|
Optx medial ankle fx
|
$4,044.96 |
$4,044.96 |
$4,044.96 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$9,238.08 |
$9,238.08 |
$9,238.08 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$9,659.04 |
$9,659.04 |
$9,659.04 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$4,044.96 |
$4,044.96 |
$4,044.96 |
$7,913.97
|
|
Oral aprepitant
|
$640.25 |
$640.25 |
$640.25 |
$413.91
|
|
Oral everolimus
|
$12.10 |
$12.10 |
$12.10 |
$25.34
|
|
Orchiopexy ingun/scrot appr
|
$2,622.72 |
$2,622.72 |
$2,622.72 |
$4,176.15
|
|
Oritavancin 400 mg intravenous solution
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$3,745.44
|
|
Orthosis lso rigd frm hyperex
|
$1,453.25 |
$1,453.25 |
$1,453.25 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$380.64 |
$380.64 |
$380.64 |
$221.34
|
|
Osmolality blood
|
$128.16 |
$128.16 |
$128.16 |
$67.60
|
|
Osmolality urine
|
$128.16 |
$128.16 |
$128.16 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$543.36 |
$543.36 |
$543.36 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$334.56 |
$334.56 |
$334.56 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$494.40 |
$494.40 |
$494.40 |
$270.58
|
|
Oth resp proc, group
|
$249.60 |
$249.60 |
$249.60 |
$137.05
|
|
Oth resp proc, indiv
|
$100.32 |
$100.32 |
$100.32 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$120.48 |
$120.48 |
$120.48 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$120.48 |
$120.48 |
$120.48 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$120.48 |
$120.48 |
$120.48 |
$107.32
|
|
Ot re-evaluation patient/family
|
$334.56 |
$334.56 |
$334.56 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$138.24 |
$138.24 |
$138.24 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$122.88 |
$122.88 |
$122.88 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$122.88 |
$122.88 |
$122.88 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$136.32 |
$136.32 |
$136.32 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$122.88 |
$122.88 |
$122.88 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$139.68 |
$139.68 |
$139.68 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$214.69 |
$214.69 |
$214.69 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$58,060.80 |
$58,060.80 |
$58,060.80 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$231.63 |
$231.63 |
$231.63 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,189.80 |
$2,189.80 |
$2,189.80 |
$3,656.90
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,347.74 |
$4,347.74 |
$4,347.74 |
$5,156.88
|
|
Palonosetron hcl
|
$44.76 |
$44.76 |
$44.76 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$150.47 |
$150.47 |
$150.47 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$7,969.90 |
$7,969.90 |
$7,969.90 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$35.43
|
|
Papaverin hcl injection
|
$65.97 |
$65.97 |
$65.97 |
$83.77
|
|
Parathormone (pth) intact
|
$174.24 |
$174.24 |
$174.24 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$1,574.40
|
|
Parathyroid planar imaging
|
$476.16 |
$476.16 |
$476.16 |
$1,166.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$317.28 |
$317.28 |
$317.28 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$4,757.76 |
$4,757.76 |
$4,757.76 |
$3,762.53
|
|
Partial removal finger bone
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,021.04
|
|
Partial removal finger bone
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,211.05
|
|
Partial removal of toe
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,120.27 |
$6,120.27 |
$6,120.27 |
$4,418.35
|
|
Passy muir valve metal trach
|
$374.73 |
$374.73 |
$374.73 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,436.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,961.32 |
$5,961.32 |
$5,961.32 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,356.03 |
$2,356.03 |
$2,356.03 |
$7,531.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$58,731.42 |
$58,731.42 |
$58,731.42 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,062.72 |
$1,062.72 |
$1,062.72 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,153.44 |
$1,153.44 |
$1,153.44 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$10,137.60 |
$10,137.60 |
$10,137.60 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,866.56 |
$5,866.56 |
$5,866.56 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$5,662.56 |
$5,662.56 |
$5,662.56 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,787.52 |
$1,787.52 |
$1,787.52 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,182.72 |
$7,182.72 |
$7,182.72 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,605.03 |
$5,605.03 |
$5,605.03 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$748.68 |
$748.68 |
$748.68 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$656.36 |
$656.36 |
$656.36 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$190.17 |
$190.17 |
$190.17 |
$90.35
|
|
Penile injection
|
$377.28 |
$377.28 |
$377.28 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$24,888.82 |
$24,888.82 |
$24,888.82 |
$19,815.11
|
|
Pentobarbital sodium inj
|
$208.81 |
$208.81 |
$208.81 |
$185.00
|
|
Pentostatin 10 mg intravenous solution
|
$3,524.83 |
$3,524.83 |
$3,524.83 |
$6,659.13
|
|
Perc cryo ablate renal tum
|
$11,983.68 |
$11,983.68 |
$11,983.68 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$7,213.92 |
$7,213.92 |
$7,213.92 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$9,060.00 |
$9,060.00 |
$9,060.00 |
$21,249.26
|
|
Perc d-e cor revasc t cabg s
|
$9,060.00 |
$9,060.00 |
$9,060.00 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$7,619.04 |
$7,619.04 |
$7,619.04 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$13,269.12 |
$13,269.12 |
$13,269.12 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$8,380.80 |
$8,380.80 |
$8,380.80 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$9,060.00 |
$9,060.00 |
$9,060.00 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$6,522.72 |
$6,522.72 |
$6,522.72 |
$6,949.48
|
|
Percut ablate liver rf
|
$19,046.88 |
$19,046.88 |
$19,046.88 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$153.36 |
$153.36 |
$153.36 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$5,383.20 |
$5,383.20 |
$5,383.20 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,491.84 |
$1,491.84 |
$1,491.84 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$5,383.20 |
$5,383.20 |
$5,383.20 |
$2,013.60
|
|
Peripheral vascular rehab
|
$93.60 |
$93.60 |
$93.60 |
$128.69
|
|
Peri-proc device eval icd
|
$72.00 |
$72.00 |
$72.00 |
$220.35
|
|
Peri-proc device eval pm
|
$65.28 |
$65.28 |
$65.28 |
$195.80
|
|
Peritoneogram rs&i
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$648.84
|
|
Perit-vens shunt pat tst
|
$360.48 |
$360.48 |
$360.48 |
$695.40
|
|
Perphenazine 4mg oral
|
$5.28 |
$5.28 |
$5.28 |
$2.58
|
|
Perq art m-thrombect &/nfs
|
$15,585.60 |
$15,585.60 |
$15,585.60 |
$7,796.10
|
|
Perq dev breast 1st mr guide
|
$5,383.68 |
$5,383.68 |
$5,383.68 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$937.92 |
$937.92 |
$937.92 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$10,066.08 |
$10,066.08 |
$10,066.08 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$15,384.00 |
$15,384.00 |
$15,384.00 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$18,615.84 |
$18,615.84 |
$18,615.84 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$219.84 |
$219.84 |
$219.84 |
$625.93
|
|
Perq transcath closure pda
|
$18,377.76 |
$18,377.76 |
$18,377.76 |
$18,277.50
|
|
Perq transcath cls aortic
|
$34,102.56 |
$34,102.56 |
$34,102.56 |
$22,633.26
|
|
Perq tx big toe fracture w/manip 28496
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$8,143.67 |
$8,143.67 |
$8,143.67 |
$15,007.91
|