|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$19,011.30 |
$19,011.30 |
$19,011.30 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,810.15 |
$1,810.15 |
$1,810.15 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$725.10 |
$725.10 |
$725.10 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$51.25 |
$51.25 |
$51.25 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$7,768.80 |
$7,768.80 |
$7,768.80 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.00 |
$1.00 |
$1.00 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.24 |
$7.24 |
$7.24 |
$22.62
|
|
Oritavancin 1,200 mg intravenous solution
|
$28,018.60 |
$28,018.60 |
$28,018.60 |
$11,017.26
|
|
Oritavancin 400 mg intravenous solution
|
$5,978.20 |
$5,978.20 |
$5,978.20 |
$3,311.06
|
|
Orthosis lso rigd frm hyperex
|
$899.04 |
$899.04 |
$899.04 |
$813.61
|
|
Osmolality blood
|
$77.35 |
$77.35 |
$77.35 |
$70.85
|
|
Osmolality urine
|
$74.75 |
$74.75 |
$74.75 |
$65.52
|
|
Ot re-evaluation patient/family
|
$146.90 |
$146.90 |
$146.90 |
$160.80
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$14.50 |
$14.50 |
$14.50 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$6.85 |
$6.85 |
$6.85 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$290.64
|
|
P-32 sod phosphate ther per mci
|
$1,383.10 |
$1,383.10 |
$1,383.10 |
$469.34
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$14,528.90 |
$14,528.90 |
$14,528.90 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$328.00 |
$328.00 |
$328.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,766.15 |
$4,766.15 |
$4,766.15 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$60.66 |
$60.66 |
$60.66 |
$192.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$16,808.50 |
$16,808.50 |
$16,808.50 |
$6,238.82
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$136.60 |
$136.60 |
$136.60 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$20,996.10 |
$20,996.10 |
$20,996.10 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$28.90
|
|
Parathormone (pth) intact
|
$238.55 |
$238.55 |
$238.55 |
$206.18
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$118.95 |
$118.95 |
$118.95 |
$245.67
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$221.06 |
$221.06 |
$221.06 |
$4,921.76
|
|
Passy muir valve metal trach
|
$242.38 |
$242.38 |
$242.38 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$0.32 |
$0.32 |
$0.32 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$94.19 |
$94.19 |
$94.19 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,709.85 |
$17,709.85 |
$17,709.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$10,830.70 |
$10,830.70 |
$10,830.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$20,144.40 |
$20,144.40 |
$20,144.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,866.15 |
$11,866.15 |
$11,866.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,037.30 |
$5,037.30 |
$5,037.30 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$11,497.50 |
$11,497.50 |
$11,497.50 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$95,364.75 |
$95,364.75 |
$95,364.75 |
$49,135.11
|
|
Pelvic CT scan (without contrast)
|
$1,290.90 |
$1,290.90 |
$1,290.90 |
$1,335.34
|
|
Pelvic MRI (without contrast)
|
$2,063.75 |
$2,063.75 |
$2,063.75 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$598.00 |
$598.00 |
$598.00 |
$643.80
|
|
Pelvis X-ray (1 to 2 views)
|
$226.85 |
$226.85 |
$226.85 |
$281.82
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,047.05 |
$18,047.05 |
$18,047.05 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,906.25 |
$5,906.25 |
$5,906.25 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,928.25 |
$1,928.25 |
$1,928.25 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$11.40 |
$11.40 |
$11.40 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$13,529.89 |
$13,529.89 |
$13,529.89 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$792.75 |
$792.75 |
$792.75 |
$572.10
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,666.10 |
$20,666.10 |
$20,666.10 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$96.38 |
$96.38 |
$96.38 |
$141.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$54,744.57 |
$54,744.57 |
$54,744.57 |
$39,920.50
|
|
Ph body fluid
|
$52.65 |
$52.65 |
$52.65 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$201.80 |
$201.80 |
$201.80 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$120.90 |
$120.90 |
$120.90 |
$105.00
|
|
Phentolaine mesylate inj
|
$1,621.15 |
$1,621.15 |
$1,621.15 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$11.90 |
$11.90 |
$11.90 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$3.00 |
$3.00 |
$3.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$100.10 |
$100.10 |
$100.10 |
$111.27
|
|
Phosphorus
|
$52.00 |
$52.00 |
$52.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$76.05 |
$76.05 |
$76.05 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$196.95 |
$196.95 |
$196.95 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$222.95 |
$222.95 |
$222.95 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$194.35 |
$194.35 |
$194.35 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$162.50 |
$162.50 |
$162.50 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$22.60 |
$22.60 |
$22.60 |
$90.25
|
|
Pillow shldr abduc inflat univ
|
$781.90 |
$781.90 |
$781.90 |
$537.66
|
|
Pin caspar distraction 12mm
|
$24,304.88 |
$24,304.88 |
$24,304.88 |
$11,759.36
|
|
Pinworm exam
|
$33.80 |
$33.80 |
$33.80 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$89.80 |
$89.80 |
$89.80 |
$81.36
|
|
Plasma cryoprecipitate reduced each unit
|
$247.65 |
$247.65 |
$247.65 |
$163.04
|
|
Platelet aggregation each agent teg
|
$134.55 |
$134.55 |
$134.55 |
$148.98
|
|
Platelet automated
|
$32.50 |
$32.50 |
$32.50 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,504.10 |
$1,504.10 |
$1,504.10 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$245.05 |
$245.05 |
$245.05 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$397.15 |
$397.15 |
$397.15 |
$411.20
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,170.65 |
$1,170.65 |
$1,170.65 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$953.55 |
$953.55 |
$953.55 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,231.75 |
$1,231.75 |
$1,231.75 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,005.65
|
|
Plug insert indwelling 16f
|
$153.33 |
$153.33 |
$153.33 |
$149.90
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$220.35 |
$220.35 |
$220.35 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$59,184.30 |
$59,184.30 |
$59,184.30 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,024.15 |
$4,024.15 |
$4,024.15 |
$3,790.61
|
|
Positioner proc acufex leg acs
|
$197.14 |
$197.14 |
$197.14 |
$79.80
|
|
Potassium 24 hour urine
|
$53.95 |
$53.95 |
$53.95 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$35.00 |
$35.00 |
$35.00 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$617.00 |
$617.00 |
$617.00 |
$47.85
|
|
Pouch high output 2pc 50mm red
|
$282.29 |
$282.29 |
$282.29 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$0.28 |
$0.28 |
$0.28 |
$3.25
|
|
Pouch ostmy nb pouchkin ctf
|
$0.38 |
$0.38 |
$0.38 |
$1.55
|
|
Pouch uros new (both sides) 2.75in clr
|
$67.84 |
$67.84 |
$67.84 |
$15.80
|
|
Powder prem protct 1oz
|
$0.45 |
$0.45 |
$0.45 |
$5.43
|
|
Pr application splint static short arm
|
$325.00 |
$325.00 |
$325.00 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$416.00 |
$416.00 |
$416.00 |
$458.25
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$174.00 |
$174.00 |
$174.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$256.00 |
$256.00 |
$256.00 |
$182.65
|
|
Prealbumin
|
$73.45 |
$73.45 |
$73.45 |
$94.00
|