|
Nm imaging pulmonary ventilation/perfusion
|
$3,656.52 |
$3,656.52 |
$3,656.52 |
|
|
Npsy fam hlth interv ea addl 15 min
|
$81.20 |
$81.20 |
$81.20 |
|
|
Npsy grp hlth intrv ea addl 15 min
|
$81.20 |
$81.20 |
$81.20 |
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$81.20 |
$81.20 |
$81.20 |
|
|
Npsy tst eval phsy/qhp 1st hr
|
$181.30 |
$181.30 |
$181.30 |
|
|
Npsy tst eval phsy/qhp ea l hr
|
$181.30 |
$181.30 |
$181.30 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$142.76 |
$142.76 |
$142.76 |
|
|
Olanzapine 10 mg intramuscular solution
|
$402.79 |
$402.79 |
$402.79 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$8.65 |
$8.65 |
$8.65 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$70.66 |
$70.66 |
$70.66 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$408.10 |
$408.10 |
$408.10 |
|
|
Oscillation chest wall mechanical per session
|
$62.37 |
$62.37 |
$62.37 |
|
|
Osmolality blood
|
$61.11 |
$61.11 |
$61.11 |
|
|
Osmolality urine
|
$56.70 |
$56.70 |
$56.70 |
|
|
Ot evaluation high complexity patient/family
|
$307.97 |
$307.97 |
$307.97 |
|
|
Ot evaluation low complexity patient/family
|
$299.90 |
$299.90 |
$299.90 |
|
|
Ot evaluation moderate complexity patient/family
|
$304.30 |
$304.30 |
$304.30 |
|
|
Oth resp proc, group
|
$190.26 |
$190.26 |
$190.26 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$63.06 |
$63.06 |
$63.06 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$108.52 |
$108.52 |
$108.52 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$85.06 |
$85.06 |
$85.06 |
|
|
Ot re-evaluation patient/family
|
$148.86 |
$148.86 |
$148.86 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$99.72 |
$99.72 |
$99.72 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$93.12 |
$93.12 |
$93.12 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$93.12 |
$93.12 |
$93.12 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$90.92 |
$90.92 |
$90.92 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$96.05 |
$96.05 |
$96.05 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$99.72 |
$99.72 |
$99.72 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$307.74 |
$307.74 |
$307.74 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$70.66 |
$70.66 |
$70.66 |
|
|
Parathormone (pth) intact
|
$208.53 |
$208.53 |
$208.53 |
|
|
Path clin consltj sf 5-20
|
$112.70 |
$112.70 |
$112.70 |
|
|
Pelvic CT scan (with and without contrast)
|
$1,312.29 |
$1,312.29 |
$1,312.29 |
|
|
Pelvic CT scan (without contrast)
|
$469.35 |
$469.35 |
$469.35 |
|
|
Pelvic MRI (with and without contrast)
|
$3,299.31 |
$3,299.31 |
$3,299.31 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$70.66 |
$70.66 |
$70.66 |
|
|
Peripheral vascular rehab
|
$161.81 |
$161.81 |
$161.81 |
|
|
Ph body fluid
|
$48.51 |
$48.51 |
$48.51 |
|
|
Phenobarbital therapeutic drug level
|
$94.50 |
$94.50 |
$94.50 |
|
|
Phenytoin total therapeutic drug level
|
$73.08 |
$73.08 |
$73.08 |
|
|
Phlebotomy therapeutic
|
$315.00 |
$315.00 |
$315.00 |
|
|
Phosphorus
|
$66.78 |
$66.78 |
$66.78 |
|
|
Phosphorus 24 hour urine
|
$34.65 |
$34.65 |
$34.65 |
|
|
Photopheresis
|
$345.51 |
$345.51 |
$345.51 |
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$70.66 |
$70.66 |
$70.66 |
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$111.85 |
$111.85 |
$111.85 |
|
|
Plasma cryoprecipitate reduced each unit
|
$294.70 |
$294.70 |
$294.70 |
|
|
Platelet aggregation each agent teg
|
$149.31 |
$149.31 |
$149.31 |
|
|
Platelet automated
|
$53.55 |
$53.55 |
$53.55 |
|
|
