|
Observation per hour
|
$0.56 |
$0.56 |
$0.56 |
$79.95
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$428.59 |
$428.59 |
$428.59 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$4,143.83 |
$4,143.83 |
$4,143.83 |
$12,151.03
|
|
Olanzapine 10 mg intramuscular solution
|
$72.09 |
$72.09 |
$72.09 |
$109.58
|
|
Onc brst mrna 70 cnt 31 gene
|
$3,267.50 |
$3,267.50 |
$3,267.50 |
$4,260.30
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.34 |
$2.34 |
$2.34 |
$8.40
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$31.88 |
$31.88 |
$31.88 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$2,314.50 |
$2,314.50 |
$2,314.50 |
$4,531.42
|
|
Opioids & opiate analogs 3/4
|
$80.25 |
$80.25 |
$80.25 |
$24.00
|
|
Opn fem art expos cndt crtj 34714
|
$992.00 |
$992.00 |
$992.00 |
$2,041.65
|
|
Oral aprepitant
|
$73.63 |
$73.63 |
$73.63 |
$410.20
|
|
Oral everolimus
|
$9.17 |
$9.17 |
$9.17 |
$33.34
|
|
Organic acids total quant ea spec
|
$82.50 |
$82.50 |
$82.50 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$25.67 |
$25.67 |
$25.67 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$81.75 |
$81.75 |
$81.75 |
$195.00
|
|
Osmolality blood
|
$65.50 |
$65.50 |
$65.50 |
$69.55
|
|
Osmolality urine
|
$65.50 |
$65.50 |
$65.50 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$223.75 |
$223.75 |
$223.75 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$223.75 |
$223.75 |
$223.75 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$223.75 |
$223.75 |
$223.75 |
$263.50
|
|
Oth resp proc, group
|
$27.00 |
$27.00 |
$27.00 |
$127.40
|
|
Oth resp proc, indiv
|
$20.25 |
$20.25 |
$20.25 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$27.50 |
$27.50 |
$27.50 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$52.00 |
$52.00 |
$52.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$113.00 |
$113.00 |
$113.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$77.00 |
$77.00 |
$77.00 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$43.50 |
$43.50 |
$43.50 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$130.50 |
$130.50 |
$130.50 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$57.75 |
$57.75 |
$57.75 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$51.00 |
$51.00 |
$51.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$54.00 |
$54.00 |
$54.00 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$192.62 |
$192.62 |
$192.62 |
$79.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$495.02 |
$495.02 |
$495.02 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$93.66 |
$93.66 |
$93.66 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$286.18 |
$286.18 |
$286.18 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$89.70 |
$89.70 |
$89.70 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$999.81 |
$999.81 |
$999.81 |
$3,420.45
|
|
Palingen or promatrx
|
$518.75 |
$518.75 |
$518.75 |
$691.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$185.89 |
$185.89 |
$185.89 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.05 |
$11.05 |
$11.05 |
$27.16
|
|
Papaverin hcl injection
|
$71.83 |
$71.83 |
$71.83 |
$76.40
|
|
Parathormone (pth) intact
|
$178.00 |
$178.00 |
$178.00 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$472.00 |
$472.00 |
$472.00 |
$1,555.00
|
|
Parathyroid planar imaging
|
$358.75 |
$358.75 |
$358.75 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$373.00 |
$373.00 |
$373.00 |
$1,345.00
|
|
Paricalcitol
|
$13.89 |
$13.89 |
$13.89 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$79.25 |
$79.25 |
$79.25 |
$242.88
|
|
Pelvic CT scan (with and without contrast)
|
$1,213.75 |
$1,213.75 |
$1,213.75 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,043.50 |
$1,043.50 |
$1,043.50 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$926.75 |
$926.75 |
$926.75 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$1,363.25 |
