|
Observation per hour
|
$365.67 |
$365.67 |
$365.67 |
$75.15
|
|
Obstetrics panel
|
$97.91 |
$97.91 |
$97.91 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$94.23 |
$94.23 |
$94.23 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$5.34 |
$5.34 |
$5.34 |
$59.15
|
|
Olanzapine 10 mg intramuscular solution
|
$3.81 |
$3.81 |
$3.81 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.48 |
$0.48 |
$0.48 |
$12.51
|
|
Organic acids total quant ea spec
|
$259.52 |
$259.52 |
$259.52 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$33.53 |
$33.53 |
$33.53 |
$40.92
|
|
Oscillation chest wall mechanical per session
|
$229.95 |
$229.95 |
$229.95 |
$204.89
|
|
Osmolality blood
|
$48.57 |
$48.57 |
$48.57 |
$57.00
|
|
Osmolality urine
|
$43.53 |
$43.53 |
$43.53 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$123.42 |
$123.42 |
$123.42 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$123.42 |
$123.42 |
$123.42 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$123.42 |
$123.42 |
$123.42 |
$249.60
|
|
Oth resp proc, group
|
$102.12 |
$102.12 |
$102.12 |
$100.80
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$50.48 |
$50.48 |
$50.48 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$51.95 |
$51.95 |
$51.95 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$52.62 |
$52.62 |
$52.62 |
$105.50
|
|
Ot re-evaluation patient/family
|
$45.95 |
$45.95 |
$45.95 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$55.44 |
$55.44 |
$55.44 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$28.16 |
$28.16 |
$28.16 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$42.78 |
$42.78 |
$42.78 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$51.00 |
$51.00 |
$51.00 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$46.95 |
$46.95 |
$46.95 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$42.78 |
$42.78 |
$42.78 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
$30.78
|
|
Paliperidone 117 mg/0.75 ml inj
|
$31.95 |
$31.95 |
$31.95 |
$4,898.66
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$58.04 |
$58.04 |
$58.04 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.61 |
$10.61 |
$10.61 |
$18.49
|
|
Parathormone (pth) intact
|
$138.12 |
$138.12 |
$138.12 |
$204.00
|
|
Parathyroid planar imaging
|
$579.72 |
$579.72 |
$579.72 |
$1,041.95
|
|
Pelvic CT scan (with and without contrast)
|
$926.10 |
$926.10 |
$926.10 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$838.05 |
$838.05 |
$838.05 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$817.49 |
$817.49 |
$817.49 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,270.25 |
$1,270.25 |
$1,270.25 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$930.30 |
$930.30 |
$930.30 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$840.23 |
$840.23 |
$840.23 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$353.40 |
$353.40 |
$353.40 |
$614.64
|
|
Peng benzathine/procaine inj
|
$43.55 |
$43.55 |
$43.55 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$63.08 |
$63.08 |
$63.08 |
$48.74
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$182.99 |
$182.99 |
$182.99 |
$269.36
|
|
Perq dev breast 1st strtctc
|
$1,685.40 |
$1,685.40 |
$1,685.40 |
$1,471.17
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$607.29 |
$607.29 |
$607.29 |
$636.09
|
|
Ph body fluid
|
$56.21 |
$56.21 |
$56.21 |
$35.75
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$56.63 |
$56.63 |
$56.63 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$82.74 |
$82.74 |
$82.74 |
$97.50
|
|
Phentolaine mesylate inj
|
$958.16 |
$958.16 |
$958.16 |
$881.36
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.26 |
$0.26 |
$0.26 |
$28.92
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.86 |
$0.86 |
$0.86 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$64.71 |
