|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$677.16 |
$677.16 |
$677.16 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$803.13 |
$803.13 |
$803.13 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$677.16 |
$677.16 |
$677.16 |
$240.24
|
|
Orthopantogram
|
$50.73 |
$50.73 |
$50.73 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$890.34 |
$890.34 |
$890.34 |
$269.58
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,479.50 |
$2,479.50 |
$2,479.50 |
$532.80
|
|
Osmolality blood
|
$26.79 |
$26.79 |
$26.79 |
$67.60
|
|
Osmolality urine
|
$27.36 |
$27.36 |
$27.36 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$230.28 |
$230.28 |
$230.28 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$153.33 |
$153.33 |
$153.33 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$184.68 |
$184.68 |
$184.68 |
$270.58
|
|
Oth resp proc, group
|
$284.43 |
$284.43 |
$284.43 |
$154.00
|
|
Oth resp proc, indiv
|
$64.41 |
$64.41 |
$64.41 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$78.09 |
$78.09 |
$78.09 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$75.81 |
$75.81 |
$75.81 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$74.10 |
$74.10 |
$74.10 |
$107.32
|
|
Ot re-evaluation patient/family
|
$93.48 |
$93.48 |
$93.48 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$69.54 |
$69.54 |
$69.54 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.22 |
$26.22 |
$26.22 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$52.44 |
$52.44 |
$52.44 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$74.10 |
$74.10 |
$74.10 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$69.54 |
$69.54 |
$69.54 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$63.84 |
$63.84 |
$63.84 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$3.13 |
$3.13 |
$3.13 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.89 |
$0.89 |
$0.89 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$7.10 |
$7.10 |
$7.10 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.61 |
$0.61 |
$0.61 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$28.29 |
$28.29 |
$28.29 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,224.39 |
$2,224.39 |
$2,224.39 |
$5,156.88
|
|
Palonosetron hcl
|
$11.22 |
$11.22 |
$11.22 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$61.51 |
$61.51 |
$61.51 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$257.53 |
$257.53 |
$257.53 |
$18,554.59
|
|
Papaverin hcl injection
|
$82.84 |
$82.84 |
$82.84 |
$76.40
|
|
Parathormone (pth) intact
|
$97.47 |
$97.47 |
$97.47 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$988.95 |
$988.95 |
$988.95 |
$1,574.40
|
|
Parathyroid planar imaging
|
$550.62 |
$550.62 |
$550.62 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$674.31 |
$674.31 |
$674.31 |
$1,398.75
|
|
Parial mast w/lymph removal 19302
|
$1,755.03 |
$1,755.03 |
$1,755.03 |
$5,428.78
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$245.67 |
$245.67 |
$245.67 |
$270.00
|
|
Passy muir valve metal trach
|
$245.10 |
$245.10 |
$245.10 |
$241.20
|
|
Path clin consltj high 41-60
|
$278.16 |
$278.16 |
$278.16 |
$187.28
|
|
Path clin consltj mod 21-40
|
$278.16 |
$278.16 |
$278.16 |
$192.11
|
|
Path clin consltj sf 5-20
|
$88.35 |
$88.35 |
$88.35 |
$82.15
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$879.08 |
$879.08 |
$879.08 |
$12,556.80
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$622.70 |
$622.70 |
$622.70 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$622.70 |
$622.70 |
$622.70 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$475.38 |
$475.38 |
$475.38 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$428.64 |
$428.64 |
$428.64 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$333.45 |
$333.45 |
$333.45 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$905.16 |
$905.16 |
$905.16 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$633.84 |
