|
Ost pch drain for barrier fl
|
$33.00 |
$33.00 |
$33.00 |
$11.45
|
|
Ot evaluation low complexity patient/family
|
$580.50 |
$580.50 |
$580.50 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$580.50 |
$580.50 |
$580.50 |
$263.50
|
|
Ot re-evaluation patient/family
|
$348.60 |
$348.60 |
$348.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$145.85 |
$145.85 |
$145.85 |
$91.20
|
|
Oxaliplatin 5 mg/ml desensitization
|
$17,497.06 |
$17,497.06 |
$17,497.06 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$309.19 |
$309.19 |
$309.19 |
$50.40
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$11,089.94 |
$11,089.94 |
$11,089.94 |
$3,420.45
|
|
Palivizumab 50 mg/0.5 ml inj
|
$8,231.64 |
$8,231.64 |
$8,231.64 |
$5,481.00
|
|
Palonosetron hcl
|
$6,208.57 |
$6,208.57 |
$6,208.57 |
$154.78
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$5,642.92 |
$5,642.92 |
$5,642.92 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$110.08 |
$110.08 |
$110.08 |
$27.16
|
|
Parathyroid planar imaging
|
$6,532.74 |
$6,532.74 |
$6,532.74 |
$1,073.82
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$10,049.91 |
$10,049.91 |
$10,049.91 |
$4,133.25
|
|
Pelvic control band & belt u
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$547.83
|
|
Pelvic control hip heavy dut
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$591.53
|
|
Pelvic & hip control thigh c
|
$11,945.00 |
$11,945.00 |
$11,945.00 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$15,699.94 |
$15,699.94 |
$15,699.94 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$11,709.41 |
$11,709.41 |
$11,709.41 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$11,709.41 |
$11,709.41 |
$11,709.41 |
$1,929.85
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$47,180.85 |
$47,180.85 |
$47,180.85 |
$6,202.54
|
|
Peng benzathine/procaine inj
|
$1,166.36 |
$1,166.36 |
$1,166.36 |
$338.23
|
|
Pentazocine injection
|
$667.23 |
$667.23 |
$667.23 |
$128.80
|
|
Pentobarbital sodium inj
|
$5,241.54 |
$5,241.54 |
$5,241.54 |
$2,047.85
|
|
Pentostatin 10 mg intravenous solution
|
$48,518.63 |
$48,518.63 |
$48,518.63 |
$5,181.67
|
|
Perc d-e cor revasc chro sin
|
$66,636.17 |
$66,636.17 |
$66,636.17 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$66,636.17 |
$66,636.17 |
$66,636.17 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$66,636.17 |
$66,636.17 |
$66,636.17 |
$18,808.65
|
|
Perc drug-el cor stent sing
|
$66,636.17 |
$66,636.17 |
$66,636.17 |
$16,258.50
|
|
Peri-proc device eval icd
|
$242.18 |
$242.18 |
$242.18 |
$192.40
|
|
Peri-proc device eval pm
|
$242.18 |
$242.18 |
$242.18 |
$156.00
|
|
Perit-vens shunt pat tst
|
$2,542.89 |
$2,542.89 |
$2,542.89 |
$724.75
|
|
Perq art m-thrombect &/nfs
|
$120,774.31 |
$120,774.31 |
$120,774.31 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$111,774.91 |
$111,774.91 |
$111,774.91 |
$8,489.00
|
|
Perq plmt bile duct stent
|
$31,032.43 |
$31,032.43 |
$31,032.43 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$31,032.43 |
$31,032.43 |
$31,032.43 |
$7,085.70
|
|
Perq transcath cls mitral
|
$815.25 |
$815.25 |
$815.25 |
$25,206.69
|
|
Pertuzumab 30 mg/ml desensitization
|
$53,734.03 |
$53,734.03 |
$53,734.03 |
$14,272.91
|
|
Pertuzu, trastuzu, 10 mg
|
$48,610.95 |
$48,610.95 |
$48,610.95 |
$27,858.08
|
|
Phencyclidine (pcp)
|
$94.25 |
$94.25 |
$94.25 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$979.47 |
$979.47 |
$979.47 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,344.77 |
$3,344.77 |
$3,344.77 |
$1,028.40
|
|
Place duod/jej tube perc
|
$9,450.39 |
$9,450.39 |
$9,450.39 |
$2,577.56
|
|
Place non-slctv cath thoracic arta
|
$9,695.21 |
$9,695.21 |
$9,695.21 |
$5,274.33
|
|
Plaelet rich plasma unit
|
$601.83 |
$601.83 |
$601.83 |
$659.51
|
|
Plasma cryoprecipitate reduced each unit
|
$607.09 |
$607.09 |
$607.09 |
$157.95
|
|
Platelet pheresis irr ea
|
$5,267.26 |
$5,267.26 |
$5,267.26 |
$1,025.00
|
|
Platelets each unit
|
$598.31 |
$598.31 |
$598.31 |
$169.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$6,351.59 |
$6,351.59 |
$6,351.59 |
$1,490.40
|
|
Platelets irradiated ea unit
|
$1,201.88 |
$1,201.88 |
$1,201.88 |
