|
Observation per hour
|
$39.73 |
$39.73 |
$39.73 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$449,167.93 |
$449,167.93 |
$449,167.93 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$232.59 |
$232.59 |
$232.59 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$87,792.77 |
$87,792.77 |
$87,792.77 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$30,831.38 |
$30,831.38 |
$30,831.38 |
$4,797.94
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$77.36 |
$77.36 |
$77.36 |
$34.32
|
|
Organic acids total quant ea spec
|
$152.59 |
$152.59 |
$152.59 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$181.32 |
$181.32 |
$181.32 |
$65.07
|
|
Orthovisc inj per dose
|
$1,252.68 |
$1,252.68 |
$1,252.68 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$2,604.66 |
$2,604.66 |
$2,604.66 |
$221.34
|
|
Osmolality blood
|
$105.25 |
$105.25 |
$105.25 |
$67.60
|
|
Osmolality urine
|
$139.31 |
$139.31 |
$139.31 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$388.51 |
$388.51 |
$388.51 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$388.51 |
$388.51 |
$388.51 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$388.51 |
$388.51 |
$388.51 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$155.74 |
$155.74 |
$155.74 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$142.29 |
$142.29 |
$142.29 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$131.57 |
$131.57 |
$131.57 |
$107.32
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$117.64 |
$117.64 |
$117.64 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$157.22 |
$157.22 |
$157.22 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$195.87 |
$195.87 |
$195.87 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$140.47 |
$140.47 |
$140.47 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$117.64 |
$117.64 |
$117.64 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$150.00 |
$150.00 |
$150.00 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$347.26 |
$347.26 |
$347.26 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,067.80 |
$1,067.80 |
$1,067.80 |
$231.46
|
|
Palonosetron hcl
|
$3,076.69 |
$3,076.69 |
$3,076.69 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$515.75 |
$515.75 |
$515.75 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$23,358.30 |
$23,358.30 |
$23,358.30 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$186.08 |
$186.08 |
$186.08 |
$44.25
|
|
Papaverin hcl injection
|
$270.23 |
$270.23 |
$270.23 |
$76.40
|
|
Parathormone (pth) intact
|
$130.03 |
$130.03 |
$130.03 |
$200.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$51,593.25 |
$51,593.25 |
$51,593.25 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$18,088.21 |
$18,088.21 |
$18,088.21 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$36,362.76 |
$36,362.76 |
$36,362.76 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$19,264.19 |
$19,264.19 |
$19,264.19 |
$5,908.68
|
|
Pelvic CT scan (with contrast)
|
$6,944.13 |
$6,944.13 |
$6,944.13 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$5,456.44 |
$5,456.44 |
$5,456.44 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$5,129.09 |
$5,129.09 |
$5,129.09 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$4,056.83 |
$4,056.83 |
$4,056.83 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$2,637.02 |
$2,637.02 |
$2,637.02 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,407.07 |
$1,407.07 |
$1,407.07 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$41,020.63 |
$41,020.63 |
$41,020.63 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$6,754.71 |
$6,754.71 |
$6,754.71 |
$643.59
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$517.93 |
$517.93 |
$517.93 |
$321.71
|
|
Pertuzumab 30 mg/ml desensitization
|
$23,733.11 |
$23,733.11 |
$23,733.11 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$132,874.03 |
$132,874.03 |
$132,874.03 |
$41,963.08
|
|
Ph body fluid
|
$45.59 |
$45.59 |
$45.59 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$787.02 |
$787.02 |
$787.02 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$250.74 |
$250.74 |
$250.74 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$166.71 |
$166.71 |
$166.71 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$128.55 |
$128.55 |
$128.55 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$233.73 |
$233.73 |
$233.73 |
$111.27
|
|
Phosphorus
|
$206.14 |
$206.14 |
$206.14 |
$47.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$229.76 |
$229.76 |
$229.76 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$454.82 |
$454.82 |
$454.82 |
$95.01
|
|
Platelet aggregation each agent teg
|
$317.21 |
$317.21 |
$317.21 |
$147.96
|
|
Platelet automated
|
$57.05 |
$57.05 |
$57.05 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$8,628.53 |
$8,628.53 |
$8,628.53 |
$1,070.30
|
|
Platelets pheresis pathogen-reduced each unit
|
$10,351.43 |
$10,351.43 |
$10,351.43 |
$879.36
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$459.45 |
$459.45 |
$459.45 |
$173.00
|
|
Potassium 24 hour urine
|
$100.61 |
$100.61 |
$100.61 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$848.41 |
$848.41 |
$848.41 |
$71.74
|
|
Potassium serum/plasma/whole blood
|
$132.17 |
$132.17 |
$132.17 |
$44.64
|
|
Pr application of long arm splint
|
$2,494.22 |
$2,494.22 |
$2,494.22 |
$332.75
|
|
Pr application splint static short arm
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$301.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$465.54 |
$465.54 |
$465.54 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$356.40
|
|
Prealbumin
|
$168.38 |
$168.38 |
$168.38 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$99.16 |
$99.16 |
$99.16 |
$16.30
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,963.34 |
$1,963.34 |
$1,963.34 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$1,840.65 |
$1,840.65 |
$1,840.65 |
$541.45
|
|
Pretreat rbc w chem/drugs reference
|
$197.84 |
$197.84 |
$197.84 |
$106.00
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$2,930.96 |
$2,930.96 |
$2,930.96 |
$827.94
|
|
Pr incision & drainage abscess complicated/multiple
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$4,965.18 |
$4,965.18 |
$4,965.18 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,597.47 |
$1,597.47 |
$1,597.47 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$5,746.27 |
$5,746.27 |
$5,746.27 |
$666.10
|
|
Procalcitonin
|
$222.46 |
$222.46 |
$222.46 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$127.92 |
$127.92 |
$127.92 |
$46.50
|
|
Progesterone
|
$72.45 |
$72.45 |
$72.45 |
$105.00
|
|
Prolactin
|
$67.31 |
$67.31 |
$67.31 |
$127.50
|
|
Promethazine hcl injection
|
$102.07 |
$102.07 |
$102.07 |
$33.34
|
|
Propofol infusion 10 mg/ml
|
$581.02 |
$581.02 |
$581.02 |
$80.95
|
|
Protamine 10 mg/ml intravenous solution
|
$135.85 |
$135.85 |
$135.85 |
$50.70
|
|
Protein c activity
|
$64.65 |
$64.65 |
$64.65 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$35.52 |
$35.52 |
$35.52 |
$85.20
|
|
Protein s total
|
$40.40 |
$40.40 |
$40.40 |
$78.87
|
|
Protein total 24 hour urine
|
$94.41 |
$94.41 |
$94.41 |
$52.50
|
|
Protein total body fluid
|
$50.94 |
$50.94 |
$50.94 |
$52.57
|
|
Protein total serum plasma whole blood
|
$46.74 |
$46.74 |
$46.74 |
$42.81
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$977.41 |
$977.41 |
$977.41 |
$422.00
|