|
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
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$60.38 |
$60.38 |
$60.38 |
$146.80
|
|
Papaverin hcl injection
|
$8.10 |
$8.10 |
$8.10 |
$76.40
|
|
Parathormone (pth) intact
|
$129.69 |
$129.69 |
$129.69 |
$200.23
|
|
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)
|
$2,568.51 |
$2,568.51 |
$2,568.51 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,049.03 |
$2,049.03 |
$2,049.03 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,955.25 |
$1,955.25 |
$1,955.25 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,212.93 |
$1,212.93 |
$1,212.93 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,010.70 |
$1,010.70 |
$1,010.70 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$786.96 |
$786.96 |
$786.96 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$295.02 |
$295.02 |
$295.02 |
$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
|
$432.36 |
$432.36 |
$432.36 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$5.13 |
$5.13 |
$5.13 |
$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
|
$169.85 |
$169.85 |
$169.85 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$263.61 |
$263.61 |
$263.61 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$28.92 |
$28.92 |
$28.92 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$2.14 |
$2.14 |
$2.14 |
$23.37
|
|
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
|
$217.80 |
$217.80 |
$217.80 |
$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
|
$286.56 |
$286.56 |
$286.56 |
$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)
|
$272.52 |
$272.52 |
$272.52 |
$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
|
|
Procalcitonin
|
$200.25 |
$200.25 |
$200.25 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$70.83 |
$70.83 |
$70.83 |
$46.50
|
|
Progesterone
|
$55.08 |
$55.08 |
$55.08 |
$105.00
|
|
Prolactin
|
$65.25 |
$65.25 |
$65.25 |
$127.50
|
|
Promethazine hcl injection
|
$6.53 |
$6.53 |
$6.53 |
$33.34
|
|
_propoxygc/msur
|
$111.69 |
$111.69 |
$111.69 |
$104.00
|
|
Prostate biopsy, any mthd
|
$2,518.29 |
$2,518.29 |
$2,518.29 |
$555.26
|
|
Protamine 10 mg/ml intravenous solution
|
$95.22 |
$95.22 |
$95.22 |
$50.70
|
|
Protein c activity
|
$313.02 |
$313.02 |
$313.02 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$60.30 |
$60.30 |
$60.30 |
$85.20
|
|
Protein total 24 hour urine
|
$92.07 |
$92.07 |
$92.07 |
$52.50
|
|
Protein total body fluid
|
$97.11 |
$97.11 |
$97.11 |
$52.57
|
|
Protein total serum plasma whole blood
|
$41.58 |
$41.58 |
$41.58 |
$42.81
|
|
Prothrombin complex kcentra
|
$6.80 |
$6.80 |
$6.80 |
$5.50
|
|
Prothrombin time substitution plasma fractions each
|
$21.87 |
$21.87 |
$21.87 |
$37.05
|
|
PSA (Prostate) Test
|
$52.47 |
$52.47 |
$52.47 |
$109.35
|
|
Psychotherapy group therapy
|
$159.93 |
$159.93 |
$159.93 |
$264.32
|
|
Psychotherapy patient individual therapy 60 minutes
|
$159.93 |
$159.93 |
$159.93 |
$294.45
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$30.33 |
$30.33 |
$30.33 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$34.74 |
$34.74 |
$34.74 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$54.09 |
$54.09 |
$54.09 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$64.89 |
$64.89 |
$64.89 |
$82.55
|