|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$116.69 |
$116.69 |
$116.69 |
$4,595.01
|
|
Oncoprotein dcp
|
$222.00 |
$222.00 |
$222.00 |
$171.25
|
|
Ondansetron 8 mg disintegrating tablet
|
$21.59 |
$21.59 |
$21.59 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$2.33 |
$2.33 |
$2.33 |
$22.62
|
|
Open ablate liver tumor cryo
|
$7,127.00 |
$7,127.00 |
$7,127.00 |
$3,046.40
|
|
Open ablate liver tumor rf
|
$7,015.00 |
$7,015.00 |
$7,015.00 |
$2,968.00
|
|
Open bx/exc inguinofem nodes
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$4,992.00
|
|
Open periprosthetic breast capsule 19370
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$4,520.16
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,180.80
|
|
Ophthalmic biometry
|
$301.00 |
$301.00 |
$301.00 |
$182.95
|
|
Opn impltj nea neuromuscular
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$23,049.60
|
|
Opn impltj nea sacral nerve
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,766.27
|
|
Opn tx complx malar fx
|
$12,316.00 |
$12,316.00 |
$12,316.00 |
$6,605.19
|
|
Opn tx orbit fx w/implant
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$6,966.64
|
|
Opn tx orbit periorbtl implt
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$6,553.49
|
|
Optx acrclv dslc aq/chrn grf
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$6,653.00
|
|
Optx carpl scphd fx int fixj
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$8,453.60
|
|
Optx crpl fx oth/thn scph ea
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$4,499.12
|
|
Optx gr hmrl tbrs fx int fix
|
$8,893.00 |
$8,893.00 |
$8,893.00 |
$7,157.53
|
|
Optx medial ankle fx
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
$7,000.36
|
|
Optx post ankle fx
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
$8,159.00
|
|
Optx radial shaft fracture
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$5,419.00
|
|
Optx rad/uln dislc aqt/chrnc
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$5,886.74
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$6,311.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$9,325.00 |
$9,325.00 |
$9,325.00 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,807.24
|
|
Optx rdl&uln shft fx rds/uln
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,906.00
|
|
Optx trns-scphprlnr fx dislc
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$6,336.00 |
$6,336.00 |
$6,336.00 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$5,295.25
|
|
Oral aprepitant
|
$49.57 |
$49.57 |
$49.57 |
$410.20
|
|
Oral everolimus
|
$45.61 |
$45.61 |
$45.61 |
$30.30
|
|
Organic acids total quant ea spec
|
$413.00 |
$413.00 |
$413.00 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$109.94 |
$109.94 |
$109.94 |
$11,017.26
|
|
Oritavancin 400 mg intravenous solution
|
$71.74 |
$71.74 |
$71.74 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$9,715.00 |
$9,715.00 |
$9,715.00 |
$2,443.00
|
|
Orthopantogram
|
$271.00 |
$271.00 |
$271.00 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$766.70 |
$766.70 |
$766.70 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$783.20 |
$783.20 |
$783.20 |
$421.00
|
|
Osmolality blood
|
$161.00 |
$161.00 |
$161.00 |
$69.55
|
|
Osmolality urine
|
$166.00 |
$166.00 |
$166.00 |
$65.50
|
|
Osteochondral knee allograft
|
$13,057.00 |
$13,057.00 |
$13,057.00 |
$10,629.07
|
|
Osteochondral knee autograft
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$7,952.51
|
|
Osteochondral talus autogrft
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$6,982.66
|
|
Osteot humerus w/wo int fixj
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
$7,907.11
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,906.00
|
|
Other immunoelectrophoresis
|
$130.00 |
$130.00 |
$130.00 |
$107.52
|
|
Oth resp proc, group
|
$201.00 |
$201.00 |
$201.00 |
$126.00
|
|
Oth resp proc, indiv
|
$201.00 |
$201.00 |
$201.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$92.00 |
$92.00 |
$92.00 |
$98.40
|
|
Otoplasty 69300
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$203.00 |
$203.00 |
$203.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$164.00 |
$164.00 |
$164.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$164.00 |
$164.00 |
$164.00 |
$94.81
|
|
Ovarian cystectomy 58925
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$5.47 |
$5.47 |
$5.47 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$9.47 |
$9.47 |
$9.47 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$359.32 |
$359.32 |
$359.32 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$6,010.00 |
$6,010.00 |
$6,010.00 |
$469.34
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$20,405.00 |
$20,405.00 |
$20,405.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.14 |
$2.14 |
$2.14 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$39.72 |
$39.72 |
$39.72 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$36.76 |
$36.76 |
$36.76 |
$6,238.82
|
|
Palonosetron hcl
|
$126.40 |
$126.40 |
$126.40 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$116.81 |
$116.81 |
$116.81 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$428.15 |
$428.15 |
$428.15 |
$13,051.61
|
|
Papaverin hcl injection
|
$178.87 |
$178.87 |
$178.87 |
$78.75
|
|
Parathormone (pth) intact
|
$899.00 |
$899.00 |
$899.00 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$4,194.00 |
$4,194.00 |
$4,194.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$4,194.00 |
$4,194.00 |
$4,194.00 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$5,763.23
|
|
Paricalcitol
|
$30.52 |
$30.52 |
$30.52 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$4,996.00 |
$4,996.00 |
$4,996.00 |
$245.67
|
|
Part hymenectomy/revi hymenal ring 56700
|
$5,778.00 |
$5,778.00 |
$5,778.00 |
$3,762.53
|
|
Partial exc bone humerus
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,914.00
|
|
Partial excision of lip
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$4,133.59
|
|
Partial proctectomy; perineal 45123
|
$13,057.00 |
$13,057.00 |
$13,057.00 |
$2,772.80
|
|
Partial removal finger bone
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,211.05
|
|
Partial removal finger bone
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,134.33
|
|
Partial removal foot fascia
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,821.05
|
|
Partial removal leg bone(s)
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
$4,315.20
|
|
Partial removal of eye fluid
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,698.92
|
|
Partial removal of eye fluid
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,698.92
|
|
Partial removal of fibula
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,821.05
|
|
Partial removal of foot bone
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$3,839.54
|
|
Partial removal of hand bone
|
$12,994.00 |
$12,994.00 |
$12,994.00 |
$3,839.54
|
|
Partial removal of nose
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$6,603.11
|
|
Partial removal of radius
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,986.00
|
|
Partial removal of radius
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$3,472.00
|
|
Partial removal of rib
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$5,376.00
|
|
Partial removal of thyroid
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
$5,855.00
|
