088.63 |
$11,088.63 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$11,360.58 |
$11,360.58 |
$11,360.58 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,329.11 |
$2,329.11 |
$2,329.11 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,602.74 |
$2,602.74 |
$2,602.74 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$40.53 |
$40.53 |
$40.53 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$524.58 |
$524.58 |
$524.58 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$524.58 |
$524.58 |
$524.58 |
$2,251.20
|
|
Peri-proc device eval icd
|
$29.61 |
$29.61 |
$29.61 |
$192.40
|
|
Peri-proc device eval pm
|
$29.61 |
$29.61 |
$29.61 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$3,132.15 |
$3,132.15 |
$3,132.15 |
$5,625.74
|
|
Peritoneogram rs&i
|
$239.82 |
$239.82 |
$239.82 |
$695.89
|
|
Perit-vens shunt pat tst
|
$184.17 |
$184.17 |
$184.17 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$3,795.12 |
$3,795.12 |
$3,795.12 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$6,908.79 |
$6,908.79 |
$6,908.79 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$611.52 |
$611.52 |
$611.52 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$550.41 |
$550.41 |
$550.41 |
$1,456.00
|
|
Perq nl/pl lithotrp smpl<2cm
|
$2,657.97 |
$2,657.97 |
$2,657.97 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$10,531.50 |
$10,531.50 |
$10,531.50 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$6,508.11 |
$6,508.11 |
$6,508.11 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt bi
|
$6,508.11 |
$6,508.11 |
$6,508.11 |
$15,873.70
|
|
Perq p-art revsc 1 nm nt uni
|
$6,508.11 |
$6,508.11 |
$6,508.11 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$3,254.37 |
$3,254.37 |
$3,254.37 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$1,985.13 |
$1,985.13 |
$1,985.13 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$1,985.13 |
$1,985.13 |
$1,985.13 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$1,985.13 |
$1,985.13 |
$1,985.13 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$105.21 |
$105.21 |
$105.21 |
$625.93
|
|
Perqt bx lung/mediastinum 32405
|
$318.36 |
$318.36 |
$318.36 |
$1,617.64
|
|
Perq transcath closure each
|
$5,646.90 |
$5,646.90 |
$5,646.90 |
$9,204.00
|
|
Perq transcath closure pda
|
$7,253.82 |
$7,253.82 |
$7,253.82 |
$18,408.00
|
|
Perq transcath cls aortic
|
$11,294.64 |
$11,294.64 |
$11,294.64 |
$22,633.26
|
|
Perq transcath cls mitral
|
$11,294.64 |
$11,294.64 |
$11,294.64 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$7,075.74 |
$7,075.74 |
$7,075.74 |
$8,605.90
|
|
Pertussis ag if
|
$34.02 |
$34.02 |
$34.02 |
$69.05
|
|
Pet CT skull-mid thgh initial
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,299.71 |
$2,299.71 |
$2,299.71 |
$4,060.00
|
|
Pet image ltd area
|
$2,299.71 |
$2,299.71 |
$2,299.71 |
$3,677.40
|
|
Pet image skull-thigh
|
$2,299.71 |
$2,299.71 |
$2,299.71 |
$4,256.70
|
|
Pet scan brain perf study
|
$2,299.71 |
$2,299.71 |
$2,299.71 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$6,616.47 |
$6,616.47 |
$6,616.47 |
$38,834.22
|
|
Ph body fluid
|
$28.35 |
$28.35 |
$28.35 |
$41.28
|
|
Phencyclidine (pcp)
|
$67.41 |
$67.41 |
$67.41 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$309.74 |
$309.74 |
$309.74 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$81.27 |
$81.27 |
$81.27 |
$104.50
|
|
Phentolaine mesylate inj
|
$678.21 |
$678.21 |
$678.21 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$62.98 |
$62.98 |
$62.98 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.26 |
$7.26 |
$7.26 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$82.11 |
$82.11 |
$82.11 |
$110.88
|
|
Phlebotomy therapeutic
|
$100.59 |
$100.59 |
$100.59 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$1,775.55 |
$1,775.55 |
$1,775.55 |
$4,599.65
|
|
Phosphorus
|
$42.42 |
$42.42 |
$42.42 |
$48.80
|
|
Phosphorus 24 hour urine
|
$40.11 |
$40.11 |
$40.11 |
$41.51
|
|
Photopheresis
|
$2,589.72 |
$2,589.72 |
$2,589.72 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$34.02 |
$34.02 |
$34.02 |
$207.50
|
|
Phys blood bank serv xmatch
|
$34.02 |
$34.02 |
$34.02 |
$97.60
|