|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$22,116.48 |
$22,116.48 |
$22,116.48 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$417.92 |
$417.92 |
$417.92 |
$2,224.00
|
|
Onc breast mrna 58 genes
|
$640.90 |
$640.90 |
$640.90 |
$3,464.09
|
|
Oncology prostate prob score
|
$123.50 |
$123.50 |
$123.50 |
$952.00
|
|
Oncology tum unknown origin
|
$7,166.25 |
$7,166.25 |
$7,166.25 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$986.70 |
$986.70 |
$986.70 |
$986.70
|
|
Oncoprotein dcp
|
$217.10 |
$217.10 |
$217.10 |
$167.91
|
|
Oncoprotein her-2/neu
|
$519.35 |
$519.35 |
$519.35 |
$219.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$37.00 |
$37.00 |
$37.00 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$18.85 |
$18.85 |
$18.85 |
$24.00
|
|
Opps service,sched team conf
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$503.90
|
|
Oral aprepitant
|
$1,077.16 |
$1,077.16 |
$1,077.16 |
$410.20
|
|
Oral busulfan
|
$81.12 |
$81.12 |
$81.12 |
$176.80
|
|
Organic acids total quant ea spec
|
$200.20 |
$200.20 |
$200.20 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$17,944.36 |
$17,944.36 |
$17,944.36 |
$11,017.26
|
|
Oritavancin 400 mg intravenous solution
|
$3,448.20 |
$3,448.20 |
$3,448.20 |
$3,311.06
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$64.08 |
$64.08 |
$64.08 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$736.45 |
$736.45 |
$736.45 |
$279.81
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$851.50 |
$851.50 |
$851.50 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$851.50 |
$851.50 |
$851.50 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$851.50 |
$851.50 |
$851.50 |
$229.45
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$851.50 |
$851.50 |
$851.50 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,477.15 |
$2,477.15 |
$2,477.15 |
$686.79
|
|
Osmolality blood
|
$84.50 |
$84.50 |
$84.50 |
$70.85
|
|
Osmolality urine
|
$74.10 |
$74.10 |
$74.10 |
$65.52
|
|
Ost pch drain for barrier fl
|
$9.75 |
$9.75 |
$9.75 |
$11.45
|
|
Oth resp proc, group
|
$87.10 |
$87.10 |
$87.10 |
$126.00
|
|
Oth resp proc, indiv
|
$235.30 |
$235.30 |
$235.30 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$105.30 |
$105.30 |
$105.30 |
$97.80
|
|
Ot re-evaluation patient/family
|
$258.05 |
$258.05 |
$258.05 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$163.15 |
$163.15 |
$163.15 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$163.15 |
$163.15 |
$163.15 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$418.47 |
$418.47 |
$418.47 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$437.07 |
$437.07 |
$437.07 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$9.75 |
$9.75 |
$9.75 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$40,652.30 |
$40,652.30 |
$40,652.30 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$101.21 |
$101.21 |
$101.21 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,455.64 |
$5,455.64 |
$5,455.64 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$433.55 |
$433.55 |
$433.55 |
$672.50
|
|
Palonosetron hcl
|
$207.24 |
$207.24 |
$207.24 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$32.40 |
$32.40 |
$32.40 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$847.13 |
$847.13 |
$847.13 |
$13,051.61
|
|
Papaverin hcl injection
|
$67.30 |
$67.30 |
$67.30 |
$78.75
|
|
Parathormone (pth) intact
|
$129.35 |
$129.35 |
$129.35 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,775.80 |
$1,775.80 |
$1,775.80 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$1,374.75
|
|
Paricalcitol
|
$52.47 |
$52.47 |
$52.47 |
$47.15
|
|
Partial removal of tongue
|
$16,472.95 |
$16,472.95 |
$16,472.95 |
$6,311.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7,016.75 |
$7,016.75 |
$7,016.75 |
$4,921.76
|
|
Passy muir valve metal trach
|
$53.95 |
$53.95 |
$53.95 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$40.95 |
$40.95 |
$40.95 |
$5.73
|
|
Pdgfra gene
|
$799.50 |
$799.50 |
$799.50 |
$717.23
|
|
Pegaspargase injection
|
$9,327.90 |
$9,327.90 |
$9,327.90 |
$41,065.49
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$22,655.10 |
$22,655.10 |
$22,655.10 |
$6,370.52
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$12,049.05 |
$12,049.05 |
$12,049.05 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$14,430.00 |
$14,430.00 |
$14,430.00 |
$4,120.37
|
|
Pelvic CT scan (with and without contrast)
|
$3,361.80 |
$3,361.80 |
$3,361.80 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$3,074.50 |
$3,074.50 |
$3,074.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,232.45 |
$3,232.45 |
$3,232.45 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,070.60 |
$3,070.60 |
$3,070.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,913.30 |
$2,913.30 |
$2,913.30 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,134.25 |
$1,134.25 |
$1,134.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$583.05 |
$583.05 |
$583.05 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$752.70 |
$752.70 |
$752.70 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,534.23 |
$4,534.23 |
$4,534.23 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$12,809.86 |
$12,809.86 |
$12,809.86 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$305.44 |
$305.44 |
$305.44 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$121.73 |
$121.73 |
$121.73 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$39,479.70 |
$39,479.70 |
$39,479.70 |
$18,764.94
|
|
Pentobarbital sodium inj
|
$198.63 |
$198.63 |
$198.63 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$17,003.35 |
$17,003.35 |
$17,003.35 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$24,441.30 |
$24,441.30 |
$24,441.30 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$35,842.95 |
$35,842.95 |
$35,842.95 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$19,045.65 |
$19,045.65 |
$19,045.65 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$28,686.45 |
$28,686.45 |
$28,686.45 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$23,010.65 |
$23,010.65 |
$23,010.65 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$35,842.95 |
$35,842.95 |
$35,842.95 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$19,045.65 |
$19,045.65 |
$19,045.65 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$26,078.65 |
$26,078.65 |
$26,078.65 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$9,886.50 |
$9,886.50 |
$9,886.50 |
$7,243.60
|
|
Percut ablate liver rf
|
$14,036.75 |
$14,036.75 |
$14,036.75 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$306.64 |
$306.64 |
$306.64 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,455.70 |
$2,455.70 |
$2,455.70 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$5,775.25 |
$5,775.25 |
$5,775.25 |
$2,375.00
|
|
Peripheral vascular rehab
|
$163.80 |
$163.80 |
$163.80 |
$132.50
|
|
Peri-proc device eval icd
|
$254.15 |
$254.15 |
$254.15 |
$192.40
|
|
Peri-proc device eval pm
|
$376.35 |
$376.35 |
$376.35 |
$156.00
|
|
Peritoneogram rs&i
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$752.49
|
|
Perq art m-thrombect &/nfs
|
$8,329.75 |
$8,329.75 |
$8,329.75 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$25,535.25 |
$25,535.25 |
$25,535.25 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$1,925.30 |
$1,925.30 |
$1,925.30 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,695.85 |
$1,695.85 |
$1,695.85 |
$1,456.00
|
|
Perq nl/pl lithotrp smpl<2cm
|
$16,073.20 |
$16,073.20 |
$16,073.20 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$4,441.45 |
$4,441.45 |
$4,441.45 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$9,038.90 |
$9,038.90 |
$9,038.90 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$7,566.65 |
$7,566.65 |
$7,566.65 |
$7,020.00
|
