|
Ortho elbow without jnt cstm w/fit&adj
|
$822.94 |
$822.94 |
$822.94 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$783.41 |
$783.41 |
$783.41 |
$623.75
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$873.19 |
$873.19 |
$873.19 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$771.89 |
$771.89 |
$771.89 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$503.12 |
$503.12 |
$503.12 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$771.89 |
$771.89 |
$771.89 |
$225.00
|
|
Orthopantogram
|
$808.94 |
$808.94 |
$808.94 |
$219.22
|
|
Orthosis lso rigd frm hyperex
|
$616.95 |
$616.95 |
$616.95 |
$813.61
|
|
Orthovisc inj per dose
|
$498.00 |
$498.00 |
$498.00 |
$443.85
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$468.21 |
$468.21 |
$468.21 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$1,094.90 |
$1,094.90 |
$1,094.90 |
$221.34
|
|
Osmolality blood
|
$333.31 |
$333.31 |
$333.31 |
$67.60
|
|
Osmolality urine
|
$269.35 |
$269.35 |
$269.35 |
$65.65
|
|
Ostectomy complete 1st metatarsal head 28111
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,821.05
|
|
Osteopath manip tx/5-6 body region 98927
|
$94.41 |
$94.41 |
$94.41 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$112.11 |
$112.11 |
$112.11 |
$72.80
|
|
Osteopath manip tx/9-10 body region98929
|
$112.11 |
$112.11 |
$112.11 |
$95.16
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,855.00
|
|
Ot evaluation high complexity patient/family
|
$928.55 |
$928.55 |
$928.55 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$759.72 |
$759.72 |
$759.72 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$844.12 |
$844.12 |
$844.12 |
$270.58
|
|
Oth resp proc, group
|
$137.05 |
$137.05 |
$137.05 |
$137.05
|
|
Oth resp proc, indiv
|
$137.05 |
$137.05 |
$137.05 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$119.77 |
$119.77 |
$119.77 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$488.88 |
$488.88 |
$488.88 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$288.40 |
$288.40 |
$288.40 |
$107.32
|
|
Ot re-evaluation patient/family
|
$571.11 |
$571.11 |
$571.11 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$255.00 |
$255.00 |
$255.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$383.46 |
$383.46 |
$383.46 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$383.46 |
$383.46 |
$383.46 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$271.38 |
$271.38 |
$271.38 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$299.77 |
$299.77 |
$299.77 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$319.76 |
$319.76 |
$319.76 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$731.16 |
$731.16 |
$731.16 |
$342.84
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2,815.70 |
$2,815.70 |
$2,815.70 |
$231.63
|
|
Pad repl cerv collr univ adult
|
$194.66 |
$194.66 |
$194.66 |
$93.32
|
|
Palonosetron hcl
|
$2,659.32 |
$2,659.32 |
$2,659.32 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$803.98 |
$803.98 |
$803.98 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$28,208.92 |
$28,208.92 |
$28,208.92 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$416.29 |
$416.29 |
$416.29 |
$35.43
|
|
Papaverin hcl injection
|
$419.08 |
$419.08 |
$419.08 |
$83.77
|
|
Parathormone (pth) intact
|
$661.07 |
$661.07 |
$661.07 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$8,216.02 |
$8,216.02 |
$8,216.02 |
$1,574.40
|
|
Parathyroid planar imaging
|
$4,117.69 |
$4,117.69 |
$4,117.69 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$6,280.11 |
$6,280.11 |
$6,280.11 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$529.44 |
$529.44 |
$529.44 |
$270.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,881.50
|
|
Partial removal foot fascia
|
$8,017.78 |
$8,017.78 |
$8,017.78 |
$3,839.54
|
|
Partial removal of eye fluid
|
$6,293.91 |
$6,293.91 |
$6,293.91 |
$2,698.92
|
|
Partial removal of foot bone
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$13.81 |
$13.81 |
$13.81 |
$4,418.35
|
|
Part removal of metatarsal
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,795.71
|
|
Path clin consltj high 41-60
|
$526.01 |
$526.01 |
$526.01 |
$187.28
|
|
Pdgfra gene
|
$609.93 |
$609.93 |
$609.93 |
$659.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,919.66 |
$19,919.66 |
$19,919.66 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$6,993.24 |
$6,993.24 |
$6,993.24 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$14,043.66 |
$14,043.66 |
$14,043.66 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,446.94 |
$7,446.94 |
$7,446.94 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$7,257.67 |
$7,257.67 |
$7,257.67 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$6,227.81 |
$6,227.81 |
$6,227.81 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$4,813.00 |
$4,813.00 |
$4,813.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,002.64 |
$7,002.64 |
$7,002.64 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,123.64 |
$5,123.64 |
$5,123.64 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,244.61 |
$3,244.61 |
$3,244.61 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,923.06 |
$1,923.06 |
$1,923.06 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,714.74 |
$1,714.74 |
$1,714.74 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$49,544.62 |
$49,544.62 |
$49,544.62 |
$13,809.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,620.71 |
$2,620.71 |
$2,620.71 |
$643.59
|
|
Penile injection
|
$1,347.19 |
$1,347.19 |
$1,347.19 |
$418.00
|
|
Penile vascular study
|
$1,802.86 |
$1,802.86 |
$1,802.86 |
$561.00
|
|
Penile vascular study
|
$380.22 |
$380.22 |
$380.22 |
$460.20
|
|
Perc cryo ablate renal tum
|
$15,426.67 |
$15,426.67 |
$15,426.67 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$15,260.33 |
$15,260.33 |
$15,260.33 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$39,448.50 |
$39,448.50 |
$39,448.50 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$15,260.33 |
$15,260.33 |
$15,260.33 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$22,995.51 |
$22,995.51 |
$22,995.51 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$13,490.08 |
$13,490.08 |
$13,490.08 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$39,448.50 |
$39,448.50 |
$39,448.50 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$15,260.33 |
$15,260.33 |
$15,260.33 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$29,704.46 |
$29,704.46 |
$29,704.46 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$15,880.82 |
$15,880.82 |
$15,880.82 |
$6,949.48
|
|
Percut ablate liver rf
|
$15,426.67 |
$15,426.67 |
$15,426.67 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$515.92 |
$515.92 |
$515.92 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$3,157.33 |
$3,157.33 |
$3,157.33 |
$2,573.60
|
|
Peripheral vascular rehab
|
$724.35 |
$724.35 |
$724.35 |
$128.69
|
|
Peri-proc device eval icd
|
$226.70 |
$226.70 |
$226.70 |
$220.35
|
|
Peri-proc device eval pm
|
$226.70 |
$226.70 |
$226.70 |
$195.80
|
|
Peritoneal cath sub q resv per
|
$9,319.57 |
$9,319.57 |
$9,319.57 |
$5,625.74
|
|
Peritoneogram rs&i
|
$3,472.30 |
$3,472.30 |
$3,472.30 |
$648.84
|
|
Perit-vens shunt pat tst
|
$1,855.80 |
$1,855.80 |
$1,855.80 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$22,322.65 |
$22,322.65 |
$22,322.65 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$51,097.80 |
$51,097.80 |
$51,097.80 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$11,002.83 |
$11,002.83 |
$11,002.83 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$9,314.53 |
$9,314.53 |
$9,314.53 |
$1,548.60
|
|
Perq p-art revsc 1 abnor bi
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$10,351.01 |
$10,351.01 |
$10,351.01 |
$15,145.00
|
|
Perq plmt bile duct stent
|
$5,325.85 |
$5,325.85 |
$5,325.85 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$9,672.68 |
$9,672.68 |
$9,672.68 |
$6,457.82
|