|
Oph Ultrasound dx quan a-scan only
|
$314.82 |
$314.82 |
$314.82 |
$189.75
|
|
Organic acids total quant ea spec
|
$242.64 |
$242.64 |
$242.64 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$78.12 |
$78.12 |
$78.12 |
$65.07
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$284.85 |
$284.85 |
$284.85 |
$284.85
|
|
Ortho ewhf rigd without jnt cstm w
|
$725.31 |
$725.31 |
$725.31 |
$782.70
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$539.73 |
$539.73 |
$539.73 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$231.66 |
$231.66 |
$231.66 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$249.12 |
$249.12 |
$249.12 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$210.96 |
$210.96 |
$210.96 |
$240.24
|
|
Orthopantogram
|
$104.13 |
$104.13 |
$104.13 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$267.57 |
$267.57 |
$267.57 |
$269.58
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$585.45 |
$585.45 |
$585.45 |
$532.80
|
|
Oscillation chest wall mechanical per session
|
$125.46 |
$125.46 |
$125.46 |
$221.34
|
|
Osmolality blood
|
$147.87 |
$147.87 |
$147.87 |
$67.60
|
|
Osmolality urine
|
$115.65 |
$115.65 |
$115.65 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$161.64 |
$161.64 |
$161.64 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$161.64 |
$161.64 |
$161.64 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$141.39 |
$141.39 |
$141.39 |
$270.58
|
|
Other immunoelectrophoresis
|
$119.61 |
$119.61 |
$119.61 |
$46.40
|
|
Oth resp proc, group
|
$57.78 |
$57.78 |
$57.78 |
$154.00
|
|
Oth resp proc, indiv
|
$207.18 |
$207.18 |
$207.18 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$110.52 |
$110.52 |
$110.52 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$139.14 |
$139.14 |
$139.14 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$137.52 |
$137.52 |
$137.52 |
$107.32
|
|
Ot re-evaluation patient/family
|
$70.74 |
$70.74 |
$70.74 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$84.06 |
$84.06 |
$84.06 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$51.93 |
$51.93 |
$51.93 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$54.00 |
$54.00 |
$54.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$63.45 |
$63.45 |
$63.45 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$69.84 |
$69.84 |
$69.84 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$271.53 |
$271.53 |
$271.53 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$3.51 |
$3.51 |
$3.51 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$17.82 |
$17.82 |
$17.82 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$30.78 |
$30.78 |
$30.78 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$210.87 |
$210.87 |
$210.87 |
$231.46
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,541.88 |
$1,541.88 |
$1,541.88 |
$6,493.54
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,666.77 |
$4,666.77 |
$4,666.77 |
$5,156.88
|
|
Papaverin hcl injection
|
$8.10 |
$8.10 |
$8.10 |
$76.40
|
|
Parathormone (pth) intact
|
$129.69 |
$129.69 |
$129.69 |
$200.23
|
|
Parathyroid planar imaging
|
$503.91 |
$503.91 |
$503.91 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$503.91 |
$503.91 |
$503.91 |
$1,398.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,454.23 |
$9,454.23 |
$9,454.23 |
$12,556.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,172.18 |
$8,172.18 |
$8,172.18 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$3,171.33 |
$3,171.33 |
$3,171.33 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,998.18 |
$1,998.18 |
$1,998.18 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,909.89 |
$1,909.89 |
$1,909.89 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,678.86 |
$1,678.86 |
$1,678.86 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$795.06 |
$795.06 |
$795.06 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$860.49 |
$860.49 |
