|
Osteopath manip tx/7-8 body region 98928
|
$7.65 |
$7.65 |
$7.65 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$8.55 |
$8.55 |
$8.55 |
$92.42
|
|
Ot evaluation high complexity patient/family
|
$79.20 |
$79.20 |
$79.20 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$71.70 |
$71.70 |
$71.70 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$75.45 |
$75.45 |
$75.45 |
$263.50
|
|
Oth resp proc, group
|
$79.05 |
$79.05 |
$79.05 |
$123.05
|
|
Oth resp proc, indiv
|
$79.05 |
$79.05 |
$79.05 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$46.20 |
$46.20 |
$46.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$36.60 |
$36.60 |
$36.60 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$28.95 |
$28.95 |
$28.95 |
$105.00
|
|
Ot re-evaluation patient/family
|
$45.90 |
$45.90 |
$45.90 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$22.65 |
$22.65 |
$22.65 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$23.70 |
$23.70 |
$23.70 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$30.90 |
$30.90 |
$30.90 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$32.25 |
$32.25 |
$32.25 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$104.98 |
$104.98 |
$104.98 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$8.80 |
$8.80 |
$12.04 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$14.70 |
$14.70 |
$14.70 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$147.57 |
$147.57 |
$147.57 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,754.38 |
$1,754.38 |
$1,754.38 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$222.30 |
$222.30 |
$222.30 |
$672.50
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,642.39 |
$3,642.39 |
$3,642.39 |
$5,569.20
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$228.80 |
$228.80 |
$228.80 |
$128.07
|
|
Papaverin hcl injection
|
$95.04 |
$95.04 |
$101.27 |
$77.05
|
|
Parathormone (pth) intact
|
$72.30 |
$72.30 |
$72.30 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$452.25 |
$452.25 |
$452.25 |
$1,574.40
|
|
Parathyroid planar imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$452.25 |
$452.25 |
$452.25 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$39.15 |
$39.15 |
$39.15 |
$245.00
|
|
Partial removal finger bone
|
$692.25 |
$692.25 |
$692.25 |
$2,049.27
|
|
Partial removal foot fascia
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$3,762.00
|
|
Partial removal of vaginal wall 57106
|
$3,139.50 |
$3,139.50 |
$3,139.50 |
$3,762.53
|
|
Passy muir valve metal trach
|
$682.50 |
$682.50 |
$682.50 |
$275.75
|
|
Path clin consltj sf 5-20
|
$22.20 |
$22.20 |
$22.20 |
$97.14
|
|
Pca3/klk3 antigen
|
$334.05 |
$334.05 |
$334.05 |
$510.40
|
|
Pcv21 vaccine im
|
$415.01 |
$415.01 |
$415.01 |
$410.26
|
|
Ped crit care transport
|
$32.70 |
$32.70 |
$32.70 |
$434.40
|
|
Ped crit care transport addl
|
$16.50 |
$16.50 |
$16.50 |
$217.60
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,105.68 |
$7,105.68 |
$7,105.68 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,622.35 |
$4,622.35 |
$4,622.35 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,311.18 |
$2,311.18 |
$2,311.18 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$648.00 |
$648.00 |
$648.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$617.10 |
$617.10 |
$617.10 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$101.55 |
$101.55 |
$101.55 |
$430.00
|
|
Peng benzathine/procaine inj
|
$294.81 |
$294.81 |
$294.81 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$184.92 |
$184.92 |
$184.92 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$31.11 |
$31.11 |
$116.07 |
$101.34
|
|
Penile injection
|
$1,412.85 |
$1,412.85 |
$1,412.85 |
$418.00
|
|
Penile vascular study
|
$273.75 |
$273.75 |
$273.75 |
$574.60
|
|
Pentamidine non-comp unit
|
$28.19 |
$28.19 |
$28.19 |
$294.39
|
|
Pentobarbital sodium inj
|
$4,763.06 |
$4,763.06 |
$4,763.06 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$1,502.85 |
$1,502.85 |
$1,502.85 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$4,235.40 |
$4,235.40 |
$4,235.40 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$4,307.40 |
$4,307.40 |
$4,307.40 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$4,235.40 |
$4,235.40 |
$4,235.40 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$4,243.35 |
$4,243.35 |
$4,243.35 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$1,772.70 |
$1,772.70 |
$1,772.70 |
$7,243.60
|
|
Percut ablate liver rf
|
$1,791.15 |
$1,791.15 |
$1,791.15 |
$6,904.15
|
|
Pericardial drain w/cath pq w/ct guid
|
$913.65 |
$913.65 |
$913.65 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$774.15 |
$774.15 |
$774.15 |
$2,251.20
|
|
Perineoplasty rpr per nonob
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$3,522.35
|
|
Peripheral vascular rehab
|
$513.90 |
$513.90 |
$513.90 |
$132.50
|
|
Peritoneogram rs&i
|
$153.90 |
$153.90 |
$153.90 |
$695.89
|
|
Perit-vens shunt pat tst
|
$452.25 |
$452.25 |
$452.25 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$2,382.30 |
$2,382.30 |
$2,382.30 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$2,262.75 |
$2,262.75 |
$2,262.75 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$280.35 |
$280.35 |
$280.35 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$280.35 |
$280.35 |
$280.35 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$1,975.50 |
$1,975.50 |
$1,975.50 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,173.20 |
$2,173.20 |
$2,173.20 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,173.20 |
$2,173.20 |
$2,173.20 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,167.75 |
$1,167.75 |
$1,167.75 |
$625.93
|
|
Perq transcath closure each
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$9,204.00
|
|
Perq transcath closure pda
|
$3,018.15 |
$3,018.15 |
$3,018.15 |
$18,408.00
|
|
Perq transcath cls aortic
|
$3,392.70 |
$3,392.70 |
$3,392.70 |
$22,633.26
|
|
Perq transcath cls mitral
|
$3,392.70 |
$3,392.70 |
$3,392.70 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$2,874.45 |
$2,874.45 |
$2,874.45 |
$8,605.90
|
|
Pertussis ag if
|
$11.10 |
$11.10 |
$11.10 |
$69.05
|
|
Pet CT skull-mid thgh initial
|
$1,537.20 |
$1,537.20 |
$1,537.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,614.00 |
$1,614.00 |
$1,614.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$1,529.85 |
$1,529.85 |
$1,529.85 |
$4,060.00
|
|
Pet image full body
|
$1,937.55 |
$1,937.55 |
$1,937.55 |
$5,070.50
|
|
Pet image ltd area
|
$1,601.25 |
$1,601.25 |
$1,601.25 |
$3,677.40
|
|
Pet image skull-thigh
|
$1,761.45 |
$1,761.45 |
$1,761.45 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$1,405.50 |
$1,405.50 |
$1,405.50 |
$4,305.60
|
|
Pet scan brain perf study
|
$1,742.70 |
$1,742.70 |
$1,742.70 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$81.45 |
$81.45 |
$81.45 |
$38,834.22
|
|
Ph body fluid
|
$5.25 |
$5.25 |
$5.25 |
$41.28
|
|
Phencyclidine (pcp)
|
$13.35 |
$13.35 |
$13.35 |
$96.00
|
