|
Orthovisc inj per dose
|
$1,345.15 |
$1,345.15 |
$1,345.15 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$520.53 |
$520.53 |
$1,857.38 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,449.11 |
$1,449.11 |
$1,449.11 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$332.40 |
$332.40 |
$348.99 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$60.37 |
$60.37 |
$60.37 |
$49.45
|
|
O shoe add instep extension
|
$136.11 |
$136.11 |
$136.11 |
$201.67
|
|
O shoe add instep velcro clo
|
$171.22 |
$171.22 |
$171.22 |
$140.22
|
|
O shoe add standard toe tap
|
$23.60 |
$23.60 |
$23.60 |
$19.38
|
|
O shoe convert to sof counte
|
$141.04 |
$141.04 |
$141.04 |
$115.53
|
|
Osmolality blood
|
$81.63 |
$81.63 |
$83.40 |
$67.60
|
|
Osmolality urine
|
$84.60 |
$84.60 |
$86.20 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$387.00 |
$387.00 |
$387.92 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$286.80 |
$286.80 |
$387.92 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$336.60 |
$336.60 |
$387.92 |
$263.50
|
|
Oth resp proc, group
|
$37.50 |
$37.50 |
$58.80 |
$123.05
|
|
Oth resp proc, indiv
|
$47.40 |
$47.40 |
$61.50 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$184.78 |
$184.78 |
$184.78 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$128.40 |
$128.40 |
$190.90 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$61.80 |
$61.80 |
$303.49 |
$105.00
|
|
Ot re-evaluation patient/family
|
$128.40 |
$128.40 |
$156.64 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$107.40 |
$107.40 |
$184.78 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$31.80 |
$31.80 |
$285.12 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$31.80 |
$31.80 |
$285.12 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$82.80 |
$82.80 |
$303.49 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$70.80 |
$70.80 |
$303.49 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$124.80 |
$124.80 |
$192.13 |
$94.25
|
|
Outrigger
|
$138.14 |
$138.14 |
$138.14 |
$123.81
|
|
Outrigger bil with vert extens
|
$199.76 |
$199.76 |
$199.76 |
$378.67
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$218.30 |
$218.30 |
$218.30 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$122.70 |
$122.70 |
$4,309.36 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$33.39 |
$33.39 |
$98.40 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$79,101.48 |
$79,101.48 |
$226,535.63 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$96.18 |
$96.18 |
$570.38 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,015.16 |
$5,015.16 |
$16,607.48 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$899.59 |
$899.59 |
$899.59 |
$672.50
|
|
Palingen or palingen xplus
|
$18,420.02 |
$18,420.02 |
$18,420.02 |
$656.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$0.06 |
$0.06 |
$148.56 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$19,843.34 |
$19,843.34 |
$19,843.34 |
$5,569.20
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$1,349.30 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$184.44 |
$184.44 |
$409.07 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,925.16 |
$1,925.16 |
$23,000.76 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$9.30 |
$9.30 |
$9.30 |
$29.31
|
|
Papaverin hcl injection
|
$101.88 |
$101.88 |
$281.84 |
$77.05
|
|
Parathormone (pth) intact
|
$317.40 |
$317.40 |
$512.75 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$3,043.14 |
$3,043.14 |
$3,043.14 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,234.80 |
$1,234.80 |
$2,970.41 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$2,970.41 |
$2,970.41 |
$2,970.41 |
$1,350.60
|
|
Paricalcitol
|
$74.58 |
$74.58 |
$99.13 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$529.80 |
$529.80 |
$741.10 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$8,710.02 |
$8,710.02 |
$8,710.02 |
$3,762.53
|
|
Partial exc bone humerus
|
$17,682.00 |
$17,682.00 |
$17,682.00 |
$3,839.54
|
|
