|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,617.10 |
$9,617.10 |
$9,617.10 |
$8,720.95
|
|
Olanzapine 10 mg intramuscular solution
|
$120.17 |
$120.17 |
$120.17 |
$120.17
|
|
Oncoprotein dcp
|
$330.60 |
$330.60 |
$330.60 |
$175.25
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.90 |
$1.90 |
$1.90 |
$2.09
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$38.99 |
$38.99 |
$38.99 |
$12.51
|
|
Organic acids total quant ea spec
|
$268.20 |
$268.20 |
$268.20 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$172.80 |
$172.80 |
$172.80 |
$204.89
|
|
Osmolality blood
|
$128.40 |
$128.40 |
$128.40 |
$57.00
|
|
Osmolality urine
|
$127.80 |
$127.80 |
$127.80 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$216.60 |
$216.60 |
$216.60 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$140.40 |
$140.40 |
$140.40 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$178.80 |
$178.80 |
$178.80 |
$249.60
|
|
Oth resp proc, group
|
$416.40 |
$416.40 |
$416.40 |
$100.80
|
|
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
|
$77.40 |
$77.40 |
$77.40 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$82.20 |
$82.20 |
$82.20 |
$105.50
|
|
Ot re-evaluation patient/family
|
$109.20 |
$109.20 |
$109.20 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$67.80 |
$67.80 |
$67.80 |
$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
|
$71.40 |
$71.40 |
$71.40 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$60.60 |
$60.60 |
$60.60 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$67.80 |
$67.80 |
$67.80 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$45.01 |
$45.01 |
$45.01 |
$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
|
|
P-32 sod phosphate ther per mci
|
$185.40 |
$185.40 |
$185.40 |
$436.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$189.24 |
$189.24 |
$189.24 |
$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
|
$2,730.99 |
$2,730.99 |
$2,730.99 |
$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
|
$245.40 |
$245.40 |
$245.40 |
$204.00
|
|
Parathyrd planar w/spect&ct
|
$2,166.00 |
$2,166.00 |
$2,166.00 |
$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
|
$314.40 |
$314.40 |
$314.40 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,183.60 |
$6,183.60 |
$6,183.60 |
$5,901.00
|
|
Passy muir valve metal trach
|
$327.60 |
$327.60 |
$327.60 |
$241.20
|
|
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
|
|
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
|
|
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
|
$260.60 |
$260.60 |
$260.60 |
$53.75
|
|
Pentamidine non-comp unit
|
$279.76 |
$279.76 |
$279.76 |
$279.76
|
|
Perc d-e cor revasc chro add
|
$39,081.60 |
$39,081.60 |
$39,081.60 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$39,081.60 |
$39,081.60 |
$39,081.60 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$53,458.20 |
$53,458.20 |
$53,458.20 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$39,081.60 |
$39,081.60 |
$39,081.60 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$37,635.00 |
$37,635.00 |
$37,635.00 |
$21,146.91
|
|
Perc drug-el cor stent bran
|
$13,293.00 |
$13,293.00 |
$13,293.00 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$19,069.80 |
$19,069.80 |
$19,069.80 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$83.70 |
$83.70 |
$83.70 |
$269.36
|
|
Pericardiocentesis wwo imaging
|
$3,316.20 |
$3,316.20 |
$3,316.20 |
$2,554.80
|
|
Perit-vens shunt pat tst
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$608.46
|
|
Perq art m-thrombect &/nfs
|
$20,995.80 |
$20,995.80 |
$20,995.80 |
$7,796.10
|
|
Perq dev breast 1st strtctc
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,471.17
|
|
Pertussis ag if
|
$144.60 |
$144.60 |
$144.60 |
$53.95
|
|
Pertuzumab 30 mg/ml desensitization
|
$10,118.19 |
$10,118.19 |
$10,118.19 |
$15,007.91
|
|
Pet CT skull-mid thgh initial
|
$6,157.20 |
$6,157.20 |
$6,157.20 |
$4,850.00
|
|
Pet CT whole body initial
|
$7,389.00 |
$7,389.00 |
$7,389.00 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,274.20
|
|
Pet image w/ct lmtd
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$4,422.60
|
|
Ph body fluid
|
$90.00 |
$90.00 |
$90.00 |
$35.75
|
|
Phencyclidine (pcp)
|
$204.60 |
$204.60 |
$204.60 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$85.41 |
$85.41 |
$85.41 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$233.40 |
$233.40 |
$233.40 |
$97.50
|
|
Phentolaine mesylate inj
|
$881.36 |
$881.36 |
$881.36 |
$881.36
|
|
Phenylephrine 10 mg/ml injection solution
|
$132.26 |
$132.26 |
$132.26 |
$28.92
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$39.82 |
$39.82 |
$39.82 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$225.60 |
$225.60 |
$225.60 |
$100.75
|
|
Phlebotomy therapeutic
|
$277.20 |
$277.20 |
$277.20 |
$240.24
|
|
Phosphorus
|
$87.60 |
$87.60 |
$87.60 |
$42.37
|
|
Phosphorus 24 hour urine
|
$104.40 |
$104.40 |
$104.40 |
$41.51
|
|
Phys blood bank serv reactj
|
$458.40 |
$458.40 |
$458.40 |
$219.94
|
|
Phys blood bank serv xmatch
|
$171.60 |
$171.60 |
$171.60 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$133.36 |
$133.36 |
$133.36 |
$75.04
|
|
Piflu f-18, dia 1 millicurie
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,095.60
|
|
Pik3ca gene trgt seq alys
|
$424.80 |
$424.80 |
$424.80 |
$453.18
|
|
Pinworm exam
|
$64.80 |
$64.80 |
$64.80 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$65.82 |
$65.82 |
$65.82 |
$51.80
|
|
Place cath intracranial art
|
$6,184.80 |
$6,184.80 |
$6,184.80 |
$4,656.83
|
|
Place cath xtrnl carotid
|
$12,866.40 |
$12,866.40 |
$12,866.40 |
$4,202.90
|