|
Olanzapine 10 mg intramuscular solution
|
$50.36 |
$50.36 |
$139.46 |
|
|
Olanzapine long-acting inj
|
$2,664.90 |
$2,664.90 |
$2,664.90 |
|
|
Ol dig e/m svc 11-20 min
|
$32.00 |
$32.00 |
$32.00 |
|
|
Ol dig e/m svc 21+ min
|
$48.00 |
$48.00 |
$48.00 |
|
|
Ol dig e/m svc 5-10 min
|
$16.00 |
$16.00 |
$16.00 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,169.15 |
$1,169.15 |
$6,896.29 |
|
|
Omental flap extra-abdom 49904
|
$862.72 |
$862.72 |
$862.72 |
|
|
Omental flap intra-abdom 49905
|
$266.24 |
$266.24 |
$266.24 |
|
|
Oncoprotein dcp
|
$64.00 |
$64.00 |
$392.25 |
|
|
Oncoprotein her-2/neu
|
$392.25 |
$392.25 |
$392.25 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.42 |
$9.42 |
$33.87 |
|
|
One-way allow prorated trip
|
$7.23 |
$7.23 |
$7.23 |
|
|
Open bx/exc inguinofem nodes
|
$521.92 |
$521.92 |
$521.92 |
|
|
Open bx of lung pleura 32098
|
$578.24 |
$578.24 |
$578.24 |
|
|
Open cor endarterect w cabg/ea ves 33572
|
$167.04 |
$167.04 |
$167.04 |
|
|
Open nasoethmoid fx without fixj
|
$7,798.50 |
$7,798.50 |
$7,798.50 |
|
|
Open tx rib 1-3 fx w/fix 21811
|
$449.60 |
$449.60 |
$449.60 |
|
|
Open tx rib 4-6 fx w/fix 21812
|
$540.80 |
$540.80 |
$540.80 |
|
|
Open tx/sternum fracture 21825
|
$442.56 |
$442.56 |
$442.56 |
|
|
Open wedge/bx lung infiltr
|
$288.64 |
$288.64 |
$288.64 |
|
|
Open wedge bx lung nodule 32097
|
$610.24 |
$610.24 |
$610.24 |
|
|
Ophthalmic biometry
|
$112.50 |
$112.50 |
$112.50 |
|
|
Ophthalmic mitomycin
|
$843.81 |
$843.81 |
$843.81 |
|
|
Ophth Ultrasound b & quant a
|
$334.50 |
$334.50 |
$334.50 |
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$307.50 |
$307.50 |
$307.50 |
|
|
Oph Ultrasound dx quan a-scan only
|
$324.00 |
$324.00 |
$324.00 |
|
|
Opioids & opiate analogs 3/4
|
$3.20 |
$3.20 |
$3.20 |
|
|
Opn exc/dst ntra-abd
|
$1,421.44 |
$1,421.44 |
$1,421.44 |
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$1,022.72 |
$1,022.72 |
$1,022.72 |
|
|
Opn fem art expos cndt crtj 34714
|
$93.12 |
$93.12 |
$93.12 |
|
|
Optical endomicroscpy interp
|
$164.25 |
$164.25 |
$164.25 |
|
|
Optx acromclv dislc aqt/chrn
|
$472.96 |
$472.96 |
$472.96 |
|
|
Optx clavicular fx w/int fix
|
$554.24 |
$554.24 |
$554.24 |
|
|
Optx rdl&uln shft fx rds&uln
|
$741.12 |
$741.12 |
$741.12 |
|
|
Oral aprepitant
|
$89.71 |
$89.71 |
$801.39 |
|
|
Oral busulfan
|
$706.59 |
$706.59 |
$706.59 |
|
|
Oral everolimus
|
$1,602.93 |
$1,602.93 |
$1,602.93 |
|
|
Oral hiv-1/hiv-2 screen
|
$36.75 |
$36.75 |
$36.75 |
|
|
Oral methotrexate (xatmep)
|
$5,854.69 |
$5,854.69 |
$5,854.69 |
|
|
Oral netupitant, palonosetro
|
$1,616.34 |
$1,616.34 |
$1,616.34 |
|
|
Orchiopexy ingun/scrot appr
|
$343.04 |
$343.04 |
$343.04 |
|
|
Organic acids total quant ea spec
|
$17.28 |
$17.28 |
$120.00 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$12,492.06 |
$12,492.06 |
$12,492.06 |
|
|
Oritavancin 400 mg intravenous solution
|
$2,720.05 |
$2,720.05 |
$2,720.05 |
|
|
Oropharyngeal biopsy 42800
|
$97.92 |
$97.92 |
$97.92 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$32.07 |
$32.07 |
$32.07 |
|
|
Ortho elbow w/lock w/ft&adj
|
$23.99 |
$23.99 |
$23.99 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,083.75 |
$1,083.75 |
$1,083.75 |
|
|
Orthopantogram
|
$135.68 |
$135.68 |
$240.00 |
|
|
Orthop traing pfrmd phys/qhp
|
$72.75 |
$72.75 |
$72.75 |
|
|
Orthovisc inj per dose
|
$1,122.27 |
$1,122.27 |
$1,122.27 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$708.83 |
$708.83 |
$708.83 |
