|
Ntsty modul rad tx dlvr cplx
|
$2,406.23 |
$2,406.23 |
$2,406.23 |
$2,590.00
|
|
Nuclear Stress Test (Heart)
|
$4,672.52 |
$4,672.52 |
$4,672.52 |
$3,921.45
|
|
Nudt15 gene common variants
|
$50.70 |
$50.70 |
$50.70 |
$320.50
|
|
Nushield 1 square cm
|
$7,201.94 |
$7,201.94 |
$7,201.94 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$7,860.03 |
$7,860.03 |
$7,860.03 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$420.81 |
$420.81 |
$420.81 |
$420.00
|
|
Observation per hour
|
$140.44 |
$140.44 |
$140.44 |
$83.52
|
|
Obtaining screen pap smear
|
$12.17 |
$12.17 |
$12.17 |
$32.04
|
|
Ob Ultrasound nuchal meas 1 gest
|
$338.17 |
$338.17 |
$338.17 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$168.84 |
$168.84 |
$168.84 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$18,837.08 |
$18,837.08 |
$18,837.08 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$63.89 |
$63.89 |
$63.89 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$5,828.48 |
$5,828.48 |
$5,828.48 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$5,346.32 |
$5,346.32 |
$5,346.32 |
$1,146.45
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$880.16 |
$880.16 |
$880.16 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$117.63 |
$117.63 |
$117.63 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$4,595.01
|
|
Oncology tum unknown origin
|
$2,408.25 |
$2,408.25 |
$2,408.25 |
$5,175.00
|
|
Onco (ovar) five proteins
|
$230.69 |
$230.69 |
$230.69 |
$897.00
|
|
Oncoprotein dcp
|
$51.21 |
$51.21 |
$51.21 |
$167.75
|
|
Oncoprotein her-2/neu
|
$144.50 |
$144.50 |
$144.50 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$61.35 |
$61.35 |
$61.35 |
$30.15
|
|
Oral netupitant, palonosetro
|
$1,571.70 |
$1,571.70 |
$1,571.70 |
$409.52
|
|
Organic acids total quant ea spec
|
$111.06 |
$111.06 |
$111.06 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$3,745.44
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$68.45 |
$68.45 |
$68.45 |
$56.42
|
|
Ortho elbow w/lock w/ft&adj
|
$880.16 |
$880.16 |
$880.16 |
$623.75
|
|
Orthosis lso rigd frm hyperex
|
$1,145.32 |
$1,145.32 |
$1,145.32 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$676.34 |
$676.34 |
$676.34 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$130.81 |
$130.81 |
$130.81 |
$221.34
|
|
Osmolality blood
|
$127.77 |
$127.77 |
$127.77 |
$67.60
|
|
Osmolality urine
|
$127.77 |
$127.77 |
$127.77 |
$65.65
|
|
Oth resp proc, indiv
|
$81.12 |
$81.12 |
$81.12 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$64.90 |
$64.90 |
$64.90 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,303.81 |
$2,303.81 |
$2,303.81 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$106.98 |
$106.98 |
$106.98 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.53 |
$1.53 |
$1.53 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$3,656.90
|
|
Palb2 gene full gene seq
|
$128.46 |
$128.46 |
$128.46 |
$649.44
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,806.25 |
$2,806.25 |
$2,806.25 |
$5,156.88
|
|
Palonosetron hcl
|
$1,127.57 |
$1,127.57 |
$1,127.57 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,543.31 |
$1,543.31 |
$1,543.31 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$4,465.15 |
$4,465.15 |
$4,465.15 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.48 |
$34.48 |
$34.48 |
$35.43
|
|
Papaverin hcl injection
|
$106.47 |
$106.47 |
$106.47 |
$83.77
|
|
Parathormone (pth) intact
|
$419.29 |
$419.29 |
$419.29 |
$200.23
|
|
Parathyroid planar imaging
|
$1,440.39 |
$1,440.39 |
$1,440.39 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$817.29 |
$817.29 |
$817.29 |
$1,398.75
|
|
Paricalcitol
|
$138.42 |
$138.42 |
$138.42 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$138.42 |
$138.42 |
$138.42 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,259.82 |
$4,259.82 |
$4,259.82 |
$4,418.35
|
|
Pegaspargase injection
|
$14,936.22 |
$14,936.22 |
