|
Obtaining screen pap smear
|
$103.00 |
$103.00 |
$103.00 |
$38.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$465.40 |
$465.40 |
$465.40 |
$356.59
|
|
Occupational Therapy Evaluation (high complexity)
|
$163.15 |
$163.15 |
$163.15 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$163.15 |
$163.15 |
$163.15 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$65,142.90 |
$65,142.90 |
$65,142.90 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$32.20 |
$32.20 |
$32.20 |
$90.00
|
|
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
|
$129.10 |
$129.10 |
$129.10 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$7,768.80 |
$7,768.80 |
$7,768.80 |
$4,595.01
|
|
Omental flap intra-abdom 49905
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$871.20
|
|
Oncology colon mrna
|
$11,381.50 |
$11,381.50 |
$11,381.50 |
$6,232.00
|
|
Ondansetron 4 mg s0119
|
$14.38 |
$14.38 |
$14.38 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$12.97 |
$12.97 |
$12.97 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$34,291.30 |
$34,291.30 |
$34,291.30 |
$4,992.00
|
|
Open skull for drainage 61312
|
$6,238.00 |
$6,238.00 |
$6,238.00 |
$4,872.80
|
|
Opn mpltj hpglsl nstm ary pg
|
$94,723.74 |
$94,723.74 |
$94,723.74 |
$36,076.18
|
|
Optx carpl scphd fx int fixj
|
$49,420.37 |
$49,420.37 |
$49,420.37 |
$6,653.00
|
|
Optx ulnar shft fx int fixj
|
$54,364.46 |
$54,364.46 |
$54,364.46 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$78,206.14 |
$78,206.14 |
$78,206.14 |
$5,295.25
|
|
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
|
|
Oropharyngeal biopsy 42800
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$2,443.00
|
|
Orthopantogram
|
$209.95 |
$209.95 |
$209.95 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$899.04 |
$899.04 |
$899.04 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$499.20 |
$499.20 |
$499.20 |
$196.70
|
|
Osmolality blood
|
$65.00 |
$65.00 |
$65.00 |
$69.55
|
|
Osmolality urine
|
$53.30 |
$53.30 |
$53.30 |
$65.50
|
|
Osteopath manip tx/5-6 body region 98927
|
$142.00 |
$142.00 |
$142.00 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$178.00 |
$178.00 |
$178.00 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$216.00 |
$216.00 |
$216.00 |
$89.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$115.70 |
$115.70 |
$115.70 |
$98.40
|
|
Otolaryngo binocular microscopy 92504
|
$62.40 |
$62.40 |
$62.40 |
$59.40
|
|
Ot re-evaluation patient/family
|
$106.60 |
$106.60 |
$106.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$72.15 |
$72.15 |
$72.15 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$72.15 |
$72.15 |
$72.15 |
$94.81
|
|
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
|
$7.20 |
$7.20 |
$7.20 |
$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
|
$253.00 |
$253.00 |
$253.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,531.65 |
$3,531.65 |
$3,531.65 |
$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 |
$122.00
|
|
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
|
$10.25 |
$10.25 |
$10.25 |
$28.90
|
|
Papaverin hcl injection
|
$29.90 |
$29.90 |
$29.90 |
$78.75
|
|
Parathormone (pth) intact
|
$189.80 |
$189.80 |
$189.80 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,434.90 |
$2,434.90 |
$2,434.90 |
$1,574.40
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$136.50 |
$136.50 |
$136.50 |
$245.67
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$44,934.20 |
$44,934.20 |
$44,934.20 |
$4,914.00
|
|
Partial removal of thyroid
|
$50,632.04 |
$50,632.04 |
$50,632.04 |
$5,855.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$221.06 |
$221.06 |
$221.06 |
$4,921.76
|
|
Part removal of metatarsal
|
$29,020.00 |
$29,020.00 |
$29,020.00 |
$3,821.05
|
|
Passy muir valve metal trach
|
$242.38 |
$242.38 |
$242.38 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$0.22 |
$0.22 |
$0.22 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$94.19 |
$94.19 |
$94.19 |
$44.97
|
|
Ped crit care age 2-5 init
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$1,016.80
|
|
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 (with and without contrast)
|
$1,844.70 |
$1,844.70 |
$1,844.70 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,706.25 |
$1,706.25 |
$1,706.25 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,157.65 |
$1,157.65 |
$1,157.65 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$984.10 |
$984.10 |
$984.10 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$2,194.00 |
$2,194.00 |
$2,194.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$604.00 |
$604.00 |
$604.00 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$217.10 |
$217.10 |
$217.10 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$39,131.10 |
$39,131.10 |
$39,131.10 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$6,210.00 |
$6,210.00 |
$6,210.00 |
$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
|
$234.00 |
$234.00 |
$234.00 |
$97.85
|
|
Penile injection
|
$200.20 |
$200.20 |
$200.20 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$13,529.89 |
$13,529.89 |
$13,529.89 |
$18,764.94
|
|
Penile vascular study
|
$555.75 |
$555.75 |
$555.75 |
$561.00
|
|
Pentamidine 300 mg solution for injection
|
$664.60 |
$664.60 |
$664.60 |
$572.10
|
|
Pentobarbital sodium inj
|
$4,693.50 |
$4,693.50 |
$4,693.50 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$13,365.30 |
$13,365.30 |
$13,365.30 |
$11,523.76
|
|
Perc d-e cor revasc chro sin
|
$8,455.20 |
$8,455.20 |
$8,455.20 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$14,290.90 |
$14,290.90 |
$14,290.90 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$17,147.00 |
$17,147.00 |
$17,147.00 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$14,236.95 |
$14,236.95 |
$14,236.95 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$5,068.70 |
$5,068.70 |
$5,068.70 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$54,505.00 |
$54,505.00 |
$54,505.00 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$393.60 |
$393.60 |
$393.60 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$2,418.99
|
|
Perq clsr tcat l atr apndge
|
$12,421.50 |
$12,421.50 |
$12,421.50 |
$9,286.40
|