$262.80
|
|
Platelets leukocytes reduced each unit
|
$1,493.14 |
$1,493.14 |
$1,493.14 |
$322.50
|
|
Platelets leukocytes reduced irradiated each unit
|
$2,098.48 |
$2,098.48 |
$2,098.48 |
$413.25
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$6,834.10 |
$6,834.10 |
$6,834.10 |
$994.98
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,351.59 |
$6,351.59 |
$6,351.59 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$6,956.93 |
$6,956.93 |
$6,956.93 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$4,041.19 |
$4,041.19 |
$4,041.19 |
$970.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$16,406.04 |
$16,406.04 |
$16,406.04 |
$4,650.08
|
|
Plcmt dlyd xtn pros 1st vsl
|
$9,006.50 |
$9,006.50 |
$9,006.50 |
$3,750.00
|
|
Plcmt xtn pros evasc rpr per vsl
|
$9,006.50 |
$9,006.50 |
$9,006.50 |
$3,681.01
|
|
Plethysmography lung volumes/airway resistance
|
$1,750.89 |
$1,750.89 |
$1,750.89 |
$399.50
|
|
Plmt access bil tree sm bwl
|
$27,454.90 |
$27,454.90 |
$27,454.90 |
$4,687.50
|
|
Plmt nephroureteral catheter
|
$15,175.47 |
$15,175.47 |
$15,175.47 |
$4,225.00
|
|
Plmt ureteral stent prq
|
$12,710.86 |
$12,710.86 |
$12,710.86 |
$5,110.00
|
|
Postop app non-wgt bear dsg
|
$4,799.00 |
$4,799.00 |
$4,799.00 |
$896.02
|
|
Postop dress & 1 cast chg bk
|
$22,115.00 |
$22,115.00 |
$22,115.00 |
$2,711.11
|
|
Pouch drainable w barrier at
|
$35.00 |
$35.00 |
$35.00 |
$8.00
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$41.00 |
$41.00 |
$41.00 |
$6.16
|
|
Pouch ostmy nb pouchkin ctf
|
$35.00 |
$35.00 |
$35.00 |
$1.55
|
|
Pralidoxime 1 gram solution for injection
|
$790.13 |
$790.13 |
$790.13 |
$267.69
|
|
Pr application splint static short arm
|
$387.50 |
$387.50 |
$387.50 |
$287.70
|
|
Prcrd drg 0-5yr or w/anomly
|
$26,310.61 |
$26,310.61 |
$26,310.61 |
$2,148.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$487.75 |
$487.75 |
$487.75 |
$350.98
|
|
Prealbumin
|
$1,979.80 |
$1,979.80 |
$1,979.80 |
$93.60
|
|
Pregnancy associated plasma protein-a
|
$411.17 |
$411.17 |
$411.17 |
$71.40
|
|
Pressure velocity wire add ves
|
$4,551.12 |
$4,551.12 |
$4,551.12 |
$1,579.40
|
|
Pre-tibial shell molded to p
|
$7,958.00 |
$7,958.00 |
$7,958.00 |
$630.00
|
|
Pretreat rbc absorption reference
|
$687.72 |
$687.72 |
$687.72 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$602.75 |
$602.75 |
$602.75 |
$182.31
|
|
Prgr stim/pace a/iv drug
|
$8,010.87 |
$8,010.87 |
$8,010.87 |
$4,709.90
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$550.20 |
$550.20 |
$550.20 |
$655.08
|
|
Procalcitonin
|
$993.90 |
$993.90 |
$993.90 |
$157.56
|
|
Procarbazine 50 mg caps 100 each bottle
|
$633.52 |
$633.52 |
$633.52 |
$116.48
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$326.25 |
$326.25 |
$326.25 |
$36.33
|
|
Progesterone
|
$795.12 |
$795.12 |
$795.12 |
$113.24
|
|
Prolactin
|
$1,724.90 |
$1,724.90 |
$1,724.90 |
$123.50
|
|
Promethazine hcl injection
|
$142.43 |
$142.43 |
$142.43 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$534.77 |
$534.77 |
$534.77 |
$30.26
|
|
Pros sheath/sock w gel cushn
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$84.00
|
|
Protein c activity
|
$402.37 |
$402.37 |
$402.37 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,187.87 |
$1,187.87 |
$1,187.87 |
$84.00
|
|
Protein s total
|
$3,135.60 |
$3,135.60 |
$3,135.60 |
$77.60
|
|
Prothrombin time substitution plasma fractions each
|
$646.05 |
$646.05 |
$646.05 |
$40.30
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$66,636.17 |
$66,636.17 |
$66,636.17 |
$18,150.00
|
|
Prq trlml c athrc st angiop1
|
$54,367.82 |
$54,367.82 |
$54,367.82 |
$15,443.47
|
|
Prq trluml c angiop 1art&/br
|
$55,467.45 |
$55,467.45 |
$55,467.45 |
$8,815.80
|
|
Prq trluml c athrc 1 art&/br
|
$11,599.75 |
$11,599.75 |
$11,599.75 |
$13,410.10
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,089.08 |
$1,089.08 |
$1,089.08 |
$1,700.82
|
|
Pt evaluation high complexity patient/family
|
$773.51 |
$773.51 |
$773.51 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$387.50 |
$387.50 |
$387.50 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$580.50 |
$580.50 |
$580.50 |
$249.26
|