|
Onco (ovar) five proteins
|
$1,194.20 |
$1,194.20 |
$1,194.20 |
$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
|
$3.85 |
$3.85 |
$3.85 |
$2.40
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.92 |
$8.92 |
$8.92 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$24,795.22 |
$24,795.22 |
$24,795.22 |
$4,992.00
|
|
Ophthalmic endoscope add-on
|
$15,047.62 |
$15,047.62 |
$15,047.62 |
$750.40
|
|
Ophthalmic mitomycin
|
$543.72 |
$543.72 |
$543.72 |
$775.44
|
|
Opn impltj nea sacral nerve
|
$66,545.00 |
$66,545.00 |
$66,545.00 |
$7,766.27
|
|
Orchiopexy ingun/scrot appr
|
$25,032.41 |
$25,032.41 |
$25,032.41 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$314.30 |
$314.30 |
$314.30 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.60 |
$40.60 |
$40.60 |
$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
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$498.40 |
$498.40 |
$498.40 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$459.90 |
$459.90 |
$459.90 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$498.40 |
$498.40 |
$498.40 |
$231.00
|
|
Orthopantogram
|
$692.30 |
$692.30 |
$692.30 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$655.90 |
$655.90 |
$655.90 |
$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
|
$186.90 |
$186.90 |
$186.90 |
$195.00
|
|
Osmolality blood
|
$118.30 |
$118.30 |
$118.30 |
$67.60
|
|
Osmolality urine
|
$133.00 |
$133.00 |
$133.00 |
$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
|
$424.90 |
$424.90 |
$424.90 |
$263.50
|
|
Oth resp proc, group
|
$165.90 |
$165.90 |
$165.90 |
$123.05
|
|
Oth resp proc, indiv
|
$86.80 |
$86.80 |
$86.80 |
$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
|
|
Ovarian cystectomy 58925
|
$41,735.20 |
$41,735.20 |
$41,735.20 |
$5,841.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,174.77 |
$1,174.77 |
$1,174.77 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$105.17 |
$105.17 |
$105.17 |
$50.40
|
|
Pabpn1 gene detc abnor allel
|
$316.40 |
$316.40 |
$316.40 |
$225.42
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$20,699.28 |
$20,699.28 |
$20,699.28 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$568.22 |
$568.22 |
$568.22 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,286.65 |
$7,286.65 |
$7,286.65 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$8,065.05 |
$8,065.05 |
$8,065.05 |
$6,238.82
|
|
Palonosetron hcl
|
$175.35 |
$175.35 |
$175.35 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$109.72 |
$109.72 |
$109.72 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$33,415.20 |
$33,415.20 |
$33,415.20 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$13.30 |
$13.30 |
$13.30 |
$29.31
|
|
Papaverin hcl injection
|
$72.80 |
$72.80 |
$72.80 |
$77.05
|
|
Parathormone (pth) intact
|
$308.70 |
$308.70 |
$308.70 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$6,990.20 |
$6,990.20 |
$6,990.20 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,556.80 |
$1,556.80 |
$1,556.80 |
$1,129.91
|
|
Paricalcitol
|
$66.50 |
$66.50 |
$66.50 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$230.30 |
$230.30 |
$230.30 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$14,981.74 |
$14,981.74 |
$14,981.74 |
$3,762.53
|
|
Partial removal of thyroid
|
$40,586.66 |
$40,586.66 |
$40,586.66 |
$6,457.82
|
|
Partial thyroid excision
|
$42,575.85 |
$42,575.85 |
$42,575.85 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,458.79 |
$6,458.79 |
$6,458.79 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,596.70 |
$1,596.70 |
$1,596.70 |
$275.75
|
|
Pca3/klk3 antigen
|
$763.70 |
$763.70 |
$763.70 |
$510.40
|
|
Pdgfra gene
|
$761.60 |
$761.60 |
$761.60 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$21,374.85 |
$21,374.85 |
$21,374.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$9,454.02 |
$9,454.02 |
$9,454.02 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$15,674.92 |
$15,674.92 |
$15,674.92 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,300.95 |
$8,300.95 |
$8,300.95 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$145,300.22 |
$145,300.22 |
$145,300.22 |
$49,135.11
|
|
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
|
$28,431.90 |
$28,431.90 |
$28,431.90 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$18,644.85 |
$18,644.85 |
$18,644.85 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$855.92 |
$855.92 |
$855.92 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$160.30 |
$160.30 |
$160.30 |
$101.34
|
|
Penile injection
|
$847.70 |
$847.70 |
$847.70 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$32,409.24 |
$32,409.24 |
$32,409.24 |
$18,764.94
|
|
Pentostatin 10 mg intravenous solution
|
$11,134.72 |
$11,134.72 |
$11,134.72 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$33,903.27 |
$33,903.27 |
$33,903.27 |
$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 chro sin
|
$20,979.00 |
$20,979.00 |
$20,979.00 |
$18,808.65
|
|
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
|
$17,010.00 |
$17,010.00 |
$17,010.00 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$24,208.10 |
$24,208.10 |
$24,208.10 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$15,390.90 |
$15,390.90 |
$15,390.90 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$16,443.00 |
$16,443.00 |
$16,443.00 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$23,292.50 |
$23,292.50 |
$23,292.50 |
$16,258.50
|
|
Percut ablate liver rf
|
$31,414.17 |
$31,414.17 |
$31,414.17 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$334.60 |
$334.60 |
$334.60 |
$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
|
$11,846.05 |
$11,846.05 |
$11,846.05 |
$2,251.20
|
|
Perineoplasty rpr per nonob
|
$36,852.51 |
$36,852.51 |
$36,852.51 |
$3,522.35
|
|
Peripheral vascular rehab
|
$200.20 |
$200.20 |
$200.20 |
$132.50
|