|
Ob Ultrasound nuchal meas 1 gest
|
$679.83 |
$679.83 |
$679.83 |
$331.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$44,557.41 |
$44,557.41 |
$44,557.41 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$13,642.32 |
$13,642.32 |
$13,642.32 |
$12,749.16
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,642.02 |
$1,642.02 |
$1,642.02 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$223.95 |
$223.95 |
$223.95 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,928.17 |
$1,928.17 |
$1,928.17 |
$4,595.01
|
|
Oncoprotein dcp
|
$99.45 |
$99.45 |
$99.45 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$5.61 |
$5.61 |
$5.61 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$30.15
|
|
Ophthalmic mitomycin
|
$1,269.22 |
$1,269.22 |
$1,269.22 |
$1,269.22
|
|
Oph Ultrasound dx quan a-scan only
|
$160.65 |
$160.65 |
$160.65 |
$189.75
|
|
Opn tx orbit fx without impl 21406
|
$10,507.53 |
$10,507.53 |
$10,507.53 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$14,977.68 |
$14,977.68 |
$14,977.68 |
$8,453.60
|
|
Optx lunate dislocation
|
$14,977.68 |
$14,977.68 |
$14,977.68 |
$7,907.11
|
|
Optx medial ankle fx
|
$14,977.68 |
$14,977.68 |
$14,977.68 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$10,507.53 |
$10,507.53 |
$10,507.53 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$25,677.48 |
$25,677.48 |
$25,677.48 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$14,977.68 |
$14,977.68 |
$14,977.68 |
$7,913.97
|
|
Orchiopexy ingun/scrot appr
|
$6,970.68 |
$6,970.68 |
$6,970.68 |
$4,176.15
|
|
Orthopantogram
|
$393.21 |
$393.21 |
$393.21 |
$219.22
|
|
Orthosis lso rigd frm hyperex
|
$1,552.95 |
$1,552.95 |
$1,552.95 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$419.73 |
$419.73 |
$419.73 |
$221.34
|
|
Osmolality blood
|
$395.25 |
$395.25 |
$395.25 |
$67.60
|
|
Osmolality urine
|
$167.28 |
$167.28 |
$167.28 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$554.88 |
$554.88 |
$554.88 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$277.95 |
$277.95 |
$277.95 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$416.16 |
$416.16 |
$416.16 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$86.19 |
$86.19 |
$86.19 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$86.19 |
$86.19 |
$86.19 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$130.56 |
$130.56 |
$130.56 |
$107.32
|
|
Ot re-evaluation patient/family
|
$209.10 |
$209.10 |
$209.10 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$137.19 |
$137.19 |
$137.19 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$84.15 |
$84.15 |
$84.15 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$84.15 |
$84.15 |
$84.15 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$120.87 |
$120.87 |
$120.87 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$77.52 |
$77.52 |
$77.52 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$118.32 |
$118.32 |
$118.32 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$545.67 |
$545.67 |
$545.67 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$28,029.60 |
$28,029.60 |
$28,029.60 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$578.77 |
$578.77 |
$578.77 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,414.97 |
$2,414.97 |
$2,414.97 |
$3,656.90
|
|
Palonosetron hcl
|
$84.15 |
$84.15 |
$84.15 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$177.43 |
$177.43 |
$177.43 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$15,318.93 |
$15,318.93 |
$15,318.93 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$35.43
|
|
Papaverin hcl injection
|
$191.84 |
$191.84 |
$191.84 |
$83.77
|
|
Parathormone (pth) intact
|
$386.58 |
$386.58 |
$386.58 |
$200.23
|
|
Parathyroid planar imaging
|
$1,401.99 |
$1,401.99 |
$1,401.99 |
$1,166.00
|
|
Paricalcitol
|
$84.15 |
$84.15 |
$84.15 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$409.53 |
$409.53 |
$409.53 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$5,564.61 |
$5,564.61 |
$5,564.61 |
$3,762.53
|
|
Partial removal finger bone
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,021.04
|
|
Partial removal finger bone
|
$2,715.24 |
$2,715.24 |
$2,715.24 |
$2,211.05
|
|
Partial removal of toe
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,827.10 |
$3,827.10 |
$3,827.10 |
$4,418.35
|
|
Passy muir valve metal trach
|
$442.08 |
$442.08 |
$442.08 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$3,397.11 |
$3,397.11 |
$3,397.11 |
$2,436.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,839.46 |
$11,839.46 |
$11,839.46 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,725.45 |
$4,725.45 |
$4,725.45 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,923.02 |
$1,923.02 |
$1,923.02 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$3,632.22 |
$3,632.22 |
$3,632.22 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,702.49 |
$2,702.49 |
$2,702.49 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,387.31 |
$2,387.31 |
$2,387.31 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$9,021.90 |
$9,021.90 |
$9,021.90 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$4,380.39 |
$4,380.39 |
$4,380.39 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$4,071.84 |
$4,071.84 |
$4,071.84 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,926.78 |
$1,926.78 |
$1,926.78 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$13,813.45 |
$13,813.45 |
$13,813.45 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$11,136.42 |
$11,136.42 |
$11,136.42 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$752.06 |
$752.06 |
$752.06 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$664.48 |
$664.48 |
$664.48 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$226.04 |
$226.04 |
$226.04 |
$90.35
|
|
Penile injection
|
$833.85 |
$833.85 |
$833.85 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$12,244.67 |
$12,244.67 |
$12,244.67 |
$19,815.11
|
|
Pentostatin 10 mg intravenous solution
|
$7,031.75 |
$7,031.75 |
$7,031.75 |
$6,659.13
|
|
Perc d-e cor revasc chro sin
|
$11,967.15 |
$11,967.15 |
$11,967.15 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$10,663.08 |
$10,663.08 |
$10,663.08 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$13,546.62 |
$13,546.62 |
$13,546.62 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$9,271.80 |
$9,271.80 |
$9,271.80 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$18,127.95 |
$18,127.95 |
$18,127.95 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$7,592.88 |
$7,592.88 |
$7,592.88 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$13,546.62 |
$13,546.62 |
$13,546.62 |
$16,846.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$162.95 |
$162.95 |
$162.95 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,186.88 |
$2,186.88 |
$2,186.88 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,587.63 |
$1,587.63 |
$1,587.63 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$5,198.43 |
$5,198.43 |
$5,198.43 |
$2,013.60
|
|
Peripheral vascular rehab
|
$78.03 |
$78.03 |
$78.03 |
$128.69
|
|
Perit-vens shunt pat tst
|
$1,130.67 |
$1,130.67 |
$1,130.67 |
$695.40
|
|
Perq dev breast 1st strtctc
|
$994.50 |
$994.50 |
$994.50 |
$1,548.60
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$487.05 |
$487.05 |
$487.05 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$15,651.26 |
$15,651.26 |
$15,651.26 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$31,855.25 |
$31,855.25 |
$31,855.25 |
$27,858.08
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$208.90 |
$208.90 |
$208.90 |
$113.84
|
|
Pet CT whole body initial
|
$7,136.94 |
$7,136.94 |
$7,136.94 |
$5,017.50
|
|
Pfc sigma fem post aug sz3 8mm
|
$30,356.81 |
$30,356.81 |
$30,356.81 |
$33,990.40
|
|
Ph body fluid
|
$46.41 |
$46.41 |
$46.41 |
$39.20
|