|
Organic acids total quant ea spec
|
$460.46 |
$460.46 |
$460.46 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$63.48 |
$63.48 |
$63.48 |
$65.07
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$1,797.95 |
$1,797.95 |
$1,797.95 |
$389.25
|
|
Orthovisc inj per dose
|
$404.75 |
$404.75 |
$404.75 |
$498.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,870.70 |
$1,870.70 |
$1,870.70 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$527.26 |
$527.26 |
$527.26 |
$221.34
|
|
Osmolality blood
|
$144.07 |
$144.07 |
$144.07 |
$67.60
|
|
Osmolality urine
|
$171.26 |
$171.26 |
$171.26 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$301.41 |
$301.41 |
$301.41 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$301.41 |
$301.41 |
$301.41 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$301.41 |
$301.41 |
$301.41 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$100.62 |
$100.62 |
$100.62 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$243.21 |
$243.21 |
$243.21 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$274.71 |
$274.71 |
$274.71 |
$107.32
|
|
Ot re-evaluation patient/family
|
$301.41 |
$301.41 |
$301.41 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$203.01 |
$203.01 |
$203.01 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$273.40 |
$273.40 |
$273.40 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$287.09 |
$287.09 |
$287.09 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$295.82 |
$295.82 |
$295.82 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$258.14 |
$258.14 |
$258.14 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$171.13 |
$171.13 |
$171.13 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$385.86 |
$385.86 |
$385.86 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,335.86 |
$1,335.86 |
$1,335.86 |
$231.46
|
|
Palonosetron hcl
|
$980.66 |
$980.66 |
$980.66 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$202.44 |
$202.44 |
$202.44 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$27,806.91 |
$27,806.91 |
$27,806.91 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$71.92 |
$71.92 |
$71.92 |
$44.25
|
|
Papaverin hcl injection
|
$109.99 |
$109.99 |
$109.99 |
$76.40
|
|
Parathormone (pth) intact
|
$656.33 |
$656.33 |
$656.33 |
$200.23
|
|
Parathyroid planar imaging
|
$1,838.87 |
$1,838.87 |
$1,838.87 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,800.04 |
$1,800.04 |
$1,800.04 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$318.12 |
$318.12 |
$318.12 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$12.72 |
$12.72 |
$12.72 |
$4,418.62
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$16,299.36 |
$16,299.36 |
$16,299.36 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,720.42 |
$5,720.42 |
$5,720.42 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,490.46 |
$11,490.46 |
$11,490.46 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,091.73 |
$6,091.73 |
$6,091.73 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$5,411.48 |
$5,411.48 |
$5,411.48 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,852.76 |
$4,852.76 |
$4,852.76 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$4,062.78 |
$4,062.78 |
$4,062.78 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$4,847.52 |
$4,847.52 |
$4,847.52 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$4,262.95 |
$4,262.95 |
$4,262.95 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,874.95 |
$3,874.95 |
$3,874.95 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,461.76 |
$1,461.76 |
$1,461.76 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$695.12 |
$695.12 |
$695.12 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$48,840.69 |
$48,840.69 |
$48,840.69 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,141.97 |
$2,141.97 |
$2,141.97 |
$643.59
|
|
Penile vascular study
|
$1,359.19 |
$1,359.19 |
$1,359.19 |
$460.20
|
|
Perc d-e cor revasc chro sin
|
$43,192.99 |
$43,192.99 |
$43,192.99 |
$19,992.17
|
|
Perc d-e cor revasc t cabg s
|
$35,780.96 |
$35,780.96 |
$35,780.96 |
$15,337.30
|
|
Perc d-e cor stent ather s
|
$53,543.48 |
$53,543.48 |
$53,543.48 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$17,592.59 |
$17,592.59 |
$17,592.59 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$35,780.96 |
$35,780.96 |
$35,780.96 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$21,917.03 |
$21,917.03 |
$21,917.03 |
$6,949.48
|
|
Percut ablate liver rf
|
$36,408.43 |
$36,408.43 |
$36,408.43 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$508.50 |
$508.50 |
$508.50 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,724.60 |
$1,724.60 |
$1,724.60 |
$2,573.60
|
|
Pertuzumab 30 mg/ml desensitization
|
$28,253.27 |
$28,253.27 |
$28,253.27 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$41,963.08 |
$41,963.08 |
$41,963.08 |
$41,963.08
|
|
Ph body fluid
|
$106.64 |
$106.64 |
$106.64 |
$39.20
|
|
Phencyclidine (pcp)
|
$182.88 |
$182.88 |
$182.88 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$304.60 |
$304.60 |
$304.60 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$248.05 |
$248.05 |
$248.05 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$73.63 |
$73.63 |
$73.63 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$59.48 |
$59.48 |
$59.48 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$99.53 |
$99.53 |
$99.53 |
$111.27
|
|
Phlebotomy therapeutic
|
$347.40 |
$347.40 |
$347.40 |
$249.00
|
|
Phosphorus
|
$155.72 |
$155.72 |
$155.72 |
$47.81
|
|
Phosphorus 24 hour urine
|
$119.35 |
$119.35 |
$119.35 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$77.89 |
$77.89 |
$77.89 |
$86.36
|
|
Pinworm exam
|
$186.08 |
$186.08 |
$186.08 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$137.10 |
$137.10 |
$137.10 |
$95.01
|
|
Place duod/jej tube perc
|
$6,807.17 |
$6,807.17 |
$6,807.17 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$6,807.17 |
$6,807.17 |
$6,807.17 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,267.62 |
$1,267.62 |
$1,267.62 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$4,287.02 |
$4,287.02 |
$4,287.02 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$279.29 |
$279.29 |
$279.29 |
$650.65
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$16,096.60 |
$16,096.60 |
$16,096.60 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$3,878.61 |
$3,878.61 |
$3,878.61 |
$5,110.00
|
|
Placental lactogen
|
$366.14 |
$366.14 |
$366.14 |
$143.67
|
|
Place slctv cath carotd art uni
|
$24,107.01 |
$24,107.01 |
$24,107.01 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$9,490.83 |
$9,490.83 |
$9,490.83 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$9,197.58 |
$9,197.58 |
$9,197.58 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$6,327.66 |
$6,327.66 |
$6,327.66 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$16,755.39 |
$16,755.39 |
$16,755.39 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$476.89 |
$476.89 |
$476.89 |
$147.96
|
|
Platelet automated
|
$145.97 |
$145.97 |
$145.97 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,207.64 |
$6,207.64 |
$6,207.64 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$7,874.27 |
$7,874.27 |
$7,874.27 |
$1,180.31
|
|
Plcmnt biliary drainage cath w/img ext
|
$22,488.55 |
$22,488.55 |
$22,488.55 |
$4,650.08
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$23,175.61 |
$23,175.61 |
$23,175.61 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$23,175.61 |
$23,175.61 |
$23,175.61 |
$6,048.00
|
|
Plethysmography lung volumes/airway resistance
|
$1,038.79 |
$1,038.79 |
$1,038.79 |
$411.51
|
|
Plmt biliary drainage cath
|
$22,488.55 |
$22,488.55 |
$22,488.55 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$15,560.55 |
$15,560.55 |
$15,560.55 |
$4,838.90
|
|
#pnh-flow cytometry interp
|
$156.15 |
$156.15 |
$156.15 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$633.64 |
$633.64 |
$633.64 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$8,262.30 |
$8,262.30 |
$8,262.30 |
$4,293.60
|