$64.71 |
$64.71 |
$100.75
|
|
Phosphorus
|
$42.81 |
$42.81 |
$42.81 |
$42.37
|
|
Phosphorus 24 hour urine
|
$42.81 |
$42.81 |
$42.81 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$10.53 |
$10.53 |
$10.53 |
$75.04
|
|
Pinworm exam
|
$78.92 |
$78.92 |
$78.92 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$7.49 |
$7.49 |
$7.49 |
$51.80
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,592.88 |
$1,592.88 |
$1,592.88 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,500.41 |
$1,500.41 |
$1,500.41 |
$1,372.15
|
|
Plasma cryoprecipitate reduced each unit
|
$128.54 |
$128.54 |
$128.54 |
$160.55
|
|
Platelet aggregation each agent teg
|
$90.14 |
$90.14 |
$90.14 |
$145.60
|
|
Platelet automated
|
$42.42 |
$42.42 |
$42.42 |
$33.60
|
|
Platelets each unit
|
$120.53 |
$120.53 |
$120.53 |
$187.20
|
|
Platelets leukocytes reduced each unit
|
$150.33 |
$150.33 |
$150.33 |
$274.95
|
|
Platelets leukocytes reduced irradiated each unit
|
$593.01 |
$593.01 |
$593.01 |
$334.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$787.35 |
$787.35 |
$787.35 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$919.44 |
$919.44 |
$919.44 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$745.43 |
$745.43 |
$745.43 |
$1,046.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$131.42 |
$131.42 |
$131.42 |
$146.15
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,569.15 |
$1,569.15 |
$1,569.15 |
$4,313.58
|
|
Potassium 24 hour urine
|
$42.81 |
$42.81 |
$42.81 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$2.10 |
$2.10 |
$2.10 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$42.81 |
$42.81 |
$42.81 |
$40.00
|
|
Pralidoxime 1 gram solution for injection
|
$186.33 |
$186.33 |
$186.33 |
$297.18
|
|
Pr application of long arm splint
|
$129.71 |
$129.71 |
$129.71 |
$320.00
|
|
Pr application splint static short arm
|
$97.34 |
$97.34 |
$97.34 |
$277.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$20.19 |
$20.19 |
$20.19 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$59.03 |
$59.03 |
$59.03 |
$350.98
|
|
Prealbumin
|
$92.39 |
$92.39 |
$92.39 |
$80.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.20 |
$3.20 |
$3.20 |
$4.87
|
|
Prednisone 1 mg tablet
|
$0.20 |
$0.20 |
$0.20 |
$4.87
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,492.25
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$345.03 |
$345.03 |
$345.03 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$253.16 |
$253.16 |
$253.16 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$482.84 |
$482.84 |
$482.84 |
$260.25
|
|
Pretreat rbc absorption reference
|
$275.48 |
$275.48 |
$275.48 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$298.16 |
$298.16 |
$298.16 |
$178.20
|
|
Pretreat rbc w chem/drugs reference
|
$91.73 |
$91.73 |
$91.73 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$168.21 |
$168.21 |
$168.21 |
$170.31
|
|
Procalcitonin
|
$91.44 |
$91.44 |
$91.44 |
$133.20
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.03 |
$12.03 |
$12.03 |
$35.00
|
|
Progesterone
|
$69.86 |
$69.86 |
$69.86 |
$100.24
|
|
Prolactin
|
$136.59 |
$136.59 |
$136.59 |
$123.20
|
|
Promethazine hcl injection
|
$4.64 |
$4.64 |
$4.64 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$0.65 |
$0.65 |
$0.65 |
$45.25
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$24.66 |
$24.66 |
$24.66 |
$28.79
|
|
Protamine 10 mg/ml intravenous solution
|
$6.65 |
$6.65 |
$6.65 |
$32.68
|
|
Protein c activity
|
$99.09 |
$99.09 |
$99.09 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$95.66 |
$95.66 |
$95.66 |
$84.00
|
|
Protein s total
|
$78.77 |
$78.77 |
$78.77 |
$85.10
|
|
Protein total 24 hour urine
|
$42.81 |
$42.81 |
$42.81 |
$45.00
|
|
Protein total body fluid
|
$54.47 |
$54.47 |
$54.47 |
$49.20
|