|
Npsy indiv hlth intrv ea addl 15 min
|
$132.23 |
$132.23 |
$132.23 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$798.06 |
$798.06 |
$798.06 |
$410.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$798.06 |
$798.06 |
$798.06 |
$252.54
|
|
Nras gene variants exon 2&3
|
$2,596.30 |
$2,596.30 |
$2,596.30 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$5,160.92 |
$5,160.92 |
$5,160.92 |
$7,421.70
|
|
Ntsty modul rad tx dlvr cplx
|
$1,615.04 |
$1,615.04 |
$1,615.04 |
$2,423.71
|
|
Ntsty modul rad tx dlvr smpl
|
$1,615.04 |
$1,615.04 |
$1,615.04 |
$2,142.79
|
|
Nuclear rx IV admin
|
$4,032.38 |
$4,032.38 |
$4,032.38 |
$814.80
|
|
Nuclear Stress Test (Heart)
|
$14,017.45 |
$14,017.45 |
$14,017.45 |
$3,804.45
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$229.90 |
$229.90 |
$229.90 |
$41,294.43
|
|
Olanzapine 10 mg intramuscular solution
|
$168.69 |
$168.69 |
$168.69 |
$109.58
|
|
Olanzapine long-acting inj
|
$201.70 |
$201.70 |
$201.70 |
$1,847.66
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$22,941.14 |
$22,941.14 |
$22,941.14 |
$4,781.43
|
|
Oncoprotein her-2/neu
|
$1,560.90 |
$1,560.90 |
$1,560.90 |
$161.60
|
|
Ondansetron 4 mg s0119
|
$60.92 |
$60.92 |
$60.92 |
$2.31
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$2.59 |
$2.59 |
$2.59 |
$22.62
|
|
Ophthalmic mitomycin
|
$234.28 |
$234.28 |
$234.28 |
$775.44
|
|
Oral aprepitant
|
$904.40 |
$904.40 |
$904.40 |
$410.20
|
|
Organic acids total quant ea spec
|
$2,397.45 |
$2,397.45 |
$2,397.45 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$8,276.66 |
$8,276.66 |
$8,276.66 |
$3,186.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$125.45 |
$125.45 |
$125.45 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$746.21 |
$746.21 |
$746.21 |
$195.00
|
|
Osmolality blood
|
$590.84 |
$590.84 |
$590.84 |
$69.55
|
|
Osmolality urine
|
$590.84 |
$590.84 |
$590.84 |
$65.65
|
|
Ostomy clamp, replacement
|
$25.00 |
$25.00 |
$25.00 |
$4.66
|
|
Ost pch drain for barrier fl
|
$21.00 |
$21.00 |
$21.00 |
$11.45
|
|
Ost skn barr extnd >4 sq
|
$49.00 |
$49.00 |
$49.00 |
$2.78
|
|
Ot evaluation high complexity patient/family
|
$1,327.19 |
$1,327.19 |
$1,327.19 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$580.39 |
$580.39 |
$580.39 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$924.42 |
$924.42 |
$924.42 |
$263.50
|
|
Other immunoelectrophoresis
|
$748.49 |
$748.49 |
$748.49 |
$107.52
|
|
Ot re-evaluation patient/family
|
$412.57 |
$412.57 |
$412.57 |
$160.80
|
|
Oxytocin 10 unit/ml injection solution
|
$182.67 |
$182.67 |
$182.67 |
$50.40
|
|
Palonosetron hcl
|
$6,622.43 |
$6,622.43 |
$6,622.43 |
$154.78
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$6,569.61 |
$6,569.61 |
$6,569.61 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$82.35 |
$82.35 |
$82.35 |
$27.16
|
|
Papaverin hcl injection
|
$142.95 |
$142.95 |
$142.95 |
$76.40
|
|
Parathormone (pth) intact
|
$1,495.57 |
$1,495.57 |
$1,495.57 |
$201.50
|
|
Parathyroid planar imaging
|
$7,590.37 |
$7,590.37 |
$7,590.37 |
$1,073.82
|
|
Paste skin barrier .5oz adapt
|
$14.00 |
$14.00 |
$14.00 |
$5.73
|
|
Pelvic control band & belt u
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$547.83
|
|
Pelvic control hip heavy dut
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$591.53
|
|
Pelvic CT scan (with and without contrast)
|
$10,786.35 |
$10,786.35 |
$10,786.35 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$7,485.04 |
$7,485.04 |
$7,485.04 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$6,475.82 |
$6,475.82 |
$6,475.82 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$5,322.00 |
$5,322.00 |
$5,322.00 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$14,491.40 |
$14,491.40 |
$14,491.40 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$11,754.51 |
$11,754.51 |
$11,754.51 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$10,681.85 |
$10,681.85 |
$10,681.85 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$3,122.31 |
