|
Nuclear rx intra-arterial
|
$1,097.63 |
$1,097.63 |
$1,097.63 |
$761.95
|
|
Nuclear Stress Test (Heart)
|
$5,264.76 |
$5,264.76 |
$5,264.76 |
$3,921.45
|
|
Nushield 1 square cm
|
$2,797.95 |
$2,797.95 |
$2,797.95 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$118.79 |
$118.79 |
$118.79 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$321.93 |
$321.93 |
$321.93 |
$420.00
|
|
Observation per hour
|
$328.07 |
$328.07 |
$328.07 |
$83.52
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$96.29 |
$96.29 |
$96.29 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$55.19 |
$55.19 |
$55.19 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$418.73 |
$418.73 |
$418.73 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$100.50 |
$100.50 |
$100.50 |
$1,146.45
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$977.62 |
$977.62 |
$977.62 |
$1,091.15
|
|
Ondansetron 8 mg disintegrating tablet
|
$3.16 |
$3.16 |
$3.16 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$29.35 |
$29.35 |
$29.35 |
$30.15
|
|
Organic acids total quant ea spec
|
$28.47 |
$28.47 |
$28.47 |
$151.36
|
|
Ortho elbow w/lock w/ft&adj
|
$977.62 |
$977.62 |
$977.62 |
$623.75
|
|
Orthosis lso rigd frm hyperex
|
$1,272.39 |
$1,272.39 |
$1,272.39 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$127.02 |
$127.02 |
$127.02 |
$221.34
|
|
Osmolality blood
|
$88.92 |
$88.92 |
$88.92 |
$67.60
|
|
Osmolality urine
|
$53.88 |
$53.88 |
$53.88 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$222.95 |
$222.95 |
$222.95 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$222.95 |
$222.95 |
$222.95 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$222.95 |
$222.95 |
$222.95 |
$270.58
|
|
Other immunoelectrophoresis
|
$194.04 |
$194.04 |
$194.04 |
$46.40
|
|
Oth resp proc, group
|
$67.89 |
$67.89 |
$67.89 |
$137.05
|
|
Oth resp proc, indiv
|
$35.92 |
$35.92 |
$35.92 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$103.37 |
$103.37 |
$103.37 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$108.63 |
$108.63 |
$108.63 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$117.39 |
$117.39 |
$117.39 |
$107.32
|
|
Ot re-evaluation patient/family
|
$153.74 |
$153.74 |
$153.74 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$208.05 |
$208.05 |
$208.05 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$60.01 |
$60.01 |
$60.01 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$82.35 |
$82.35 |
$82.35 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$237.84 |
$237.84 |
$237.84 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$237.84 |
$237.84 |
$237.84 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$208.05 |
$208.05 |
$208.05 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$190.53 |
$190.53 |
$190.53 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,240.81 |
$2,240.81 |
$2,240.81 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$57.38 |
$57.38 |
$57.38 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$49,197.04 |
$49,197.04 |
$49,197.04 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,827.34 |
$1,827.34 |
$1,827.34 |
$3,656.90
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,555.69 |
$3,555.69 |
$3,555.69 |
$5,156.88
|
|
Palonosetron hcl
|
$220.76 |
$220.76 |
$220.76 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$53.54 |
$53.54 |
$53.54 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$4,178.64 |
$4,178.64 |
$4,178.64 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$29.35 |
$29.35 |
$29.35 |
$35.43
|
|
Papaverin hcl injection
|
$29.35 |
$29.35 |
$29.35 |
$83.77
|
|
Parathormone (pth) intact
|
$132.72 |
$132.72 |
$132.72 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,814.20 |
$1,814.20 |
$1,814.20 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,328.90 |
$1,328.90 |
$1,328.90 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,406.42 |
$1,406.42 |
$1,406.42 |
$1,398.75
|
|
Paricalcitol
|
$29.35 |
$29.35 |
$29.35 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$284.69 |
$284.69 |
$284.69 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,731.28 |
$4,731.28 |
$4,731.28 |
$4,418.35
|
|
Passy muir valve metal trach
|
$200.17 |
$200.17 |
$200.17 |
$242.47
|
|
Pdgfra gene
|
$219.00 |
$219.00 |
$219.00 |
$659.20
|
|
Pegaspargase injection
|
$17,924.72 |
$17,924.72 |
$17,924.72 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$295.69 |
$295.69 |
$295.69 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$101.94 |
$101.94 |
$101.94 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$330.02 |
$330.02 |
$330.02 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$308.62 |
$308.62 |
$308.62 |
$4,749.07
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$28.35 |
$28.35 |
$28.35 |
$2,499.60
|
|
Pelvic CT scan (with and without contrast)
|
$1,797.99 |
$1,797.99 |
$1,797.99 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,426.96 |
$2,426.96 |
$2,426.96 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,247.38 |
$2,247.38 |
$2,247.38 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,609.61 |
$2,609.61 |
$2,609.61 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,539.57 |
$1,539.57 |
$1,539.57 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,774.34 |
$1,774.34 |
$1,774.34 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$895.28 |
$895.28 |
$895.28 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$600.06 |
$600.06 |
$600.06 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$103.77 |
$103.77 |
$103.77 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,277.07 |
$4,277.07 |
$4,277.07 |
$4,181.29
|
|
Pemivibart infusion
|
$1,371.38 |
$1,371.38 |
$1,371.38 |
$603.65
|
|
Peng benzathine/procaine inj
|
$216.81 |
$216.81 |
$216.81 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$245.28 |
$245.28 |
$245.28 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$78.84 |
$78.84 |
$78.84 |
$90.35
|
|
Penile rear tip xtnd 0.5cm
|
$22,951.20 |
$22,951.20 |
$22,951.20 |
$19,815.11
|
|
Perc cryo ablate renal tum
|
$4,900.35 |
$4,900.35 |
$4,900.35 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$13,045.40 |
$13,045.40 |
$13,045.40 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$4,373.87 |
$4,373.87 |
$4,373.87 |
$6,949.48
|
|
Percut ablate liver rf
|
$4,900.35 |
$4,900.35 |
$4,900.35 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$275.51 |
$275.51 |
$275.51 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,876.40 |
$1,876.40 |
$1,876.40 |
$2,573.60
|
|
Peri-proc device eval icd
|
$49.94 |
$49.94 |
$49.94 |
$220.35
|
|
Peri-proc device eval pm
|
$49.94 |
$49.94 |
$49.94 |
$195.80
|
|
Perq art m-thrombect &/nfs
|
$12,246.05 |
$12,246.05 |
$12,246.05 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$9,571.18 |
$9,571.18 |
$9,571.18 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$354.35 |
$354.35 |
$354.35 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$1,861.94 |
$1,861.94 |
$1,861.94 |
$1,548.60
|
|
Perq nl/pl lithotrp cplx>2cm
|
$4,698.43 |
$4,698.43 |
$4,698.43 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$4,698.43 |
$4,698.43 |
$4,698.43 |
$8,748.48
|
|
Perq plmt bile duct stent
|
$5,759.70 |
$5,759.70 |
$5,759.70 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$5,759.70 |
$5,759.70 |
$5,759.70 |
$6,457.82
|