|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,175.39 |
$16,175.39 |
$16,175.39 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$376.51 |
$376.51 |
$376.51 |
$2,224.00
|
|
Off/op cnsltj new/est low 30
|
$468.00 |
$468.00 |
$468.00 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$699.40 |
$699.40 |
$699.40 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$975.00 |
$975.00 |
$975.00 |
$349.80
|
|
Off/op consltj new/est sf 20
|
$308.75 |
$308.75 |
$308.75 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$109.62
|
|
Ol dig e/m svc 11-20 min
|
$52.00 |
$52.00 |
$52.00 |
$35.00
|
|
Ol dig e/m svc 21+ min
|
$78.00 |
$78.00 |
$78.00 |
$52.20
|
|
Ol dig e/m svc 5-10 min
|
$42.25 |
$42.25 |
$42.25 |
$21.60
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,595.01 |
$4,595.01 |
$4,595.01 |
$4,595.01
|
|
Omental flap extra-abdom 49904
|
$5,811.00 |
$5,811.00 |
$5,811.00 |
$3,446.40
|
|
Omental flap intra-abdom 49905
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$871.20
|
|
Oncoprotein dcp
|
$354.25 |
$354.25 |
$354.25 |
$171.25
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$22.62
|
|
Open aortic tube prosth repair 34830
|
$9,159.80 |
$9,159.80 |
$9,159.80 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$9,874.80 |
$9,874.80 |
$9,874.80 |
$3,820.80
|
|
Open aortoiliac prosth repr 34831
|
$9,874.80 |
$9,874.80 |
$9,874.80 |
$3,414.40
|
|
Open bx/exc inguinofem nodes
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$3,356.60 |
$3,356.60 |
$3,356.60 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,154.40
|
|
Open periprosthetic breast capsule 19370
|
$2,622.75 |
$2,622.75 |
$2,622.75 |
$4,520.16
|
|
Open skull for drainage 61312
|
$7,844.20 |
$7,844.20 |
$7,844.20 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,180.80
|
|
Open tx iliac spine uni/bil
|
$2,988.70 |
$2,988.70 |
$2,988.70 |
$7,413.38
|
|
Open tx post pelvic fxcture
|
$5,985.85 |
$5,985.85 |
$5,985.85 |
$4,499.12
|
|
Open tx rib 1-3 fx w/fix 21811
|
$2,805.40 |
$2,805.40 |
$2,805.40 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$5,112.80
|
|
Open tx/sternum fracture 21825
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$3,432.80
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$171.60 |
$171.60 |
$171.60 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$183.30 |
$183.30 |
$183.30 |
$273.00
|
|
Opn ax/subcla art expos
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,269.60
|
|
Opn exc/dst ntra-abd
|
$11,440.00 |
$11,440.00 |
$11,440.00 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$9,724.00 |
$9,724.00 |
$9,724.00 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$14,300.00 |
$14,300.00 |
$14,300.00 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$8,193.90 |
$8,193.90 |
$8,193.90 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$6,292.00 |
$6,292.00 |
$6,292.00 |
$1,491.00
|
|
Opn fem art expos cndt crtj 34714
|
$15,161.90 |
$15,161.90 |
$15,161.90 |
$2,041.65
|
|
Opn ilac art expos cndt crtj
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$1,169.29
|
|
Opn impltj nea sacral nerve
|
$14,827.15 |
$14,827.15 |
$14,827.15 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$36,076.18
|
|
Optx acromclv dislc aqt/chrn
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$1,991.60 |
$1,991.60 |
$1,991.60 |
$6,554.95
|
|
Optx clavicular fx w/int fix
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$8,453.60
|
|
Optx gr hmrl tbrs fx int fix
|
$2,748.20 |
$2,748.20 |
$2,748.20 |
$7,157.53
|
|
Optx medial ankle fx
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$6,653.00
|
|
Optx prox humrl fx w/int fix
|
$3,198.00 |
$3,198.00 |
