|
Oprelvekin injection
|
$848.31 |
$848.31 |
$848.31 |
$353.44
|
|
Oral aprepitant
|
$120.81 |
$474.29 |
$474.29 |
$260.40
|
|
Oral busulfan
|
$18.96 |
$18.96 |
$18.96 |
$84.21
|
|
Organic acids total quant ea spec
|
$129.00 |
$129.00 |
$129.00 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.92 |
$40.92 |
$40.92 |
$40.92
|
|
Ortho elbow w/lock w/ft&adj
|
$183.60 |
$183.60 |
$183.60 |
$183.60
|
|
Orthopantogram
|
$162.60 |
$162.60 |
$162.60 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$31.80 |
$31.80 |
$31.80 |
$267.57
|
|
Oscillation chest wall mechanical per session
|
$148.80 |
$148.80 |
$148.80 |
$204.89
|
|
Osmolality blood
|
$131.40 |
$131.40 |
$131.40 |
$57.00
|
|
Osmolality urine
|
$131.40 |
$131.40 |
$131.40 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$263.40 |
$263.40 |
$263.40 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$159.00 |
$159.00 |
$159.00 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$159.00 |
$159.00 |
$159.00 |
$249.60
|
|
Oth resp proc, group
|
$100.80 |
$100.80 |
$100.80 |
$100.80
|
|
Oth resp proc, indiv
|
$100.80 |
$100.80 |
$100.80 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$69.60 |
$69.60 |
$69.60 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$79.20 |
$79.20 |
$79.20 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$96.00 |
$96.00 |
$96.00 |
$105.50
|
|
Ot re-evaluation patient/family
|
$139.20 |
$139.20 |
$139.20 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$79.80 |
$79.80 |
$79.80 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.80 |
$91.80 |
$91.80 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$48.00 |
$73.80 |
$73.80 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$73.80 |
$73.80 |
$76.80 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$45.01 |
$50.50 |
$50.50 |
$26.95
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.82 |
$3.82 |
$3.82 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$67.25 |
$67.25 |
$67.25 |
$30.78
|
|
P-32 chromic phos ther per mci
|
$12,150.00 |
$12,150.00 |
$12,150.00 |
$1,730.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.85 |
$1.85 |
$201.09 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$29.18 |
$29.18 |
$29.18 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,898.66 |
$4,898.66 |
$4,898.66 |
$4,898.66
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,126.81 |
$6,126.81 |
$6,126.81 |
$5,156.88
|
|
Palonosetron hcl
|
$1,094.62 |
$1,094.62 |
$1,094.62 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$129.80 |
$129.80 |
$129.80 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$65.80 |
$65.80 |
$65.80 |
$18.49
|
|
Papaverin hcl injection
|
$121.02 |
$121.02 |
$121.02 |
$85.02
|
|
Parathormone (pth) intact
|
$305.40 |
$305.40 |
$305.40 |
$204.00
|
|
Parathyrd planar w/spect&ct
|
$5,443.80 |
$5,443.80 |
$5,443.80 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,531.80 |
$1,531.80 |
$1,531.80 |
$1,317.94
|
|
Paricalcitol
|
$47.38 |
$47.38 |
$47.38 |
$41.14
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$219.60 |
$219.60 |
$219.60 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,901.00 |
$5,901.00 |
$5,901.00 |
$5,901.00
|
|
Passy muir valve metal trach
|
$217.20 |
$217.20 |
$231.00 |
$241.20
|
|
Pegaspargase injection
|
$39,780.27 |
$39,780.27 |
$39,780.27 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,121.58 |
$9,121.58 |
$9,121.58 |
$9,121.58
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,688.56 |
$5,688.56 |
$5,688.56 |
$5,688.56
