|
Osmolality blood
|
$50.00 |
$50.00 |
$50.00 |
$69.55
|
|
Osmolality urine
|
$50.00 |
$50.00 |
$50.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$310.00 |
$310.00 |
$310.00 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$177.50 |
$177.50 |
$177.50 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$240.00 |
$240.00 |
$240.00 |
$263.50
|
|
Oth resp proc, group
|
$162.50 |
$162.50 |
$162.50 |
$127.40
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$92.50 |
$92.50 |
$92.50 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$125.00 |
$125.00 |
$125.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$82.50 |
$82.50 |
$82.50 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$82.50 |
$82.50 |
$82.50 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$13.71 |
$13.71 |
$13.71 |
$50.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.99 |
$21.99 |
$21.99 |
$27.16
|
|
Parathormone (pth) intact
|
$120.00 |
$120.00 |
$120.00 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$1,555.00
|
|
Parathyroid planar imaging
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$1,345.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$100.00 |
$100.00 |
$100.00 |
$242.88
|
|
Passy muir valve metal trach
|
$200.00 |
$200.00 |
$200.00 |
$275.75
|
|
Pdgfra gene
|
$960.00 |
$960.00 |
$960.00 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$540.00 |
$540.00 |
$540.00 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$350.00 |
$350.00 |
$350.00 |
$430.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$3.92 |
$3.92 |
$3.92 |
$97.85
|
|
Penile injection
|
$305.00 |
$305.00 |
$305.00 |
$418.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$177.50 |
$177.50 |
$177.50 |
$335.79
|
|
Peripheral vascular rehab
|
$132.50 |
$132.50 |
$132.50 |
$129.60
|
|
Peri-proc device eval pm
|
$310.00 |
$310.00 |
$310.00 |
$156.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$457.50 |
$457.50 |
$457.50 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,711.20
|
|
Pet CT whole body initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$3,789.00
|
|
Pet image w/ct lmtd
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,366.50
|
|
Pfc sigma fem post aug sz3 8mm
|
$7,908.44 |
$7,908.44 |
$7,908.44 |
$34,920.00
|
|
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 |
$31.20
|
|
Ph body fluid
|
$35.00 |
$35.00 |
$35.00 |
$40.04
|
|
Phencyclidine (pcp)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$112.50 |
$112.50 |
$112.50 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$3.44 |
$3.44 |
$3.44 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$97.50 |
$97.50 |
$97.50 |
$112.50
|
|
Phlebotomy therapeutic
|
$125.00 |
$125.00 |
$125.00 |
$231.66
|
|
Phosphorus
|
$47.50 |
$47.50 |
$47.50 |
$49.60
|
|
Phosphorus 24 hour urine
|
$47.50 |
$47.50 |
$47.50 |
$41.58
|
|
Phys blood bank serv reactj
|
$207.50 |
$207.50 |
$207.50 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$70.12 |
$70.12 |
$70.12 |
$85.79
|
|
Piflu f-18, dia 1 millicurie
|
$890.00 |
$890.00 |
$890.00 |
$880.00
|
|
Pinworm exam
|
$52.50 |
$52.50 |
$52.50 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$9.45 |
$9.45 |
$9.45 |
$83.57
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$795.00 |
$795.00 |
$795.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$1,332.43
|
|
Placental lactogen
|
$140.00 |
$140.00 |
$140.00 |
$163.28
|
|
Platelet aggregation each agent teg
|
$105.00 |
$105.00 |
$105.00 |
$136.80
|
|
Platelet automated
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,490.40
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$790.00 |
$790.00 |
$790.00 |
$994.98
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$960.00 |
$960.00 |
$960.00 |
$970.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$920.00 |
$920.00 |
$920.00 |
$765.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$870.00 |
$870.00 |
$870.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$367.50 |
$367.50 |
$367.50 |
$399.50
|
|
Pm device progr eval dual
|
$307.50 |
$307.50 |
$307.50 |
$139.10
|
|
Pm device progr eval multi
|
$307.50 |
$307.50 |
$307.50 |
$139.10
|
|
Pm phone r-strip device eval
|
$105.00 |
$105.00 |
$105.00 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$70.00 |
$70.00 |
$70.00 |
$187.04
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,751.48
|
|
Potassium 24 hour urine
|
$55.00 |
$55.00 |
$55.00 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$4.59 |
$4.59 |
$4.59 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$35.00 |
$35.00 |
$35.00 |
$46.00
|
|
Pr application of long arm splint
|
$215.00 |
$215.00 |
$215.00 |
$328.78
|
|
Pr application splint static short arm
|
$200.00 |
$200.00 |
$200.00 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$230.00 |
$230.00 |
$230.00 |
$456.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$227.50 |
$227.50 |
$227.50 |
$350.98
|
|
Prealbumin
|
$100.00 |
$100.00 |
$100.00 |
$93.60
|
|
Prednisone 1 mg tablet
|
$0.13 |
$0.13 |
$0.13 |
$3.00
|
|
Pregabalin - sendout
|
$80.00 |
$80.00 |
$80.00 |
$72.14
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$660.00 |
$660.00 |
$660.00 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$535.00 |
$535.00 |
$535.00 |
$537.00
|
|
Pressure max expiratory/inspiratory
|
$287.50 |
$287.50 |
$287.50 |
$232.27
|
|
Pretreat rbc absorption reference
|
$150.00 |
$150.00 |
$150.00 |
$139.00
|
|
Prgrmg dev eval impltbl sys
|
$285.00 |
$285.00 |
$285.00 |
$138.40
|
|
Prgrmg dev eval pm/ldls pm
|
$252.50 |
$252.50 |
$252.50 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$252.50 |
$252.50 |
$252.50 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$282.50 |
$282.50 |
$282.50 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$325.00 |
$325.00 |
$325.00 |
$181.47
|