Platelet pheresis each unit
|
$833.97 |
$833.97 |
$833.97 |
|
|
Platelet pheresis irr ea
|
$1,301.30 |
$1,301.30 |
$1,301.30 |
|
|
Platelets each unit
|
$272.30 |
$272.30 |
$272.30 |
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,807.40 |
$1,807.40 |
$1,807.40 |
|
|
Platelets irradiated ea unit
|
$375.20 |
$375.20 |
$375.20 |
|
|
Platelets leukocytes reduced each unit
|
$273.70 |
$273.70 |
$273.70 |
|
|
Platelets leukocytes reduced irradiated each unit
|
$431.32 |
$431.32 |
$431.32 |
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,367.80 |
$1,367.80 |
$1,367.80 |
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,619.10 |
$1,619.10 |
$1,619.10 |
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,240.40 |
$1,240.40 |
$1,240.40 |
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
|
|
#pnh-flow cytometry interp
|
$82.53 |
$82.53 |
$82.53 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$256.41 |
$256.41 |
$256.41 |
|
|
Polysom <6 yrs cpap/bilvl
|
$3,244.50 |
$3,244.50 |
$3,244.50 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,572.10 |
$3,572.10 |
$3,572.10 |
|
|
Potassium 24 hour urine
|
$34.65 |
$34.65 |
$34.65 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$100.93 |
$100.93 |
$100.93 |
|
|
Potassium serum/plasma/whole blood
|
$97.65 |
$97.65 |
$97.65 |
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$90.72 |
$90.72 |
$90.72 |
|
|
Prealbumin
|
$110.88 |
$110.88 |
$110.88 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$18.87 |
$18.87 |
$18.87 |
|
|
Prednisone 1 mg tablet
|
$7.36 |
$7.36 |
$7.36 |
|
|
Pressure max expiratory/inspiratory
|
$123.48 |
$123.48 |
$123.48 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$359.86 |
$359.86 |
$359.86 |
|
|
Pretreat rbc absorption reference
|
$282.24 |
$282.24 |
$282.24 |
|
|
Pretreat rbc w chem/drugs reference
|
$124.74 |
$124.74 |
$124.74 |
|
|
Pretreat rbc w enzyme reference
|
$359.86 |
$359.86 |
$359.86 |
|
|
Procalcitonin
|
$150.57 |
$150.57 |
$150.57 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$70.66 |
$70.66 |
$70.66 |
|
|
Prolactin
|
$127.26 |
$127.26 |
$127.26 |
|
|
Promethazine 25 mg tablet
|
$7.39 |
$7.39 |
$7.39 |
|
|
Prostate biopsy, any mthd
|
$201.60 |
$201.60 |
$201.60 |
|
|
Protein c activity
|
$137.97 |
$137.97 |
$137.97 |
|
|
Protein electrophoretic fractionation & quantitation serum
|
$155.61 |
$155.61 |
$155.61 |
|
|
Protein s total
|
$134.19 |
$134.19 |
$134.19 |
|
|
Protein total 24 hour urine
|
$62.30 |
$62.30 |
$62.30 |
|
|
Protein total body fluid
|
$34.65 |
$34.65 |
$34.65 |
|
|
Protein total serum plasma whole blood
|
$34.65 |
$34.65 |
$34.65 |
|
|
Prothrombin time substitution plasma fractions each
|
$52.92 |
$52.92 |
$52.92 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$379.89 |
$379.89 |
$379.89 |
|
|
PSA (Prostate) Test
|
$139.86 |
$139.86 |
$139.86 |
|
|
Psychotherapy group therapy
|
$179.90 |
$179.90 |
$179.90 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$218.40 |
$218.40 |
$218.40 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$296.80 |
$296.80 |
$296.80 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$311.50 |
$311.50 |
$311.50 |
|
|
Psych test eval svc phys/qhp 1st hr
|
$154.70 |
$154.70 |
$154.70 |
|
|
Psych test eval svc phys/qhp ea addl hr
|
$154.70 |
$154.70 |
$154.70 |
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$90.30 |
$90.30 |
$90.30 |
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$90.30 |
$90.30 |
$90.30 |
|
|
Psytx complex interactive
|
$37.10 |
$37.10 |
$37.10 |
|