|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$11.70 |
$11.70 |
$11.70 |
$30.15
|
|
Organic acids total quant ea spec
|
$29.25 |
$29.25 |
$29.25 |
$151.36
|
|
Ortho elbow w/lock w/ft&adj
|
$1,111.95 |
$1,111.95 |
$1,111.95 |
$623.75
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$854.10 |
$854.10 |
$854.10 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$298.35 |
$298.35 |
$298.35 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$228.60 |
$228.60 |
$228.60 |
$306.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$228.60 |
$228.60 |
$228.60 |
$115.00
|
|
Ortho hnd without jnt w/fit&adj
|
$228.60 |
$228.60 |
$228.60 |
$225.00
|
|
Orthopantogram
|
$347.85 |
$347.85 |
$347.85 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$298.35 |
$298.35 |
$298.35 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,111.95 |
$1,111.95 |
$1,111.95 |
$410.92
|
|
Oscillation chest wall mechanical per session
|
$107.55 |
$107.55 |
$107.55 |
$221.34
|
|
Osmolality blood
|
$228.60 |
$228.60 |
$228.60 |
$67.60
|
|
Osmolality urine
|
$247.05 |
$247.05 |
$247.05 |
$65.65
|
|
Oth resp proc, group
|
$351.45 |
$351.45 |
$351.45 |
$137.05
|
|
Oth resp proc, indiv
|
$77.40 |
$77.40 |
$77.40 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$522.00 |
$522.00 |
$522.00 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$903.60 |
$903.60 |
$903.60 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$59.40 |
$59.40 |
$59.40 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2,104.20 |
$2,104.20 |
$2,104.20 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,656.90
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,787.23 |
$3,787.23 |
$3,787.23 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,150.78 |
$4,150.78 |
$4,150.78 |
$5,156.88
|
|
Palonosetron hcl
|
$604.80 |
$604.80 |
$604.80 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$154.80 |
$154.80 |
$154.80 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$5,148.45 |
$5,148.45 |
$5,148.45 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$24.09 |
$24.09 |
$24.09 |
$35.43
|
|
Papaverin hcl injection
|
$50.62 |
$50.62 |
$50.62 |
$83.77
|
|
Parathormone (pth) intact
|
$143.55 |
$143.55 |
$143.55 |
$200.23
|
|
Parathyroid planar imaging
|
$1,245.15 |
$1,245.15 |
$1,245.15 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,141.65 |
$1,141.65 |
$1,141.65 |
$1,398.75
|
|
Paricalcitol
|
$65.45 |
$65.45 |
$65.45 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,447.55 |
$2,447.55 |
$2,447.55 |
$4,418.35
|
|
Passy muir valve metal trach
|
$228.60 |
$228.60 |
$228.60 |
$242.47
|
|
Pegaspargase injection
|
$20,926.80 |
$20,926.80 |
$20,926.80 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$8,411.94 |
$8,411.94 |
$8,411.94 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,636.25 |
$5,636.25 |
$5,636.25 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,636.25 |
$5,636.25 |
$5,636.25 |
$4,749.07
|
|
Pegloticase 8 mg/ml intravenous solution
|
$21,369.60 |
$21,369.60 |
$21,369.60 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$3,766.50 |
$3,766.50 |
$3,766.50 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,921.50 |
$1,921.50 |
$1,921.50 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$4,131.45 |
$4,131.45 |
$4,131.45 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,861.00 |
$3,861.00 |
$3,861.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,685.15 |
$2,685.15 |
$2,685.15 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,352.25 |
$1,352.25 |
$1,352.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$906.30 |
$906.30 |
$906.30 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,806.15 |
$7,806.15 |
$7,806.15 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,993.65 |
$4,993.65 |
$4,993.65 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$670.90 |
