|
Orthosis lso rigd frm hyperex
|
$200.85 |
$200.85 |
$200.85 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$90.35 |
$90.35 |
$90.35 |
$267.57
|
|
Oscillation chest wall mechanical per session
|
$130.00 |
$130.00 |
$130.00 |
$204.89
|
|
Osmolality blood
|
$102.05 |
$102.05 |
$102.05 |
$57.00
|
|
Osmolality urine
|
$102.05 |
$102.05 |
$102.05 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$635.05 |
$635.05 |
$635.05 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$573.30 |
$573.30 |
$573.30 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$652.60 |
$652.60 |
$652.60 |
$249.60
|
|
Other immunoelectrophoresis
|
$147.55 |
$147.55 |
$147.55 |
$92.70
|
|
Oth resp proc, group
|
$159.25 |
$159.25 |
$159.25 |
$100.80
|
|
Oth resp proc, indiv
|
$89.70 |
$89.70 |
$89.70 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$105.95 |
$105.95 |
$105.95 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$121.55 |
$121.55 |
$121.55 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$126.75 |
$126.75 |
$126.75 |
$105.50
|
|
Ot re-evaluation patient/family
|
$377.65 |
$377.65 |
$377.65 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$131.30 |
$131.30 |
$131.30 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$92.95 |
$92.95 |
$92.95 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$127.40 |
$127.40 |
$127.40 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$122.20 |
$122.20 |
$122.20 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$132.60 |
$132.60 |
$132.60 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$122.20 |
$122.20 |
$122.20 |
$93.60
|
|
Ovarian cystectomy 58925
|
$27,635.03 |
$27,635.03 |
$27,635.03 |
$5,751.94
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$68.31 |
$68.31 |
$68.31 |
$26.95
|
|
Oxaliplatin 5 mg/ml desensitization
|
$94.90 |
$94.90 |
$94.90 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$10.43 |
$10.43 |
$10.43 |
$30.78
|
|
P-32 sod phosphate ther per mci
|
$665.60 |
$665.60 |
$665.60 |
$436.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$163.06 |
$163.06 |
$163.06 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,448.39 |
$3,448.39 |
$3,448.39 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$7,150.64 |
$7,150.64 |
$7,150.64 |
$4,898.66
|
|
Palonosetron hcl
|
$54.40 |
$54.40 |
$54.40 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$319.18 |
$319.18 |
$319.18 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$16,576.27 |
$16,576.27 |
$16,576.27 |
$187.16
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$9.07 |
$9.07 |
$9.07 |
$18.49
|
|
Papaverin hcl injection
|
$125.16 |
$125.16 |
$125.16 |
$85.02
|
|
Parathormone (pth) intact
|
$170.95 |
$170.95 |
$170.95 |
$204.00
|
|
Parathyroid autotransplantation 60512
|
$21,737.98 |
$21,737.98 |
$21,737.98 |
$598.40
|
|
Parathyroid planar imaging
|
$934.05 |
$934.05 |
$934.05 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,446.25 |
$1,446.25 |
$1,446.25 |
$1,317.94
|
|
Paricalcitol
|
$45.79 |
$45.79 |
$45.79 |
$41.14
|
|
Part hymenectomy/revi hymenal ring 56700
|
$8,026.44 |
$8,026.44 |
$8,026.44 |
$3,162.10
|
|
Partial removal of eye fluid
|
$11,817.75 |
$11,817.75 |
$11,817.75 |
$2,524.45
|
|
Partial removal of eye fluid
|
$8,148.64 |
$8,148.64 |
$8,148.64 |
$2,689.60
|
|
Partial removal of nose
|
$19,557.60 |
$19,557.60 |
$19,557.60 |
$6,547.81
|
|
Partial removal of pharynx 42890
|
$8,519.23 |
$8,519.23 |
$8,519.23 |
$5,416.89
|
|
Partial removal of thyroid
|
$18,875.97 |
$18,875.97 |
$18,875.97 |
$6,457.82
|
|
Partial removal of tongue
|
$11,554.23 |
$11,554.23 |
$11,554.23 |
$5,978.70
|
|
Partial removal of vaginal wall 57106
|
$16,412.17 |
$16,412.17 |
$16,412.17 |
$3,091.88
|
|
Partial thyroid excision
|
$10,461.20 |
$10,461.20 |
$10,461.20 |
$6,049.87
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4.55 |
$4.55 |
$4.55 |
$5,901.00
|
|
Passy muir valve metal trach