$633.84 |
$633.84 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$253.08 |
$253.08 |
$253.08 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$197.22 |
$197.22 |
$197.22 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$93.73 |
$93.73 |
$93.73 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$48.24 |
$48.24 |
$48.24 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$7.18 |
$7.18 |
$7.18 |
$100.50
|
|
Pentamidine non-comp unit
|
$153.06 |
$153.06 |
$153.06 |
$299.25
|
|
Perc cryo ablate renal tum
|
$25,737.21 |
$25,737.21 |
$25,737.21 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$17,898.00 |
$17,898.00 |
$17,898.00 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$35,795.43 |
$35,795.43 |
$35,795.43 |
$19,992.17
|
|
Perc d-e cor revasc t cabg s
|
$23,192.16 |
$23,192.16 |
$23,192.16 |
$15,337.30
|
|
Perc d-e cor stent ather s
|
$23,192.16 |
$23,192.16 |
$23,192.16 |
$19,892.81
|
|
Perc drug-el cor stent sing
|
$23,213.82 |
$23,213.82 |
$23,213.82 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$9,311.52 |
$9,311.52 |
$9,311.52 |
$6,949.48
|
|
Percut ablate liver rf
|
$25,105.08 |
$25,105.08 |
$25,105.08 |
$7,024.12
|
|
Pericardial drain w/cath pq w/ct guid
|
$9,190.68 |
$9,190.68 |
$9,190.68 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,409.17 |
$3,409.17 |
$3,409.17 |
$2,573.60
|
|
Peripheral vascular rehab
|
$95.76 |
$95.76 |
$95.76 |
$128.69
|
|
Perq art m-thrombect &/nfs
|
$16,178.31 |
$16,178.31 |
$16,178.31 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$18,971.31 |
$18,971.31 |
$18,971.31 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$2,115.27 |
$2,115.27 |
$2,115.27 |
$2,032.24
|
|
Perq p-art revsc 1 abnor bi
|
$19,604.58 |
$19,604.58 |
$19,604.58 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$31,723.92 |
$31,723.92 |
$31,723.92 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$19,604.58 |
$19,604.58 |
$19,604.58 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$19,604.58 |
$19,604.58 |
$19,604.58 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$9,802.29 |
$9,802.29 |
$9,802.29 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$10,061.64 |
$10,061.64 |
$10,061.64 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$10,701.75 |
$10,701.75 |
$10,701.75 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$9,513.87 |
$9,513.87 |
$9,513.87 |
$7,082.99
|
|
Perq transcath septal reduxn
|
$50,628.54 |
$50,628.54 |
$50,628.54 |
$8,828.16
|
|
Pertuzumab 30 mg/ml desensitization
|
$25.12 |
$25.12 |
$25.12 |
$18,443.20
|
|
Pet CT skull-mid thgh initial
|
$1,898.67 |
$1,898.67 |
$1,898.67 |
$4,854.75
|
|
Pet CT whole body initial
|
$1,931.16 |
$1,931.16 |
$1,931.16 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$1,274.52 |
$1,274.52 |
$1,274.52 |
$3,559.05
|
|
Ph body fluid
|
$11.97 |
$11.97 |
$11.97 |
$39.20
|
|
Phencyclidine (pcp)
|
$39.90 |
$39.90 |
$39.90 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$51.98 |
$51.98 |
$51.98 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$27.93 |
$27.93 |
$27.93 |
$104.50
|
|
Phentolaine mesylate inj
|
$966.32 |
$966.32 |
$966.32 |
$1,011.98
|
|
Phenylephrine 10 mg/ml injection solution
|
$32.30 |
$32.30 |
$32.30 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.49 |
$0.49 |
$0.49 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$43.32 |
$43.32 |
$43.32 |
$111.27
|
|
Phlebotomy therapeutic
|
$372.78 |
$372.78 |
$372.78 |
$249.00
|
|
Phosphorus
|
$15.39 |
$15.39 |
$15.39 |
$47.81
|
|
Phosphorus 24 hour urine
|
$16.53 |
$16.53 |
$16.53 |
$42.81
|
|
Phys blood bank serv authrj
|
$88.35 |
$88.35 |
$88.35 |
$97.60
|
|
Phys blood bank serv reactj
|
$278.16 |
$278.16 |
$278.16 |
$219.94
|
|
Phys blood bank serv xmatch
|
$48.45 |
$48.45 |
$48.45 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$12.20 |
$12.20 |
$12.20 |
$86.36
|
|
Pinworm exam
|
$11.40 |
$11.40 |
$11.40 |
$39.75
|