|
Osmolality urine
|
$31.28 |
$31.28 |
$31.28 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$201.94 |
$201.94 |
$201.94 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$201.94 |
$201.94 |
$201.94 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$201.94 |
$201.94 |
$201.94 |
$263.50
|
|
Oth resp proc, group
|
$24.84 |
$24.84 |
$24.84 |
$123.05
|
|
Oth resp proc, indiv
|
$18.63 |
$18.63 |
$18.63 |
$82.50
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$39.79 |
$39.79 |
$39.79 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$53.82 |
$53.82 |
$53.82 |
$105.00
|
|
Ot re-evaluation patient/family
|
$106.49 |
$106.49 |
$106.49 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$57.73 |
$57.73 |
$57.73 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$31.74 |
$31.74 |
$31.74 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$95.22 |
$95.22 |
$95.22 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$47.84 |
$47.84 |
$47.84 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$55.89 |
$55.89 |
$55.89 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$51.52 |
$51.52 |
$51.52 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$177.21 |
$177.21 |
$177.21 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$455.42 |
$455.42 |
$455.42 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$86.16 |
$86.16 |
$86.16 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$263.29 |
$263.29 |
$263.29 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$82.52 |
$82.52 |
$82.52 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$919.83 |
$919.83 |
$919.83 |
$3,435.42
|
|
Palingen or promatrx
|
$477.25 |
$477.25 |
$477.25 |
$691.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$171.02 |
$171.02 |
$171.02 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.17 |
$10.17 |
$10.17 |
$29.31
|
|
Papaverin hcl injection
|
$66.08 |
$66.08 |
$66.08 |
$77.05
|
|
Parathormone (pth) intact
|
$159.39 |
$159.39 |
$159.39 |
$204.87
|
|
Parathyroid planar imaging
|
$272.78 |
$272.78 |
$272.78 |
$1,129.91
|
|
Paricalcitol
|
$12.78 |
$12.78 |
$12.78 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$56.12 |
$56.12 |
$56.12 |
$245.00
|
|
Pelvic CT scan (with and without contrast)
|
$900.22 |
$900.22 |
$900.22 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$808.68 |
$808.68 |
$808.68 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$697.59 |
$697.59 |
$697.59 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,124.93 |
$1,124.93 |
$1,124.93 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,119.64 |
$1,119.64 |
$1,119.64 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$287.96 |
$287.96 |
$287.96 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$146.74 |
$146.74 |
$146.74 |
$430.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
$7,089.13
|
|
Pemivibart infusion
|
$322.92 |
$322.92 |
$322.92 |
$533.10
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$186.23 |
$186.23 |
$186.23 |
$101.34
|
|
Penile injection
|
$72.22 |
$72.22 |
$72.22 |
$418.00
|
|
Pentobarbital sodium inj
|
$5,984.31 |
$5,984.31 |
$5,984.31 |
$2,205.38
|
|
Pericardiocentesis wwo imaging
|
$444.82 |
$444.82 |
$444.82 |
$2,251.20
|
|
Peripheral vascular rehab
|
$25.07 |
$25.07 |
$25.07 |
$132.50
|
|
Peritoneal cath sub q resv per
|
$3,430.45 |
$3,430.45 |
$3,430.45 |
$5,625.74
|
|
Pertussis ag if
|
$13.57 |
$13.57 |
$13.57 |
$69.05
|
|
Ph body fluid
|
$14.03 |
$14.03 |
$14.03 |
$41.28
|
|
Phencyclidine (pcp)
|
$73.83 |
$73.83 |
$73.83 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$339.24 |
$339.24 |
$339.24 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$46.46 |
$46.46 |
$46.46 |
$104.50
|
|
Phentolaine mesylate inj
|
$742.80 |
$742.80 |
$742.80 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$68.98 |
