|
Osmolality urine
|
$11.50 |
$11.50 |
$11.50 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$77.74 |
$77.74 |
$77.74 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$70.38 |
$70.38 |
$70.38 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$74.06 |
$74.06 |
$74.06 |
$263.50
|
|
Oth resp proc, indiv
|
$77.51 |
$77.51 |
$77.51 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$45.31 |
$45.31 |
$45.31 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$35.65 |
$35.65 |
$35.65 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$28.52 |
$28.52 |
$28.52 |
$105.00
|
|
Ot re-evaluation patient/family
|
$44.85 |
$44.85 |
$44.85 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$33.12 |
$33.12 |
$33.12 |
$98.90
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$30.36 |
$30.36 |
$30.36 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$31.74 |
$31.74 |
$31.74 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$33.12 |
$33.12 |
$33.12 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$13.50 |
$13.50 |
$13.50 |
$50.40
|
|
Palb2 gene full gene seq
|
$218.04 |
$218.04 |
$218.04 |
$649.44
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$52.57 |
$52.57 |
$52.57 |
$129.80
|
|
Papaverin hcl injection
|
$155.28 |
$155.28 |
$155.28 |
$76.40
|
|
Parathormone (pth) intact
|
$71.07 |
$71.07 |
$71.07 |
$201.50
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$38.64 |
$38.64 |
$38.64 |
$242.88
|
|
Partial removal finger bone
|
$679.42 |
$679.42 |
$679.42 |
$1,964.00
|
|
Partial removal foot fascia
|
$1,347.34 |
$1,347.34 |
$1,347.34 |
$3,762.00
|
|
Passy muir valve metal trach
|
$1,046.49 |
$1,046.49 |
$1,046.49 |
$275.75
|
|
Path clin consltj sf 5-20
|
$21.85 |
$21.85 |
$21.85 |
$82.15
|
|
Pcv21 vaccine im
|
$636.35 |
$636.35 |
$636.35 |
$350.40
|
|
Pelvic CT scan (with and without contrast)
|
$635.95 |
$635.95 |
$635.95 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$605.36 |
$605.36 |
$605.36 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$576.61 |
$576.61 |
$576.61 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$593.63 |
$593.63 |
$593.63 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$99.82 |
$99.82 |
$99.82 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$99.82 |
$99.82 |
$99.82 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$283.54 |
$283.54 |
$283.54 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$47.70 |
$47.70 |
$47.70 |
$97.85
|
|
Penile injection
|
$1,386.44 |
$1,386.44 |
$1,386.44 |
$418.00
|
|
Pentamidine non-comp unit
|
$43.22 |
$43.22 |
$43.22 |
$279.76
|
|
Perq dev breast 1st strtctc
|
$275.31 |
$275.31 |
$275.31 |
$1,456.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,145.86 |
$1,145.86 |
$1,145.86 |
$625.93
|
|
Ph body fluid
|
$5.06 |
$5.06 |
$5.06 |
$40.04
|
|
Phencyclidine (pcp)
|
$13.34 |
$13.34 |
$13.34 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$186.20 |
$186.20 |
$186.20 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$19.55 |
$19.55 |
$19.55 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,083.53 |
$1,083.53 |
$1,083.53 |
$1,028.40
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.79 |
$6.79 |
$6.79 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$23.00 |
$23.00 |
$23.00 |
$112.50
|
|
Phlebotomy therapeutic
|
$63.94 |
$63.94 |
$63.94 |
$231.66
|
|
Phosphorus
|
$8.05 |
$8.05 |
$8.05 |
$49.60
|
|
Phys blood bank serv reactj
|
$71.30 |
$71.30 |
$71.30 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$158.45 |
$158.45 |
$158.45 |
$85.79
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$230.00 |
$230.00 |
$230.00 |
$1,083.60
|
|
Pinworm exam
|
$6.90 |
$6.90 |
$6.90 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$52.27 |
$52.27 |
$52.27 |
$83.57
|
|
Place duod/jej tube perc