$14,936.22 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$4,705.47 |
$4,705.47 |
$4,705.47 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,810.11 |
$3,810.11 |
$3,810.11 |
$7,531.80
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$3,810.11 |
$3,810.11 |
$3,810.11 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,810.11 |
$3,810.11 |
$3,810.11 |
$4,749.07
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$2,499.60
|
|
Pelvic CT scan (with and without contrast)
|
$6,464.25 |
$6,464.25 |
$6,464.25 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$5,736.20 |
$5,736.20 |
$5,736.20 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,911.71 |
$2,911.71 |
$2,911.71 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$5,621.11 |
$5,621.11 |
$5,621.11 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$4,890.02 |
$4,890.02 |
$4,890.02 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,372.57 |
$3,372.57 |
$3,372.57 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,460.67 |
$1,460.67 |
$1,460.67 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$978.51 |
$978.51 |
$978.51 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,593.93 |
$4,593.93 |
$4,593.93 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,087.13 |
$3,087.13 |
$3,087.13 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$418.79 |
$418.79 |
$418.79 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$314.85 |
$314.85 |
$314.85 |
$90.35
|
|
Pentobarbital sodium inj
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$185.00
|
|
Pentostatin 10 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$6,659.13
|
|
Perc cryo ablate renal tum
|
$9,446.43 |
$9,446.43 |
$9,446.43 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$18,072.53 |
$18,072.53 |
$18,072.53 |
$14,712.96
|
|
Perc d-e cor revasc t cabg b
|
$18,072.53 |
$18,072.53 |
$18,072.53 |
$12,091.30
|
|
Perc d-e cor stent ather br
|
$18,072.53 |
$18,072.53 |
$18,072.53 |
$12,467.24
|
|
Perc drug-el cor stent bran
|
$18,072.53 |
$18,072.53 |
$18,072.53 |
$12,091.30
|
|
Perc rf ablate renal tumor
|
$6,103.27 |
$6,103.27 |
$6,103.27 |
$6,949.48
|
|
Percut ablate liver rf
|
$6,103.27 |
$6,103.27 |
$6,103.27 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$384.82 |
$384.82 |
$384.82 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$2,166.92 |
$2,166.92 |
$2,166.92 |
$2,573.60
|
|
Peripheral vascular rehab
|
$89.24 |
$89.24 |
$89.24 |
$128.69
|
|
Peri-proc device eval icd
|
$401.04 |
$401.04 |
$401.04 |
$220.35
|
|
Perq art m-thrombect &/nfs
|
$5,091.81 |
$5,091.81 |
$5,091.81 |
$7,796.10
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$450.22 |
$450.22 |
$450.22 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$4,574.67 |
$4,574.67 |
$4,574.67 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$11,596.62 |
$11,596.62 |
$11,596.62 |
$27,858.08
|
|
Pet image full body
|
$6,637.14 |
$6,637.14 |
$6,637.14 |
$4,795.47
|
|
Pet image skull-thigh
|
$6,637.14 |
$6,637.14 |
$6,637.14 |
$4,247.10
|
|
Pfc sigma fem post aug sz3 8mm
|
$30,253.71 |
$30,253.71 |
$30,253.71 |
$33,990.40
|
|
Ph body fluid
|
$40.56 |
$40.56 |
$40.56 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$349.33 |
$349.33 |
$349.33 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$213.45 |
$213.45 |
$213.45 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,149.37 |
$1,149.37 |
$1,149.37 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$6,631.56 |
$6,631.56 |
$6,631.56 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$13.69 |
$13.69 |
$13.69 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$234.75 |
$234.75 |
$234.75 |
$111.27
|
|
Phlebotomy therapeutic
|
$285.45 |
$285.45 |
$285.45 |
$249.00
|
|
Phosphorus
|
$67.44 |
$67.44 |
$67.44 |
$47.81
|
|
Phosphorus 24 hour urine
|
$4.50 |
$4.50 |
$4.50 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$126.75 |
$126.75 |
$126.75 |
$92.07
|