$860.49 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$315.99 |
$315.99 |
$315.99 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$348.66 |
$348.66 |
$348.66 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$3,459.42 |
$3,459.42 |
$3,459.42 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,157.76 |
$1,157.76 |
$1,157.76 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$340.95 |
$340.95 |
$340.95 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$5.88 |
$5.88 |
$5.88 |
$100.50
|
|
Pentobarbital sodium inj
|
$152.91 |
$152.91 |
$152.91 |
$167.64
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$117.90 |
$117.90 |
$117.90 |
$321.71
|
|
Peripheral vascular rehab
|
$78.93 |
$78.93 |
$78.93 |
$128.69
|
|
Pertussis ag if
|
$21.87 |
$21.87 |
$21.87 |
$49.00
|
|
Pertuzu, trastuzu, 10 mg
|
$5,489.46 |
$5,489.46 |
$5,489.46 |
$41,963.08
|
|
Ph body fluid
|
$48.96 |
$48.96 |
$48.96 |
$39.20
|
|
Phencyclidine (pcp)
|
$114.03 |
$114.03 |
$114.03 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$68.29 |
$68.29 |
$68.29 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$263.61 |
$263.61 |
$263.61 |
$104.50
|
|
Phentolaine mesylate inj
|
$907.02 |
$907.02 |
$907.02 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$31.22 |
$31.22 |
$31.22 |
$58.49
|
|
Phenytoin total therapeutic drug level
|
$217.35 |
$217.35 |
$217.35 |
$111.27
|
|
Phlebotomy therapeutic
|
$45.72 |
$45.72 |
$45.72 |
$249.00
|
|
Phosphorus
|
$27.09 |
$27.09 |
$27.09 |
$47.81
|
|
Phosphorus 24 hour urine
|
$22.32 |
$22.32 |
$22.32 |
$42.81
|
|
Phys blood bank serv authrj
|
$21.96 |
$21.96 |
$21.96 |
$97.60
|
|
Phys blood bank serv reactj
|
$311.22 |
$311.22 |
$311.22 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$101.34 |
$101.34 |
$101.34 |
$86.36
|
|
Pinworm exam
|
$23.04 |
$23.04 |
$23.04 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$47.52 |
$47.52 |
$47.52 |
$95.01
|
|
Platelet aggregation each agent teg
|
$252.72 |
$252.72 |
$252.72 |
$147.96
|
|
Platelet pheresis each unit
|
$297.27 |
$297.27 |
$297.27 |
$864.00
|
|
Platelets leukocytes reduced each unit
|
$180.00 |
$180.00 |
$180.00 |
$273.70
|
|
Platelets leukocytes reduced irradiated each unit
|
$348.48 |
$348.48 |
$348.48 |
$334.10
|
|
Platelets pheresis leukocytes reduced each unit
|
$642.15 |
$642.15 |
$642.15 |
$1,070.30
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$362.70 |
$362.70 |
$362.70 |
$1,180.31
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$225.09 |
$225.09 |
$225.09 |
$173.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$51.03 |
$51.03 |
$51.03 |
$43,674.71
|
|
Positional nystagmus test
|
$109.44 |
$109.44 |
$109.44 |
$109.44
|
|
Potassium 24 hour urine
|
$42.84 |
$42.84 |
$42.84 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$35.73 |
$35.73 |
$35.73 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$43.56 |
$43.56 |
$43.56 |
$44.64
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$54.63 |
$54.63 |
$54.63 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$296.28 |
$296.28 |
$296.28 |
$356.40
|
|
Prealbumin
|
$102.60 |
$102.60 |
$102.60 |
$87.20
|
|
Pregnancy associated plasma protein-a
|
$47.34 |
$47.34 |
$47.34 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,037.79 |
$1,037.79 |
$1,037.79 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$202.14 |
$202.14 |
$202.14 |
$541.45
|
|
Pretreat rbc absorption reference
|
$151.65 |
$151.65 |
$151.65 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$159.03 |
$159.03 |
$159.03 |
$106.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$197.73 |
$197.73 |
$197.73 |
$313.30
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$186.30 |
$186.30 |
$186.30 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$211.32 |
$211.32 |
$211.32 |
$666.10
|
|
Procalcitonin
|
$200.25 |
$200.25 |
$200.25 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$71.57 |
$71.57 |
$71.57 |
$46.50
|