$3,198.00 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$8,159.00
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$6,311.00
|
|
Optx rdl&uln shft fx rds&uln
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$7,807.24
|
|
Optx trns-scphprlnr fx dislc
|
$2,623.40 |
$2,623.40 |
$2,623.40 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$2,064.40 |
$2,064.40 |
$2,064.40 |
$8,453.60
|
|
Oral aprepitant
|
$413.91 |
$413.91 |
$413.91 |
$410.20
|
|
Oral busulfan
|
$468.56 |
$468.56 |
$468.56 |
$176.80
|
|
Oral everolimus
|
$51.32 |
$51.32 |
$51.32 |
$30.30
|
|
Orbitocranial approach/skull
|
$10,782.20 |
$10,782.20 |
$10,782.20 |
$4,306.44
|
|
Orchiectomy partial
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$4,061.71
|
|
Orchiopexy ingun/scrot appr
|
$2,210.65 |
$2,210.65 |
$2,210.65 |
$4,176.15
|
|
Oritavancin 1,200 mg intravenous solution
|
$13,112.70 |
$13,112.70 |
$13,112.70 |
$11,017.26
|
|
Oropharyngeal biopsy 42800
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.25 |
$18.25 |
$18.25 |
$50.63
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$173.86 |
$173.86 |
$173.86 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$113.75 |
$113.75 |
$113.75 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$541.45 |
$541.45 |
$541.45 |
$310.00
|
|
Orthovisc inj per dose
|
$884.00 |
$884.00 |
$884.00 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$91.65 |
$91.65 |
$91.65 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$201.50 |
$201.50 |
$201.50 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$234.00 |
$234.00 |
$234.00 |
$196.70
|
|
Osmolality blood
|
$70.85 |
$70.85 |
$70.85 |
$69.55
|
|
Osmolality urine
|
$70.85 |
$70.85 |
$70.85 |
$65.50
|
|
Osteopath manip tx/5-6 body region 98927
|
$274.30 |
$274.30 |
$274.30 |
$67.84
|
|
Osteoplasty humerus
|
$3,569.80 |
$3,569.80 |
$3,569.80 |
$7,913.97
|
|
Oth resp proc, group
|
$127.40 |
$127.40 |
$127.40 |
$126.00
|
|
Oth resp proc, indiv
|
$79.95 |
$79.95 |
$79.95 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$260.00 |
$260.00 |
$260.00 |
$98.40
|
|
Otolaryngo binocular microscopy 92504
|
$51.35 |
$51.35 |
$51.35 |
$59.40
|
|
Ot re-evaluation patient/family
|
$311.35 |
$311.35 |
$311.35 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$166.40 |
$166.40 |
$166.40 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$166.40 |
$166.40 |
$166.40 |
$94.81
|
|
Ovarian cystectomy 58925
|
$3,231.80 |
$3,231.80 |
$3,231.80 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$273.31 |
$273.31 |
$273.31 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$14.98 |
$14.98 |
$14.98 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$8.42 |
$8.42 |
$8.42 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$46,978.75 |
$46,978.75 |
$46,978.75 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.24 |
$6.24 |
$6.24 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,113.58 |
$5,113.58 |
$5,113.58 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,568.01 |
$5,568.01 |
$5,568.01 |
$6,238.82
|
|
Palonosetron hcl
|
$46.80 |
$46.80 |
$46.80 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$131.90 |
$131.90 |
$131.90 |
$122.00
|
|
Pancreatectomy
|
$12,708.80 |
$12,708.80 |
$12,708.80 |
$7,116.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,130.48 |
$1,130.48 |
$1,130.48 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.88 |
$11.88 |
$11.88 |
$28.90
|
|
Papaverin hcl injection
|
$48.46 |
$48.46 |
$48.46 |
$78.75
|
|
Parathormone (pth) intact
|
$71.50 |
$71.50 |
$71.50 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,716.15
|
|
Parathyroid planar imaging
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$3,637.40 |
$3,637.40 |
$3,637.40 |
$5,763.23
|