|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,922.43 |
$16,922.43 |
$16,922.43 |
$14,251.13
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,474.96 |
$3,474.96 |
$3,474.96 |
$4,797.94
|
|
Onco (ovar) two proteins
|
$310.58 |
$310.58 |
$310.58 |
$260.50
|
|
Ondansetron 8 mg disintegrating tablet
|
$35.68 |
$35.68 |
$35.68 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$37.64 |
$37.64 |
$37.64 |
$34.32
|
|
Optx rdl&uln shft fx rds&uln
|
$1,330.13 |
$1,330.13 |
$1,330.13 |
$6,839.00
|
|
Oral aprepitant
|
$196.66 |
$196.66 |
$196.66 |
$330.00
|
|
Organic acids total quant ea spec
|
$330.94 |
$330.94 |
$330.94 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$4,709.45 |
$4,709.45 |
$4,709.45 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$26.41 |
$26.41 |
$26.41 |
$65.07
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$196.45 |
$196.45 |
$196.45 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$722.13 |
$722.13 |
$722.13 |
$717.62
|
|
Ortho ewhf rigd without jnt cstm w
|
$692.86 |
$692.86 |
$692.86 |
$782.70
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$600.79 |
$600.79 |
$600.79 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$134.08 |
$134.08 |
$134.08 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$174.38 |
$174.38 |
$174.38 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$134.08 |
$134.08 |
$134.08 |
$240.24
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$232.51 |
$232.51 |
$232.51 |
$267.57
|
|
Osmolality blood
|
$56.43 |
$56.43 |
$56.43 |
$67.60
|
|
Osmolality urine
|
$52.19 |
$52.19 |
$52.19 |
$66.30
|
|
Ot evaluation high complexity patient/family
|
$183.29 |
$183.29 |
$183.29 |
$301.41
|
|
Ot evaluation low complexity patient/family
|
$183.29 |
$183.29 |
$183.29 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$95.04 |
$95.04 |
$95.04 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$63.65 |
$63.65 |
$63.65 |
$100.80
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$45.83 |
$45.83 |
$45.83 |
$107.32
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$72.13 |
$72.13 |
$72.13 |
$107.59
|
|
Ot re-evaluation patient/family
|
$92.07 |
$92.07 |
$92.07 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$86.13 |
$86.13 |
$86.13 |
$99.72
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$56.01 |
$56.01 |
$56.01 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$112.44 |
$112.44 |
$112.44 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$71.71 |
$71.71 |
$71.71 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$95.04 |
$95.04 |
$95.04 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$68.74 |
$68.74 |
$68.74 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$35.17 |
$35.17 |
$35.17 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$306.90 |
$306.90 |
$306.90 |
$366.28
|
|
Oxytocin 10 unit/ml injection solution
|
$0.11 |
$0.11 |
$0.11 |
$46.75
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$472.25 |
$472.25 |
$472.25 |
$222.09
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,418.96 |
$4,418.96 |
$4,418.96 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,901.74 |
$4,901.74 |
$4,901.74 |
$5,078.52
|
|
Palonosetron hcl
|
$137.23 |
$137.23 |
$137.23 |
$409.64
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$61.15 |
$61.15 |
$61.15 |
$148.35
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$16,186.75 |
$16,186.75 |
$16,186.75 |
$18,390.86
|
|
Papaverin hcl injection
|
$59.40 |
$59.40 |
$59.40 |
$76.40
|
|
Parathormone (pth) intact
|
$151.47 |
$151.47 |
$151.47 |
$200.23
|
|
Parathyroid planar imaging
|
$526.54 |
$526.54 |
$526.54 |
$1,159.15
|
|
Parial mast w/lymph removal 19302
|
$6,087.59 |
$6,087.59 |
$6,087.59 |
$5,419.00
|
|
Paricalcitol
|
$27.05 |
$27.05 |
$27.05 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$199.84 |
$199.84 |
$199.84 |
$270.00
|
|
Patient recorded spirometry
|
$294.03 |
$294.03 |
$294.03 |
$436.10
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,703.79 |