|
|
Oscillation chest wall mechanical per session
|
$497.25 |
$497.25 |
$497.25 |
|
|
Osmolality blood
|
$53.25 |
$53.25 |
$63.36 |
|
|
Osmolality urine
|
$55.50 |
$55.50 |
$63.04 |
|
|
Osteochondral knee allograft
|
$1,104.32 |
$1,104.32 |
$1,104.32 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$27.84 |
$27.84 |
$27.84 |
|
|
Ot evaluation high complexity patient/family
|
$141.44 |
$141.44 |
$486.00 |
|
|
Ot evaluation low complexity patient/family
|
$115.20 |
$115.20 |
$241.50 |
|
|
Ot evaluation moderate complexity patient/family
|
$119.36 |
$119.36 |
$253.50 |
|
|
Other immunoelectrophoresis
|
$144.00 |
$144.00 |
$144.00 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$127.68 |
$127.68 |
$140.25 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$90.24 |
$90.24 |
$126.00 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$58.56 |
$58.56 |
$156.00 |
|
|
Otolaryngo binocular microscopy 92504
|
$16.96 |
$16.96 |
$66.00 |
|
|
Ot re-evaluation patient/family
|
$84.80 |
$84.80 |
$175.50 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$52.80 |
$52.80 |
$110.25 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$31.04 |
$31.04 |
$77.25 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$32.96 |
$32.96 |
$81.75 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$49.28 |
$49.28 |
$114.75 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$57.60 |
$57.60 |
$110.25 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$49.92 |
$49.92 |
$102.00 |
|
|
Ovarian cystectomy 58925
|
$612.80 |
$612.80 |
$612.80 |
|
|
Ovulation tests
|
$47.25 |
$47.25 |
$47.25 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$272.85 |
$272.85 |
$272.85 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$113.72 |
$113.72 |
$2,927.40 |
|
|
Oxytocin 10 unit/ml injection solution
|
$10.20 |
$10.20 |
$96.68 |
|
|
P-32 chromic phos ther per mci
|
$911.04 |
$911.04 |
$911.04 |
|
|
P-32 sod phosphate ther per mci
|
$156.16 |
$156.16 |
$156.16 |
|
|
Packing strips, non-impreg
|
$8.05 |
$8.05 |
$8.05 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.92 |
$2.92 |
$226.24 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,381.94 |
$1,381.94 |
$3,731.10 |
|
|
Palb2 gene full gene seq
|
$191.36 |
$191.36 |
$191.36 |
|
|
Palifermin injection
|
$7,318.71 |
$7,318.71 |
$7,318.71 |
|
|
Palingen or promatrx
|
$3.75 |
$3.75 |
$3.75 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,964.51 |
$1,964.51 |
$8,355.57 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$8,048.49 |
$8,048.49 |
$8,048.49 |
|
|
Palonosetron hcl
|
$71.04 |
$71.04 |
$138.75 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$155.95 |
$155.95 |
$155.95 |
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$1,203.84 |
$1,203.84 |
$1,203.84 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$16,990.80 |
$16,990.80 |
$16,990.80 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.66 |
$11.66 |
$19.29 |
|
|
Papaverin hcl injection
|
$67.11 |
$67.11 |
$67.11 |
|
|
Parathormone (pth) intact
|
$110.40 |
$110.40 |
$297.00 |
|
|
Parathyrd planar w/spect&ct
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
|
|
Parathyroid autotransplantation 60512
|
$183.04 |
$183.04 |
$183.04 |
|
|
Parathyroid planar imaging
|
$496.32 |
$496.32 |
$997.50 |
|
|
Parathyroid planar img w/tomo spect
|
$997.50 |
$997.50 |
$997.50 |
|
|
Parial mast w/lymph removal 19302
|
$714.24 |
$714.24 |
$714.24 |
|
|
Paricalcitol
|
$68.01 |
$68.01 |
$68.01 |
|