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,159.82 |
$5,159.82 |
$5,159.82 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,961.60 |
$5,961.60 |
$5,961.60 |
$5,961.60
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$4,028.25 |
$4,028.25 |
$4,028.25 |
$4,891.26
|
|
Pegloticase 8 mg/ml intravenous solution
|
$41,940.84 |
$41,940.84 |
$41,940.84 |
$41,940.84
|
|
Pelvic CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$343.20 |
$343.20 |
$343.20 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$295.20 |
$295.20 |
$295.20 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$85.04 |
$85.04 |
$85.04 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16.16 |
$16.16 |
$16.16 |
$122.56
|
|
Peng benzathine/procaine inj
|
$338.23 |
$338.23 |
$338.23 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$48.74 |
$48.74 |
$48.74 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$122.55 |
$260.60 |
$260.60 |
$53.75
|
|
Penicillin g procaine inj
|
$107.18 |
$107.18 |
$107.18 |
$40.94
|
|
Penile vascular study
|
$810.60 |
$810.60 |
$810.60 |
$527.34
|
|
Pentamidine non-comp unit
|
$279.76 |
$279.76 |
$279.76 |
$279.76
|
|
Pentobarbital sodium inj
|
$4,918.36 |
$4,918.36 |
$4,918.36 |
$64.60
|
|
Perc cryo ablate renal tum
|
$11,829.60 |
$11,829.60 |
$11,829.60 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$47,221.80 |
$47,221.80 |
$48,681.60 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$34,522.80 |
$34,522.80 |
$35,946.60 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$47,221.80 |
$47,221.80 |
$48,681.60 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$33,244.20 |
$33,244.20 |
$34,272.60 |
$21,146.91
|
|
Perc drug-el cor stent sing
|
$16,846.20 |
$16,846.20 |
$17,367.00 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$6,178.80 |
$6,178.80 |
$6,178.80 |
$6,949.48
|
|
Percut ablate liver rf
|
$6,178.80 |
$6,178.80 |
$6,178.80 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$83.70 |
$83.70 |
$83.70 |
$269.36
|
|
Pericardiocentesis wwo imaging
|
$3,999.60 |
$3,999.60 |
$3,999.60 |
$2,554.80
|
|
Peritoneogram rs&i
|
$396.00 |
$396.00 |
$396.00 |
$510.85
|
|
Perit-vens shunt pat tst
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$608.46
|
|
Perphenazine 4mg oral
|
$2.47 |
$2.47 |
$2.47 |
$2.47
|
|
Perq art m-thrombect &/nfs
|
$20,594.40 |
$20,594.40 |
$20,594.40 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$17,868.00 |
$17,868.00 |
$17,868.00 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$4,117.20 |
$4,117.20 |
$4,117.20 |
$2,153.40
|
|
Perq dev breast 1st strtctc
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,471.17
|
|
Perq plmt bile duct stent
|
$10,713.00 |
$10,713.00 |
$10,713.00 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$8,719.80 |
$8,719.80 |
$8,719.80 |
$6,085.18
|
|
Perq plmt bile duct stent
|
$16,161.60 |
$16,161.60 |
$16,161.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
$636.09
|
|
Perq transcath closure pda
|
$38,928.00 |
$38,928.00 |
$38,928.00 |
$19,624.54
|
|
Perq transcath cls aortic
|
$37,949.40 |
$37,949.40 |
$37,949.40 |
$22,633.26
|
|
Perq transcath cls mitral
|
$37,591.80 |
$37,591.80 |
$37,591.80 |
$25,206.69
|
|
Perq transcath septal reduxn
|
$16,958.40 |
$16,958.40 |
$16,958.40 |
$6,003.27
|
|
Perq trluml angp nt/recr coa
|
$16,521.00 |
$16,521.00 |
$16,521.00 |
$9,074.63
|
|
Pertussis ag if
|
$247.80 |
$247.80 |
$247.80 |
$53.95
|
|
Pertuzumab 30 mg/ml desensitization
|
$10,118.19 |
$10,118.19 |
$10,118.19 |
$15,007.91
|