|
$756.93 |
$756.93 |
$756.93 |
$2,577.56
|
|
Plasma volume multiple
|
$571.55 |
$571.55 |
$571.55 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$36.80 |
$36.80 |
$36.80 |
$136.80
|
|
Platelet automated
|
$7.82 |
$7.82 |
$7.82 |
$45.00
|
|
Platelet pheresis each unit
|
$106.26 |
$106.26 |
$106.26 |
$940.45
|
|
Platelets each unit
|
$106.26 |
$106.26 |
$106.26 |
$169.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$283.59 |
$283.59 |
$283.59 |
$1,490.40
|
|
Platelets irradiated ea unit
|
$52.90 |
$52.90 |
$52.90 |
$262.80
|
|
Platelets leukocytes reduced each unit
|
$106.26 |
$106.26 |
$106.26 |
$322.50
|
|
Platelets leukocytes reduced irradiated each unit
|
$106.26 |
$106.26 |
$106.26 |
$413.25
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$131.79 |
$131.79 |
$131.79 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$143.52 |
$143.52 |
$143.52 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$182.16 |
$182.16 |
$182.16 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$579.83 |
$579.83 |
$579.83 |
$970.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$92.23 |
$92.23 |
$92.23 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$90.85 |
$90.85 |
$90.85 |
$399.50
|
|
Pmp22 gene dup/delet
|
$94.99 |
$94.99 |
$94.99 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$94.99 |
$94.99 |
$94.99 |
$1,062.02
|
|
Pms2 gene dup/delet variants
|
$170.89 |
$170.89 |
$170.89 |
$407.20
|
|
Pms2 gene full seq analysis
|
$984.17 |
$984.17 |
$984.17 |
$984.17
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$33.35 |
$33.35 |
$33.35 |
$187.04
|
|
Potassium 24 hour urine
|
$7.36 |
$7.36 |
$7.36 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$17.17 |
$17.17 |
$17.17 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$8.05 |
$8.05 |
$8.05 |
$46.00
|
|
Ppp2r2b gen detc abnor allel
|
$105.80 |
$105.80 |
$105.80 |
$150.70
|
|
Pq biliary strict dil s&i
|
$171.81 |
$171.81 |
$171.81 |
$1,102.53
|
|
Pr application of long arm splint
|
$105.80 |
$105.80 |
$105.80 |
$328.78
|
|
Pr application splint static short arm
|
$75.90 |
$75.90 |
$75.90 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$74.06 |
$74.06 |
$74.06 |
$456.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$75.67 |
$75.67 |
$75.67 |
$350.98
|
|
Prealbumin
|
$24.15 |
$24.15 |
$24.15 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.30 |
$0.30 |
$0.30 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.89 |
$0.89 |
$0.89 |
$3.00
|
|
Pregabalin - sendout
|
$18.86 |
$18.86 |
$18.86 |
$72.14
|
|
Pregnancy associated plasma protein-a
|
$15.87 |
$15.87 |
$15.87 |
$71.40
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$99.82 |
$99.82 |
$99.82 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$99.82 |
$99.82 |
$99.82 |
$537.00
|
|
Prep skin to 100cm2 other
|
$254.15 |
$254.15 |
$254.15 |
$1,151.50
|
|
Prep skin to 100cm2 trk/ext
|
$305.44 |
$305.44 |
$305.44 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$44.16 |
$44.16 |
$44.16 |
$979.44
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$47.84 |
$47.84 |
$47.84 |
$147.84
|
|
Pretreat rbc absorption reference
|
$90.16 |
$90.16 |
$90.16 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$90.16 |
$90.16 |
$90.16 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$90.16 |
$90.16 |
$90.16 |
$106.15
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$256.68 |
$256.68 |
$256.68 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$239.66 |
$239.66 |
$239.66 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$210.22 |
$210.22 |
$210.22 |
$753.64
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$19.32 |
$19.32 |
$19.32 |
$120.90
|
|
Pr incision & drainage abscess complicated/multiple
|
$155.25 |
$155.25 |
$155.25 |
$689.01
|