|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$122.64 |
$122.64 |
$122.64 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$201.18 |
$201.18 |
$201.18 |
$107.32
|
|
Ot re-evaluation patient/family
|
$162.12 |
$170.00 |
$170.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$125.00 |
$125.00 |
$201.18 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$128.52 |
$128.52 |
$128.52 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$128.52 |
$128.52 |
$128.52 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$125.00 |
$125.00 |
$189.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$125.00 |
$125.00 |
$201.18 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$141.96 |
$141.96 |
$141.96 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$62.39 |
$807.32 |
$807.32 |
$48.86
|
|
Oxaliplatin 5 mg/ml desensitization
|
$143.43 |
$143.43 |
$875.81 |
$346.65
|
|
Oxytocin 10 unit/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$46.75
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$44,654.40 |
$44,654.40 |
$44,654.40 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$405.13 |
$405.13 |
$953.09 |
$222.51
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$10,036.58 |
$10,036.58 |
$10,036.58 |
$3,452.53
|
|
Paliperidone 117 mg/0.75 ml inj
|
$21,140.75 |
$21,140.75 |
$21,140.75 |
$6,272.41
|
|
Palonosetron hcl
|
$72.59 |
$72.59 |
$161.38 |
$354.74
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$274.51 |
$274.51 |
$274.51 |
$132.11
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$18,131.51 |
$18,131.51 |
$18,131.51 |
$16,565.51
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$56.70 |
$56.70 |
$69.30 |
$36.04
|
|
Papaverin hcl injection
|
$121.92 |
$121.92 |
$303.69 |
$83.77
|
|
Parathormone (pth) intact
|
$241.08 |
$241.08 |
$241.08 |
$200.23
|
|
Parathyroid planar imaging
|
$1,666.02 |
$1,666.02 |
$1,666.14 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,666.02 |
$1,666.02 |
$1,666.14 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$254.52 |
$254.52 |
$254.52 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$4,096.68 |
$4,096.68 |
$4,096.68 |
$3,762.53
|
|
Partial removal finger bone
|
$2,021.04 |
$2,021.04 |
$2,021.04 |
$2,021.04
|
|
Partial removal finger bone
|
$2,021.04 |
$2,021.04 |
$2,021.04 |
$2,211.05
|
|
Partial removal of toe
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,921.76 |
$4,921.76 |
$4,921.76 |
$3,908.16
|
|
Passy muir valve metal trach
|
$478.49 |
$478.49 |
$478.49 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$2,501.10 |
$2,501.10 |
$2,501.10 |
$2,436.20
|
|
Pegaspargase injection
|
$46,751.88 |
$46,751.88 |
$46,751.88 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,387.17 |
$17,387.17 |
$17,387.17 |
$11,839.46
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$10,798.46 |
$10,798.46 |
$10,798.46 |
$8,141.25
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$17,208.70 |
$17,208.70 |
$17,208.70 |
$5,284.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,239.63 |
$9,239.63 |
$9,239.63 |
$4,897.81
|
|
Pegloticase 8 mg/ml intravenous solution
|
$51,389.99 |
$51,389.99 |
$51,389.99 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$3,711.12 |
$3,711.12 |
$4,154.64 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,968.98 |
$2,968.98 |
$3,323.46 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,226.84 |
$2,226.84 |
$2,492.70 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$441.31 |
$441.31 |
$4,884.18 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,930.36 |
$3,930.36 |
$3,930.36 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,908.94 |
$3,908.94 |
$3,908.94 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,051.26 |
$1,051.26 |
$1,051.26 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$521.64 |
$521.64 |
$521.64 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,340.69 |
$16,340.69 |
$16,340.69 |
$16,050.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,137.97 |
$5,137.97 |
$16,348.00 |
$5,099.66
|
|
Peng benzathine/procaine inj
|
$1,782.78 |
