|
Omental flap intra-abdom 49905
|
$97,217.49 |
$97,217.49 |
$97,217.49 |
$871.20
|
|
Onco (ovar) five proteins
|
$1,391.60 |
$1,391.60 |
$1,391.60 |
$986.70
|
|
Onco (ovar) two proteins
|
$547.40 |
$547.40 |
$547.40 |
$341.54
|
|
Oncoprotein dcp
|
$219.80 |
$219.80 |
$219.80 |
$161.60
|
|
Ondansetron 4 mg s0119
|
$12.60 |
$12.60 |
$12.60 |
$2.40
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$37.10 |
$37.10 |
$37.10 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$26,502.78 |
$26,502.78 |
$26,502.78 |
$4,992.00
|
|
Oral aprepitant
|
$633.85 |
$633.85 |
$633.85 |
$410.20
|
|
Oral everolimus
|
$332.85 |
$332.85 |
$332.85 |
$33.34
|
|
Orchiopexy ingun/scrot appr
|
$19,304.07 |
$19,304.07 |
$19,304.07 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$225.40 |
$225.40 |
$225.40 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$24,073.27 |
$24,073.27 |
$24,073.27 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$436.10 |
$436.10 |
$436.10 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$531.30 |
$531.30 |
$531.30 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,359.70 |
$2,359.70 |
$2,359.70 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,351.70 |
$1,351.70 |
$1,351.70 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$67.90 |
$67.90 |
$67.90 |
$238.34
|
|
Orthopantogram
|
$692.30 |
$692.30 |
$692.30 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$508.20 |
$508.20 |
$508.20 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,274.70 |
$1,274.70 |
$1,274.70 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$60.20 |
$60.20 |
$60.20 |
$195.00
|
|
Osmolality blood
|
$53.20 |
$53.20 |
$53.20 |
$67.60
|
|
Osmolality urine
|
$72.80 |
$72.80 |
$72.80 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$550.20 |
$550.20 |
$550.20 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$348.60 |
$348.60 |
$348.60 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$381.50 |
$381.50 |
$381.50 |
$263.50
|
|
Oth resp proc, group
|
$144.20 |
$144.20 |
$144.20 |
$123.05
|
|
Oth resp proc, indiv
|
$40.60 |
$40.60 |
$40.60 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$235.90 |
$235.90 |
$235.90 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$180.60 |
$180.60 |
$180.60 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$214.20 |
$214.20 |
$214.20 |
$105.00
|
|
Ot re-evaluation patient/family
|
$328.30 |
$328.30 |
$328.30 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$168.70 |
$168.70 |
$168.70 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$135.80 |
$135.80 |
$135.80 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$163.10 |
$163.10 |
$163.10 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$165.20 |
$165.20 |
$165.20 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$168.70 |
$168.70 |
$168.70 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$188.30 |
$188.30 |
$188.30 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,642.72 |
$1,642.72 |
$1,642.72 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$489.30 |
$489.30 |
$489.30 |
$50.40
|
|
Pabpn1 gene detc abnor allel
|
$316.40 |
$316.40 |
$316.40 |
$225.42
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$8,542.66 |
$8,542.66 |
$8,542.66 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,056.47 |
$1,056.47 |
$1,056.47 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,899.47 |
$4,899.47 |
$4,899.47 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$192.01
|
|
Palb2 gene full gene seq
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$672.50
|
|
Palonosetron hcl
|
$359.62 |
$359.62 |
$359.62 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,129.10 |
$1,129.10 |
$1,129.10 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$38,454.85 |
$38,454.85 |
$38,454.85 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$102.55 |
$102.55 |
$102.55 |
$29.31
|
|
Papaverin hcl injection
|
$175.70 |
$175.70 |
$175.70 |
$77.05
|
|
Parathormone (pth) intact
|
$193.20 |
$193.20 |
$193.20 |
$204.87
|
|
Parathyroid planar imaging
|
$2,426.20 |
$2,426.20 |
$2,426.20 |
$1,129.91
|
|
Partial removal of thyroid
|
$26,845.85 |
$26,845.85 |
$26,845.85 |
$6,457.82
|
|
Partial thyroid excision
|
$25,691.44 |
$25,691.44 |
$25,691.44 |
$6,457.82
|
|
Passy muir valve metal trach
|
$2,327.50 |
$2,327.50 |
$2,327.50 |
$275.75
|
|
Pdgfra gene
|
$761.60 |
$761.60 |
$761.60 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$24,598.52 |
$24,598.52 |
$24,598.52 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$18,039.00 |
$18,039.00 |
$18,039.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,552.90 |
$9,552.90 |
$9,552.90 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$3,318.00 |
$3,318.00 |
$3,318.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,907.80 |
$2,907.80 |
$2,907.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,156.70 |
$2,156.70 |
$2,156.70 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,765.60 |
$4,765.60 |
$4,765.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,615.50 |
$3,615.50 |
$3,615.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,509.90 |
$1,509.90 |
$1,509.90 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$862.40 |
$862.40 |
$862.40 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$32,719.92 |
$32,719.92 |
$32,719.92 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$11,533.55 |
$11,533.55 |
$11,533.55 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,195.25 |
$1,195.25 |
$1,195.25 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$167.47 |
$167.47 |
$167.47 |
$101.34
|
|
Pentamidine 300 mg solution for injection
|
$1,022.17 |
$1,022.17 |
$1,022.17 |
$453.61
|
|
Perc cryo ablate renal tum
|
$27,467.66 |
$27,467.66 |
$27,467.66 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$20,179.60 |
$20,179.60 |
$20,179.60 |
$12,886.61
|
|
Perc d-e cor revasc t cabg b
|
$19,483.80 |
$19,483.80 |
$19,483.80 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$14,458.50 |
$14,458.50 |
$14,458.50 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$11,395.30 |
$11,395.30 |
$11,395.30 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$13,976.20 |
$13,976.20 |
$13,976.20 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$17,136.00 |
$17,136.00 |
$17,136.00 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$25,161.45 |
$25,161.45 |
$25,161.45 |
$7,243.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$806.92 |
$806.92 |
$806.92 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,194.80 |
$3,194.80 |
$3,194.80 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$366.80 |
$366.80 |
$366.80 |
$2,251.20
|
|
Perineoplasty rpr per nonob
|
$13,555.70 |
$13,555.70 |
$13,555.70 |
$3,522.35
|
|
Peripheral vascular rehab
|
$42.00 |
$42.00 |
$42.00 |
$132.50
|
|
Peritoneal cath sub q resv per
|
$4,081.00 |
$4,081.00 |
$4,081.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$739.90 |
$739.90 |
$739.90 |
$695.89
|
|
Perq clsr tcat l atr apndge
|
$10,022.60 |
$10,022.60 |
$10,022.60 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,171.80 |
$1,171.80 |
$1,171.80 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$50,649.16 |
$50,649.16 |
$50,649.16 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$41,159.15 |
$41,159.15 |
$41,159.15 |
$9,442.38
|
|
Perq p-art revsc 1 abnor uni
|
$42,242.20 |
$42,242.20 |
$42,242.20 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt uni
|
$26,104.40 |
$26,104.40 |
$26,104.40 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$10,885.00 |
$10,885.00 |
$10,885.00 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$11,519.20 |
$11,519.20 |
$11,519.20 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,904.15
|
|
Perq transcath closure each
|
$12,824.70 |
$12,824.70 |
$12,824.70 |
$9,204.00
|