$68.98 |
$68.98 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.95 |
$7.95 |
$7.95 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$97.29 |
$97.29 |
$97.29 |
$110.88
|
|
Phlebotomy therapeutic
|
$27.14 |
$27.14 |
$27.14 |
$231.66
|
|
Phosphorus
|
$46.00 |
$46.00 |
$46.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$27.14 |
$27.14 |
$27.14 |
$41.51
|
|
Phys blood bank serv reactj
|
$37.26 |
$37.26 |
$37.26 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$41.49 |
$41.49 |
$41.49 |
$87.50
|
|
Pik3ca gene trgt seq alys
|
$213.21 |
$213.21 |
$213.21 |
$463.20
|
|
Pinworm exam
|
$8.51 |
$8.51 |
$8.51 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$232.77 |
$232.77 |
$232.77 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$380.65 |
$380.65 |
$380.65 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$380.65 |
$380.65 |
$380.65 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$312.80 |
$312.80 |
$312.80 |
$1,332.43
|
|
Placement occlusive device venous/arterial access site post procedure
|
$264.73 |
$264.73 |
$264.73 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$6,114.09 |
$6,114.09 |
$6,114.09 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$3,213.10 |
$3,213.10 |
$3,213.10 |
$5,053.33
|
|
Place slctv cath carotid/inom art excrn uni
|
$2,365.55 |
$2,365.55 |
$2,365.55 |
$6,498.00
|
|
Place slctv cath subclavian art
|
$2,393.15 |
$2,393.15 |
$2,393.15 |
$6,325.00
|
|
Platelet aggregation each agent teg
|
$42.32 |
$42.32 |
$42.32 |
$148.80
|
|
Platelet automated
|
$22.31 |
$22.31 |
$22.31 |
$45.60
|
|
Platelet pheresis each unit
|
$718.06 |
$718.06 |
$718.06 |
$961.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$408.02 |
$408.02 |
$408.02 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$747.96 |
$747.96 |
$747.96 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$679.65 |
$679.65 |
$679.65 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$747.96 |
$747.96 |
$747.96 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$471.50 |
$471.50 |
$471.50 |
$1,004.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$193.89 |
$193.89 |
$193.89 |
$758.52
|
|
Plerixafor injection
|
$765.98 |
$765.98 |
$765.98 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$76.82 |
$76.82 |
$76.82 |
$405.00
|
|
Plmt biliary drainage cath
|
$2,169.59 |
$2,169.59 |
$2,169.59 |
$4,762.80
|
|
Pml/raralpha 1 breakpoint
|
$161.00 |
$161.00 |
$161.00 |
$307.13
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$112.47 |
$112.47 |
$112.47 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,417.95 |
$1,417.95 |
$1,417.95 |
$3,751.48
|
|
Potassium 24 hour urine
|
$22.31 |
$22.31 |
$22.31 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$55.89 |
$55.89 |
$55.89 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$51.06 |
$51.06 |
$51.06 |
$46.75
|
|
Pq thr inj ext pse
|
$251.39 |
$251.39 |
$251.39 |
$775.00
|
|
Pralatrexate injection
|
$6,360.16 |
$6,360.16 |
$6,360.16 |
$21,919.03
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$896.31 |
$896.31 |
$896.31 |
$3,738.90
|
|
Pr application of long arm splint
|
$114.54 |
$114.54 |
$114.54 |
$329.00
|
|
Pr application splint static short arm
|
$97.75 |
$97.75 |
$97.75 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$88.09 |
$88.09 |
$88.09 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$13.57 |
$13.57 |
$13.57 |
$46.56
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$180.09 |
$180.09 |
$180.09 |
$351.60
|
|
Prealbumin
|
$36.57 |
$36.57 |
$36.57 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$153.18 |
$153.18 |
$153.18 |
$13.87
|
|
Prednisone 1 mg tablet
|
$75.90 |
$75.90 |
$75.90 |
$3.00
|
|
Pregabalin - sendout
|
$96.14 |
$96.14 |
$96.14 |
$74.75
|