|
Optx medial ankle fx
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$7,101.36 |
$7,101.36 |
$7,101.36 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$17,353.56 |
$17,353.56 |
$17,353.56 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,913.97
|
|
Orchiopexy ingun/scrot appr
|
$4,710.72 |
$4,710.72 |
$4,710.72 |
$4,176.15
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$128.04 |
$128.04 |
$128.04 |
$56.42
|
|
Orthosis lso rigd frm hyperex
|
$1,417.75 |
$1,417.75 |
$1,417.75 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$50.40 |
$50.40 |
$50.40 |
$221.34
|
|
Osmolality blood
|
$35.70 |
$35.70 |
$35.70 |
$67.60
|
|
Osmolality urine
|
$36.54 |
$36.54 |
$36.54 |
$65.65
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$38.64 |
$38.64 |
$38.64 |
$107.32
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$55.02 |
$55.02 |
$55.02 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$31.08 |
$31.08 |
$31.08 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$32.34 |
$32.34 |
$32.34 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$42.00 |
$42.00 |
$42.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$49.14 |
$49.14 |
$49.14 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$54.18 |
$54.18 |
$54.18 |
$93.75
|
|
Oxytocin 10 unit/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$44,654.40 |
$44,654.40 |
$44,654.40 |
$44,654.40
|
|
Palivizumab 50 mg/0.5 ml inj
|
$231.00 |
$231.00 |
$231.00 |
$5,156.88
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$56.70 |
$56.70 |
$56.70 |
$34.27
|
|
Parathormone (pth) intact
|
$222.18 |
$222.18 |
$222.18 |
$200.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$240.24 |
$240.24 |
$240.24 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,762.53
|
|
Partial removal finger bone
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,021.04
|
|
Partial removal finger bone
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,211.05
|
|
Partial removal of toe
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,921.76 |
$4,921.76 |
$4,921.76 |
$3,718.18
|
|
Passy muir valve metal trach
|
$478.49 |
$478.49 |
$478.49 |
$242.42
|
|
Pedicle enel/ntroral 15576
|
$2,295.30 |
$2,295.30 |
$2,295.30 |
$2,436.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,019.76 |
$1,019.76 |
$1,019.76 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$836.22 |
$836.22 |
$836.22 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$509.88 |
$509.88 |
$509.88 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,066.82 |
$2,066.82 |
$2,066.82 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,024.82 |
$2,024.82 |
$2,024.82 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,012.62 |
$1,012.62 |
$1,012.62 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$270.06 |
$270.06 |
$270.06 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$270.06 |
$270.06 |
$270.06 |
$445.00
|
|
Peng benzathine/procaine inj
|
$1,782.78 |
$1,782.78 |
$1,782.78 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,562.96 |
$1,562.96 |
$1,562.96 |
$664.28
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$118.56 |
$118.56 |
$118.56 |
$90.35
|
|
Penile injection
|
$286.02 |
$286.02 |
$286.02 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$19,235.57 |
$19,235.57 |
$19,235.57 |
$19,235.57
|
|
Pericardial drain w/cath pq w/ct guid
|
$105.00 |
$105.00 |
$105.00 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$2,690.52 |
$2,690.52 |
$2,690.52 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$105.00 |
$105.00 |
$105.00 |
$2,013.60
|
|
Peripheral vascular rehab
|
$94.50 |
$94.50 |
$94.50 |
$128.69
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$323.40 |
$323.40 |
$323.40 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,839.54
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$263.12 |
$263.12 |
$263.12 |
$113.84
|
|
Pfc sigma fem post aug sz3 8mm
|
$47,767.34 |
$47,767.34 |
$47,767.34 |
$33,990.40
|
|
Ph body fluid
|
$4.62 |
$4.62 |
$4.62 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$174.72 |
$174.72 |
$174.72 |
$119.73
|
|
Phenobarbital therapeutic drug level
|
$26.88 |
$26.88 |
$26.88 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$57.10
|
|
Phenytoin total therapeutic drug level
|
$23.52 |
$23.52 |
$23.52 |
$111.27
|
|
Phlebotomy therapeutic
|
$134.82 |
$134.82 |
$134.82 |
$249.00
|
|
Phosphorus
|
$25.62 |
$25.62 |
$25.62 |
$47.81
|
|
Phosphorus 24 hour urine
|
$31.08 |
$31.08 |
$31.08 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$91.28
|
|
Pin caspar distraction 12mm
|
$9,451.68 |
$9,451.68 |
$9,451.68 |
$9,931.73
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$772.80 |
$772.80 |
$772.80 |
$1,016.25
|
|
Pin finger fracture each
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,910.33
|
|
Pinworm exam
|
$34.86 |
$34.86 |
$34.86 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$69.30 |
$69.30 |
$69.30 |
$91.95
|
|
Place gastrostomy tube perc
|
$2,316.30 |
$2,316.30 |
$2,316.30 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$548.10 |
$548.10 |
$548.10 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$548.10 |
$548.10 |
$548.10 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$665.28 |
$665.28 |
$665.28 |
$1,372.15
|
|
Placement of seton
|
$3,417.12 |
$3,417.12 |
$3,417.12 |
$3,375.00
|
|
Plasma cryoprecipitate reduced each unit
|
$27.30 |
$27.30 |
$27.30 |
$174.31
|
|
Platelet aggregation each agent teg
|
$153.30 |
$153.30 |
$153.30 |
$147.96
|
|
Platelet automated
|
$27.30 |
$27.30 |
$27.30 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$218.40 |
$218.40 |
$218.40 |
$1,191.73
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$218.40 |
$218.40 |
$218.40 |
$1,336.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$231.00 |
$231.00 |
$231.00 |
$913.12
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$628.74 |
$628.74 |
$628.74 |
$946.80
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$140.28 |
$140.28 |
$140.28 |
$173.00
|
|
Potassium 24 hour urine
|
$25.62 |
$25.62 |
$25.62 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$69.30 |
$69.30 |
$69.30 |
$69.30
|
|
Potassium serum/plasma/whole blood
|
$25.62 |
$25.62 |
$25.62 |
$44.64
|
|
Pq thr inj ext pse
|
$669.06 |
$669.06 |
$669.06 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$642.97 |
$642.97 |
$642.97 |
$297.97
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,761.65
|
|
Pr application of long arm splint
|
$233.10 |
$233.10 |
$233.10 |
$332.75
|
|
Pr application splint static short arm
|
$303.66 |
$303.66 |
$303.66 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$8.82 |
$8.82 |
$8.82 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$496.02 |
$496.02 |
$496.02 |
$472.79
|
|
Prcrd drg 0-5yr or w/anomly
|
$105.00 |
$105.00 |
$105.00 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$105.00 |
$105.00 |
$105.00 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$154.98 |
$154.98 |
$154.98 |
$356.40
|
|
Prealbumin
|
$78.54 |
$78.54 |
$78.54 |
$87.20
|
|
Pr ecg 12 lead report only
|
$18.90 |
$18.90 |
$18.90 |
$19.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$34.81 |
$34.81 |
$34.81 |
$13.87
|
|
Prednisone 1 mg tablet
|
$313.68 |
$313.68 |
$313.68 |
$3.49
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,014.32 |
$2,014.32 |
$2,014.32 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$270.06 |
$270.06 |
$270.06 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$270.06 |
$270.06 |
$270.06 |
$541.45
|