|
Ot evaluation low complexity patient/family
|
$155.76 |
$155.76 |
$177.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$155.76 |
$155.76 |
$240.00 |
$263.50
|
|
Oth resp proc, group
|
$162.50 |
$162.50 |
$167.64 |
$123.05
|
|
Oth resp proc, indiv
|
$65.00 |
$65.00 |
$84.48 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$85.14 |
$85.14 |
$92.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$80.52 |
$80.52 |
$87.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$104.94 |
$104.94 |
$125.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.50 |
$87.50 |
$95.70 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$71.94 |
$71.94 |
$82.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$71.94 |
$71.94 |
$82.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$80.52 |
$80.52 |
$87.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$87.50 |
$87.50 |
$93.72 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$87.50 |
$87.50 |
$89.10 |
$94.25
|
|
Oxytocin 10 unit/ml injection solution
|
$32.69 |
$32.69 |
$40.62 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.78 |
$0.78 |
$0.78 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$31.77 |
$31.77 |
$31.77 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$892.32 |
$892.32 |
$892.32 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$32.31 |
$32.31 |
$32.31 |
$6,238.82
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$389.74 |
$389.74 |
$389.74 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.52 |
$34.52 |
$42.92 |
$29.31
|
|
Parathormone (pth) intact
|
$120.00 |
$120.00 |
$252.12 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,000.00 |
$1,000.00 |
$1,170.18 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,345.00 |
$1,345.00 |
$1,609.74 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$100.00 |
$100.00 |
$199.98 |
$245.00
|
|
Partial removal finger bone
|
$3,032.04 |
$3,032.04 |
$3,032.04 |
$2,049.27
|
|
Passy muir valve metal trach
|
$200.00 |
$200.00 |
$203.94 |
$275.75
|
|
Path clin consltj sf 5-20
|
$107.58 |
$107.58 |
$107.58 |
$97.14
|
|
Patient recorded spirometry
|
$135.00 |
$135.00 |
$135.00 |
$338.52
|
|
Pca3/klk3 antigen
|
$1,189.32 |
$1,189.32 |
$1,189.32 |
$510.40
|
|
Pdgfra gene
|
$960.00 |
$960.00 |
$960.00 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$833.93 |
$833.93 |
$833.93 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$328.94 |
$328.94 |
$328.94 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$311.95 |
$311.95 |
$433.99 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,818.96 |
$1,818.96 |
$2,305.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,539.12 |
$1,539.12 |
$1,570.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,259.28 |
$1,259.28 |
$1,470.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,893.44 |
$2,893.44 |
$3,265.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,504.70 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,277.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$385.00 |
$385.00 |
$615.12 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$250.00 |
$250.00 |
$482.46 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$128.09 |
$128.09 |
$128.09 |
$12,385.22
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$101.08 |
$101.08 |
$101.08 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$14.51 |
$14.51 |
$14.51 |
$101.34
|
|
Penile injection
|
$305.00 |
$305.00 |
$711.48 |
$418.00
|
|
Perc cryo ablate renal tum
|
$10,485.00 |
$10,485.00 |
$10,485.00 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$8,915.28 |
$8,915.28 |
$8,915.28 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$13,249.50 |
$13,249.50 |
$13,249.50 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$5,539.38 |
$5,539.38 |
$5,539.38 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$11,482.68 |
$11,482.68 |
$11,482.68 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$10,730.28 |
$10,730.28 |
$10,730.28 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$20,739.84 |
$20,739.84 |
$20,739.84 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$8,234.16 |
$8,234.16 |
$8,234.16 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$9,716.52 |
$9,716.52 |
$9,716.52 |
$16,258.50
|
|
Percut ablate liver rf
|
$4,650.00 |
$4,650.00 |
$6,738.60 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$315.66 |
$315.66 |
$386.15 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,794.54 |
$1,794.54 |
$2,230.00 |
$2,251.20
|
|
Peripheral vascular rehab
|
$92.40 |
$92.40 |
$132.50 |
$132.50
|
|
Peri-proc device eval pm
|
$181.50 |
$181.50 |
$181.50 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$6,243.60 |
$6,243.60 |
$6,243.60 |
$5,625.74
|
|
Peritoneogram rs&i
|
$551.76 |
$551.76 |
$845.00 |
$695.89
|
|
Perq art m-thrombect &/nfs
|
$9,600.00 |
$9,600.00 |
$9,600.00 |
$7,559.55
|
|
Perq dev breast 1st mr guide
|
$2,034.78 |
$2,034.78 |
$2,034.78 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,202.52 |
$1,202.52 |
$1,202.52 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$25,825.00 |
$25,825.00 |
$25,825.00 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$20,660.00 |
$20,660.00 |
$20,660.00 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt bi
|
$15,655.00 |
$15,655.00 |
$15,655.00 |
$15,873.70
|
|
Perq p-art revsc 1 nm nt uni
|
$12,520.00 |
$12,520.00 |
$12,520.00 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$5,010.00 |
$5,010.00 |
$5,010.00 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$6,100.00 |
$6,100.00 |
$7,612.44 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$6,738.60 |
$6,738.60 |
$6,738.60 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$9,251.88 |
$9,251.88 |
$9,251.88 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$457.50 |
$457.50 |
$924.66 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$35.75 |
$35.75 |
$35.75 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$171.26 |
$171.26 |
$171.26 |
$27,833.07
|
|
Pet CT skull-mid thgh initial
|
$4,060.00 |
$4,060.00 |
$5,121.60 |
$4,707.00
|
|
Pet CT whole body initial
|
$4,060.00 |
$4,060.00 |
$5,121.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,060.00 |
$4,060.00 |
$4,901.82 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$4,060.00 |
$4,060.00 |
$4,901.82 |
$4,305.60
|
|
Pet not otherwise specified
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$1,070.40
|
|
Pet scan brain perf study
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$10,808.72 |
$10,808.72 |
$10,808.72 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$82.50 |
$82.50 |
$82.50 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$105.00 |
$105.00 |
$105.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$50.00 |
$50.00 |
$50.00 |
$33.30
|
|
Ph body fluid
|
$25.08 |
$25.08 |
$35.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$89.76 |
$89.76 |
$89.76 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$128.37 |
$128.37 |
$128.37 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$77.88 |
$77.88 |
$112.50 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,047.32 |
$1,047.32 |
$1,047.32 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.65 |
$0.65 |
$3.03 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$77.88 |
$77.88 |
$97.50 |
$110.88
|
|
Phlebotomy therapeutic
|
$125.00 |
$125.00 |
$227.70 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$4,453.46
|
|
Phosphorus
|
$29.04 |
$29.04 |
$47.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$31.68 |
$31.68 |
$47.50 |
$41.51
|
|
Phys blood bank serv reactj
|
$207.50 |
$207.50 |
$207.50 |
$207.50
|