|
Orthosis lso rigd frm hyperex
|
$729.41 |
$729.41 |
$729.41 |
$813.61
|
|
Orthovisc inj per dose
|
$783.04 |
$783.04 |
$783.04 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$584.06 |
$584.06 |
$584.06 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,626.05 |
$1,626.05 |
$1,626.05 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$196.70 |
$196.70 |
$196.70 |
$196.30
|
|
O shoe add felt w leath insl
|
$58.90 |
$58.90 |
$58.90 |
$36.40
|
|
O shoe add horseshoe toe tap
|
$42.38 |
$42.38 |
$42.38 |
$49.45
|
|
O shoe add instep extension
|
$157.92 |
$157.92 |
$157.92 |
$201.67
|
|
O shoe add instep velcro clo
|
$120.19 |
$120.19 |
$120.19 |
$140.22
|
|
O shoe add standard toe tap
|
$16.61 |
$16.61 |
$16.61 |
$19.38
|
|
O shoe convert to sof counte
|
$99.02 |
$99.02 |
$99.02 |
$115.53
|
|
Osmolality blood
|
$61.06 |
$61.06 |
$61.06 |
$70.85
|
|
Osmolality urine
|
$61.06 |
$61.06 |
$61.06 |
$65.52
|
|
Osteopath manip tx/5-6 body region 98927
|
$42.96 |
$42.96 |
$42.96 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$42.96 |
$42.96 |
$42.96 |
$84.22
|
|
Oth resp proc, group
|
$66.91 |
$66.91 |
$66.91 |
$126.00
|
|
Oth resp proc, indiv
|
$81.79 |
$81.79 |
$81.79 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$77.47 |
$77.47 |
$77.47 |
$97.80
|
|
Ot re-evaluation patient/family
|
$139.44 |
$139.44 |
$139.44 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$77.47 |
$77.47 |
$77.47 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$77.47 |
$77.47 |
$77.47 |
$93.12
|
|
Outrigger
|
$96.96 |
$96.96 |
$96.96 |
$123.81
|
|
Outrigger bil with vert extens
|
$324.58 |
$324.58 |
$324.58 |
$378.67
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$218.77 |
$218.77 |
$218.77 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$250.64 |
$250.64 |
$250.64 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$74.88 |
$74.88 |
$74.88 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$415.78 |
$415.78 |
$415.78 |
$290.64
|
|
P-32 sod phosphate ther per mci
|
$521.62 |
$521.62 |
$521.62 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$405.94 |
$405.94 |
$405.94 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,476.41 |
$2,476.41 |
$2,476.41 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,277.29 |
$5,277.29 |
$5,277.29 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,055.32 |
$3,055.32 |
$3,055.32 |
$5,580.28
|
|
Palonosetron hcl
|
$365.04 |
$365.04 |
$365.04 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$114.84 |
$114.84 |
$114.84 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$9,842.48 |
$9,842.48 |
$9,842.48 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$29.89 |
$29.89 |
$29.89 |
$28.90
|
|
Papaverin hcl injection
|
$47.55 |
$47.55 |
$47.55 |
$78.75
|
|
Parathormone (pth) intact
|
$58.85 |
$58.85 |
$58.85 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,182.27 |
$2,182.27 |
$2,182.27 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,785.46 |
$1,785.46 |
$1,785.46 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$2,190.62 |
$2,190.62 |
$2,190.62 |
$1,374.75
|
|
Paricalcitol
|
$47.09 |
$47.09 |
$47.09 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$251.18 |
$251.18 |
$251.18 |
$245.67
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,981.63 |
$4,981.63 |
$4,981.63 |
$4,921.76
|
|
Passy muir valve metal trach
|
$216.00 |
$216.00 |
$216.00 |
$275.75
|
|
Patten bottom
|
$576.62 |
$576.62 |
$576.62 |
$672.73
|
|
Pdgfra gene
|
$640.22 |
$640.22 |
$640.22 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$61.20 |
$61.20 |
$61.20 |
$44.97
|
|
Pegaspargase injection
|
$31,063.74 |
$31,063.74 |
$31,063.74 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,326.23 |
$6,326.23 |
$6,326.23 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,258.51 |
$3,258.51 |