$3,122.31 |
$3,122.31 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$1,368.27 |
$1,368.27 |
$1,368.27 |
$430.00
|
|
Peng benzathine/procaine inj
|
$569.54 |
$569.54 |
$569.54 |
$338.23
|
|
Penile vascular study
|
$1,220.14 |
$1,220.14 |
$1,220.14 |
$585.20
|
|
Pentazocine injection
|
$1,262.60 |
$1,262.60 |
$1,262.60 |
$128.80
|
|
Pentobarbital sodium inj
|
$500.93 |
$500.93 |
$500.93 |
$2,047.85
|
|
Perc d-e cor revasc chro sin
|
$95,500.58 |
$95,500.58 |
$95,500.58 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$84,478.89 |
$84,478.89 |
$84,478.89 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$126,375.41 |
$126,375.41 |
$126,375.41 |
$18,808.65
|
|
Pericardiocentesis wwo imaging
|
$17,204.75 |
$17,204.75 |
$17,204.75 |
$2,341.50
|
|
Peripheral vascular rehab
|
$308.72 |
$308.72 |
$308.72 |
$129.60
|
|
Peri-proc device eval icd
|
$2,880.32 |
$2,880.32 |
$2,880.32 |
$192.40
|
|
Peri-proc device eval pm
|
$609.65 |
$609.65 |
$609.65 |
$156.00
|
|
Perit-vens shunt pat tst
|
$4,285.99 |
$4,285.99 |
$4,285.99 |
$724.75
|
|
Perq plmt bile duct stent
|
$71,947.27 |
$71,947.27 |
$71,947.27 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$71,947.27 |
$71,947.27 |
$71,947.27 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$71,947.27 |
$71,947.27 |
$71,947.27 |
$7,085.70
|
|
Pet CT skull-mid thgh initial
|
$29,269.74 |
$29,269.74 |
$29,269.74 |
$4,711.20
|
|
Pet CT whole body initial
|
$29,269.74 |
$29,269.74 |
$29,269.74 |
$4,850.00
|
|
Pet image w/ct lmtd
|
$29,269.74 |
$29,269.74 |
$29,269.74 |
$4,366.50
|
|
Ph body fluid
|
$280.59 |
$280.59 |
$280.59 |
$40.04
|
|
Phencyclidine (pcp)
|
$426.09 |
$426.09 |
$426.09 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$108.76 |
$108.76 |
$108.76 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$926.04 |
$926.04 |
$926.04 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,469.83 |
$1,469.83 |
$1,469.83 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$83.41 |
$83.41 |
$83.41 |
$112.50
|
|
Phlebotomy therapeutic
|
$989.42 |
$989.42 |
$989.42 |
$231.66
|
|
Phosphorus
|
$515.56 |
$515.56 |
$515.56 |
$49.60
|
|
Phosphorus 24 hour urine
|
$426.09 |
$426.09 |
$426.09 |
$41.58
|
|
Phys blood bank serv reactj
|
$467.04 |
$467.04 |
$467.04 |
$207.50
|
|
Piflu f-18, dia 1 millicurie
|
$1,919.52 |
$1,919.52 |
$1,919.52 |
$880.00
|
|
Pinworm exam
|
$316.72 |
$316.72 |
$316.72 |
$40.00
|
|
Place non-slctv cath thoracic arta
|
$9,466.48 |
$9,466.48 |
$9,466.48 |
$5,274.33
|
|
Plasma cryoprecipitate reduced each unit
|
$521.05 |
$521.05 |
$521.05 |
$157.95
|
|
Plastic mod low ext pad/line
|
$103.00 |
$103.00 |
$103.00 |
$244.53
|
|
Platelet automated
|
$548.24 |
$548.24 |
$548.24 |
$45.00
|
|
Platelet pheresis each unit
|
$5,406.60 |
$5,406.60 |
$5,406.60 |
$940.45
|
|
Platelets each unit
|
$540.08 |
$540.08 |
$540.08 |
$169.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$6,641.89 |
$6,641.89 |
$6,641.89 |
$1,490.40
|
|
Platelets leukocytes reduced each unit
|
$422.44 |
$422.44 |
$422.44 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$5,406.60 |
$5,406.60 |
$5,406.60 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$5,926.19 |
$5,926.19 |
$5,926.19 |
$1,213.50
|
|
Plcmnt biliary drainage cath w/img ext
|
$13,648.32 |
$13,648.32 |
$13,648.32 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$1,238.18 |
$1,238.18 |
$1,238.18 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$39,195.97 |
$39,195.97 |
$39,195.97 |
$5,075.01
|
|
Plethysmography lung volumes/airway resistance
|
$6,522.69 |
$6,522.69 |
$6,522.69 |
$399.50
|
|
Plmt access bil tree sm bwl
|
$38,036.55 |
$38,036.55 |
$38,036.55 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$38,036.55 |
$38,036.55 |
$38,036.55 |
$4,762.80
|
|
Pm device progr eval dual
|
$197.58 |
$197.58 |
$197.58 |
$139.10
|
|
Pm device progr eval multi
|
$197.58 |
$197.58 |
$197.58 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$2,417.33 |
$2,417.33 |
$2,417.33 |
$187.04
|
