|
Organic acids total quant ea spec
|
$279.00 |
$279.00 |
$279.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$61.50 |
$61.50 |
$61.50 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$40.00 |
$40.00 |
$40.00 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$6.50 |
$6.50 |
$6.50 |
$50.63
|
|
Orthovisc inj per dose
|
$180.00 |
$180.00 |
$180.00 |
$537.58
|
|
Osmolality blood
|
$15.00 |
$15.00 |
$15.00 |
$67.60
|
|
Osmolality urine
|
$15.00 |
$15.00 |
$15.00 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$337.50 |
$337.50 |
$337.50 |
$3,542.56
|
|
Osteopath manip tx/5-6 body region 98927
|
$46.00 |
$46.00 |
$46.00 |
$68.25
|
|
Ot evaluation low complexity patient/family
|
$106.50 |
$106.50 |
$106.50 |
$231.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$98.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$52.50 |
$52.50 |
$52.50 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$9.00 |
$9.00 |
$9.00 |
$60.45
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$37.50 |
$37.50 |
$37.50 |
$101.38
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$29.50 |
$29.50 |
$29.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$46.00 |
$46.00 |
$46.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$76.00 |
$76.00 |
$76.00 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1.50 |
$1.50 |
$1.50 |
$83.08
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$21.50 |
$21.50 |
$21.50 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,731.00 |
$2,731.00 |
$2,731.00 |
$5,569.20
|
|
Parathormone (pth) intact
|
$69.50 |
$69.50 |
$69.50 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$520.00 |
$520.00 |
$520.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$383.00 |
$383.00 |
$383.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$61.00 |
$61.00 |
$61.00 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$296.00 |
$296.00 |
$296.00 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$205.00 |
$205.00 |
$205.00 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$463.50 |
$463.50 |
$463.50 |
$4,914.00
|
|
Partial hip replacement
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$3,874.00
|
|
Partial hysterectomy
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$2,772.80
|
|
Partial removal finger bone
|
$519.00 |
$519.00 |
$519.00 |
$2,021.04
|
|
Partial removal finger bone
|
$469.00 |
$469.00 |
$469.00 |
$2,049.27
|
|
Partial removal foot fascia
|
$381.50 |
$381.50 |
$381.50 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$959.50 |
$959.50 |
$959.50 |
$4,315.20
|
|
Partial removal of eye fluid
|
$450.00 |
$450.00 |
$450.00 |
$2,698.92
|
|
Partial removal of eye fluid
|
$512.00 |
$512.00 |
$512.00 |
$2,698.92
|
|
Partial removal of fibula
|
$688.00 |
$688.00 |
$688.00 |
$3,786.00
|
|
Partial removal of foot bone
|
$458.50 |
$458.50 |
$458.50 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$2,231.50 |
$2,231.50 |
$2,231.50 |
$4,877.60
|
|
Partial removal of lung 32480
|
$1,656.50 |
$1,656.50 |
$1,656.50 |
$2,868.60
|
|
Partial removal of thyroid
|
$737.50 |
$737.50 |
$737.50 |
$6,457.82
|
|
Partial removal of thyroid
|
$978.50 |
$978.50 |
$978.50 |
$5,855.00
|
|
Partial removal of toe
|
$281.50 |
$281.50 |
$281.50 |
$3,674.58
|
|
Partial thyroid excision
|
$748.00 |
$748.00 |
$748.00 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.00 |
$8.00 |
$8.00 |
$4,921.76
|
|
Part removal of metatarsal
|
$311.50 |
$311.50 |
$311.50 |
$3,795.71
|
|
Part removal of metatarsal
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$328.50 |
$328.50 |
$328.50 |
$3,839.54
|
|
Pcv21 vaccine im
|
$333.50 |
$333.50 |
$333.50 |
$410.26
|
|
Pelvic CT scan (with and without contrast)
|
$764.50 |
$764.50 |
$764.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$647.00 |
$647.00 |
$647.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$546.50 |
$546.50 |
$546.50 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$868.50 |
$868.50 |
$868.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$109.50 |
$109.50 |
$109.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$166.00 |
$166.00 |
$166.00 |
$430.00
|
|
Peng benzathine/procaine inj
|
$28.00 |
$28.00 |
$28.00 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$42.50 |
$42.50 |
$42.50 |
$826.47
|
|
Penile injection
|
$77.00 |
$77.00 |
$77.00 |
$418.00
|
|
Pericardiocentesis wwo imaging
|
$246.00 |
$246.00 |
$246.00 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$923.00 |
$923.00 |
$923.00 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$734.50 |
$734.50 |
$734.50 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$276.00 |
$276.00 |
$276.00 |
$3,522.35
|
|
Peri-proc device eval icd
|
$54.50 |
$54.50 |
$54.50 |
$192.40
|
|
Peri-proc device eval pm
|
$96.00 |
$96.00 |
$96.00 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$458.00 |
$458.00 |
$458.00 |
$5,625.74
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$95.50 |
$95.50 |
$95.50 |
$625.93
|
|
Perq skel fix ulnar styld fx
|
$524.00 |
$524.00 |
$524.00 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$302.50 |
$302.50 |
$302.50 |
$3,842.58
|
|
Pet CT skull-mid thgh initial
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$4,850.00
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$23.00 |
$23.00 |
$23.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$33.00 |
$33.00 |
$33.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$12.00 |
$12.00 |
$12.00 |
$33.30
|
|
Ph body fluid
|
$60.00 |
$60.00 |
$60.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$77.00 |
$77.00 |
$77.00 |
$96.00
|
|
Phenobarbital therapeutic drug level
|
$68.50 |
$68.50 |
$68.50 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$76.50 |
$76.50 |
$76.50 |
$110.88
|
|
Phlebotomy therapeutic
|
$127.50 |
$127.50 |
$127.50 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$291.00 |
$291.00 |
$291.00 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$359.00 |
$359.00 |
$359.00 |
$4,453.46
|
|
Phosphorus
|
$24.00 |
$24.00 |
$24.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$11.50 |
$11.50 |
$11.50 |
$41.51
|
|
Photopheresis
|
$89.50 |
$89.50 |
$89.50 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$45.00 |
$45.00 |
$45.00 |
$207.50
|
|
Physician standby services
|
$58.50 |
$58.50 |
$58.50 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$3.00 |
$3.00 |
$3.00 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$577.00 |
$577.00 |
$577.00 |
$1,035.81
|
|
Pin finger dislocation
|
$477.00 |
$477.00 |
$477.00 |
$3,839.54
|
|
Pin finger fracture each
|
$454.00 |
$454.00 |
$454.00 |
$4,115.40
|
|
Pin hand dislocation
|
$538.00 |
$538.00 |
$538.00 |
$3,839.54
|
|
Pin knuckle dislocation
|
$461.50 |
$461.50 |
$461.50 |
$3,839.54
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$96.50 |
$96.50 |
$96.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$83.50 |
$83.50 |
$83.50 |
$1,332.43
|
|
Placement of seton
|
$127.00 |
$127.00 |
$127.00 |
$3,845.10
|
|
Place right device/marker pros
|
$103.50 |
$103.50 |
$103.50 |
$2,195.93
|
|
Place slctv cath subclavian art
|
$357.00 |
$357.00 |
$357.00 |
$6,325.00
|
