|
Oth resp proc, group
|
$36.63 |
$36.63 |
$36.63 |
$123.05
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$22.44 |
$22.44 |
$22.44 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$25.74 |
$25.74 |
$25.74 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$45.16 |
$45.16 |
$45.16 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$222.01 |
$222.01 |
$222.01 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$15.43 |
$15.43 |
$15.43 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$164.89 |
$164.89 |
$164.89 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,843.25 |
$1,843.25 |
$1,843.25 |
$3,435.42
|
|
Palifermin injection
|
$3,515.68 |
$3,515.68 |
$3,515.68 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,014.01 |
$4,014.01 |
$4,014.01 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,769.30 |
$1,769.30 |
$1,769.30 |
$5,569.20
|
|
Palonosetron hcl
|
$191.66 |
$191.66 |
$191.66 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$86.68 |
$86.68 |
$86.68 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$8,149.82 |
$8,149.82 |
$8,149.82 |
$13,051.61
|
|
Parathormone (pth) intact
|
$137.28 |
$137.28 |
$137.28 |
$204.87
|
|
Parathyroid planar imaging
|
$202.29 |
$202.29 |
$202.29 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$202.29 |
$202.29 |
$202.29 |
$1,350.60
|
|
Paricalcitol
|
$14.02 |
$14.02 |
$14.02 |
$47.15
|
|
Passy muir valve metal trach
|
$62.04 |
$62.04 |
$62.04 |
$275.75
|
|
Pcv21 vaccine im
|
$322.77 |
$322.77 |
$322.77 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,217.93 |
$7,217.93 |
$7,217.93 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$4,414.21 |
$4,414.21 |
$4,414.21 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,695.37 |
$4,695.37 |
$4,695.37 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,347.69 |
$2,347.69 |
$2,347.69 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,811.60 |
$2,811.60 |
$2,811.60 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$180.18 |
$180.18 |
$180.18 |
$802.87
|
|
Pelvic CT scan (with and without contrast)
|
$653.07 |
$653.07 |
$653.07 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$435.60 |
$435.60 |
$435.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$435.60 |
$435.60 |
$435.60 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$795.63 |
$795.63 |
$795.63 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$586.41 |
$586.41 |
$586.41 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$556.71 |
$556.71 |
$556.71 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$120.12 |
$120.12 |
$120.12 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$76.56 |
$76.56 |
$76.56 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,502.76 |
$6,502.76 |
$6,502.76 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,546.38 |
$1,546.38 |
$1,546.38 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$273.42 |
$273.42 |
$273.42 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$850.47 |
$850.47 |
$850.47 |
$826.47
|
|
Pentobarbital sodium inj
|
$134.16 |
$134.16 |
$134.16 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,319.13 |
$3,319.13 |
$3,319.13 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$2,877.93 |
$2,877.93 |
$2,877.93 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$2,855.16 |
$2,855.16 |
$2,855.16 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$6,103.68 |
$6,103.68 |
$6,103.68 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$2,855.16 |
$2,855.16 |
$2,855.16 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$2,855.16 |
$2,855.16 |
$2,855.16 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$2,855.16 |
$2,855.16 |
$2,855.16 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$6,103.68 |
$6,103.68 |
$6,103.68 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$2,855.16 |
$2,855.16 |
$2,855.16 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$2,855.16 |
$2,855.16 |
$2,855.16 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$125.06 |
$125.06 |
$125.06 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$698.94 |
$698.94 |
$698.94 |
$2,251.20
|
|
Peritoneogram rs&i
|
$276.21 |
$276.21 |
$276.21 |
$695.89
|
|
Perit-vens shunt pat tst
|
$229.68 |
$229.68 |
$229.68 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$1,420.65 |
$1,420.65 |
$1,420.65 |
$7,559.55
|
|
Perq dev breast 1st strtctc
|
$836.22 |
$836.22 |
$836.22 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$1,830.18 |
$1,830.18 |
$1,830.18 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$1,830.18 |
$1,830.18 |
$1,830.18 |
$6,904.15
|
|
Pertuzumab 30 mg/ml desensitization
|
$7,670.60 |
$7,670.60 |
$7,670.60 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$15,651.08 |
$15,651.08 |
$15,651.08 |
$27,833.07
|
|
Pfc sigma fem post aug sz3 8mm
|
$7,128.00 |
$7,128.00 |
$7,128.00 |
$38,834.22
|
|
Ph body fluid
|
$16.17 |
$16.17 |
$16.17 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$108.54 |
$108.54 |
$108.54 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$37.95 |
$37.95 |
$37.95 |
$104.50
|
|
Phentolaine mesylate inj
|
$501.38 |
$501.38 |
$501.38 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$44.22 |
$44.22 |
$44.22 |
$110.88
|
|
Phlebotomy therapeutic
|
$76.89 |
$76.89 |
$76.89 |
$231.66
|
|
Phosphorus
|
$14.52 |
$14.52 |
$14.52 |
$48.80
|
|
Phosphorus 24 hour urine
|
$17.16 |
$17.16 |
$17.16 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$81.97 |
$81.97 |
$81.97 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$37.35 |
$37.35 |
$37.35 |
$83.03
|
|
Place cath xtrnl carotid
|
$656.70 |
$656.70 |
$656.70 |
$4,202.90
|
|
Place gastrostomy tube perc
|
$551.10 |
$551.10 |
$551.10 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$835.23 |
$835.23 |
$835.23 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$404.91 |
$404.91 |
$404.91 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$669.90 |
$669.90 |
$669.90 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,339.14 |
$1,339.14 |
$1,339.14 |
$3,873.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$3,825.36 |
$3,825.36 |
$3,825.36 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$1,596.87 |
$1,596.87 |
$1,596.87 |
$5,053.33
|
|
Place slctv cath carotd art uni
|
$5,628.15 |
$5,628.15 |
$5,628.15 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,193.74 |
$3,193.74 |
$3,193.74 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,628.15 |
$5,628.15 |
$5,628.15 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$3,193.74 |
$3,193.74 |
$3,193.74 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$5,628.15 |
$5,628.15 |
$5,628.15 |
$8,971.00
|
|
Plasma cryoprecipitate reduced each unit
|
$73.59 |
$73.59 |
$73.59 |
$157.95
|
|
Platelet aggregation each agent teg
|
$69.96 |
$69.96 |
$69.96 |
$148.80
|
|
Platelet automated
|
$14.85 |
$14.85 |
$14.85 |
$45.60
|
|
Platelets leukocytes reduced each unit
|
$449.79 |
$449.79 |
$449.79 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$470.25 |
$470.25 |
$470.25 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$501.60 |
$501.60 |
$501.60 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$522.39 |
$522.39 |
$522.39 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$495.00 |
$495.00 |
$495.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$515.79 |
$515.79 |
$515.79 |
$1,278.55
|