$1,363.25 |
$1,363.25 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$1,042.25 |
$1,042.25 |
$1,042.25 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$910.75 |
$910.75 |
$910.75 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$261.25 |
$261.25 |
$261.25 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$159.75 |
$159.75 |
$159.75 |
$430.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,970.11 |
$2,970.11 |
$2,970.11 |
$6,202.54
|
|
Pemivibart infusion
|
$351.00 |
$351.00 |
$351.00 |
$533.10
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$202.43 |
$202.43 |
$202.43 |
$97.85
|
|
Penile injection
|
$78.50 |
$78.50 |
$78.50 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$18,349.50
|
|
Penile vascular study
|
$291.00 |
$291.00 |
$291.00 |
$585.20
|
|
Pentobarbital sodium inj
|
$6,504.69 |
$6,504.69 |
$6,504.69 |
$2,047.85
|
|
Perc d-e cor revasc chro add
|
$13,200.75 |
$13,200.75 |
$13,200.75 |
$13,045.40
|
|
Perc d-e cor revasc chro sin
|
$13,524.50 |
$13,524.50 |
$13,524.50 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$13,200.75 |
$13,200.75 |
$13,200.75 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$13,524.50 |
$13,524.50 |
$13,524.50 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$15,561.25 |
$15,561.25 |
$15,561.25 |
$12,719.00
|
|
Perc d-e cor stent ather s
|
$16,022.25 |
$16,022.25 |
$16,022.25 |
$18,808.65
|
|
Perc drug-el cor stent bran
|
$12,572.50 |
$12,572.50 |
$12,572.50 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$13,524.50 |
$13,524.50 |
$13,524.50 |
$16,258.50
|
|
Pericardial drain w/cath pq w/ct guid
|
$584.00 |
$584.00 |
$584.00 |
$2,405.67
|
|
Pericardiocentesis wwo imaging
|
$584.00 |
$584.00 |
$584.00 |
$2,341.50
|
|
Peripheral vascular rehab
|
$80.25 |
$80.25 |
$80.25 |
$129.60
|
|
Peri-proc device eval pm
|
$35.25 |
$35.25 |
$35.25 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$3,728.75 |
$3,728.75 |
$3,728.75 |
$6,075.30
|
|
Peritoneogram rs&i
|
$279.00 |
$279.00 |
$279.00 |
$689.15
|
|
Perq clsr tcat l atr apndge
|
$8,224.75 |
$8,224.75 |
$8,224.75 |
$8,489.00
|
|
Perq dev breast 1st mr guide
|
$728.00 |
$728.00 |
$728.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$655.25 |
$655.25 |
$655.25 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$12,537.50 |
$12,537.50 |
$12,537.50 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$7,747.75 |
$7,747.75 |
$7,747.75 |
$21,249.26
|
|
Perq p-art revsc 1 nm nt bi
|
$7,747.75 |
$7,747.75 |
$7,747.75 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$7,747.75 |
$7,747.75 |
$7,747.75 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$3,874.25 |
$3,874.25 |
$3,874.25 |
$7,958.34
|
|
Perq plmt bile duct stent
|
$2,363.25 |
$2,363.25 |
$2,363.25 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$2,363.25 |
$2,363.25 |
$2,363.25 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,363.25 |
$2,363.25 |
$2,363.25 |
$7,085.70
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$167.50 |
$167.50 |
$167.50 |
$625.93
|
|
Perqt bx lung/mediastinum 32405
|
$379.00 |
$379.00 |
$379.00 |
$1,617.64
|
|
Perq transcath closure pda
|
$8,185.00 |
$8,185.00 |
$8,185.00 |
$18,408.00
|
|
Perq transcath septal reduxn
|
$8,423.50 |
$8,423.50 |
$8,423.50 |
$7,075.74
|
|
Pet CT skull-mid thgh initial
|
$3,090.25 |
$3,090.25 |
$3,090.25 |
$4,711.20
|
|
Pet CT whole body initial
|
$3,090.25 |
$3,090.25 |
$3,090.25 |
$4,850.00
|
|
Pet image full body
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$5,070.50
|
|
Pet image ltd area
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$3,518.45
|
|
Pet image skull-thigh
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$4,278.00
|
|
Ph body fluid
|
$31.00 |
$31.00 |
$31.00 |
$40.04
|
|
Phencyclidine (pcp)
|
$80.25 |
$80.25 |
$80.25 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$368.73 |
$368.73 |
$368.73 |
$114.60
|