$17,703.79 |
$17,703.79 |
$12,717.60
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,401.26 |
$8,401.26 |
$8,401.26 |
$8,401.26
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,321.62 |
$4,321.62 |
$4,321.62 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$865.96 |
$865.96 |
$865.96 |
$1,918.80
|
|
Pelvic CT scan (with contrast)
|
$972.88 |
$972.88 |
$972.88 |
$1,678.50
|
|
Pelvic CT scan (without contrast)
|
$963.12 |
$963.12 |
$963.12 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$1,804.05 |
$1,804.05 |
$1,804.05 |
$2,748.85
|
|
Pelvic MRI (without contrast)
|
$1,262.67 |
$1,262.67 |
$1,262.67 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$622.00 |
$622.00 |
$622.00 |
$647.87
|
|
Pelvic Ultrasound (limited)
|
$609.27 |
$609.27 |
$609.27 |
$449.45
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,048.48 |
$15,048.48 |
$15,048.48 |
$16,273.24
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$164.31 |
$164.31 |
$164.31 |
$2,848.32
|
|
Peng benzathine/procaine inj
|
$273.28 |
$273.28 |
$273.28 |
$254.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$669.51 |
$669.51 |
$669.51 |
$633.84
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.01 |
$30.01 |
$30.01 |
$94.08
|
|
Penicillin g procaine inj
|
$27.32 |
$27.32 |
$27.32 |
$40.94
|
|
Penile injection
|
$301.67 |
$301.67 |
$301.67 |
$415.00
|
|
Penis study
|
$540.54 |
$540.54 |
$540.54 |
$308.10
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$151.72 |
$151.72 |
$151.72 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$265.60 |
$265.60 |
$265.60 |
$2,566.62
|
|
Perit-vens shunt pat tst
|
$1,091.68 |
$1,091.68 |
$1,091.68 |
$694.48
|
|
Perphenazine 4mg oral
|
$62.99 |
$62.99 |
$62.99 |
$12.75
|
|
Perq skel fix ulnar styld fx
|
$941.91 |
$941.91 |
$941.91 |
$3,591.33
|
|
Pertussis ag if
|
$116.26 |
$116.26 |
$116.26 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$16,591.18 |
$16,591.18 |
$16,591.18 |
$18,443.20
|
|
Pet CT skull-mid thgh initial
|
$3,753.62 |
$3,753.62 |
$3,753.62 |
$4,854.75
|
|
Pet CT whole body initial
|
$2,965.30 |
$2,965.30 |
$2,965.30 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$2,770.56 |
$2,770.56 |
$2,770.56 |
$3,517.92
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,288.18 |
$3,288.18 |
$3,288.18 |
$30,838.33
|
|
Ph body fluid
|
$16.55 |
$16.55 |
$16.55 |
$39.20
|
|
Phencyclidine (pcp)
|
$15.70 |
$15.70 |
$15.70 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$114.56 |
$114.56 |
$114.56 |
$124.21
|
|
Phenobarbital therapeutic drug level
|
$95.47 |
$95.47 |
$95.47 |
$104.50
|
|
Phentolaine mesylate inj
|
$690.98 |
$690.98 |
$690.98 |
$973.85
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$23.76 |
$23.76 |
$23.76 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$125.17 |
$125.17 |
$125.17 |
$111.27
|
|
Phlebotomy therapeutic
|
$165.90 |
$165.90 |
$165.90 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,538.08 |
$3,538.08 |
$3,538.08 |
$4,341.66
|
|
Phosphorus
|
$85.29 |
$85.29 |
$85.29 |
$47.81
|
|
Phosphorus 24 hour urine
|
$70.01 |
$70.01 |
$70.01 |
$42.81
|
|
Phys blood bank serv reactj
|
$109.89 |
$109.89 |
$109.89 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$90.84 |
$90.84 |
$90.84 |
$89.29
|
|
Pillow shldr abduc inflat univ
|
$614.36 |
$614.36 |
$614.36 |
$344.57
|
|
Pinworm exam
|
$47.52 |
$47.52 |
$47.52 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$39.61 |
$39.61 |
$39.61 |
$98.00
|
|
Place duod/jej tube perc
|
$1,938.12 |
$1,938.12 |
$1,938.12 |
$2,588.00
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$105.65 |
$105.65 |
$105.65 |
$811.46
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$278.76 |
$278.76 |
$278.76 |
$1,372.15
|
|
Place non-slctv cath thoracic arta
|
$1,700.95 |
$1,700.95 |
$1,700.95 |
$5,053.33
|
|
Place slctv cath carotid/inom art excrn uni
|
$598.24 |
$598.24 |
$598.24 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$2,229.18 |
$2,229.18 |
$2,229.18 |
$9,181.35
|