Partial removal finger bone
|
$2,735.40 |
$2,735.40 |
$2,735.40 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$13,886.35 |
$13,886.35 |
$20,723.39 |
$4,921.76
|
|
Passy muir valve metal trach
|
$714.97 |
$714.97 |
$1,940.54 |
$275.75
|
|
Patten bottom
|
$513.87 |
$513.87 |
$513.87 |
$672.73
|
|
Pca3/klk3 antigen
|
$873.00 |
$873.00 |
$873.00 |
$510.40
|
|
Pcv21 vaccine im
|
$2,352.65 |
$2,352.65 |
$2,352.65 |
$410.26
|
|
Pdgfra gene
|
$873.00 |
$873.00 |
$975.38 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$60.37 |
$60.37 |
$60.37 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$3,658.44 |
$3,658.44 |
$18,868.92 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$1,728.95 |
$1,728.95 |
$1,728.95 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,105.10 |
$3,105.10 |
$12,274.50 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$3,592.12 |
$3,592.12 |
$3,592.12 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,137.28 |
$6,137.28 |
$18,216.90 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$464.06 |
$464.06 |
$464.06 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$41,245.26 |
$41,245.26 |
$41,245.26 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$2,146.13 |
$2,146.13 |
$2,146.13 |
$2,146.13
|
|
Pelv band/spread bar thigh c
|
$760.08 |
$760.08 |
$760.08 |
$802.87
|
|
Pelvic control band & belt b
|
$504.53 |
$504.53 |
$504.53 |
$566.16
|
|
Pelvic control band & belt u
|
$230.26 |
$230.26 |
$230.26 |
$500.58
|
|
Pelvic control hip heavy dut
|
$240.25 |
$240.25 |
$240.25 |
$591.53
|
|
Pelvic control pelvic sling
|
$696.79 |
$696.79 |
$696.79 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$2,167.20 |
$2,167.20 |
$4,711.19 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,927.20 |
$1,927.20 |
$2,680.59 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,687.20 |
$1,687.20 |
$2,598.80 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$1,704.83 |
$1,704.83 |
$1,704.83 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,301.80 |
$3,301.80 |
$4,117.54 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,841.60 |
$2,841.60 |
$3,258.04 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,273.40 |
$2,273.40 |
$3,202.65 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$676.20 |
$676.20 |
$861.92 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$423.00 |
$423.00 |
$942.66 |
$430.00
|
|
Pelv & thor control gluteal
|
$179.86 |
$179.86 |
$179.86 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$613.74 |
$613.74 |
$19,093.80 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$12,548.69 |
$12,548.69 |
$12,832.50 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$2,359.27 |
$2,359.27 |
$2,359.27 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,223.30 |
$2,223.30 |
$2,274.76 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$226.60 |
$226.60 |
$244.80 |
$101.34
|
|
Penicillin g procaine inj
|
$441.20 |
$441.20 |
$441.20 |
$147.96
|
|
Penile rear tip xtnd 0.5cm
|
$37,601.83 |
$37,601.83 |
$78,746.42 |
$18,764.94
|
|
Penile vascular study
|
$209.40 |
$209.40 |
$209.40 |
$576.40
|
|
Pentamidine 300 mg solution for injection
|
$5.42 |
$5.42 |
$418.98 |
$453.61
|
|
Pentamidine non-comp unit
|
$821.10 |
$821.10 |
$1,654.39 |
$294.39
|
|
Pentobarbital sodium inj
|
$8,748.26 |
$8,748.26 |
$8,748.26 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$26,232.65 |
$26,232.65 |
$26,232.65 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$32,512.26 |
$32,512.26 |
$32,512.26 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$48,021.53 |
$48,021.53 |
$48,021.53 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$27,629.40 |
$27,629.40 |
$59,027.42 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$17,334.60 |
$17,334.60 |
$48,021.53 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$17,334.60 |
$17,334.60 |
$89,496.45 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$13,190.40 |
$13,190.40 |
$48,021.53 |
$12,191.74
|