$670.90 |
$670.90 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$151.85 |
$151.85 |
$151.85 |
$90.35
|
|
Pentostatin 10 mg intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$6,659.13
|
|
Perc cryo ablate renal tum
|
$7,799.85 |
$7,799.85 |
$7,799.85 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$13,478.40 |
$13,478.40 |
$13,478.40 |
$14,712.96
|
|
Perc d-e cor revasc t cabg b
|
$10,108.80 |
$10,108.80 |
$10,108.80 |
$12,091.30
|
|
Perc d-e cor stent ather br
|
$11,154.60 |
$11,154.60 |
$11,154.60 |
$12,467.24
|
|
Perc drug-el cor stent bran
|
$9,295.65 |
$9,295.65 |
$9,295.65 |
$12,091.30
|
|
Perc rf ablate renal tumor
|
$9,143.55 |
$9,143.55 |
$9,143.55 |
$6,949.48
|
|
Percut ablate liver rf
|
$9,143.55 |
$9,143.55 |
$9,143.55 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$396.00 |
$396.00 |
$396.00 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$4,873.50 |
$4,873.50 |
$4,873.50 |
$2,573.60
|
|
Peripheral vascular rehab
|
$71.10 |
$71.10 |
$71.10 |
$128.69
|
|
Perit-vens shunt pat tst
|
$1,556.55 |
$1,556.55 |
$1,556.55 |
$695.40
|
|
Perq nl/pl lithotrp cplx>2cm
|
$7,845.75 |
$7,845.75 |
$7,845.75 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$7,845.75 |
$7,845.75 |
$7,845.75 |
$8,748.48
|
|
Perq plmt bile duct stent
|
$9,211.95 |
$9,211.95 |
$9,211.95 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$385.65 |
$385.65 |
$385.65 |
$625.93
|
|
Perq transcath closure each
|
$5,397.30 |
$5,397.30 |
$5,397.30 |
$10,244.02
|
|
Perq transcath cls mitral
|
$21,589.65 |
$21,589.65 |
$21,589.65 |
$23,883.21
|
|
Pertuzumab 30 mg/ml desensitization
|
$6,936.30 |
$6,936.30 |
$6,936.30 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$17,154.45 |
$17,154.45 |
$17,154.45 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$6,195.60 |
$6,195.60 |
$6,195.60 |
$4,854.75
|
|
Pet CT whole body initial
|
$6,319.35 |
$6,319.35 |
$6,319.35 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$3,861.90 |
$3,861.90 |
$3,861.90 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$5,575.95 |
$5,575.95 |
$5,575.95 |
$4,422.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$34,733.70 |
$34,733.70 |
$34,733.70 |
$33,990.40
|
|
Ph body fluid
|
$1.86 |
$1.86 |
$1.86 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$244.65 |
$244.65 |
$244.65 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$382.95 |
$382.95 |
$382.95 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$11.70 |
$11.70 |
$11.70 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$441.45 |
$441.45 |
$441.45 |
$111.27
|
|
Phlebotomy therapeutic
|
$540.90 |
$540.90 |
$540.90 |
$249.00
|
|
Phosphorus
|
$221.85 |
$221.85 |
$221.85 |
$47.81
|
|
Phosphorus 24 hour urine
|
$229.05 |
$229.05 |
$229.05 |
$42.81
|
|
Phys blood bank serv reactj
|
$223.65 |
$223.65 |
$223.65 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$135.69 |
$135.69 |
$135.69 |
$92.07
|
|
Piflu f-18, dia 1 millicurie
|
$731.70 |
$731.70 |
$731.70 |
$1,035.81
|
|
Pillow shldr abduc inflat univ
|
$78.75 |
$78.75 |
$78.75 |
$537.66
|
|
Pin caspar distraction 12mm
|
$6,996.60 |
$6,996.60 |
$6,996.60 |
$10,255.29
|
|
Pinworm exam
|
$7.28 |
$7.28 |
$7.28 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$115.20 |
$115.20 |
$115.20 |
$101.60
|
|
Place cath xtrnl carotid
|
$4,371.30 |
$4,371.30 |
$4,371.30 |
$4,202.65
|
|
Place duod/jej tube perc
|
$2,562.75 |
$2,562.75 |
$2,562.75 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$2,308.95 |
$2,308.95 |
$2,308.95 |
$2,517.60
|
|
Placement nephrostomy catheter (both sides)
|
$2,511.00 |
$2,511.00 |
$2,511.00 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$913.50 |
$913.50 |
$913.50 |
$656.63
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$18,402.75 |
$18,402.75 |
$18,402.75 |
$14,934.35
|