|
Nuclear rx IV admin
|
$523.77 |
$523.77 |
$523.77 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$4,911.30 |
$4,911.30 |
$4,911.30 |
$3,921.45
|
|
Nushield 1 square cm
|
$7,847.98 |
$7,847.98 |
$7,847.98 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$706.86 |
$706.86 |
$706.86 |
$420.00
|
|
Observation per hour
|
$130.05 |
$130.05 |
$130.05 |
$83.52
|
|
Ob Ultrasound nuchal meas 1 gest
|
$424.32 |
$424.32 |
$424.32 |
$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
|
$10,192.97 |
$10,192.97 |
$10,192.97 |
$12,749.16
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,649.37 |
$1,649.37 |
$1,649.37 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$223.95 |
$223.95 |
$223.95 |
$120.17
|
|
Oncoprotein dcp
|
$99.45 |
$99.45 |
$99.45 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$35.24 |
$35.24 |
$35.24 |
$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
|
|
Opn tx orbit fx without impl 21406
|
$11,635.14 |
$11,635.14 |
$11,635.14 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$14,326.92 |
$14,326.92 |
$14,326.92 |
$8,453.60
|
|
Optx lunate dislocation
|
$14,326.92 |
$14,326.92 |
$14,326.92 |
$7,907.11
|
|
Optx medial ankle fx
|
$14,326.92 |
$14,326.92 |
$14,326.92 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$11,635.14 |
$11,635.14 |
$11,635.14 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$28,431.48 |
$28,431.48 |
$28,431.48 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$14,326.92 |
$14,326.92 |
$14,326.92 |
$7,913.97
|
|
Oral aprepitant
|
$791.32 |
$791.32 |
$791.32 |
$413.91
|
|
Orchiopexy ingun/scrot appr
|
$7,717.83 |
$7,717.83 |
$7,717.83 |
$4,176.15
|
|
Orthosis lso rigd frm hyperex
|
$1,419.84 |
$1,419.84 |
$1,419.84 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$351.90 |
$351.90 |
$351.90 |
$221.34
|
|
Osmolality blood
|
$181.56 |
$181.56 |
$181.56 |
$67.60
|
|
Osmolality urine
|
$181.56 |
$181.56 |
$181.56 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$480.93 |
$480.93 |
$480.93 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$240.21 |
$240.21 |
$240.21 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$360.57 |
$360.57 |
$360.57 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$73.44 |
$73.44 |
$73.44 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$78.03 |
$78.03 |
$78.03 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$238.68 |
$238.68 |
$238.68 |
$107.32
|
|
Ot re-evaluation patient/family
|
$215.22 |
$215.22 |
$215.22 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$187.68 |
$187.68 |
$187.68 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$289.68 |
$289.68 |
$289.68 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$289.68 |
$289.68 |
$289.68 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$182.07 |
$182.07 |
$182.07 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$121.89 |
$121.89 |
$121.89 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$274.38 |
$274.38 |
$274.38 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$179.33 |
$179.33 |
$179.33 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$73,929.60 |
$73,929.60 |
$73,929.60 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$278.56 |
$278.56 |
$278.56 |
$231.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,430.32 |
$4,430.32 |
$4,430.32 |
$5,156.88
|
|
Palonosetron hcl
|
$84.15 |
$84.15 |
$84.15 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$93.95 |
$93.95 |
$93.95 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$35.43
|
|
Papaverin hcl injection
|
$105.72 |
$105.72 |
$105.72 |
$83.77
|
|
Parathormone (pth) intact
|
$333.54 |
$333.54 |
$333.54 |
$200.23
|
|
Parathyroid planar imaging
|
$1,867.11 |
$1,867.11 |
$1,867.11 |
$1,166.00
|
|
Paricalcitol
|
$84.15 |
$84.15 |
$84.15 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$391.68 |
$391.68 |
$391.68 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$3,762.53
|
|
Partial removal finger bone
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,021.04
|
|
Partial removal finger bone
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,211.05
|
|
Partial removal of toe
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,798.87 |
$6,798.87 |
$6,798.87 |
$4,418.35
|
|
Passy muir valve metal trach
|
$466.79 |
$466.79 |
$466.79 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$3,760.74 |
$3,760.74 |
$3,760.74 |
$2,436.20
|
|
Pegaspargase injection
|
$46,524.80 |
$46,524.80 |
$46,524.80 |
$33,512.48
|
|
Pelvic CT scan (with and without contrast)
|
$5,003.61 |
$5,003.61 |
$5,003.61 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,925.07 |
$4,925.07 |
$4,925.07 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,663.84 |
$3,663.84 |
$3,663.84 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$9,713.97 |
$9,713.97 |
$9,713.97 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,238.72 |
$5,238.72 |
$5,238.72 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$4,383.96 |
$4,383.96 |
$4,383.96 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,304.58 |
$1,304.58 |
$1,304.58 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$895.56 |
$895.56 |
$895.56 |
$445.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$200.38 |
$200.38 |
$200.38 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$447.20 |
$447.20 |
$447.20 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$664.28 |
$664.28 |
$664.28 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$226.04 |
$226.04 |
$226.04 |
$90.35
|
|
Penicillin g procaine inj
|
$168.21 |
$168.21 |
$168.21 |
$47.19
|
|
Penile injection
|
$465.63 |
$465.63 |
$465.63 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$31,177.60 |
$31,177.60 |
$31,177.60 |
$19,815.11
|
|
Penile vascular study
|
$166.26 |
$166.26 |
$166.26 |
$561.00
|
|
Pentamidine non-comp unit
|
$298.87 |
$298.87 |
$298.87 |
$279.76
|
|
Pentobarbital sodium inj
|
$238.48 |
$238.48 |
$238.48 |
$185.00
|
|
Perc cryo ablate renal tum
|
$15,746.25 |
$15,746.25 |
$15,746.25 |
$12,320.22
|
|
Perc d-e cor revasc chro sin
|
$22,111.05 |
$22,111.05 |
$22,111.05 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$22,111.05 |
$22,111.05 |
$22,111.05 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$22,111.05 |
$22,111.05 |
$22,111.05 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$15,482.07 |
$15,482.07 |
$15,482.07 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$22,111.05 |
$22,111.05 |
$22,111.05 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$22,111.05 |
$22,111.05 |
$22,111.05 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$22,528.74 |
$22,528.74 |
$22,528.74 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$9,338.10 |
$9,338.10 |
$9,338.10 |
$6,949.48
|
|
Percut ablate liver rf
|
$7,270.56 |
$7,270.56 |
$7,270.56 |
$7,024.12
|
|
Pericardial drain w/cath pq w/ct guid
|
$5,467.20 |
$5,467.20 |
$5,467.20 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$2,887.62 |
$2,887.62 |
$2,887.62 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$5,198.43 |
$5,198.43 |
$5,198.43 |
$2,013.60
|
|
Peri-proc device eval icd
|
$348.84 |
$348.84 |
$348.84 |
$220.35
|
|
Peri-proc device eval pm
|
$315.18 |
$315.18 |
$315.18 |
$195.80
|
|
Peritoneogram rs&i
|
$780.81 |
$780.81 |
$780.81 |
$648.84
|
|
Perq clsr tcat l atr apndge
|
$11,608.62 |
$11,608.62 |
$11,608.62 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$1,676.37 |
$1,676.37 |
$1,676.37 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$1,676.37 |
$1,676.37 |
$1,676.37 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$7,111.44 |
$7,111.44 |
$7,111.44 |
$6,904.15
|