|
$165.75 |
$165.75 |
$165.75 |
$241.20
|
|
Pdgfra gene
|
$852.15 |
$852.15 |
$852.15 |
$717.23
|
|
Pegaspargase injection
|
$61,317.29 |
$61,317.29 |
$61,317.29 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,556.80 |
$12,556.80 |
$12,556.80 |
$9,121.58
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,168.39 |
$8,168.39 |
$8,168.39 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,084.20 |
$4,084.20 |
$4,084.20 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$2,460.25 |
$2,460.25 |
$2,460.25 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$2,078.05 |
$2,078.05 |
$2,078.05 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,551.55 |
$1,551.55 |
$1,551.55 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$902.20 |
$902.20 |
$902.20 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$573.95 |
$573.95 |
$573.95 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$13,368.94 |
$13,368.94 |
$13,368.94 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,734.56 |
$1,734.56 |
$1,734.56 |
$122.56
|
|
Peng benzathine/procaine inj
|
$734.82 |
$734.82 |
$734.82 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,514.24 |
$2,514.24 |
$2,514.24 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$153.79 |
$153.79 |
$153.79 |
$53.75
|
|
Penile injection
|
$577.85 |
$577.85 |
$577.85 |
$403.80
|
|
Pentamidine 300 mg solution for injection
|
$504.43 |
$504.43 |
$504.43 |
$572.10
|
|
Pentobarbital sodium inj
|
$268.64 |
$268.64 |
$268.64 |
$64.60
|
|
Pentostatin 10 mg intravenous solution
|
$6,659.13 |
$6,659.13 |
$6,659.13 |
$2,581.74
|
|
Perc cryo ablate renal tum
|
$17,194.09 |
$17,194.09 |
$17,194.09 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$22,577.75 |
$22,577.75 |
$22,577.75 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$13,415.35 |
$13,415.35 |
$13,415.35 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$14,504.75 |
$14,504.75 |
$14,504.75 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$16,123.25 |
$16,123.25 |
$16,123.25 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$34,823.10 |
$34,823.10 |
$34,823.10 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$26,330.20 |
$26,330.20 |
$26,330.20 |
$21,146.91
|
|
Perc drug-el cor stent bran
|
$11,431.55 |
$11,431.55 |
$11,431.55 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$20,974.20 |
$20,974.20 |
$20,974.20 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$10,435.10 |
$10,435.10 |
$10,435.10 |
$6,949.48
|
|
Percut ablate liver rf
|
$16,901.28 |
$16,901.28 |
$16,901.28 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,133.45 |
$1,133.45 |
$1,133.45 |
$269.36
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,571.70 |
$1,571.70 |
$1,571.70 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,626.30 |
$1,626.30 |
$1,626.30 |
$2,554.80
|
|
Perineoplasty rpr per nonob
|
$10,164.26 |
$10,164.26 |
$10,164.26 |
$3,285.49
|
|
Peripheral vascular rehab
|
$108.55 |
$108.55 |
$108.55 |
$142.11
|
|
Peri-proc device eval icd
|
$271.05 |
$271.05 |
$271.05 |
$220.35
|
|
Peri-proc device eval pm
|
$243.10 |
$243.10 |
$243.10 |
$200.92
|
|
Peritoneogram rs&i
|
$871.00 |
$871.00 |
$871.00 |
$510.85
|
|
Perit-vens shunt pat tst
|
$809.25 |
$809.25 |
$809.25 |
$608.46
|
|
Perq art m-thrombect &/nfs
|
$2,549.30 |
$2,549.30 |
$2,549.30 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$8,238.10 |
$8,238.10 |
$8,238.10 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$2,153.40
|
|
Perq dev breast 1st strtctc
|
$1,634.10 |
$1,634.10 |
$1,634.10 |
$1,471.17
|
|
Perq nl/pl lithotrp cplx>2cm
|
$29,525.55 |
$29,525.55 |
$29,525.55 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$26,428.19 |
$26,428.19 |
$26,428.19 |
$9,009.60
|
|
Perq plmt bile duct stent
|
$7,122.70 |
$7,122.70 |
$7,122.70 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$7,725.90 |
$7,725.90 |
$7,725.90 |
$6,085.18
|