$1,782.78 |
$1,782.78 |
$229.84
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,562.96 |
$1,562.96 |
$1,562.96 |
$730.96
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$102.59 |
$165.38 |
$194.50 |
$100.50
|
|
Penile injection
|
$484.68 |
$484.68 |
$484.68 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$19,235.57 |
$19,235.57 |
$19,235.57 |
$19,235.57
|
|
Penile vascular study
|
$131.88 |
$131.88 |
$131.88 |
$561.00
|
|
Pentamidine non-comp unit
|
$318.90 |
$318.90 |
$318.90 |
$279.76
|
|
Pentobarbital sodium inj
|
$295.43 |
$295.43 |
$890.74 |
$218.30
|
|
Pentostatin 10 mg intravenous solution
|
$10,280.77 |
$10,280.77 |
$10,280.77 |
$6,342.90
|
|
Perc cryo ablate renal tum
|
$21,997.50 |
$21,997.50 |
$21,997.50 |
$12,320.22
|
|
Perc d-e cor revasc chro sin
|
$34,329.96 |
$34,329.96 |
$34,329.96 |
$19,083.35
|
|
Perc d-e cor revasc t cabg s
|
$34,329.96 |
$34,329.96 |
$34,329.96 |
$15,603.00
|
|
Perc d-e cor stent ather s
|
$34,329.96 |
$34,329.96 |
$34,329.96 |
$18,556.80
|
|
Perc drug-el cor stent bran
|
$15,652.98 |
$15,652.98 |
$15,652.98 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$26,705.70 |
$26,705.70 |
$26,705.70 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$5,848.50 |
$5,848.50 |
$5,848.50 |
$6,949.48
|
|
Percut ablate liver rf
|
$9,366.42 |
$9,366.42 |
$9,366.42 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$134.19 |
$134.19 |
$134.19 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$127.68 |
$127.68 |
$127.68 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$2,056.74 |
$2,056.74 |
$2,056.74 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$127.68 |
$127.68 |
$127.68 |
$2,013.60
|
|
Peripheral vascular rehab
|
$133.98 |
$133.98 |
$133.98 |
$128.69
|
|
Peri-proc device eval icd
|
$107.10 |
$107.10 |
$107.10 |
$220.35
|
|
Peri-proc device eval pm
|
$107.10 |
$107.10 |
$107.10 |
$195.80
|
|
Peritoneogram rs&i
|
$690.90 |
$690.90 |
$690.90 |
$648.84
|
|
Perit-vens shunt pat tst
|
$1,499.58 |
$1,666.14 |
$1,666.14 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$18,290.16 |
$18,290.16 |
$18,290.16 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$12,791.10 |
$12,791.10 |
$12,791.10 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$6,100.08 |
$6,100.08 |
$6,100.08 |
$2,032.24
|
|
Perq plmt bile duct stent
|
$12,760.02 |
$12,760.02 |
$12,760.02 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$13,127.10 |
$13,127.10 |
$13,127.10 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$928.20 |
$928.20 |
$928.20 |
$625.93
|
|
Perq transcath septal reduxn
|
$15,748.32 |
$15,748.32 |
$15,748.32 |
$8,828.16
|
|
Perq tx big toe fracture w/manip 28496
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,526.84 |
$18,526.84 |
$18,526.84 |
$16,908.55
|
|
Pertuzu, trastuzu, 10 mg
|
$25,200.44 |
$25,200.44 |
$25,200.44 |
$37,576.01
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$263.12 |
$263.12 |
$263.12 |
$113.84
|
|
Pet CT skull-mid thgh initial
|
$8,122.80 |
$8,122.80 |
$8,122.80 |
$4,854.75
|
|
Pet CT whole body initial
|
$8,962.80 |
$8,962.80 |
$8,962.80 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$7,121.94 |
$7,121.94 |
$7,121.94 |
$3,559.05
|
|
Pet image skull-thigh
|
$1,520.82 |
$1,520.82 |
$1,520.82 |
$4,247.10
|
|
Pfc sigma fem post aug sz3 8mm
|
$47,767.34 |
$47,767.34 |
$47,767.34 |
$34,899.52
|
|
Pharmacologic management w/psytx
|
$7.98 |
$7.98 |
$7.98 |
$93.00
|
|
Ph body fluid
|
$109.20 |
$109.20 |
$109.20 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$118.07 |
$160.57 |
$174.72 |
$124.21
|
|
Phenobarbital therapeutic drug level
|
$543.48 |
$543.48 |
$543.48 |
$104.50
|
|
Phentolaine mesylate inj
|
$2,308.79 |
$2,308.79 |
$2,308.79 |
$982.96
|
|
Phenylephrine 10 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$56.70
|
|
Phenytoin total therapeutic drug level
|
$633.36 |
$633.36 |
$633.36 |
$111.27
|
|
Phlebotomy therapeutic
|
$702.24 |
$702.24 |
$702.24 |
$249.00
|
|
Phosphorus
|
$130.20 |
$130.20 |
$130.20 |
$47.81
|
|
Phosphorus 24 hour urine
|
$157.50 |
$157.50 |
$157.50 |
$42.81
|