$3,258.51 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,768.23 |
$2,768.23 |
$2,768.23 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,074.92 |
$2,074.92 |
$2,074.92 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$30,013.94 |
$30,013.94 |
$30,013.94 |
$49,135.11
|
|
Pelv band/spread bar thigh c
|
$852.86 |
$852.86 |
$852.86 |
$802.87
|
|
Pelvic band & belt thigh fla
|
$600.67 |
$600.67 |
$600.67 |
$504.00
|
|
Pelvic control band & belt b
|
$566.16 |
$566.16 |
$566.16 |
$566.16
|
|
Pelvic control band & belt u
|
$429.07 |
$429.07 |
$429.07 |
$500.58
|
|
Pelvic control hip heavy dut
|
$450.43 |
$450.43 |
$450.43 |
$591.53
|
|
Pelvic control pelvic sling
|
$781.87 |
$781.87 |
$781.87 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,335.34
|
|
Pelvic & hip control thigh c
|
$2,052.62 |
$2,052.62 |
$2,052.62 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$1,276.99 |
$1,276.99 |
$1,276.99 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,003.30 |
$1,003.30 |
$1,003.30 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$912.00 |
$912.00 |
$912.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$379.44 |
$379.44 |
$379.44 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$379.44 |
$379.44 |
$379.44 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$207.79 |
$207.79 |
$207.79 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$138.43 |
$138.43 |
$138.43 |
$351.75
|
|
Pelv & thor control gluteal
|
$256.46 |
$256.46 |
$256.46 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,974.80 |
$7,974.80 |
$7,974.80 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$6,177.18 |
$6,177.18 |
$6,177.18 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$624.99 |
$624.99 |
$624.99 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$104.72 |
$104.72 |
$104.72 |
$97.85
|
|
Penicillin g procaine inj
|
$147.96 |
$147.96 |
$147.96 |
$149.20
|
|
Penile injection
|
$387.60 |
$387.60 |
$387.60 |
$424.60
|
|
Penile vascular study
|
$443.95 |
$443.95 |
$443.95 |
$561.00
|
|
Pentamidine 300 mg solution for injection
|
$190.16 |
$190.16 |
$190.16 |
$572.10
|
|
Pentobarbital sodium inj
|
$190.15 |
$190.15 |
$190.15 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,922.59 |
$3,922.59 |
$3,922.59 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$2,852.11 |
$2,852.11 |
$2,852.11 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$11,447.81 |
$11,447.81 |
$11,447.81 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$32,350.80 |
$32,350.80 |
$32,350.80 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$8,181.22 |
$8,181.22 |
$8,181.22 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$23,119.73 |
$23,119.73 |
$23,119.73 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$11,424.67 |
$11,424.67 |
$11,424.67 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$32,285.81 |
$32,285.81 |
$32,285.81 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$8,185.82 |
$8,185.82 |
$8,185.82 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$23,132.78 |
$23,132.78 |
$23,132.78 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,833.82 |
$2,833.82 |
$2,833.82 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,860.90 |
$2,860.90 |
$2,860.90 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$297.92 |
$297.92 |
$297.92 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$4,470.24 |
$4,470.24 |
$4,470.24 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$4,257.17 |
$4,257.17 |
$4,257.17 |
$2,375.00
|
|
Peripheral vascular rehab
|
$134.45 |
$134.45 |
$134.45 |
$132.50
|
|
Peri-proc device eval icd
|
$237.07 |
$237.07 |
$237.07 |
$192.40
|
|
Peri-proc device eval pm
|
$237.07 |
$237.07 |
$237.07 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$1,957.73 |
$1,957.73 |
$1,957.73 |
$5,625.74
|
