|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$315.01 |
$315.01 |
$315.01 |
|
|
Ortho hnd without jnt w/fit&adj
|
$267.74 |
$267.74 |
$267.74 |
|
|
Orthopantogram
|
$248.04 |
$248.04 |
$1,162.81 |
|
|
Orthosis lso rigd frm hyperex
|
$662.39 |
$662.39 |
$766.70 |
|
|
Orthovisc inj per dose
|
$1,638.99 |
$1,638.99 |
$1,896.62 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$611.08 |
$611.08 |
$783.20 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$410.92 |
$410.92 |
$410.92 |
|
|
Oscillation chest wall mechanical per session
|
$204.70 |
$566.28 |
$581.00 |
|
|
Osmolality blood
|
$29.90 |
$114.27 |
$242.57 |
|
|
Osmolality urine
|
$31.00 |
$125.97 |
$242.57 |
|
|
Ostectomy complete 1st metatarsal head 28111
|
$3,266.96 |
$3,266.96 |
$3,266.96 |
|
|
Osteochondral knee allograft
|
$13,057.00 |
$13,057.00 |
$13,057.00 |
|
|
Osteochondral knee autograft
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Osteochondral talus autogrft
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$46.80 |
$46.80 |
$46.80 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$101.40 |
$101.40 |
$101.40 |
|
|
Osteopath manip tx/9-10 body region98929
|
$95.16 |
$95.16 |
$95.16 |
|
|
Osteot humerus w/wo int fixj
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Other immunoelectrophoresis
|
$44.07 |
$44.07 |
$130.00 |
|
|
Oth resp proc, group
|
$35.23 |
$194.22 |
$201.00 |
|
|
Oth resp proc, indiv
|
$139.23 |
$139.23 |
$201.00 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$63.35 |
$92.00 |
$496.49 |
|
|
Otolaryngo binocular microscopy 92504
|
$46.41 |
$46.41 |
$46.41 |
|
|
Otoplasty 69300
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
|
|
Ot re-evaluation patient/family
|
$44.70 |
$96.33 |
$807.91 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$57.72 |
$72.52 |
$390.30 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$72.52 |
$72.54 |
$390.30 |
|
|
Ovarian cystectomy 58925
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$5.47 |
$5.47 |
$50.75 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$9.47 |
$9.47 |
$1,485.33 |
|
|
Oxytocin 10 unit/ml injection solution
|
$20.11 |
$359.32 |
$359.32 |
|
|
P-32 sod phosphate ther per mci
|
$6,010.00 |
$6,010.00 |
$6,010.00 |
|
|
Pabpn1 gene detc abnor allel
|
$225.42 |
$225.42 |
$225.42 |
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$20,405.00 |
$20,405.00 |
$20,405.00 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.14 |
$2.14 |
$1,025.49 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$39.72 |
$39.72 |
$5,858.86 |
|
|
Palb2 gene full gene seq
|
$466.44 |
$466.44 |
$3,112.00 |
|
|
Palb2 gene known famil vrnt
|
$496.86 |
$496.86 |
$496.86 |
|
|
Palifermin injection
|
$7,111.38 |
$7,111.38 |
$7,111.38 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$36.76 |
$36.76 |
$12,414.82 |
|
|
Palonosetron hcl
|
$91.61 |
$126.40 |
$4,669.97 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$78.46 |
$116.81 |
$755.97 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$428.15 |
$428.15 |
$23,957.29 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.66 |
$22.41 |
$273.32 |
|
|
Papaverin hcl injection
|
$63.35 |
$178.87 |
$392.57 |
|
|
Parathormone (pth) intact
|
$184.12 |
$358.02 |
$2,440.08 |
|
|
Parathyrd planar w/spect&ct
|
$186.48 |
$1,070.16 |
$4,983.55 |
|
|
Parathyroid planar imaging
|
$290.08 |
$725.40 |
$1,577.00 |
|
|
Parathyroid planar img w/tomo spect
|
$998.79 |
$1,577.00 |
$4,657.11 |
|
|
Parial mast w/lymph removal 19302
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
|
|
Paricalcitol
|
$30.52 |
$30.52 |
$63.63 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$169.91 |
$407.55 |
$4,996.00 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$5,778.00 |
$5,778.00 |
$5,778.00 |
|
|
Partial exc bone humerus
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Partial excision of lip
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Partial proctectomy; perineal 45123
|
$13,057.00 |
$13,057.00 |
$13,057.00 |
|
|
Partial removal finger bone
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Partial removal finger bone
|
$1,820.52 |
$1,820.52 |
$6,653.00 |
|
|
Partial removal foot fascia
|
$5,810.00 |
$8,303.49 |
$8,303.49 |
|
|
Partial removal leg bone(s)
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
|
|
Partial removal of eye fluid
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
|
|
Partial removal of eye fluid
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
|
|
Partial removal of fibula
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Partial removal of foot bone
|
$1,430.57 |
$6,588.00 |
$6,588.00 |
|
|
Partial removal of hand bone
|
$12,994.00 |
$12,994.00 |
$12,994.00 |
|
|
Partial removal of nose
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Partial removal of radius
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Partial removal of radius
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Partial removal of rib
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Partial removal of sternum
|
$7,109.92 |
$7,109.92 |
$7,109.92 |
|
|
Partial removal of thyroid
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
|
|
Partial removal of tibia
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Partial removal of tongue
|
$19,257.00 |
$19,257.00 |
$19,257.00 |
|
|
Partial removal of ulna
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Partial removal of ulna
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Partial removal of ulna
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Partial removal of vaginal wall 57106
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Partial thyroid excision
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3.94 |
$4,418.35 |
$4,418.35 |
|
|
Part removal hip bone deep
|
$13,057.00 |
$13,057.00 |
$13,057.00 |
|
|
Part removal of metatarsal
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Part removal of metatarsal
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Part removal of metatarsal 28112
|
$3,271.69 |
$6,653.00 |
$6,653.00 |
|
|
Passy muir valve metal trach
|
$116.60 |
$116.60 |
$116.60 |
|
|
Path clin consltj mod 21-40
|
$58.00 |
$58.00 |
$58.00 |
|
|
Patient recorded spirometry
|
$338.52 |
$338.52 |
$338.52 |
|
|
Pcv21 vaccine im
|
$1,268.30 |
$1,268.30 |
$1,268.30 |
|
|
Pdgfra gene
|
$743.34 |
$743.34 |
$743.34 |
|
|
Pdt dstr prmlg les phys/qhp
|
$241.80 |
$241.80 |
$241.80 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Pedicle enel/ntroral 15576
|
$2,255.76 |
$2,255.76 |
$7,906.00 |
|
|
Pegaspargase injection
|
$40,546.09 |
$45,285.77 |
$48,644.26 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,310.91 |
$1,310.91 |
$78,438.11 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$14,553.90 |
$23,728.93 |
$27,494.60 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$1,322.09 |
$1,322.09 |
$55,280.55 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$860.05 |
$860.05 |
$29,282.63 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,010.61 |
$9,270.00 |
$9,270.00 |
|
|
Peg interferon alfa-2a/180
|
$2,525.56 |
$2,525.56 |
$2,672.20 |
|
